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Women's Health (APEA) High Quality
Questions With Verified Answers 2026
how to treat PCOS in patients who desire *contraception* - correct-answer--
increased risk of endometrial hyperplasia, endometrial cancer
-interventions:
*combined hormonal contraceptives (first line)
*increased ovulation, reduces hyperandrogenism, reduces complications
*NOTE* - correct-answer-weight loss restores ovulatory function, increases
insulin sensitivity, reduces hyperandrogenic features
pharmacologic management for PCOS - correct-answer--hormonal contraception
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-antiandrogens
-metformin and thiazolidinediones (TZDs)
-manage comorbidities
hormonal contraception options in treatment of PCOS - correct-answer--low-
androgen combined hormonal contraceptives
*progesterone options: levonorgestrel norgestimate (NGM)
-levonorgestrel intrauterine system (Mirena)
antiandrogen options in treatment PCOS - correct-answer--after 6 months if
hyperandrogenic symptoms not resolved on CHC
-spironolactone, finasteride
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metformin and thiazolidinediones (TZDs) options in treatment of PCOS - correct-
answer-*helps with insulin resistance*
-insulin resistance/type 2 DM
-TZDs: pioglitazone, rosiglitazone
managing co-morbidities in treatment of PCOS - correct-answer--hyperlipidemia
-non-alcoholic fatty liver disease
-obstructive sleep apnea
-depression/ anxiety
1st line pharm management for PCOS - correct-answer-hormonal contraception
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which of the following statements about contraception are TRUE? - correct-
answer--an IUD can be used by a patient who has a nulliparous cervix
-primary care providers may insert long-acting reversible contraceptives
which factors create unacceptable risk for initiation of combined hormonal
contraceptives? - correct-answer--smoking, DM, HTN
-migraine with aura
difference in absolute and relative contraindications - correct-answer--absolute:
NEVER do this
-relative: risks are present, but benefit may outweigh risks
pelvic exam tips - correct-answer--prior to speculum insertion
*apply scant lubricant to finger
Women's Health (APEA) High Quality
Questions With Verified Answers 2026
how to treat PCOS in patients who desire *contraception* - correct-answer--
increased risk of endometrial hyperplasia, endometrial cancer
-interventions:
*combined hormonal contraceptives (first line)
*increased ovulation, reduces hyperandrogenism, reduces complications
*NOTE* - correct-answer-weight loss restores ovulatory function, increases
insulin sensitivity, reduces hyperandrogenic features
pharmacologic management for PCOS - correct-answer--hormonal contraception
,2|Page
-antiandrogens
-metformin and thiazolidinediones (TZDs)
-manage comorbidities
hormonal contraception options in treatment of PCOS - correct-answer--low-
androgen combined hormonal contraceptives
*progesterone options: levonorgestrel norgestimate (NGM)
-levonorgestrel intrauterine system (Mirena)
antiandrogen options in treatment PCOS - correct-answer--after 6 months if
hyperandrogenic symptoms not resolved on CHC
-spironolactone, finasteride
,3|Page
metformin and thiazolidinediones (TZDs) options in treatment of PCOS - correct-
answer-*helps with insulin resistance*
-insulin resistance/type 2 DM
-TZDs: pioglitazone, rosiglitazone
managing co-morbidities in treatment of PCOS - correct-answer--hyperlipidemia
-non-alcoholic fatty liver disease
-obstructive sleep apnea
-depression/ anxiety
1st line pharm management for PCOS - correct-answer-hormonal contraception
, 4|Page
which of the following statements about contraception are TRUE? - correct-
answer--an IUD can be used by a patient who has a nulliparous cervix
-primary care providers may insert long-acting reversible contraceptives
which factors create unacceptable risk for initiation of combined hormonal
contraceptives? - correct-answer--smoking, DM, HTN
-migraine with aura
difference in absolute and relative contraindications - correct-answer--absolute:
NEVER do this
-relative: risks are present, but benefit may outweigh risks
pelvic exam tips - correct-answer--prior to speculum insertion
*apply scant lubricant to finger
