CMN 571 FINAL EXAM QUESTIONS
AND ANSWERS
Which guideline prefers women age 30-65 to have PAPs with cytology and HPV testing
every 5 years?
a. USPSTF
b. ACS/ASCCP/ASCP - Answer-b. ACS/ASCCP/ASCP
Which guideline recommends women age 30-65 to have PAP screening with cytology
every 3 years or a combined screening with cytology and HPV testing every 5 years.
a. USPSTF
b. ACS/ASCCP/ASCP - Answer-a. USPSTF
According to ACS/ASCCP/ASCP when can women older than 65 stop getting PAPs? -
Answer-If evidence of adequate negative prior screening and no history or CIN2+ within
the last 20 years should not be screened.
True or False, ACS/ASCCP/ASCP recommends women over 65 should resume PAP
screening every 3 years if they report having a new sexual partner. - Answer-False.
Screening should not be resumed for any reason, even if a woman reports having a
new sexual partner.
T or F: After a hysterectomy with removal of the cervix, as long as the woman does not
have a history of a high grade precancerous lesion or cervical cancer, she does not
need routing PAPs. - Answer-True
This is according to all current guidelines.
The new guidelines do not address women at high risk for cervical cancer. These
include women with all EXCEPT
a. History of Cervical CA
b. Exposure in utero to DES
c. Infection with HPV
d. Infection with HIV - Answer-c. Infection with HPV
Components for the Adolescent annual GYN exam include all except:
a. STD counseling
b. Family Planning
c. Sexual activity contraception
d. STD testing - Answer-b. Family planning
,Components of the adolescent exam include:
- STD counseling and testing
- HPV vaccination
- Healthy Lifestyles
- Smoking
- Alcohol
- Recreational Drugs
- Sexual Activity contraception
T or F: The Pap test is considered the most successful cancer prevention strategy
currently available - Answer-True
T or F: Women who smoke are twice as likely to get cervical cancer. - Answer-True
Exposure to DES in utero increases a woman's risk for
a. clear cell adenocarcinoma
b. small cell adenocarcinoma
c. cervical intraepithelial neoplasia
d. all of the above
e. a and c - Answer-e. a and c
Which of the following increases a woman's risk of developing cervical CA?
a. Infection with Chlamydia
b. Gravida 6, Para 6
c. Long-term OCP use
d. all of the above - Answer-d. all of the above
T or F: All patients with a positive HPV test should be counseled on their increased risk
of developing cervical cancer. - Answer-False
Only those women with persistent HPV infection are at increased risk of cervical cancer.
Which HPV type is most often associated with cervical cancer in the U.S.?
a. 16
b. 31
c. 18
d. a and c
c. a and b - Answer-d. a and c
When providing cervical CA risk-reduction counseling, the FNP should include all of the
following components, EXCEPT:
a. To reduce your risk of HPV transmission, it is best to abstain from sex, and if you are
already sexually active, limit your sexual partners.
b. To reduce your risk of HPV transmission remember to use condoms with spermicidal
gel, however condoms do not reduce the risk of exposure
c. To reduce your risk of cervical CA you should be regularly screened with a Pap test.
,d. To reduce your risk of cervical CA you should not smoke, never start, and avoid
second-hand smoke. - Answer-b. To reduce your risk of HPV transmission remember to
use condoms with spermicidal gel, however condoms do not reduce the risk of
exposure.
Condoms reduce risk of exposure, but do not prevent HPV infection.
Which of the following question about sexual history is a good example of effectively
facilitating rapport with patients:
a. "What's your experience with condoms ben like?"
b. "Have you ever had a sore or scab on your penis?"
c. "Some patients have difficulty using condoms with all sex act, how is it for you?"
d. all of the above - Answer-d. all of the above
The questions are examples of open ended question, understandable language, and
normalizing language.
This test involves collection of cervical cells using a wooden spatula and cytobrush and
plating these cells on to a slide then is immediately sprayed with a fixative to preserve it.
a. Thin-Prep
b. Conventional Pap test
c. PapNet - Answer-b. Conventional Pap test
Which of the following is not recommended for the prevention of STDs, including HIV:
a. latex condoms
b. synthetic condoms
c. natural 'lambskin' condoms
d. b and c - Answer-c. natural 'lambskin' condoms
Which of the following is recommended for the prevention of SDSs/HIV
a. Female condoms
b. Cervical diaphragms
c. Topical Microbicides
d. Spermicides - Answer-a. Female condoms
T or F: Frequent use of condoms containing N-9 spermicide may actually increase the
risk of HIV transmission. - Answer-True
Due to disruption of the genital epithelium.
