N582 COMPREHENSIVE UPDATED EXAM QUESTIONS AND
ANSWERS GRADED A+
✔✔A 21-year-old woman is seen in the clinic requesting birth control pills. Which of the
following tests is essential before prescribing any oral contraceptive?
a.Urine dip for protein
b.Pregnancy test
c.Thyroid-stimulating hormone
d.Complete blood cell count - ✔✔B. Pregnancy test
✔✔A 36-year-old woman is seen with complaints of vaginal itching, burning, and
discharge. On potassium hydroxide (KOH) wet mount of vaginal discharge, the clinician
notices hyphae. Which of the following treatments would be appropriate?
a.Estrogen vaginal cream
b.Metronidazole
c.Doxycycline
d.Fluconazole - ✔✔D. Fluconazole
✔✔A 42-year-old woman presents to the clinic with complaints of painful intercourse for
the last month. Which of the following should be explored as the likely cause of her
dyspareunia?
a.Dehydration
b.Excess lubrication
c.Excess progesterone
d.Menopause - ✔✔D. Menopause
✔✔A 45-year-old woman is seen in the clinic with complaints of a vaginal discharge.
The clinician identifies clue cells on the vaginal smear. Which of the following diagnoses
is associated with this finding?
a.HPV
b.Herpes simplex virus
c.Trichomonas
d.Bacterial vaginosis - ✔✔D. Bacterial vaginosis
✔✔Alice has been diagnosed with breast cancer. Its TNM staging is T2, N1, M0. She
would like to know what this means. Which statement made by the clinician is accurate?
a.Your tumor is 4 cm, has metastasized to a moveable lymph node, but has not
metastasized to another location.
b.Your tumor is 5.5 cm and has not metastasized to lymph nodes or anywhere else.
c.Your tumor is 1.5 cm, has metastasized to a moveable lymph node, but has not
metastasized to another location.
d.Your tumor is 3 cm, has metastasized to a moveable lymph node, and has only
metastasized to supraclavicular lymph nodes. - ✔✔A. Your tumor is 4 cm, has
metastasized to a moveable lymph node, but has not metastasized to another location
, ✔✔Tina is an 18-year-old female who would like to start using the transdermal
contraceptive patch. Which of the following instructions should the clinician discuss with
Tina?
a.The patch is changed every 10 days.
b.If a patch becomes detached for less than 24 hours, it cannot be reapplied.
c.The patch should be applied to the buttocks or breasts.
d.Obesity can decrease the effectiveness of the patch. - ✔✔D. Obesity can decrease
the effectiveness of the patch
✔✔Which of the following is true of the IUD (intrauterine device)?
a.The IUD is 80% effective at preventing pregnancy.
b.The IUD has an inhibitory effect on sperm capacitation.
c.The IUD can only be inserted at menses.
d.The IUD can only be inserted in women with multiparity. - ✔✔B. The IUD has an
inhibitory effect on sperm capacitation.
✔✔Which of the following medications is the treatment of choice for Trichomonas?
a.Metronidazole
b.Diflucan
c.Ceftriaxone
d.Doxycycline - ✔✔A. Metronidazole
✔✔According to the USPSTF guideline, which of these patients needs a cervical cancer
screening?
a.Sondra, a 66-year-old patient who had a negative Pap with negative HPV 11 years, 6
years, and 1 year ago
b.April, a 26-year-old patient who had a negative Pap with negative HPV 1 year ago
c.Gillian, a 33-year-old patient who had a negative Pap with negative HPV 5 years ago
d.Lisa, a 45-year-old patient who has atypical squamous cells of uncertain significance
(ASCUS) and a human papillomavirus (HPV) positive Pap 1 month ago - ✔✔c.Gillian, a
33-year-old patient who had a negative Pap with negative HPV 5 years ago
✔✔A sunscreen with a sun-protection factor of at least what number will block most
harmful ultraviolet radiation?
a.4
b.8
c.15
d.10 - ✔✔C. 15
✔✔Most adult poisonings are:
a.Intentional and self-inflicted
b.Accidental
c.Caused by someone wishing to do harm to the person
d.Not attributed to any reason - ✔✔A. Intentional and self-inflicted
ANSWERS GRADED A+
✔✔A 21-year-old woman is seen in the clinic requesting birth control pills. Which of the
following tests is essential before prescribing any oral contraceptive?
