APEA 3P EXAM PREP – WOMEN’S HEALTH
QUESTIONS WITH CORRECT ANSWERS AND
EXPLANATIONS 2025 – 2026 UPDATE.
Three,of,the,following,interventions,are,appropriately,used,to,prevent,osteoporosis,after,menopause.,Whi
ch,one,is,NOT?,
Avoidance,of,corticosteroids,
,
Performance,of,weight-bearing,activities,for,40,mins,at,least,5,days/week,Estrogen,replacement,therapy,
Adequate,calcium,&,vitamin,D,intake,C.,
Prevention,of,osteoporosis,may,be,optimized,by,elimination,of,risk,factors,and,engaging,in,interventions,
that,maximize,bone,density.,Good,nutrition,from,infancy,throughout,adulthood,is,a,major,component,of,
good,bone,health.,Others,include,engaging,in,weight-
bearing,exercises,,adequate,intake,of,calcium,and,vitamin,D,,smoking,cessation,,limiting,alcohol,consum
ption,to,moderate,amounts,,and,avoidance,when,possible,of,medications,that,may,decrease,bone,densit
y,(corticosteroids,,anticonvulsants).,Osteoporosis,occurs,at,accelerated,rates,in,women,who,are,post-
menopausal.,The,lack,of,estrogen,can,produce,rapid,bone,loss,due,to,bone,resorption.,Estrogen,replace
ment,is,not,used,to,prevent,or,treat,osteoporosis.,
A,patient,who,is,scheduled,for,pelvic,exam,with,PAP,smear,should,be,advised,to,avoid,douching,,sexua
l,intercourse,,and,tampon,use,before,her,exam.,For,how,long,should,she,be,advised,to,avoid,these,acti
vities,for,optimal,evaluation?,
24,hours,
,
48,hours,
,
36,hours,
,
1,week,
B.,
The,general,recommendation,is,to,avoid,these,activities,and,any,vaginal,medication,for,48,hours,prior,to,
the,PAP,smear.,Douching,and,tampon,use,can,remove,superficial,cells,,which,are,the,ones,collected,and,
used,as,representative,samples,on,PAP,smear.,Sexual,intercourse,should,be,avoided,because,there,can,b
e,specimen,contamination,by,the,male,partner.,With,vaginal,medications,or,creams,,either,can,serve,as,a
,barrier,to,epithelial,cell,sampling.,
When,collecting,cervical,cells,for,a,PAP,smear,,when,are,the,endocervical,cells,typically,collected?,
, After,the,ectocervical,specimen,with,a,broom,After,the,e
ctocervical,specimen,with,a,brush,Before,the,ectocervica
l,specimen,with,a,broom,Before,the,ectocervical,specime
n,with,a,brush,B.,
Ectocervical,specimens,are,collected,first,to,minimize,any,bleeding,that,can,occur,when,the,endocervical,
cells,are,sampled.,The,brush,is,considered,a,superior,tool,for,the,collection,of,endocervical,specimens,be
cause,it,produces,the,highest,yield,of,endocervical,cells,,and,thus,,is,a,good,reflection,of,the,health,of,the,
cervix.,
Alternatively,,a,cervical,broom,can,be,used,to,collect,endocervical,cells,and,ectocervical,cells,simultaneo
usly.,It,is,rotated,for,5,turns,before,the,samples,are,placed,on,the,slide.,This,may,be,used,in,pregnant,wo
men.,
A,16-year-old,female,is,diagnosed,with,primary,dysmenorrhea.,She,has,taken,over-
,thecounter,ibuprofen,in,800-
mg,increments,every,8,hours,during,menses,for,the,past,3,months,,with,minimal,relief,of,symptoms.,
What,intervention,will,provide,greatest,relief,of,dysmenorrhea,symptoms?,
Flurbiprofen,during,menses,
Combined,oral,contraceptives,
Daily,multivitamin,with,B12,supplementation,30,minutes,of,reg
ular,exercise,daily,
B.,
,
NSAIDs,and,hormonal,contraceptives,represent,the,mainstay,of,pharmacologic,treatment,for,dysmenorr
hea.,NSAIDs,produce,an,80-
86%,response,rate,when,used,for,dysmenorrhea.,The,general,recommendation,is,that,when,one,agent,(
NSAIDs,or,hormonal,contraceptives),does,not,produce,relief,of,symptoms,,the,other,agent,
should,be,tried.,Hence,,the,best,choice,is,oral,contraceptives.,Both,agents,should,be,considered,for,wom
en,who,are,symptomatic,with,one,agent,only.,
A,22-year-
old,female,states,that,she,has,multiple,sexual,partners,and,inconsistently,uses,barrier,protection.,Which,