Therefore condoms lubricated with N-9 spermicide are not recommended for STD/HIV
prevention.
Of the following prevention methods, which are not recommended in the prevention of
STD/HIV transmission?
a. latex condoms
b. synthetic condoms
c. natural 'lambskin' condoms
d. Female condoms
e. Cervical diaphragms
, f. Topical Microbicides
g. Spermicides
h. abstinence/reduced # of partners
i. Pre-exposure vaccination
j. Condoms w/ N-9 spermicide
k. Male circumcision
l. EC
m. PEP using genital hygiene (douching)
n. PrEP for HIV and STD - Answer-c. natural 'lambskin' condoms
e. cervical diaphragms
f. Topical Microbicides
g. Spermicides
j. Condoms w/ N-9 spermicide
l. EC
m. PEP using genital hygiene (douching)
- Although circumcision should not be substituted for other HIV risk-reduction strategies,
it has been shown to reduce the risk for HIV and some STDs in heterosexual men, but
NOT MSM.
Which of the following STDs are reportable in every state?
a. Syphilis
b. Gonorrhea
c. chlamydia
d. chancroid
e. HIV/AIDs
f. all of the above - Answer-f. all of the above
USPSTF - B/P screenings start at what age? - Answer-18 for everyone
USPSTF - Daily ASA regimens are recommended for what age groups? Men and
Women - Answer-Men - 45-79 (to prevent MI)
Women - 55-79 (to prevent ischemic CVA)
USPSTF - Who should be screened for AAA? And how? - Answer-Men 65-75 by U/S
USPSTF - Diagnostic workup of HTN includes which labs? - Answer-U/A, BG, Hct, Lipid
panel, K, Cr, Ca.
Optional: Urinary albumin/cr ratio.
USPSTF - Major CVD Risk factor includes GFR < ? - Answer-GFR < 60
USPSTF - Identifiable causes of HTN? - Answer-Sleep apnea • Drug induced/related •
Chronic kidney disease • Primary aldosteronism • Renovascular disease • Cushing's
syndrome or steroid therapy • Pheochromocytoma • Coarctation of aorta •
Thyroid/parathyroid disease
AND ANSWERS
Which guideline prefers women age 30-65 to have PAPs with cytology and HPV testing
every 5 years?
a. USPSTF
b. ACS/ASCCP/ASCP - Answer-b. ACS/ASCCP/ASCP
Which guideline recommends women age 30-65 to have PAP screening with cytology
every 3 years or a combined screening with cytology and HPV testing every 5 years.
a. USPSTF
b. ACS/ASCCP/ASCP - Answer-a. USPSTF
According to ACS/ASCCP/ASCP when can women older than 65 stop getting PAPs? -
Answer-If evidence of adequate negative prior screening and no history or CIN2+ within
the last 20 years should not be screened.
True or False, ACS/ASCCP/ASCP recommends women over 65 should resume PAP
screening every 3 years if they report having a new sexual partner. - Answer-False.
Screening should not be resumed for any reason, even if a woman reports having a
new sexual partner.
T or F: After a hysterectomy with removal of the cervix, as long as the woman does not
have a history of a high grade precancerous lesion or cervical cancer, she does not
need routing PAPs. - Answer-True
This is according to all current guidelines.
The new guidelines do not address women at high risk for cervical cancer. These
include women with all EXCEPT
a. History of Cervical CA
b. Exposure in utero to DES
c. Infection with HPV
d. Infection with HIV - Answer-c. Infection with HPV
Components for the Adolescent annual GYN exam include all except:
a. STD counseling
b. Family Planning
c. Sexual activity contraception
d. STD testing - Answer-b. Family planning
,Components of the adolescent exam include:
- STD counseling and testing
- HPV vaccination
- Healthy Lifestyles
- Smoking
- Alcohol
- Recreational Drugs
- Sexual Activity contraception
T or F: The Pap test is considered the most successful cancer prevention strategy
currently available - Answer-True
T or F: Women who smoke are twice as likely to get cervical cancer. - Answer-True
Exposure to DES in utero increases a woman's risk for
a. clear cell adenocarcinoma
b. small cell adenocarcinoma
c. cervical intraepithelial neoplasia
d. all of the above
e. a and c - Answer-e. a and c
Which of the following increases a woman's risk of developing cervical CA?
a. Infection with Chlamydia
b. Gravida 6, Para 6
c. Long-term OCP use
d. all of the above - Answer-d. all of the above
T or F: All patients with a positive HPV test should be counseled on their increased risk
of developing cervical cancer. - Answer-False
Only those women with persistent HPV infection are at increased risk of cervical cancer.