a.Urine dip for protein
b.Pregnancy test
c.Thyroid-stimulating hormone
d.Complete blood cell count - ✔✔B. Pregnancy test
✔✔A 36-year-old woman is seen with complaints of vaginal itching, burning, and
discharge. On potassium hydroxide (KOH) wet mount of vaginal discharge, the clinician
notices hyphae. Which of the following treatments would be appropriate?
a.Estrogen vaginal cream
b.Metronidazole
c.Doxycycline
d.Fluconazole - ✔✔D. Fluconazole
✔✔A 42-year-old woman presents to the clinic with complaints of painful intercourse for
the last month. Which of the following should be explored as the likely cause of her
dyspareunia?
a.Dehydration
b.Excess lubrication
c.Excess progesterone
d.Menopause - ✔✔D. Menopause
✔✔A 45-year-old woman is seen in the clinic with complaints of a vaginal discharge.
The clinician identifies clue cells on the vaginal smear. Which of the following diagnoses
is associated with this finding?
a.HPV
b.Herpes simplex virus
c.Trichomonas
d.Bacterial vaginosis - ✔✔D. Bacterial vaginosis
✔✔Alice has been diagnosed with breast cancer. Its TNM staging is T2, N1, M0. She
would like to know what this means. Which statement made by the clinician is accurate?
a.Your tumor is 4 cm, has metastasized to a moveable lymph node, but has not
metastasized to another location.
b.Your tumor is 5.5 cm and has not metastasized to lymph nodes or anywhere else.
c.Your tumor is 1.5 cm, has metastasized to a moveable lymph node, but has not
metastasized to another location.
d.Your tumor is 3 cm, has metastasized to a moveable lymph node, and has only
metastasized to supraclavicular lymph nodes. - ✔✔A. Your tumor is 4 cm, has
metastasized to a moveable lymph node, but has not metastasized to another location
, ✔✔Tina is an 18-year-old female who would like to start using the transdermal
contraceptive patch. Which of the following instructions should the clinician discuss with
Tina?
a.The patch is changed every 10 days.
b.If a patch becomes detached for less than 24 hours, it cannot be reapplied.
c.The patch should be applied to the buttocks or breasts.
d.Obesity can decrease the effectiveness of the patch. - ✔✔D. Obesity can decrease
the effectiveness of the patch
✔✔Which of the following is true of the IUD (intrauterine device)?
a.The IUD is 80% effective at preventing pregnancy.
b.The IUD has an inhibitory effect on sperm capacitation.
c.The IUD can only be inserted at menses.
d.The IUD can only be inserted in women with multiparity. - ✔✔B. The IUD has an
inhibitory effect on sperm capacitation.
✔✔Which of the following medications is the treatment of choice for Trichomonas?
a.Metronidazole
b.Diflucan
c.Ceftriaxone
d.Doxycycline - ✔✔A. Metronidazole
✔✔According to the USPSTF guideline, which of these patients needs a cervical cancer
screening?
a.Sondra, a 66-year-old patient who had a negative Pap with negative HPV 11 years, 6
years, and 1 year ago
b.April, a 26-year-old patient who had a negative Pap with negative HPV 1 year ago
c.Gillian, a 33-year-old patient who had a negative Pap with negative HPV 5 years ago
d.Lisa, a 45-year-old patient who has atypical squamous cells of uncertain significance
(ASCUS) and a human papillomavirus (HPV) positive Pap 1 month ago - ✔✔c.Gillian, a
33-year-old patient who had a negative Pap with negative HPV 5 years ago
✔✔A sunscreen with a sun-protection factor of at least what number will block most
harmful ultraviolet radiation?
a.4
b.8
c.15
d.10 - ✔✔C. 15
✔✔Most adult poisonings are:
a.Intentional and self-inflicted
b.Accidental
c.Caused by someone wishing to do harm to the person
d.Not attributed to any reason - ✔✔A. Intentional and self-inflicted
