ACOG guidelines regarding we ll women exams
What is the ASCCP recommended management for an ASCUS (atypical squamous cells of
undetermined significance) pap result with a positive high-risk HPV 16 cotest in a 26-year-old
woman without a history of abnormal pap smears?
•COLPOSCOPY
A well-woman visit for an adolescent should include which of the following?
•A GENERAL HEALTH HISTORY FOCUSING ON REPRODUCTIVE AND
SEXUAL HEALTH CONCERNS (MENSES, GYNECOLOGIC, AND
PREGNANCY RELATED) AND PSYCHOSOCIAL (FAMILY RELATED, PEER
RELATED, EMOTIONAL, AND PHYSICAL AS WELL AS RELATED TO
ABUSE, DRUG USE, AND ALCOHOL USE) CONCERNS
Physical exam, screening tests, and immunizations as indicated by the health history and
gynecologic considerations for an external-only inspection of the genitalia
ACOG Pap smear guidelines
A Bethesda system Pap smear report that reads LSIL is most consistent with which classification?
•CIN 1
A single Pap smear reading of ASCUS in a patient negative for HPV infection should have what as
follow-up?
•ROUTINE SCREENING
A female patient is 35 years old. She has never had an abnormal PAP smear and has had regular
screening since age
18.If she has a normal PAP smear with HPV testing today, when should she have the next
cervical cancer screening?
•5 YEARS
A young sexually active client at the family planning clinic is advised to have a Papanicolaou (Pap)
smear. She has never had a Pap smear before. What should the nurse include in the explanation of
this procedure?
•THE PAP SMEAR CAN DETECT CANCER OF THE CERVIX
Lab results on your 26-year-old patient show a negative Pap smear with a positive human
papillomavirus (HPV) screen. Which procedure will be required next?
•REPEAT PAP AND HPV SCREEN
Which of the following is not part of the criteria for an older woman to cease having any future Pap
tests performed?
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•OVER 55 YEARS OF AGE
Amenorrhea (Primary and Secondary)
You are evaluating a 17-year-old Emily who presented with amenorrhea and normal secondary
sex characteristics. The purpose of the progesterone challenge is to ascertain the presence of?
•ENDOGENOUS ESTROGEN
A 17-year-old female patient presents with amenorrhea for 4 months she did experience menarche at
age 15 but had not had a menstrual cycle since. On physical examination, it is noticed that she has
normal secondary sexual characteristics. The nurse practitioner will consider a progesterone
challenge to determine the presence of adequate
•ENDOGENOUS ESTROGEN
A teenage patient presents with amenorrhea and moral secondary sex characteristics. A
progesterone challenge is ordered. The purpose is to determine the presence of ?
•ENDOGENOUS ESTROGEN
A 16year old girl who comes to your office with a history of secondary amenorrhea. She
experienced menarche at age 10, regular cycles for 2 years. She has not menstruated now for 4
years. In your initial consideration of differential diagnoses, what is the most frequent etiology of
this problem:
•EATING DISORDER
18yo female c/o secondary amenorrhea. On exam, there is normal secondary sex characteristics
and normal genitalia. Pregnancy is ruled out. What would necessitate further eval?
•GALACTORRHEA
Primary amenorrhea is best described as:
•FAILURE TO MENSTRUATION TO OCCUR BY 13 YR
A nurse practitioner is caring for a woman with primary and secondary amenorrhea. The pelvic
exam was normal. Which of the following may be the cause if etiology originates in the
hypothalamus?
•SHEEHAN’S SYNDROME
American Cancer Society recommendations
A nurse practitioner is participating in a women’s health fair. When educating the women
about risk factors for breast cancer, which of the following statements is incorrect?
2 / 3
•FIBROCYSTIC BREAST DISEASE
When educating women about breast cancer risk factors, which statement is incorrect?
•FIBROCYSTIC BREAST DISEASE
A woman with lobular carcinoma in situ has a relative risk of developing invasive breast cancer of
•8.0
Androgen insensitivity/resistance syndrome
Changes in hormonal regulation during menopause result in the gradual cessation of
menstruation. From which gland is Androstenedione secreted?
•ADRENALS
ASCUS/HSIL results from Paper Test Report
A Pap smear result of atypical squamous cells of undetermined significance—rule out high-
grade squamous intraepithelial lesion (ASCUS r/o HGSIL) will require which procedure
next?
•COLPOSCOPY
A Pap smear result of atypical squamous cells of undetermined significance (ASCUS) will require
which procedure next?
•FOLLOW UP PAP SMEAR
Bartholin glands and cysts
A 25-year-old presents with a report of a very tender area just near her introitus and to the
left of her perineum. Very painful sex is how she knew "something wasn't right." She showered
and when washing, she felt a "pea-sized" painful lump on the left side of her "bottom." She tells
you she looked at it with a mirror and it was very small, but now it is the size of a ping-pong ball
and getting worse.
When you inspect her external genitalia, you are amazed at the size and appearance of the "lump."
You note what appears to be an abscess on the left medial side of the labia minora, and there is
some edema extending into the perineum. Your diagnosis for this presentation is:
•BARTHOLIN’S CYST
You explain to this young woman what this "lump" is and let her know you will be referring her
to a gynecologist you consult with regularly. You explain to her the likely treatment as follows:
•A POSSIBLE INCISION MIGHT BE NECESSARY AND A CATHETER
PLACED FOR TWO TO FOUR WEEKS TO ALLOW FOR
DRAINAGE AND APPROPRIATE HEALING.Powered by TCPDF (www.tcpdf.org)
3 / 3
What is the ASCCP recommended management for an ASCUS (atypical squamous cells of
undetermined significance) pap result with a positive high-risk HPV 16 cotest in a 26-year-old
woman without a history of abnormal pap smears?