form,of,birth,control,should,the,nurse,practitioner,avoid,prescribing,in,this,patient?,
Intrauterine,device,
Progestin-only,pill,
Diaphragm,
, Oral,contraceptives,A.,
Multiple,sexual,partners,place,the,patient,at,increased,risk,for,infection,with,sexually,transmitted,dise
ases.,The,patient,is,at,very,high,risk,of,developing,pelvic,inflammatory,disease,(PID),when,there,is,an,i
mplanted,foreign,body.,An,example,of,this,is,an,intrauterine,device,(IUD).,The,risk,is,also,increased,wit
h,a,diaphragm,,but,,because,it,is,not,implanted,for,long,periods,at,a,time,,the,risk,of,PID,is,less,than,wit
h,an,IUD.,
The,first,step,in,evaluating,a,breast,lump,is:,
,
history,and,physical,exam.,
mammogram.,
ultrasound.,Incorrect,
MRI.,
A.,
,
Although,most,patients,will,need,further,work-
up,of,a,breast,mass,,historical,information,is,critically,important,in,directing,the,health,care,provider,to,th
e,next,step.,Historical,information,that,should,be,ascertained,is,the,location,of,the,lump,,how,and,when,i
t,was,first,noticed,,whether,there,is,nipple,discharge,,and,whether,it,changes,in,size,related,to,menses.,O
ther,historical,information,is,the,patient’s,personal,and,family,history,of,breast,cancer,and/or,history,of,b
reast,biopsies.,
A,patient,who,takes,oral,contraceptive,pills,is,at,increased,risk,of:,gallbla
dder,disease.,depression.,
hypothyroidism.,varicose,v
eins.,A.,
One,of,the,major,components,of,gallstones,is,estrogen.,A,patient,with,underlying,gallbladder,disease,shou
ld,not,take,oral,contraceptives,(OC),since,they,will,increase,estrogen,exposure,and,theoretically,,formatio
n,of,gallstones.,Depression,,hypothyroidism,and,varicose,veins,are,not,increased,by,use,of,oral,contracepti
ves.,
A,14-year-
old,female,has,never,menstruated.,She,and,her,mother,are,concerned.,What,is,most,important,for,the,NP,
to,assess?,
Stature,
Tanner,stage,
QUESTIONS WITH CORRECT ANSWERS AND
EXPLANATIONS 2025 – 2026 UPDATE.
Three,of,the,following,interventions,are,appropriately,used,to,prevent,osteoporosis,after,menopause.,Whi
ch,one,is,NOT?,
Avoidance,of,corticosteroids,
,
Performance,of,weight-bearing,activities,for,40,mins,at,least,5,days/week,Estrogen,replacement,therapy,
Adequate,calcium,&,vitamin,D,intake,C.,
Prevention,of,osteoporosis,may,be,optimized,by,elimination,of,risk,factors,and,engaging,in,interventions,
that,maximize,bone,density.,Good,nutrition,from,infancy,throughout,adulthood,is,a,major,component,of,
good,bone,health.,Others,include,engaging,in,weight-
bearing,exercises,,adequate,intake,of,calcium,and,vitamin,D,,smoking,cessation,,limiting,alcohol,consum
ption,to,moderate,amounts,,and,avoidance,when,possible,of,medications,that,may,decrease,bone,densit
y,(corticosteroids,,anticonvulsants).,Osteoporosis,occurs,at,accelerated,rates,in,women,who,are,post-
menopausal.,The,lack,of,estrogen,can,produce,rapid,bone,loss,due,to,bone,resorption.,Estrogen,replace
ment,is,not,used,to,prevent,or,treat,osteoporosis.,
A,patient,who,is,scheduled,for,pelvic,exam,with,PAP,smear,should,be,advised,to,avoid,douching,,sexua
l,intercourse,,and,tampon,use,before,her,exam.,For,how,long,should,she,be,advised,to,avoid,these,acti
vities,for,optimal,evaluation?,
24,hours,
,
48,hours,
,
36,hours,
,
1,week,
B.,
The,general,recommendation,is,to,avoid,these,activities,and,any,vaginal,medication,for,48,hours,prior,to,
the,PAP,smear.,Douching,and,tampon,use,can,remove,superficial,cells,,which,are,the,ones,collected,and,
used,as,representative,samples,on,PAP,smear.,Sexual,intercourse,should,be,avoided,because,there,can,b
e,specimen,contamination,by,the,male,partner.,With,vaginal,medications,or,creams,,either,can,serve,as,a
,barrier,to,epithelial,cell,sampling.,
