, TABLE OF CONTENTS
Chapter 1: Women’s Health Examination and Women’s Health Care Management
p1-13
o Chapter 2: The Obstetrician–Gynecologist’s Role in Screening and Preventive Care
p14-21
o Chapter 3: Ethics, Liability, and Patient Safety in Obstetrics and Gynecology
p22-28
o Chapter 4: Embryology and Anatomy
p29-42
o Chapter 5: Maternal–Fetal Physiology
p43-55
o Chapter 6: Preconception and Antepartum Care
p56-71
o Chapter 7: Genetics and Genetic Disorders in Obstetrics and Gynecology
p72-85
o Chapter 8: Intrapartum Care
p86-97
o Chapter 9: Abnormal Labor and Intrapartum Fetal Surveillance
p98-111
o Chapter 10: Immediate Care of the Newborn
p112-119
o Chapter 11: Postpartum Care
p120-126
o Chapter 12: Postpartum Hemorrhage
p127-133
o Chapter 13: Multifetal Gestation
p134-139
o Chapter 14: Fetal Growth Abnormalities: Intrauterine Growth Restriction and Macrosomia
p140-146
o Chapter 15: Preterm Labor
p147-151
o Chapter 16: Third-Trimester Bleeding
p152-157
o Chapter 17: Premature Rupture of Membranes
p158-162
o Chapter 18: Post-term Pregnancy
p163-166
o Chapter 19: Ectopic Pregnancy and Abortion
p167-176
o Chapter 20: Endocrine Disorders
p177-183
o Chapter 21: Gastrointestinal, Renal, and Surgical Complications
p184-190
o Chapter 22: Cardiovascular and Respiratory Disorders
p191-200
o Chapter 23: Hematologic and Immunologic Complications
p201-208
o Chapter 24: Infectious Diseases
p209-218
o Chapter 25: Neurologic and Psychiatric Disorders
p219-224
o Chapter 26: Contraception
p225-238
o Chapter 27: Sterilization
, p239-244
o Chapter 28: Vulvovaginitis
p245-249
o Chapter 29: Sexually Transmitted Infections
p250-261
o Chapter 30: Pelvic Support Defects, Urinary Incontinence, and Urinary Tract Infection
p262-270
o Chapter 31: Endometriosis
p271-278
o Chapter 32: Dysmenorrhea and Chronic Pelvic Pain
p279-284
o Chapter 33: Disorders of the Breast
p285-294
o Chapter 34: Gynecologic Procedures
p295-303
o Chapter 35: Human Sexuality
p304-311
o Chapter 36: Sexual Assault and Domestic Violence
p312-320
o Chapter 37: Reproductive Cycles
p321-326
o Chapter 38: Puberty
p327-331
o Chapter 39: Amenorrhea and Abnormal Uterine Bleeding
p332-336
o Chapter 40: Hirsutism and Virilization
p337-344
o Chapter 41: Menopause
p345-352
o Chapter 42: Infertility
p353-362
o Chapter 43: Premenstrual Syndrome and Premenstrual Dysphoric Disorder
p363-368
o Chapter 44: Cell Biology and Principles of Cancer Therapy
p369-373
o Chapter 45: Gestational Trophoblastic Neoplasia
p374-378
o Chapter 46: Vulvar and Vaginal Disease and Neoplasia
p379-388
o Chapter 47: Cervical Neoplasia and Carcinoma
p389-401
o Chapter 48: Uterine Leiomyoma and Neoplasia
p402-405
o Chapter 49: Cancer of the Uterine Corpus
p406-414
o Chapter 50: Ovarian and Adnexal Disease
p415-426
Chapter 1: Women’s Health Examination and Women’s Health Care
Management
,1:
Elevating the head of the examining table approximately 30 degrees facilitates
a:
the observation of the patient's responses
b:
the ability of the patient to comfortably look around to distract her from the examination
c:
the contraction of the abdominal wall muscle groups, making the examination easier
d:
comfortable blood pressure measurement
e:
the physician not being distracted by eye contact with the patient
2:
Which of the following uterine positions is most associated with dyspareunia?
a:
Midposition, retroflexed
b:
,Retroverted, anteflexed
c:
Anteverted, anteflexed
d:
Retroverted, retroflexed
e:
Midpostion, anteflexed
3:
Inquiry concerning adult and child history of sexual abuse should be included in the sexual history
a:
if time permits
b:
in visits where there are suspicious physical findings but not otherwise
c:
in visits where sufficient time is allotted
d:
in all new patient visits
e:
in visits where a specific indication is noted
4:
Peau d'orange change in the breast is associated with
a:
edema of the lymphatics
b:
jaundice
,c:
too vigorous breastfeeding
d:
overly tight undergarments
e:
galactorrhea
5:
Which kind of speculum is often most suitable for examination of the nulliparous patient?
