620 Adult - Women's Health - AG and FNP Certification Exam 4th ed. Winland-Brown and Dunphy
a sexually active woman should be aware that genital herpes simplex virus:
a. may be transmitted to a partner or newborn even in the absence of lesions because of viral
shedding
b. is suppressed during menstruation, physical or emotional stress, immunosuppression, sexual
intercourse, and pregnancy
c. recurrences usually last the same length of time as the initial outbreak
d. requires the use of condoms only during outbreaks - -correct answer a. may be transmitted
to a partner or newborn even in the absence of lesions because of viral shedding
a 17 y/o female pat requests to start Depo-provera injections as her method of birth control.
She discloses that she has had four sexual partners in the past year. Her LMP was 12 days ago
and she had unprotected intercourse 3 days ago. The appropriate management for this pt
would be to:
a. administer the injection today
b. advise her to use another method for now and return with her next menses
c. give the injection after a negative pregnancy test and tell her to use condoms for the next 7
days
d. give the injection and tell her to use a barrier method for 7 days - -correct answer b. advise
her to use another method for now and return with her next menses
in a premenopausal woman, the biggest heart attack risk factor is:
a. cigarette smoking
b. family hx
c. sedentary lifestyle
d. obesity - -correct answer a. cigarette smoking
first line tx for polycystic ovary syndrome is:
a. a bilateral oophorectomy
b. oral testosterone therapy
c. a combination of diet modification, wt loss, and stress management
d. a laparoscopy with a bilateral wedge resection - -correct answer c. a combination of diet
modification, wt loss, and stress management
,620 Adult - Women's Health - AG and FNP Certification Exam 4th ed. Winland-Brown and Dunphy
if a woman is using the basal body temperature (BBT) method of birth control and does not
want to become pregnant, when would you tell her to avoid unprotected intercourse?
a. from the beginning of the menstrual cycle until the BBT has been elevated for 3 days
b. whenever the BBT is elevated
c. whenever the BBT is lowered
d. fromt he end of the menstrual cycle until the BBT has been low for 5 days - -correct answer
a. from the beginning of the menstrual cycle until the BBT has been elevated for 3 days
which of the following is a sexually transmitted infection?
a. candida vaginitis
b. trichomonal vaginitis
c. atrophic vaginitis
d. lactobacilli vaginitis - -correct answer b. trichomonal vaginitis
in a pt dx with cervical gonococcal infection, you would also suspect a co-infection with:
a. candidiasis
b. syphilis
c. trichomoniasis
d. chlamydia - -correct answer d. chlamydia
Jane, age 27, is c/o of lower abdominal pain. After doing some lab studies, you find
leukocytosis, an elevated erythrocyte sed rate and an elevated C-reactive protein level. Which
is the most appropriate dx?
a. ovarian cyst
b. PID
c. tubal pregnancy
d. diverticulitis - -correct answer b. PID
human papillomavirus may lead to:
a. pelvic inflammatory disease
b. molluscum contagiosum
c. cervical dysplasia
, 620 Adult - Women's Health - AG and FNP Certification Exam 4th ed. Winland-Brown and Dunphy
d. genital herpes - -correct answer c. cervical dysplasia
Gean, a 33 y/o female pt, c/o external vaginal irritation after adding new fabric softener to her
laundry. You have dx her with reactive vaginitis. The tx of choice for this condition includes:
a. metronidazole (flagyl) 500mg BID x 7 days
b. conjugated vaginal estrogen cream externally every day for 1 wk
c. rewashing undergarments without fabric softener and applying petroleum jelly to the
affected area
d. rewashing undergarments without fabric softener and applying corticosteroids to the
affected area - -correct answer d. rewashing undergarments without fabric softener and
applying corticosteroids to the affected area
a dancer from an adult club down the street comes in for a renewal of ther birth control pill
prescription. She says that everything is fine. On exam, you find grayish-white vaginal discharge,
greenish cervical discharge, and cervical motion tenderness. Which of the following differential
dx is most UNlikely?
a. gonorrhea
b. interstitial cystitis
c. bacterial vaginosis
d. chlamydia - -correct answer b. interstitial cystitis
leiomyomas are found:
a. within the uterine wall
b. on the vaginal wall
c. within the cervix
d. on the fallopian tube - -correct answer a. within the uterine wall
when a woman complains of dyspareunia in the lower back during orgasm, you should
consider:
a. endometriosis
b. cystitis
c. vaginitis
d. causes r/t pelvic inflammatory disease - -correct answer a. endometriosis
a sexually active woman should be aware that genital herpes simplex virus:
a. may be transmitted to a partner or newborn even in the absence of lesions because of viral
shedding
b. is suppressed during menstruation, physical or emotional stress, immunosuppression, sexual
intercourse, and pregnancy
c. recurrences usually last the same length of time as the initial outbreak
d. requires the use of condoms only during outbreaks - -correct answer a. may be transmitted
to a partner or newborn even in the absence of lesions because of viral shedding
a 17 y/o female pat requests to start Depo-provera injections as her method of birth control.
