lOMoARcPSD|26582732
APEA 3P EXAM PREP1 WOMEN
HEALTH QUESTIONS WITH VERIFIED
ANSWERS AND EXPLANATION 2026
A 54-year-old female presents with a
small to moderate amount of vaginal
bleeding of recent onset. She has been
postmenopausal for approximately 2
years. What diagnosis is least likely?
Endometrial carcinoma
Ovarian
cancer
endometria
l
hyperplasia
uterine
polyps
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, lOMoARcPSD|26582732
B.
Ovarian cancer may present as an
adnexal mass, pelvic or abdominal
symptoms and a variety of others.
Postmenopausal bleeding (pmb) is an
uncommon presentation of ovarian
cancer, but can present this way. In
women with pmb, likely causes of uterine
pathology should be evaluated before
considering ovarian pathology. In early
menopause, the most common etiology is
atrophy of the endometrium or vaginal
mucosa. This patient has been
postmenopausal for approximately 2
years. Other common causes of pmb are
polyps, fibroids, and endometrial
hyperplasia.
Three of the following interventions are
appropriately used to prevent
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, lOMoARcPSD|26582732
osteoporosis after menopause. Which one
is not?
Avoidance of corticosteroids
Performance of weight-bearing
activities for 40 mins at least 5
days/week estrogen replacement
therapy
Adequate calcium &
Vitamin d intake c.
Prevention of osteoporosis may be
optimized by elimination of risk factors
and engaging in interventions that
maximize bone density. Good nutrition
from infancy throughout adulthood is a
major component of good bone health.
Others include engaging in weight-
bearing exercises, adequate intake of
calcium and vitamin d, smoking
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, lOMoARcPSD|26582732
cessation, limiting alcohol consumption to
moderate amounts, and avoidance when
possible of medications that may
decrease bone density
(corticosteroids, anticonvulsants).
Osteoporosis occurs at accelerated rates
in women who are post-menopausal. The
lack of estrogen can produce rapid bone
loss due to bone resorption. Estrogen
replacement is not used to prevent or
treat osteoporosis.
A patient who is scheduled for pelvic
exam with pap smear should be advised
to avoid douching, sexual intercourse,
and tampon use before her exam. For
how long should she be advised to avoid
these activities for optimal evaluation?
24 hours
48 hours
36 hours
Downloaded by NELSON KIIRU ()
APEA 3P EXAM PREP1 WOMEN
HEALTH QUESTIONS WITH VERIFIED
ANSWERS AND EXPLANATION 2026
A 54-year-old female presents with a
small to moderate amount of vaginal
bleeding of recent onset. She has been
postmenopausal for approximately 2
years. What diagnosis is least likely?
Endometrial carcinoma
Ovarian
cancer
endometria
l
hyperplasia
uterine
polyps
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
B.
Ovarian cancer may present as an
adnexal mass, pelvic or abdominal
symptoms and a variety of others.
Postmenopausal bleeding (pmb) is an
uncommon presentation of ovarian
cancer, but can present this way. In
women with pmb, likely causes of uterine
pathology should be evaluated before
considering ovarian pathology. In early
menopause, the most common etiology is
atrophy of the endometrium or vaginal
mucosa. This patient has been
postmenopausal for approximately 2
years. Other common causes of pmb are
polyps, fibroids, and endometrial
hyperplasia.
Three of the following interventions are
appropriately used to prevent
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
osteoporosis after menopause. Which one
is not?
Avoidance of corticosteroids
Performance of weight-bearing
activities for 40 mins at least 5
days/week estrogen replacement
therapy
Adequate calcium &
Vitamin d intake c.
Prevention of osteoporosis may be
optimized by elimination of risk factors
and engaging in interventions that
maximize bone density. Good nutrition
from infancy throughout adulthood is a
major component of good bone health.
Others include engaging in weight-
bearing exercises, adequate intake of
calcium and vitamin d, smoking
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
cessation, limiting alcohol consumption to
moderate amounts, and avoidance when
possible of medications that may
decrease bone density
(corticosteroids, anticonvulsants).
Osteoporosis occurs at accelerated rates
in women who are post-menopausal. The
lack of estrogen can produce rapid bone
loss due to bone resorption. Estrogen
replacement is not used to prevent or
treat osteoporosis.
A patient who is scheduled for pelvic
exam with pap smear should be advised
to avoid douching, sexual intercourse,
and tampon use before her exam. For
how long should she be advised to avoid
these activities for optimal evaluation?
24 hours
48 hours
36 hours
Downloaded by NELSON KIIRU ()