a:
Morgan's speculum
b:
Endoscopic speculum
c:
Ling speculum
d:
Graves speculum
e:
Pederson speculum
6:
Which uterine configuration is most difficult to assess for size, shape, configuration, and mobility?
a:
Midposition
b:
Anteverted
c:
,There is no difference in difficulty
d:
Retroverted
7:
Which type of speculum is most appropriate for the examination of a parous menstrual woman?
a:
Ling speculum
b:
Graves speculum
c:
Pederson speculum
d:
Endoscopic speculum
e:
Morgan's speculum
8:
Menopause is defined as the cessation of menses for greater than
a:
9 months
b:
36 months
c:
12 months
d:
18 months
,e:
24 months
9:
In a woman describing sufficiently frequent sexual encounters, infertility typically is described as a
failure to conceive after
a:
3 months
b:
9 months
c:
12 months
d:
18 months
e:
6 months
10:
During bimanual examination of the adnexa in normal premenopausal women, the ovaries are palpable
a:
all the time
b:
almost never
c:
about one-half of the time
d:
about thee-quarters/most of the time
,e:
about one-quarter of the time
11:
If a patient becomes uncomfortable with a topic during a history-taking session, the best response of the
physician is to
a:
address the patient's discomfort in a positive and supportive manner
b:
discontinue discussion of the topic to avoid further patient discomfort
c:
discontinue discussion to avoid damage to the patient-physician relationship
d:
continue after making a joke to relieve tension
e:
ignore the discomfort and proceed with questioning
12:
Which of the following statements about the steps in the breast examination is correct?
a:
Palpation is done first
b:
Palpation and inspection are done simultaneously
c:
Palpation is only done if inspection is abnormal
d:
Palpation may be done with detailed inspection if a woman is especially modest
, e:
Inspection is done first
13:
Questions that promote the physician's fullest understanding of the patient's situation are best
characterized as
a:
compassionate
b:
chronological
c:
sympathetic
d:
emphatic
e:
evidence based
14:
The last menstrual period is dated from the
a:
first day of the last normal period
b:
last day of the last normal period
c:
first day of the last bleeding episode
d:
last day of the last bleeding episode
Chapter 1: Women’s Health Examination and Women’s Health Care Management
p1-13
o Chapter 2: The Obstetrician–Gynecologist’s Role in Screening and Preventive Care
p14-21
o Chapter 3: Ethics, Liability, and Patient Safety in Obstetrics and Gynecology
p22-28
o Chapter 4: Embryology and Anatomy
p29-42
o Chapter 5: Maternal–Fetal Physiology
p43-55
o Chapter 6: Preconception and Antepartum Care
p56-71
o Chapter 7: Genetics and Genetic Disorders in Obstetrics and Gynecology
p72-85
o Chapter 8: Intrapartum Care
p86-97
o Chapter 9: Abnormal Labor and Intrapartum Fetal Surveillance
p98-111
o Chapter 10: Immediate Care of the Newborn
p112-119
o Chapter 11: Postpartum Care
p120-126
o Chapter 12: Postpartum Hemorrhage
p127-133
o Chapter 13: Multifetal Gestation
p134-139
o Chapter 14: Fetal Growth Abnormalities: Intrauterine Growth Restriction and Macrosomia
p140-146
o Chapter 15: Preterm Labor
p147-151
o Chapter 16: Third-Trimester Bleeding
p152-157
o Chapter 17: Premature Rupture of Membranes
p158-162
o Chapter 18: Post-term Pregnancy
p163-166
o Chapter 19: Ectopic Pregnancy and Abortion
p167-176
o Chapter 20: Endocrine Disorders
p177-183
o Chapter 21: Gastrointestinal, Renal, and Surgical Complications
p184-190
o Chapter 22: Cardiovascular and Respiratory Disorders
p191-200
o Chapter 23: Hematologic and Immunologic Complications
p201-208
o Chapter 24: Infectious Diseases
p209-218
o Chapter 25: Neurologic and Psychiatric Disorders
p219-224
o Chapter 26: Contraception
p225-238
o Chapter 27: Sterilization
, p239-244
o Chapter 28: Vulvovaginitis
p245-249
o Chapter 29: Sexually Transmitted Infections
p250-261
o Chapter 30: Pelvic Support Defects, Urinary Incontinence, and Urinary Tract Infection
p262-270
o Chapter 31: Endometriosis
p271-278
o Chapter 32: Dysmenorrhea and Chronic Pelvic Pain
p279-284
o Chapter 33: Disorders of the Breast
p285-294
o Chapter 34: Gynecologic Procedures
p295-303
o Chapter 35: Human Sexuality
p304-311
o Chapter 36: Sexual Assault and Domestic Violence
p312-320
o Chapter 37: Reproductive Cycles
