Female Genitourinary Problems-Dunphy Exam (A+ Graded)
1. Which of the following forms of estrogen are secreted in greatest amount by the
ovaries during the reproductive years and is considered to be the most potent?
A. Estrone (E1)
B. Estradiol (E2)
C. Estriol (E3)
D. All of the above are secreted and equally potent - Answer B. Estradiol (E2)
2. Marcia is a 59-year-old female who is depressed. Based upon the diagnostic criteria
for a major depressive disorder, which of the following is required?
A. The depression should be linked to alcohol, drugs, medicine side effects, or physical
illness
B. The symptoms should be severe enough to disturb the client's daily routine, interfere
with the client's work, or create problems within relationships
C. The major depression must be a normal reaction to the death of a loved one
D. There must be some type of sleep disturbance - Answer B. The symptoms must be
severe enough to upset the client's daily routine, impact his or her work, or interfere
with relationships
,3. Lori, a 38-year-old female, states that she hasn't had a pelvic exam in 5 years because
she doesn't like having the digital rectal exam. What do you say?
A. "Let's schedule an exam now because women no longer need a rectal exam with
routine pelvic exams."
B. "OK, we'll do a pelvic, and I'll just put 'refused' on the chart to cover my liability."
C. "We really need to do one because the rectal exam has been shown to pick up many
abnormalities such as rectal polyps."
D. "I'll try to be quick with the rectal exam and get it over with." - Response A. "Let's
schedule an exam now because no longer does a woman require a rectal examination
with routine pelvic exams."
4. The Joneses have been married for 5 years and have not been able to conceive. They
are thinking about going for infertility counseling and ask you whether the man or the
woman is usually the cause of infertility. What do you tell them regarding the etiology of
infertility?
A. "In most instances, infertility is related to a female factor."
B. "In most instances, infertility is related to a male factor."
C. "The cause cannot be determined in the majority of cases."
D. "Infertility rates for males and females are approximately equal in the majority of
cases." - Answer D. "Infertility rates for males and females are approximately equal in
the majority of cases."
5. Which of the following signs and/or symptoms of a genital herpes infection typically
,appear(s) first?
A. painful or pruritic vesicles
B. dysuria
C. prodromal tingling or pruritis of the genital region
D. white, curdlike plaques on a red base in vagina - Answer C. prodromal tingling or
pruritis of the genital region
6. A 26 year old female presents to your office to discuss birth control options. She has a
history of migraine headaches with aura on combination oral contraceptives in the past.
She desires not to become pregnant. Which of the following would be the most
appropriate form of birth control for her?
A. Combined hormonal contraceptive pills
B. birth control patch (Ortho Evra)
C. Mirena IUD
D. Vaginal contraceptive ring (NuvaRing) - Answer C. Mirena IUD
7. A procedure to increase the chance of becoming pregnant of a childless woman with
mild or minimal endometriosis is
A. laparoscopic resection or ablation of the lesions
, B. dilation and curettage
C. the use of gonadotropin-releasing hormone analogues
D. the use of birth control pills for 3 months and then abruptly stopping - Answer A.
laparoscopic resection or ablation of the lesions
8. Joanne is 23 years old and would like to use some method of birth control, but since
she is going to be married the following year, she wants to be able to stop the method of
birth control after the wedding and have her fertility restored almost immediately. For
Joanne, which of the following do you recommend?
A. birth control pills
B. vaginal ring
C. depot-medroxyprogesterone acetate (DMPA) injections
D. diaphragm - Answer D. diaphragm
9. Susan, age 35 years, is diagnosed with fibrocystic breast disease. Which of the
following may exacerbate the condition?
A. a daily dose of ASA
B. spicy foods
C. chocolate
1. Which of the following forms of estrogen are secreted in greatest amount by the
ovaries during the reproductive years and is considered to be the most potent?
A. Estrone (E1)
B. Estradiol (E2)
C. Estriol (E3)
D. All of the above are secreted and equally potent - Answer B. Estradiol (E2)
2. Marcia is a 59-year-old female who is depressed. Based upon the diagnostic criteria
for a major depressive disorder, which of the following is required?
A. The depression should be linked to alcohol, drugs, medicine side effects, or physical
illness
B. The symptoms should be severe enough to disturb the client's daily routine, interfere
with the client's work, or create problems within relationships
C. The major depression must be a normal reaction to the death of a loved one
D. There must be some type of sleep disturbance - Answer B. The symptoms must be
severe enough to upset the client's daily routine, impact his or her work, or interfere
with relationships
,3. Lori, a 38-year-old female, states that she hasn't had a pelvic exam in 5 years because
she doesn't like having the digital rectal exam. What do you say?
A. "Let's schedule an exam now because women no longer need a rectal exam with
routine pelvic exams."
B. "OK, we'll do a pelvic, and I'll just put 'refused' on the chart to cover my liability."
C. "We really need to do one because the rectal exam has been shown to pick up many
abnormalities such as rectal polyps."
D. "I'll try to be quick with the rectal exam and get it over with." - Response A. "Let's
schedule an exam now because no longer does a woman require a rectal examination
with routine pelvic exams."
4. The Joneses have been married for 5 years and have not been able to conceive. They
are thinking about going for infertility counseling and ask you whether the man or the
woman is usually the cause of infertility. What do you tell them regarding the etiology of
infertility?
A. "In most instances, infertility is related to a female factor."
B. "In most instances, infertility is related to a male factor."
C. "The cause cannot be determined in the majority of cases."
D. "Infertility rates for males and females are approximately equal in the majority of
cases." - Answer D. "Infertility rates for males and females are approximately equal in
the majority of cases."
5. Which of the following signs and/or symptoms of a genital herpes infection typically
,appear(s) first?
A. painful or pruritic vesicles
B. dysuria
C. prodromal tingling or pruritis of the genital region
D. white, curdlike plaques on a red base in vagina - Answer C. prodromal tingling or
pruritis of the genital region
6. A 26 year old female presents to your office to discuss birth control options. She has a
history of migraine headaches with aura on combination oral contraceptives in the past.
She desires not to become pregnant. Which of the following would be the most
appropriate form of birth control for her?
A. Combined hormonal contraceptive pills
B. birth control patch (Ortho Evra)
C. Mirena IUD
D. Vaginal contraceptive ring (NuvaRing) - Answer C. Mirena IUD
7. A procedure to increase the chance of becoming pregnant of a childless woman with
mild or minimal endometriosis is
A. laparoscopic resection or ablation of the lesions
, B. dilation and curettage
C. the use of gonadotropin-releasing hormone analogues
D. the use of birth control pills for 3 months and then abruptly stopping - Answer A.
laparoscopic resection or ablation of the lesions
8. Joanne is 23 years old and would like to use some method of birth control, but since
she is going to be married the following year, she wants to be able to stop the method of
birth control after the wedding and have her fertility restored almost immediately. For
Joanne, which of the following do you recommend?
A. birth control pills
B. vaginal ring
C. depot-medroxyprogesterone acetate (DMPA) injections
D. diaphragm - Answer D. diaphragm
9. Susan, age 35 years, is diagnosed with fibrocystic breast disease. Which of the
following may exacerbate the condition?
A. a daily dose of ASA
B. spicy foods
C. chocolate