When,collecting,cervical,cells,for,a,PAP,smear,,when,are,the,endocervical,cells,typically,collected?,
, After,the,ectocervical,specimen,with,a,broom,After,the,e
ctocervical,specimen,with,a,brush,Before,the,ectocervica
l,specimen,with,a,broom,Before,the,ectocervical,specime
n,with,a,brush,B.,
Ectocervical,specimens,are,collected,first,to,minimize,any,bleeding,that,can,occur,when,the,endocervical,
cells,are,sampled.,The,brush,is,considered,a,superior,tool,for,the,collection,of,endocervical,specimens,be
cause,it,produces,the,highest,yield,of,endocervical,cells,,and,thus,,is,a,good,reflection,of,the,health,of,the,
cervix.,
Alternatively,,a,cervical,broom,can,be,used,to,collect,endocervical,cells,and,ectocervical,cells,simultaneo
usly.,It,is,rotated,for,5,turns,before,the,samples,are,placed,on,the,slide.,This,may,be,used,in,pregnant,wo
men.,
A,16-year-old,female,is,diagnosed,with,primary,dysmenorrhea.,She,has,taken,over-
,thecounter,ibuprofen,in,800-
mg,increments,every,8,hours,during,menses,for,the,past,3,months,,with,minimal,relief,of,symptoms.,
What,intervention,will,provide,greatest,relief,of,dysmenorrhea,symptoms?,
Flurbiprofen,during,menses,
Combined,oral,contraceptives,
Daily,multivitamin,with,B12,supplementation,30,minutes,of,reg
ular,exercise,daily,
B.,
,
NSAIDs,and,hormonal,contraceptives,represent,the,mainstay,of,pharmacologic,treatment,for,dysmenorr
hea.,NSAIDs,produce,an,80-
86%,response,rate,when,used,for,dysmenorrhea.,The,general,recommendation,is,that,when,one,agent,(
NSAIDs,or,hormonal,contraceptives),does,not,produce,relief,of,symptoms,,the,other,agent,
should,be,tried.,Hence,,the,best,choice,is,oral,contraceptives.,Both,agents,should,be,considered,for,wom
en,who,are,symptomatic,with,one,agent,only.,
A,22-year-
old,female,states,that,she,has,multiple,sexual,partners,and,inconsistently,uses,barrier,protection.,Which,
form,of,birth,control,should,the,nurse,practitioner,avoid,prescribing,in,this,patient?,
Intrauterine,device,
Progestin-only,pill,
Diaphragm,
, Oral,contraceptives,A.,
Multiple,sexual,partners,place,the,patient,at,increased,risk,for,infection,with,sexually,transmitted,dise
ases.,The,patient,is,at,very,high,risk,of,developing,pelvic,inflammatory,disease,(PID),when,there,is,an,i
mplanted,foreign,body.,An,example,of,this,is,an,intrauterine,device,(IUD).,The,risk,is,also,increased,wit
h,a,diaphragm,,but,,because,it,is,not,implanted,for,long,periods,at,a,time,,the,risk,of,PID,is,less,than,wit
h,an,IUD.,
The,first,step,in,evaluating,a,breast,lump,is:,
,
history,and,physical,exam.,
mammogram.,
ultrasound.,Incorrect,
MRI.,
A.,
,
Although,most,patients,will,need,further,work-
up,of,a,breast,mass,,historical,information,is,critically,important,in,directing,the,health,care,provider,to,th
e,next,step.,Historical,information,that,should,be,ascertained,is,the,location,of,the,lump,,how,and,when,i
t,was,first,noticed,,whether,there,is,nipple,discharge,,and,whether,it,changes,in,size,related,to,menses.,O
ther,historical,information,is,the,patient’s,personal,and,family,history,of,breast,cancer,and/or,history,of,b
reast,biopsies.,
A,patient,who,takes,oral,contraceptive,pills,is,at,increased,risk,of:,gallbla
dder,disease.,depression.,
hypothyroidism.,varicose,v
eins.,A.,
One,of,the,major,components,of,gallstones,is,estrogen.,A,patient,with,underlying,gallbladder,disease,shou
ld,not,take,oral,contraceptives,(OC),since,they,will,increase,estrogen,exposure,and,theoretically,,formatio
n,of,gallstones.,Depression,,hypothyroidism,and,varicose,veins,are,not,increased,by,use,of,oral,contracepti
ves.,
A,14-year-
old,female,has,never,menstruated.,She,and,her,mother,are,concerned.,What,is,most,important,for,the,NP,
to,assess?,
Stature,
Tanner,stage,
