Ch. 15 Female Genitourinary Problems Exam Questions And
Correct Answers
1. A sexually active woman should be aware that genital herpes simplex virus
A. can be transmitted to a partner or newborn even in the absence of lesions due to viral
shedding
B. is suppressed during menstruation, physical or emotional stress,
immunosuppression, sexual intercourse, and pregnancy.
C. recurrences usually last the same length of time as the initial outbreak
D. requires the use of condoms only during outbreaks. - Answer A
3. A 17 year old female patient requests initiation of Depo-Provera injections as her
method of birth control. She reports having had four sexual partners in the past year.
Her LMP was 12 days ago and she had unprotected intercourse 3 days ago. Appropriate
management for this patient would be to
A. give the injection today
B. advise her to use another method for now and return with her next menses
C. provide the injection after a negative pregnancy test is given
D. provide the injection and instruct client to also use a barrier method for 7 days -
Response B
4. The easiest and safest way to suppress lactation once it has begun is to
A. wear a tightly fitting bra.
B. apply cold packs
C. gradually wean the baby to a bottle or a cup over a 3-week period
D. initiate oral hormones or long-acting hormonal injections - ANS C
5. The most significant risk factor for a heart attack in a premenopausal woman is
A. cigarette smoking
,B. family history
C. sedentary lifestyle
D. obesity - ANS A
6. First-line treatment for polycystic ovary syndrome is the use of
A. a bilateral oophorectomy.
B. oral testosterone therapy
C. diet modification, weight loss and stress management.
D. a laparoscopy with a bilateral wedge resection. - Answer C
7. If one of your female patients is using the basal body temperature (BBT) form of
contraception and does not wish to become pregnant, during which time would you
recommend that she not have unprotected intercourse?
A. From the beginning of the nestrual cycle until the BBT has been elevated for 3 days
B. Anytime the BBT is elevated
C. Anytime the BBT is lowered
D. From the end of the menstrual cycle until the BBT has been low for 5 days. - Answer A
8. Which of the following is a sexually transmitted infection?
A. Candida vaginitis
B. Trichomonal vaginitis
C. Atrophic vaginitis
D. Lactobacilli vaginitis - Answer B
9. In a patient diagnosed with cervical gonnococccal infection, you would also suspect a
co-infection with
A. candidiasis
B. syphilis
, C. trichomoniasis
D. chlamydia - Answer D
10. Jennier, 27 years, is complaining of lower abdominal pain. After some laboratory
studies you find leukocytosis, an elevated erythrocyte sedimentation rate. and an
elevated C-reactive protein level. Which is the most appropriate diagnosis?
A. Ovarian cyst
B. Pelvic inflammatory disease
C. Tubal pregnancy
D. Diverticulitis - Answer B
11. Human papillomavirus may lead to
A. pelvic inflammatory disease
B. molluscum contagiosum
C. cervical dysplasia
D. genital herpes - Answer C
12. Gerri, a 33 year old female patient, presents with redness and external vaginal
irritation after using new fabric softener in the wash. You have identified her as having
reactive vaginitis. Treatment of choice for this condition includes
A. metronidazole (Flagyl) 500 mg bid x 7 days
B. conjugated vaginal estrogen cream externally daily x 1 week
C. re-washing underwear without fabric softener and applying petrolium jelly to the
affected area.
D. re-washing undergarments wihout fabric softener and applyin corticosteroids to the
affected area. - Answer D
13. A dancer from and adult club down the street comes in for a renewal of her birth
control pill prescription. She says that everything is fine. On examination you find
grayish-white vaginal discharge, greenish cervical discharge and cervical motion
tenderness. Which of the following differential diagnosis is most unlikely.
Correct Answers
1. A sexually active woman should be aware that genital herpes simplex virus
A. can be transmitted to a partner or newborn even in the absence of lesions due to viral
shedding
B. is suppressed during menstruation, physical or emotional stress,
immunosuppression, sexual intercourse, and pregnancy.
C. recurrences usually last the same length of time as the initial outbreak
D. requires the use of condoms only during outbreaks. - Answer A
3. A 17 year old female patient requests initiation of Depo-Provera injections as her
method of birth control. She reports having had four sexual partners in the past year.
Her LMP was 12 days ago and she had unprotected intercourse 3 days ago. Appropriate
management for this patient would be to
A. give the injection today
B. advise her to use another method for now and return with her next menses
C. provide the injection after a negative pregnancy test is given
D. provide the injection and instruct client to also use a barrier method for 7 days -
Response B
4. The easiest and safest way to suppress lactation once it has begun is to
A. wear a tightly fitting bra.
B. apply cold packs
C. gradually wean the baby to a bottle or a cup over a 3-week period
D. initiate oral hormones or long-acting hormonal injections - ANS C
5. The most significant risk factor for a heart attack in a premenopausal woman is
A. cigarette smoking
,B. family history
C. sedentary lifestyle
D. obesity - ANS A
6. First-line treatment for polycystic ovary syndrome is the use of
A. a bilateral oophorectomy.
B. oral testosterone therapy
C. diet modification, weight loss and stress management.
D. a laparoscopy with a bilateral wedge resection. - Answer C
7. If one of your female patients is using the basal body temperature (BBT) form of
contraception and does not wish to become pregnant, during which time would you
recommend that she not have unprotected intercourse?
A. From the beginning of the nestrual cycle until the BBT has been elevated for 3 days
B. Anytime the BBT is elevated
C. Anytime the BBT is lowered
D. From the end of the menstrual cycle until the BBT has been low for 5 days. - Answer A
8. Which of the following is a sexually transmitted infection?
A. Candida vaginitis
B. Trichomonal vaginitis
C. Atrophic vaginitis
D. Lactobacilli vaginitis - Answer B
9. In a patient diagnosed with cervical gonnococccal infection, you would also suspect a
co-infection with
A. candidiasis
B. syphilis
, C. trichomoniasis
D. chlamydia - Answer D
10. Jennier, 27 years, is complaining of lower abdominal pain. After some laboratory
studies you find leukocytosis, an elevated erythrocyte sedimentation rate. and an
elevated C-reactive protein level. Which is the most appropriate diagnosis?
A. Ovarian cyst
B. Pelvic inflammatory disease
C. Tubal pregnancy
D. Diverticulitis - Answer B
11. Human papillomavirus may lead to
A. pelvic inflammatory disease
B. molluscum contagiosum
C. cervical dysplasia
D. genital herpes - Answer C
12. Gerri, a 33 year old female patient, presents with redness and external vaginal
irritation after using new fabric softener in the wash. You have identified her as having
reactive vaginitis. Treatment of choice for this condition includes
A. metronidazole (Flagyl) 500 mg bid x 7 days
B. conjugated vaginal estrogen cream externally daily x 1 week
C. re-washing underwear without fabric softener and applying petrolium jelly to the
affected area.
D. re-washing undergarments wihout fabric softener and applyin corticosteroids to the
affected area. - Answer D
13. A dancer from and adult club down the street comes in for a renewal of her birth
control pill prescription. She says that everything is fine. On examination you find
grayish-white vaginal discharge, greenish cervical discharge and cervical motion
tenderness. Which of the following differential diagnosis is most unlikely.