Which HPV type is most often associated with cervical cancer in the U.S.?
a. 16
b. 31
c. 18
d. a and c
c. a and b - Answer-d. a and c
When providing cervical CA risk-reduction counseling, the FNP should include all of the
following components, EXCEPT:
a. To reduce your risk of HPV transmission, it is best to abstain from sex, and if you are
already sexually active, limit your sexual partners.
b. To reduce your risk of HPV transmission remember to use condoms with spermicidal
gel, however condoms do not reduce the risk of exposure
c. To reduce your risk of cervical CA you should be regularly screened with a Pap test.
,d. To reduce your risk of cervical CA you should not smoke, never start, and avoid
second-hand smoke. - Answer-b. To reduce your risk of HPV transmission remember to
use condoms with spermicidal gel, however condoms do not reduce the risk of
exposure.
Condoms reduce risk of exposure, but do not prevent HPV infection.
Which of the following question about sexual history is a good example of effectively
facilitating rapport with patients:
a. "What's your experience with condoms ben like?"
b. "Have you ever had a sore or scab on your penis?"
c. "Some patients have difficulty using condoms with all sex act, how is it for you?"
d. all of the above - Answer-d. all of the above
The questions are examples of open ended question, understandable language, and
normalizing language.
This test involves collection of cervical cells using a wooden spatula and cytobrush and
plating these cells on to a slide then is immediately sprayed with a fixative to preserve it.
a. Thin-Prep
b. Conventional Pap test
c. PapNet - Answer-b. Conventional Pap test
Which of the following is not recommended for the prevention of STDs, including HIV:
a. latex condoms
b. synthetic condoms
c. natural 'lambskin' condoms
d. b and c - Answer-c. natural 'lambskin' condoms
Which of the following is recommended for the prevention of SDSs/HIV
a. Female condoms
b. Cervical diaphragms
c. Topical Microbicides
d. Spermicides - Answer-a. Female condoms
T or F: Frequent use of condoms containing N-9 spermicide may actually increase the
risk of HIV transmission. - Answer-True
Due to disruption of the genital epithelium.
Therefore condoms lubricated with N-9 spermicide are not recommended for STD/HIV
prevention.
Of the following prevention methods, which are not recommended in the prevention of
STD/HIV transmission?
a. latex condoms
b. synthetic condoms
c. natural 'lambskin' condoms
d. Female condoms
e. Cervical diaphragms
, f. Topical Microbicides
g. Spermicides
h. abstinence/reduced # of partners
i. Pre-exposure vaccination
j. Condoms w/ N-9 spermicide
k. Male circumcision
l. EC
m. PEP using genital hygiene (douching)
n. PrEP for HIV and STD - Answer-c. natural 'lambskin' condoms
e. cervical diaphragms
f. Topical Microbicides
g. Spermicides
j. Condoms w/ N-9 spermicide
l. EC
m. PEP using genital hygiene (douching)
- Although circumcision should not be substituted for other HIV risk-reduction strategies,
it has been shown to reduce the risk for HIV and some STDs in heterosexual men, but
NOT MSM.
Which of the following STDs are reportable in every state?
a. Syphilis
b. Gonorrhea
c. chlamydia
d. chancroid
e. HIV/AIDs
f. all of the above - Answer-f. all of the above
USPSTF - B/P screenings start at what age? - Answer-18 for everyone
USPSTF - Daily ASA regimens are recommended for what age groups? Men and
Women - Answer-Men - 45-79 (to prevent MI)
Women - 55-79 (to prevent ischemic CVA)
USPSTF - Who should be screened for AAA? And how? - Answer-Men 65-75 by U/S
USPSTF - Diagnostic workup of HTN includes which labs? - Answer-U/A, BG, Hct, Lipid
panel, K, Cr, Ca.
Optional: Urinary albumin/cr ratio.
USPSTF - Major CVD Risk factor includes GFR < ? - Answer-GFR < 60
USPSTF - Identifiable causes of HTN? - Answer-Sleep apnea • Drug induced/related •
Chronic kidney disease • Primary aldosteronism • Renovascular disease • Cushing's
syndrome or steroid therapy • Pheochromocytoma • Coarctation of aorta •
Thyroid/parathyroid disease