She discloses that she has had four sexual partners in the past year. Her LMP was 12 days ago
and she had unprotected intercourse 3 days ago. The appropriate management for this pt
would be to:
a. administer the injection today
b. advise her to use another method for now and return with her next menses
c. give the injection after a negative pregnancy test and tell her to use condoms for the next 7
days
d. give the injection and tell her to use a barrier method for 7 days - -correct answer b. advise
her to use another method for now and return with her next menses
in a premenopausal woman, the biggest heart attack risk factor is:
a. cigarette smoking
b. family hx
c. sedentary lifestyle
d. obesity - -correct answer a. cigarette smoking
first line tx for polycystic ovary syndrome is:
a. a bilateral oophorectomy
b. oral testosterone therapy
c. a combination of diet modification, wt loss, and stress management
d. a laparoscopy with a bilateral wedge resection - -correct answer c. a combination of diet
modification, wt loss, and stress management
,620 Adult - Women's Health - AG and FNP Certification Exam 4th ed. Winland-Brown and Dunphy
if a woman is using the basal body temperature (BBT) method of birth control and does not
want to become pregnant, when would you tell her to avoid unprotected intercourse?
a. from the beginning of the menstrual cycle until the BBT has been elevated for 3 days
b. whenever the BBT is elevated
c. whenever the BBT is lowered
d. fromt he end of the menstrual cycle until the BBT has been low for 5 days - -correct answer
a. from the beginning of the menstrual cycle until the BBT has been elevated for 3 days
which of the following is a sexually transmitted infection?
a. candida vaginitis
b. trichomonal vaginitis
c. atrophic vaginitis
d. lactobacilli vaginitis - -correct answer b. trichomonal vaginitis
in a pt dx with cervical gonococcal infection, you would also suspect a co-infection with:
a. candidiasis
b. syphilis
c. trichomoniasis
d. chlamydia - -correct answer d. chlamydia
Jane, age 27, is c/o of lower abdominal pain. After doing some lab studies, you find
leukocytosis, an elevated erythrocyte sed rate and an elevated C-reactive protein level. Which
is the most appropriate dx?
a. ovarian cyst
b. PID
c. tubal pregnancy
d. diverticulitis - -correct answer b. PID
human papillomavirus may lead to:
a. pelvic inflammatory disease
b. molluscum contagiosum
c. cervical dysplasia
, 620 Adult - Women's Health - AG and FNP Certification Exam 4th ed. Winland-Brown and Dunphy
d. genital herpes - -correct answer c. cervical dysplasia
Gean, a 33 y/o female pt, c/o external vaginal irritation after adding new fabric softener to her
laundry. You have dx her with reactive vaginitis. The tx of choice for this condition includes:
a. metronidazole (flagyl) 500mg BID x 7 days
b. conjugated vaginal estrogen cream externally every day for 1 wk
c. rewashing undergarments without fabric softener and applying petroleum jelly to the
affected area
d. rewashing undergarments without fabric softener and applying corticosteroids to the
affected area - -correct answer d. rewashing undergarments without fabric softener and
applying corticosteroids to the affected area
a dancer from an adult club down the street comes in for a renewal of ther birth control pill
prescription. She says that everything is fine. On exam, you find grayish-white vaginal discharge,
greenish cervical discharge, and cervical motion tenderness. Which of the following differential
dx is most UNlikely?
a. gonorrhea
b. interstitial cystitis
c. bacterial vaginosis
d. chlamydia - -correct answer b. interstitial cystitis
leiomyomas are found:
a. within the uterine wall
b. on the vaginal wall
c. within the cervix
d. on the fallopian tube - -correct answer a. within the uterine wall
when a woman complains of dyspareunia in the lower back during orgasm, you should
consider:
a. endometriosis
b. cystitis
c. vaginitis
d. causes r/t pelvic inflammatory disease - -correct answer a. endometriosis
