WHNP NU 648
Women’s Health Nurse
Practitioner II
LATEST FINALS REVIEW
Q&S
©2024/2025
,1. A 32-year-old woman presents with irregular menstrual
bleeding. Which of the following is the most appropriate initial
diagnostic test?
- A. Pelvic ultrasound
- B. Endometrial biopsy
- C. Serum progesterone level
- D. Hysteroscopy
Answer: A. Pelvic ultrasound
Rationale: A pelvic ultrasound is the first-line imaging
modality to evaluate irregular bleeding for potential structural
abnormalities such as fibroids or polyps.
2. In the management of polycystic ovarian syndrome (PCOS),
which of the following medications is primarily used for restoring
ovulation?
- A. Metformin
- B. Clomiphene citrate
- C. Spironolactone
- D. Progestin-only pill
©2024/2025
, Answer: B. Clomiphene citrate
Rationale: Clomiphene citrate is the first-line treatment for
inducing ovulation in women with PCOS who desire pregnancy.
3. Which of the following is a risk factor for the development of
endometrial cancer in post-menopausal women?
- A. Multiparity
- B. Long-term use of oral contraceptives
- C. Obesity
- D. Cigarette smoking
Answer: C. Obesity
Rationale: Obesity is associated with increased estrogen
levels, which can stimulate the endometrium and increase cancer
risk.
4. What is the main contraindication for the use of combined
oral contraceptives in a 38-year-old smoker?
- A. Hypertension
- B. Deep vein thrombosis
- C. Migraine without aura
©2024/2025
Women’s Health Nurse
Practitioner II
LATEST FINALS REVIEW
Q&S
©2024/2025
,1. A 32-year-old woman presents with irregular menstrual
bleeding. Which of the following is the most appropriate initial
diagnostic test?
- A. Pelvic ultrasound
- B. Endometrial biopsy
- C. Serum progesterone level
- D. Hysteroscopy
Answer: A. Pelvic ultrasound
Rationale: A pelvic ultrasound is the first-line imaging
modality to evaluate irregular bleeding for potential structural
abnormalities such as fibroids or polyps.
2. In the management of polycystic ovarian syndrome (PCOS),
which of the following medications is primarily used for restoring
ovulation?
- A. Metformin
- B. Clomiphene citrate
- C. Spironolactone
- D. Progestin-only pill
©2024/2025
, Answer: B. Clomiphene citrate
Rationale: Clomiphene citrate is the first-line treatment for
inducing ovulation in women with PCOS who desire pregnancy.
3. Which of the following is a risk factor for the development of
endometrial cancer in post-menopausal women?
- A. Multiparity
- B. Long-term use of oral contraceptives
- C. Obesity
- D. Cigarette smoking
Answer: C. Obesity
Rationale: Obesity is associated with increased estrogen
levels, which can stimulate the endometrium and increase cancer
risk.
4. What is the main contraindication for the use of combined
oral contraceptives in a 38-year-old smoker?
- A. Hypertension
- B. Deep vein thrombosis
- C. Migraine without aura
©2024/2025
