Barkley Women's Reproductive Health
Practice Exam PRACTICE QUESTIONS
|ORIGINAL QUESTIONS & ANSWERS
|DETAILED RATIONALES |HINTED
COMPLETE EXAM PREP GRADED
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Section I — Gynecologic Assessment & Preventive Care
1.
A 24-year-old woman presents for an annual examination. She has
no symptoms and has never been sexually active. Which screening is
routinely recommended beginning at age 21 regardless of sexual
activity?
A. Annual HPV testing
B. Annual pelvic ultrasound
C. Cervical cancer screening with cytology according to age-based
guidelines
D. Annual CA-125 testing
Rationale: Cervical cancer screening begins at age 21 and is based
primarily on age and screening history rather than sexual activity.
2.
Which organism is the most common cause of bacterial vaginosis?
A. Candida albicans
B. Gardnerella vaginalis and associated anaerobic flora
C. Trichomonas vaginalis
D. Neisseria gonorrhoeae
,Rationale: Bacterial vaginosis reflects disruption of normal vaginal
flora with replacement of lactobacilli by mixed anaerobic organisms,
historically associated with Gardnerella.
3.
A woman reports thin, gray vaginal discharge with a fishy odor that
becomes more noticeable after intercourse. Vaginal pH is 5.5. Which
diagnosis is most likely?
A. Vulvovaginal candidiasis
B. Bacterial vaginosis
C. Genital herpes
D. Atrophic vaginitis
Rationale: BV classically produces thin gray-white discharge, elevated
vaginal pH, and a fishy odor.
4.
Which finding most strongly supports vulvovaginal candidiasis?
A. Vaginal pH of 5.8
B. Positive whiff test
C. Thick, adherent white discharge with vulvar pruritus
D. Frothy green discharge
Rationale: Candidiasis commonly causes intense vulvar itching,
erythema, and thick white discharge. Vaginal pH usually remains
normal.
5.
A patient with vaginal discharge has motile, flagellated organisms on
wet mount. Which infection is present?
A. Bacterial vaginosis
B. Candidiasis
C. Trichomoniasis
D. Chlamydia
,Rationale: Motile trichomonads on wet preparation are characteristic
of Trichomonas vaginalis infection.
6.
Which vaginal pH is most consistent with uncomplicated vulvovaginal
candidiasis?
A. 4.0
B. 5.5
C. 6.0
D. 7.0
Rationale: Vaginal candidiasis generally maintains an acidic vaginal
pH, usually ≤4.5.
7.
A 28-year-old patient has recurrent vulvovaginal candidiasis. Which
definition is commonly used for recurrent disease?
A. Two episodes in 12 months
B. Three or more symptomatic episodes in 12 months
C. Four episodes in 24 months
D. Five episodes in 6 months
Rationale: Recurrent vulvovaginal candidiasis is commonly defined as
three or more symptomatic episodes within one year.
8.
Which symptom is most characteristic of vulvovaginal candidiasis?
A. Painless genital ulcer
B. Intense vulvar pruritus
C. Postcoital bleeding
D. Pelvic mass
Rationale: Pruritus is one of the hallmark symptoms of vulvovaginal
candidiasis.
, 9.
Which finding is characteristic of trichomoniasis?
A. Normal vaginal pH
B. Thick curdy discharge
C. Frothy yellow-green discharge
D. Painless chancre
Rationale: Trichomoniasis may cause frothy yellow-green discharge,
vulvar irritation, and an elevated vaginal pH.
10.
A woman has a painful genital ulcer with a ragged border and tender
inguinal lymphadenopathy. Which infection is most likely?
A. Syphilis
B. Chancroid
C. Genital herpes
D. Lymphogranuloma venereum
Rationale: Chancroid classically produces painful ulcers with irregular
borders and painful regional lymphadenopathy.
Section II — Sexually Transmitted Infections
11.
Which organism causes genital herpes?
A. Human papillomavirus
B. Herpes simplex virus
C. Treponema pallidum
D. Haemophilus ducreyi
Rationale: Genital herpes is caused primarily by HSV-2, although HSV-
1 increasingly causes genital infection.
