1|Page
NSG 6435 WEEK 9: WOMEN'S HEALTH – 145
QUESTIONS WITH RATIONALES | WALDEN
UNIVERSITY | A+ GUARANTEED
# Table of Contents
| Section | Topic Area | Question Numbers |
| 1 | Anatomy & Physiology of the Female Reproductive System | 1–10 |
| 2 | Menstrual Cycle & Abnormal Uterine Bleeding (AUB) | 11–25 |
| 3 | Contraception & Family Planning | 26–40 |
| 4 | Sexually Transmitted Infections (STIs) & Vaginitis | 41–55 |
| 5 | Pelvic Inflammatory Disease (PID) & Tubo-Ovarian Abscess | 56–
65 |
| 6 | Vulvovaginal Conditions (Vulvodynia, Lichen Sclerosus, Bartholin's
Cyst) | 66–70 |
| 7 | Cervical Disorders & Cervical Cancer Screening | 71–80 |
| 8 | Uterine Disorders (Fibroids, Adenomyosis, Endometrial Polyps,
Endometrial Cancer) | 81–90 |
| 9 | Ovarian Disorders (Cysts, PCOS, Ovarian Cancer) | 91–105 |
| 10 | Endometriosis & Adenomyosis | 106–115 |
| 11 | Menopause & Hormone Therapy | 116–125 |
| 12 | Breast Disorders & Breast Cancer Screening | 126–135 |
| 13 | High-Yield Exam Review for NSG 6435 Week 9 | 136–145 |
,2|Page
# Section 1: Anatomy & Physiology of the Female Reproductive System
(1–10)
**1.** The **ligament that provides primary support to the uterus**
(prevents prolapse) is the:
A) Round ligament
B) Broad ligament
C) Cardinal (Mackenrodt) ligament
D) Ovarian ligament
**Answer:** C
**Rationale:** Cardinal ligaments (transverse cervical ligaments)
provide main uterine support. Round ligaments help maintain
anteversion. Broad ligaments are mesenteric folds, not supportive.
Uterosacral ligaments also support.
**2.** The **normal position of the uterus** is:
A) Retroverted and retroflexed
B) Anteverted and anteflexed (most common)
C) Midposition
D) Retroverted and anteflexed
,3|Page
**Answer:** B
**Rationale:** Anteverted (fundus tilted forward) and anteflexed (angle
between cervix and body) is typical (~80%). Retroverted occurs in
~20%.
**3.** The **external os of the cervix** in a nulliparous woman is:
A) Circular, small, and smooth
B) Longitudinal, slit-like, and irregular
C) Large and patulous
D) Covered by squamous metaplasia
**Answer:** A
**Rationale:** Nulliparous: small, round, smooth os. Parous: slit-like,
irregular transverse os (due to childbirth trauma).
**4.** The **fallopian tube is divided into four segments**. The
segment that receives the ovulated oocyte is the:
A) Isthmus
B) Ampulla (usual site of fertilization)
C) Infundibulum with fimbriae (captures oocyte)
D) Intramural (interstitial) portion
**Answer:** C
, 4|Page
**Rationale:** Fimbriated infundibulum sweeps over ovary to capture
oocyte. Fertilization occurs in ampulla (widest, longest).
**5.** Normal **vaginal pH** in a reproductive-age woman is:
A) 3.5–4.5 (acidic, maintained by Lactobacillus converting glycogen to
lactic acid)
B) 5.5–6.5
C) 7.0–7.5
D) 8.0–9.0
**Answer:** A
**Rationale:** Acidic pH inhibits pathogenic bacteria. Increased pH
(>4.5) suggests bacterial vaginosis or trichomoniasis.
**6.** The **layer of the endometrium that is shed during
menstruation** is the:
A) Basalis
B) Functionalis (superficial, hormonally responsive)
C) Myometrium
D) Serosa
**Answer:** B
NSG 6435 WEEK 9: WOMEN'S HEALTH – 145
QUESTIONS WITH RATIONALES | WALDEN
UNIVERSITY | A+ GUARANTEED
# Table of Contents
| Section | Topic Area | Question Numbers |
| 1 | Anatomy & Physiology of the Female Reproductive System | 1–10 |
| 2 | Menstrual Cycle & Abnormal Uterine Bleeding (AUB) | 11–25 |
| 3 | Contraception & Family Planning | 26–40 |
| 4 | Sexually Transmitted Infections (STIs) & Vaginitis | 41–55 |
| 5 | Pelvic Inflammatory Disease (PID) & Tubo-Ovarian Abscess | 56–
65 |
| 6 | Vulvovaginal Conditions (Vulvodynia, Lichen Sclerosus, Bartholin's
Cyst) | 66–70 |
| 7 | Cervical Disorders & Cervical Cancer Screening | 71–80 |
| 8 | Uterine Disorders (Fibroids, Adenomyosis, Endometrial Polyps,
Endometrial Cancer) | 81–90 |
| 9 | Ovarian Disorders (Cysts, PCOS, Ovarian Cancer) | 91–105 |
| 10 | Endometriosis & Adenomyosis | 106–115 |
| 11 | Menopause & Hormone Therapy | 116–125 |
| 12 | Breast Disorders & Breast Cancer Screening | 126–135 |
| 13 | High-Yield Exam Review for NSG 6435 Week 9 | 136–145 |
,2|Page
# Section 1: Anatomy & Physiology of the Female Reproductive System
(1–10)
**1.** The **ligament that provides primary support to the uterus**
(prevents prolapse) is the:
A) Round ligament
B) Broad ligament
C) Cardinal (Mackenrodt) ligament
D) Ovarian ligament
**Answer:** C
**Rationale:** Cardinal ligaments (transverse cervical ligaments)
provide main uterine support. Round ligaments help maintain
anteversion. Broad ligaments are mesenteric folds, not supportive.
Uterosacral ligaments also support.
**2.** The **normal position of the uterus** is:
A) Retroverted and retroflexed
B) Anteverted and anteflexed (most common)
C) Midposition
D) Retroverted and anteflexed
,3|Page
**Answer:** B
**Rationale:** Anteverted (fundus tilted forward) and anteflexed (angle
between cervix and body) is typical (~80%). Retroverted occurs in
~20%.
**3.** The **external os of the cervix** in a nulliparous woman is:
A) Circular, small, and smooth
B) Longitudinal, slit-like, and irregular
C) Large and patulous
D) Covered by squamous metaplasia
**Answer:** A
**Rationale:** Nulliparous: small, round, smooth os. Parous: slit-like,
irregular transverse os (due to childbirth trauma).
**4.** The **fallopian tube is divided into four segments**. The
segment that receives the ovulated oocyte is the:
A) Isthmus
B) Ampulla (usual site of fertilization)
C) Infundibulum with fimbriae (captures oocyte)
D) Intramural (interstitial) portion
**Answer:** C
, 4|Page
**Rationale:** Fimbriated infundibulum sweeps over ovary to capture
oocyte. Fertilization occurs in ampulla (widest, longest).
**5.** Normal **vaginal pH** in a reproductive-age woman is:
A) 3.5–4.5 (acidic, maintained by Lactobacillus converting glycogen to
lactic acid)
B) 5.5–6.5
C) 7.0–7.5
D) 8.0–9.0
**Answer:** A
**Rationale:** Acidic pH inhibits pathogenic bacteria. Increased pH
(>4.5) suggests bacterial vaginosis or trichomoniasis.
**6.** The **layer of the endometrium that is shed during
menstruation** is the:
A) Basalis
B) Functionalis (superficial, hormonally responsive)
C) Myometrium
D) Serosa
**Answer:** B