p321-326
o Chapter 38: Puberty
p327-331
o Chapter 39: Amenorrhea and Abnormal Uterine Bleeding
p332-336
o Chapter 40: Hirsutism and Virilization
p337-344
o Chapter 41: Menopause
p345-352
o Chapter 42: Infertility
p353-362
o Chapter 43: Premenstrual Syndrome and Premenstrual Dysphoric Disorder
p363-368
o Chapter 44: Cell Biology and Principles of Cancer Therapy
p369-373
o Chapter 45: Gestational Trophoblastic Neoplasia
p374-378
o Chapter 46: Vulvar and Vaginal Disease and Neoplasia
p379-388
o Chapter 47: Cervical Neoplasia and Carcinoma
p389-401
o Chapter 48: Uterine Leiomyoma and Neoplasia
p402-405
o Chapter 49: Cancer of the Uterine Corpus
p406-414
o Chapter 50: Ovarian and Adnexal Disease
p415-426
Chapter 1: Women’s Health Examination and Women’s Health Care
Management
,1:
Elevating the head of the examining table approximately 30 degrees facilitates
a:
the observation of the patient's responses
b:
the ability of the patient to comfortably look around to distract her from the examination
c:
the contraction of the abdominal wall muscle groups, making the examination easier
d:
comfortable blood pressure measurement
e:
the physician not being distracted by eye contact with the patient
2:
Which of the following uterine positions is most associated with dyspareunia?
a:
Midposition, retroflexed
b:
,Retroverted, anteflexed
c:
Anteverted, anteflexed
d:
Retroverted, retroflexed
e:
Midpostion, anteflexed
3:
Inquiry concerning adult and child history of sexual abuse should be included in the sexual history
a:
if time permits
b:
in visits where there are suspicious physical findings but not otherwise
c:
in visits where sufficient time is allotted
d:
in all new patient visits
e:
in visits where a specific indication is noted
4:
Peau d'orange change in the breast is associated with
a:
edema of the lymphatics
b:
jaundice
,c:
too vigorous breastfeeding
d:
overly tight undergarments
e:
galactorrhea
5:
Which kind of speculum is often most suitable for examination of the nulliparous patient?
a:
Morgan's speculum
b:
Endoscopic speculum
c:
Ling speculum
d:
Graves speculum
e:
Pederson speculum
6:
Which uterine configuration is most difficult to assess for size, shape, configuration, and mobility?
a:
Midposition
b:
Anteverted
c:
,There is no difference in difficulty
d:
Retroverted
7:
Which type of speculum is most appropriate for the examination of a parous menstrual woman?
a:
Ling speculum
b:
Graves speculum
c:
Pederson speculum
d:
Endoscopic speculum
e:
Morgan's speculum
8:
Menopause is defined as the cessation of menses for greater than
a:
9 months
b:
36 months
c:
12 months
d:
18 months
,e:
24 months
9:
In a woman describing sufficiently frequent sexual encounters, infertility typically is described as a
failure to conceive after
a:
3 months
b:
9 months
c:
12 months
d:
18 months
e:
6 months
10:
During bimanual examination of the adnexa in normal premenopausal women, the ovaries are palpable
a:
all the time
b:
almost never
c:
about one-half of the time
d:
about thee-quarters/most of the time
,e:
about one-quarter of the time
11:
If a patient becomes uncomfortable with a topic during a history-taking session, the best response of the
physician is to
a:
address the patient's discomfort in a positive and supportive manner
b:
discontinue discussion of the topic to avoid further patient discomfort
c:
discontinue discussion to avoid damage to the patient-physician relationship
d:
continue after making a joke to relieve tension
e:
ignore the discomfort and proceed with questioning
12:
Which of the following statements about the steps in the breast examination is correct?
a:
Palpation is done first
b:
Palpation and inspection are done simultaneously
c:
Palpation is only done if inspection is abnormal
d:
Palpation may be done with detailed inspection if a woman is especially modest
, e:
Inspection is done first
13:
Questions that promote the physician's fullest understanding of the patient's situation are best
characterized as
a:
compassionate
b:
chronological
c:
sympathetic
d:
emphatic
e:
evidence based
14:
The last menstrual period is dated from the
a:
first day of the last normal period
b:
last day of the last normal period
c:
first day of the last bleeding episode
d:
last day of the last bleeding episode