Practice Exam PRACTICE QUESTIONS
|ORIGINAL QUESTIONS & ANSWERS
|DETAILED RATIONALES |HINTED
COMPLETE EXAM PREP GRADED
A+*INSTANT DOWNLOAD PDF
Section I — Gynecologic Assessment & Preventive Care
1.
A 24-year-old woman presents for an annual examination. She has
no symptoms and has never been sexually active. Which screening is
routinely recommended beginning at age 21 regardless of sexual
activity?
A. Annual HPV testing
B. Annual pelvic ultrasound
C. Cervical cancer screening with cytology according to age-based
guidelines
D. Annual CA-125 testing
Rationale: Cervical cancer screening begins at age 21 and is based
primarily on age and screening history rather than sexual activity.
2.
Which organism is the most common cause of bacterial vaginosis?
A. Candida albicans
B. Gardnerella vaginalis and associated anaerobic flora
C. Trichomonas vaginalis
D. Neisseria gonorrhoeae
,Rationale: Bacterial vaginosis reflects disruption of normal vaginal
flora with replacement of lactobacilli by mixed anaerobic organisms,
historically associated with Gardnerella.
3.
A woman reports thin, gray vaginal discharge with a fishy odor that
becomes more noticeable after intercourse. Vaginal pH is 5.5. Which
diagnosis is most likely?
A. Vulvovaginal candidiasis
B. Bacterial vaginosis
C. Genital herpes
D. Atrophic vaginitis
Rationale: BV classically produces thin gray-white discharge, elevated
vaginal pH, and a fishy odor.
4.
Which finding most strongly supports vulvovaginal candidiasis?
A. Vaginal pH of 5.8
B. Positive whiff test
C. Thick, adherent white discharge with vulvar pruritus
D. Frothy green discharge
Rationale: Candidiasis commonly causes intense vulvar itching,
erythema, and thick white discharge. Vaginal pH usually remains
normal.
5.
A patient with vaginal discharge has motile, flagellated organisms on
wet mount. Which infection is present?
A. Bacterial vaginosis
B. Candidiasis
C. Trichomoniasis
D. Chlamydia
,Rationale: Motile trichomonads on wet preparation are characteristic
of Trichomonas vaginalis infection.
6.
Which vaginal pH is most consistent with uncomplicated vulvovaginal
candidiasis?
A. 4.0
B. 5.5
C. 6.0
D. 7.0
Rationale: Vaginal candidiasis generally maintains an acidic vaginal
pH, usually ≤4.5.
7.
A 28-year-old patient has recurrent vulvovaginal candidiasis. Which
definition is commonly used for recurrent disease?
A. Two episodes in 12 months
B. Three or more symptomatic episodes in 12 months
C. Four episodes in 24 months
D. Five episodes in 6 months
Rationale: Recurrent vulvovaginal candidiasis is commonly defined as
three or more symptomatic episodes within one year.
8.
Which symptom is most characteristic of vulvovaginal candidiasis?
A. Painless genital ulcer
B. Intense vulvar pruritus
C. Postcoital bleeding
D. Pelvic mass
Rationale: Pruritus is one of the hallmark symptoms of vulvovaginal
candidiasis.
, 9.
Which finding is characteristic of trichomoniasis?
A. Normal vaginal pH
B. Thick curdy discharge
C. Frothy yellow-green discharge
D. Painless chancre
Rationale: Trichomoniasis may cause frothy yellow-green discharge,
vulvar irritation, and an elevated vaginal pH.
10.
A woman has a painful genital ulcer with a ragged border and tender
inguinal lymphadenopathy. Which infection is most likely?
A. Syphilis
B. Chancroid
C. Genital herpes
D. Lymphogranuloma venereum
Rationale: Chancroid classically produces painful ulcers with irregular
borders and painful regional lymphadenopathy.
Section II — Sexually Transmitted Infections
11.
Which organism causes genital herpes?
A. Human papillomavirus
B. Herpes simplex virus
C. Treponema pallidum
D. Haemophilus ducreyi
Rationale: Genital herpes is caused primarily by HSV-2, although HSV-
1 increasingly causes genital infection.