•COLPOSCOPY
A well-woman visit for an adolescent should include which of the following?
•A GENERAL HEALTH HISTORY FOCUSING ON REPRODUCTIVE AND
SEXUAL HEALTH CONCERNS (MENSES, GYNECOLOGIC, AND
PREGNANCY RELATED) AND PSYCHOSOCIAL (FAMILY RELATED, PEER
RELATED, EMOTIONAL, AND PHYSICAL AS WELL AS RELATED TO
ABUSE, DRUG USE, AND ALCOHOL USE) CONCERNS
Physical exam, screening tests, and immunizations as indicated by the health history and
gynecologic considerations for an external-only inspection of the genitalia
ACOG Pap smear guidelines
A Bethesda system Pap smear report that reads LSIL is most consistent with which classification?
•CIN 1
A single Pap smear reading of ASCUS in a patient negative for HPV infection should have what as
follow-up?
•ROUTINE SCREENING
A female patient is 35 years old. She has never had an abnormal PAP smear and has had regular
screening since age
18.If she has a normal PAP smear with HPV testing today, when should she have the next
cervical cancer screening?
•5 YEARS
A young sexually active client at the family planning clinic is advised to have a Papanicolaou (Pap)
smear. She has never had a Pap smear before. What should the nurse include in the explanation of
this procedure?
•THE PAP SMEAR CAN DETECT CANCER OF THE CERVIX
Lab results on your 26-year-old patient show a negative Pap smear with a positive human
papillomavirus (HPV) screen. Which procedure will be required next?
•REPEAT PAP AND HPV SCREEN
Which of the following is not part of the criteria for an older woman to cease having any future Pap
tests performed?
1 / 3
•OVER 55 YEARS OF AGE
Amenorrhea (Primary and Secondary)
You are evaluating a 17-year-old Emily who presented with amenorrhea and normal secondary
sex characteristics. The purpose of the progesterone challenge is to ascertain the presence of?
•ENDOGENOUS ESTROGEN
A 17-year-old female patient presents with amenorrhea for 4 months she did experience menarche at
age 15 but had not had a menstrual cycle since. On physical examination, it is noticed that she has
normal secondary sexual characteristics. The nurse practitioner will consider a progesterone
challenge to determine the presence of adequate
•ENDOGENOUS ESTROGEN
A teenage patient presents with amenorrhea and moral secondary sex characteristics. A
progesterone challenge is ordered. The purpose is to determine the presence of ?
•ENDOGENOUS ESTROGEN
A 16year old girl who comes to your office with a history of secondary amenorrhea. She
experienced menarche at age 10, regular cycles for 2 years. She has not menstruated now for 4
years. In your initial consideration of differential diagnoses, what is the most frequent etiology of
this problem:
•EATING DISORDER
18yo female c/o secondary amenorrhea. On exam, there is normal secondary sex characteristics
and normal genitalia. Pregnancy is ruled out. What would necessitate further eval?
•GALACTORRHEA
Primary amenorrhea is best described as:
•FAILURE TO MENSTRUATION TO OCCUR BY 13 YR
A nurse practitioner is caring for a woman with primary and secondary amenorrhea. The pelvic
exam was normal. Which of the following may be the cause if etiology originates in the
hypothalamus?
•SHEEHAN’S SYNDROME
American Cancer Society recommendations
A nurse practitioner is participating in a women’s health fair. When educating the women
about risk factors for breast cancer, which of the following statements is incorrect?
2 / 3
•FIBROCYSTIC BREAST DISEASE
When educating women about breast cancer risk factors, which statement is incorrect?
•FIBROCYSTIC BREAST DISEASE
A woman with lobular carcinoma in situ has a relative risk of developing invasive breast cancer of
•8.0
Androgen insensitivity/resistance syndrome
Changes in hormonal regulation during menopause result in the gradual cessation of
menstruation. From which gland is Androstenedione secreted?
•ADRENALS
ASCUS/HSIL results from Paper Test Report
A Pap smear result of atypical squamous cells of undetermined significance—rule out high-
grade squamous intraepithelial lesion (ASCUS r/o HGSIL) will require which procedure
next?
•COLPOSCOPY
A Pap smear result of atypical squamous cells of undetermined significance (ASCUS) will require
which procedure next?
•FOLLOW UP PAP SMEAR
Bartholin glands and cysts
A 25-year-old presents with a report of a very tender area just near her introitus and to the
left of her perineum. Very painful sex is how she knew "something wasn't right." She showered
and when washing, she felt a "pea-sized" painful lump on the left side of her "bottom." She tells
you she looked at it with a mirror and it was very small, but now it is the size of a ping-pong ball
and getting worse.
When you inspect her external genitalia, you are amazed at the size and appearance of the "lump."
You note what appears to be an abscess on the left medial side of the labia minora, and there is
some edema extending into the perineum. Your diagnosis for this presentation is:
•BARTHOLIN’S CYST
You explain to this young woman what this "lump" is and let her know you will be referring her
to a gynecologist you consult with regularly. You explain to her the likely treatment as follows:
•A POSSIBLE INCISION MIGHT BE NECESSARY AND A CATHETER
PLACED FOR TWO TO FOUR WEEKS TO ALLOW FOR
DRAINAGE AND APPROPRIATE HEALING.Powered by TCPDF (www.tcpdf.org)
3 / 3
