Module 1 Female Reproductive System
B. gonorrhea and chlamydia cultures, and wet prep - ANSA 22-year-old patient tells you that
she has had an unusual vaginal discharge for the last week and now she is experiencing
vague lower abdominal discomfort. Her new partner of one month has ben unfaithful and she
has decided to discontinue seeing him because he refuses to use a condom. Her pelvic
examination reveals a scant mucopurulent cervical discharge and mild vaginal erythema.
There is not cervical motion tenderness or pelvic mass appreciated. Which of the following
are the appropriate tests to perform today on this afebrile patient?
A. wet prep, herpes titer, and RPR
B. gonorrhea and chlamydia cultures, and wet prep
C. VDRL, KOH evaluation, and hepatitis B titer
D. general bacterial culture, cervical biopsy, and Pap smear
D. endocervical transformation zone - ANSWhile performing a gynecological examination
you are careful to obtain an adequate sampling for the Pap smear. Which of the following
areas is the most likely site for cervical cancer to originate?
A. internal cervical os
B. external cervical os
C. mucoepithlial junction
D. endocervical transformation zone
D. blood urea nitrogen (BUN), creatinine, and intravenous pyelogram are important
diagnostic considerations - ANSWhich of the following statements is true regarding urinary
tract infections in males over age 50 years?
A. the incidence is higher after age 65 than in female counterparts
B. post-treatment cultures are of little value
C. circumcision in not considered to be a factor in the incidence of UTI
D. blood urea nitrogen (BUN), creatinine, and intravenous pyelogram are important
diagnostic considerations
C. leiomyoma - ANSWhile performing a pelvic examination on your 39-year-old
African-American patient, you palpate a painless, asymmetric uterine contour. Your patient is
, asymptomatic and denies a personal or family history of gynecological cancers, or abnormal
uterine bleeding. Which of the following diagnosis should you suspect?
A. endometriosis
B. endometrial cancer
C. leiomyoma
D. adenomyosis
C. urinary frequency, vaginal spotting, and increased uterine size - ANSWhile performing a
well-woman examination on a postmenopausal woman who is not taking hormone (HRT)
therapy, you would expect to see changes associated with the cessation of endogenous
female hormone production. Which of the following would not be an expected finding in a
postmenopausal woman?
A. vaginal dryness, insertional dyspareunia, vulvar burning and urinary symptoms
B. decreased intensity of orgasm
C. urinary frequency, vaginal spotting, and increased uterine size
D. hot flashes, night sweats, and hirsuitism
A. estrogen and progestin therapy are indicated for a woman who has had a hysterectomy -
ANSDespite concerns raised by the Women's Health Initiative (WHI) and other research
findings, various hormone therapy regimens are available to postmenopausal women who
have no contraindications to estrogen either alone or in combination with progestin. Which of
the following statements is inaccurate with regard to hormone therapy?
A. estrogen and progestin therapy are indicated for a woman who has had a hysterectomy
B. estrogen therapy alone can be taken daily by a woman who has had a hysterectomy
C. progestin can be added every 3 to 4 months to estrogen taken 25 days of the month
D. conjugated estrogen dose equivalent to 0.625 mg or less is effective for prevention and
inhibition of bone loss
B. HT may be preferred for certain women with vasomotor symptoms and can be used for
more than 5 years - ANSWomen considering hormone therapy need to made aware of
potential risks and benefits of therapeutic options. Which of the following statements best
describes the current thinking regarding the risk benefit analysis of hormone therapy for
healthy and postmenopausal women with positive health behaviors?
A. HT is indicated to treat/prevent cardiovascular disease
B. gonorrhea and chlamydia cultures, and wet prep - ANSA 22-year-old patient tells you that
she has had an unusual vaginal discharge for the last week and now she is experiencing
vague lower abdominal discomfort. Her new partner of one month has ben unfaithful and she
has decided to discontinue seeing him because he refuses to use a condom. Her pelvic
examination reveals a scant mucopurulent cervical discharge and mild vaginal erythema.
There is not cervical motion tenderness or pelvic mass appreciated. Which of the following
are the appropriate tests to perform today on this afebrile patient?
A. wet prep, herpes titer, and RPR
B. gonorrhea and chlamydia cultures, and wet prep
C. VDRL, KOH evaluation, and hepatitis B titer
D. general bacterial culture, cervical biopsy, and Pap smear
D. endocervical transformation zone - ANSWhile performing a gynecological examination
you are careful to obtain an adequate sampling for the Pap smear. Which of the following
areas is the most likely site for cervical cancer to originate?
A. internal cervical os
B. external cervical os
C. mucoepithlial junction
D. endocervical transformation zone
D. blood urea nitrogen (BUN), creatinine, and intravenous pyelogram are important
diagnostic considerations - ANSWhich of the following statements is true regarding urinary
tract infections in males over age 50 years?
A. the incidence is higher after age 65 than in female counterparts
B. post-treatment cultures are of little value
C. circumcision in not considered to be a factor in the incidence of UTI
D. blood urea nitrogen (BUN), creatinine, and intravenous pyelogram are important
diagnostic considerations
C. leiomyoma - ANSWhile performing a pelvic examination on your 39-year-old
African-American patient, you palpate a painless, asymmetric uterine contour. Your patient is
, asymptomatic and denies a personal or family history of gynecological cancers, or abnormal
uterine bleeding. Which of the following diagnosis should you suspect?
A. endometriosis
B. endometrial cancer
C. leiomyoma
D. adenomyosis
C. urinary frequency, vaginal spotting, and increased uterine size - ANSWhile performing a
well-woman examination on a postmenopausal woman who is not taking hormone (HRT)
therapy, you would expect to see changes associated with the cessation of endogenous
female hormone production. Which of the following would not be an expected finding in a
postmenopausal woman?
A. vaginal dryness, insertional dyspareunia, vulvar burning and urinary symptoms
B. decreased intensity of orgasm
C. urinary frequency, vaginal spotting, and increased uterine size
D. hot flashes, night sweats, and hirsuitism
A. estrogen and progestin therapy are indicated for a woman who has had a hysterectomy -
ANSDespite concerns raised by the Women's Health Initiative (WHI) and other research
findings, various hormone therapy regimens are available to postmenopausal women who
have no contraindications to estrogen either alone or in combination with progestin. Which of
the following statements is inaccurate with regard to hormone therapy?
A. estrogen and progestin therapy are indicated for a woman who has had a hysterectomy
B. estrogen therapy alone can be taken daily by a woman who has had a hysterectomy
C. progestin can be added every 3 to 4 months to estrogen taken 25 days of the month
D. conjugated estrogen dose equivalent to 0.625 mg or less is effective for prevention and
inhibition of bone loss
B. HT may be preferred for certain women with vasomotor symptoms and can be used for
more than 5 years - ANSWomen considering hormone therapy need to made aware of
potential risks and benefits of therapeutic options. Which of the following statements best
describes the current thinking regarding the risk benefit analysis of hormone therapy for
healthy and postmenopausal women with positive health behaviors?
A. HT is indicated to treat/prevent cardiovascular disease
