Midwifery & WHNP Certification Review
Guide: Gynecologic, Reproductive, and
Sexual Disorders Exam Actual Questions
and Answers 2026
PMS is suspected when a woman experiences symptoms only
during:
a. ovulation
b. the luteal phase
c. the LH surge
d. the follicular phase -
correct answer ✅b. the luteal phase
PMS is the cyclic occurrence of the a group of distressing physical
and psychological symptoms in the luteal phase that begins about 5
to 7 days before menses and resolves within about 4 days after
onset of menses.
Primary dysmenorrhea can best be treated with:
a. dopamine agonists
b. GnRH agonsits
c. prostaglandin inhibitors
,Midwifery & WHNP Certification Review
Guide: Gynecologic, Reproductive, and
Sexual Disorders Exam Actual Questions
and Answers 2026
d. tricyclic antidepressants -
correct answer ✅c. prostaglandin inhibitors
Prostaglandin synthetase inhibitors, which are NSAIDs, are the
treatment of choice for primary dysmenorrhea. They work best if
they are begun at the onset of menses and are continued for 48 to
72 hours. Agents shown to be effective include mefenamic acid,
naproxen sodium, ibuprofen, and indomethacin.
The most common cause of chronic pelvic pain in reproductive-age
women is:
a. adenomyosis
b. endometriosis
c. pelvic inflammatory disease
d. uterine fibroids -
correct answer ✅b. endometriosis
,Midwifery & WHNP Certification Review
Guide: Gynecologic, Reproductive, and
Sexual Disorders Exam Actual Questions
and Answers 2026
Approximately 7% to 10% of premenopausal women are affected
by endometriosis; it is the most common cause of chronic pelvic
pain.
Which of the following contraceptive methods has also been FDA
approved for treatment of endometriosis?
a. Combination oral contraceptive pills
b. Levonorgestrel IUS
c. Progestin-only contraceptive pills
d. Subcutaneous 104 DMPA -
correct answer ✅d. Subcutaneous 104 DMPA
Subcutaneous 104 DMPA is an FDA-approved medication for
treatmetn of endometriosis. Other medical management includes
analgesics (NSAIDs are the first choice), GnRH agonists, and danazol
to induce regression of endometrial implants; IM DNPA has also
been found to be effective.
A complication of PID is:
, Midwifery & WHNP Certification Review
Guide: Gynecologic, Reproductive, and
Sexual Disorders Exam Actual Questions
and Answers 2026
a. adenomyosis
b. endometriosis
c. infertility
d. irritable bowel syndrome -
correct answer ✅c. infertility
Approximately 25% of cases of PID result in infertility, ectopic
pregnancy, or chronic pelvic pain.
The ovulation prediction urine test:
a. detects the LH surge
b. detects an increase in progesterone
c. predicts fertility level
d. predicts ovulation within 12 hours -
correct answer ✅a. detects the LH surge
Guide: Gynecologic, Reproductive, and
Sexual Disorders Exam Actual Questions
and Answers 2026
PMS is suspected when a woman experiences symptoms only
during:
a. ovulation
b. the luteal phase
c. the LH surge
d. the follicular phase -
correct answer ✅b. the luteal phase
PMS is the cyclic occurrence of the a group of distressing physical
and psychological symptoms in the luteal phase that begins about 5
to 7 days before menses and resolves within about 4 days after
onset of menses.
Primary dysmenorrhea can best be treated with:
a. dopamine agonists
b. GnRH agonsits
c. prostaglandin inhibitors
,Midwifery & WHNP Certification Review
Guide: Gynecologic, Reproductive, and
Sexual Disorders Exam Actual Questions
and Answers 2026
d. tricyclic antidepressants -
correct answer ✅c. prostaglandin inhibitors
Prostaglandin synthetase inhibitors, which are NSAIDs, are the
treatment of choice for primary dysmenorrhea. They work best if
they are begun at the onset of menses and are continued for 48 to
72 hours. Agents shown to be effective include mefenamic acid,
naproxen sodium, ibuprofen, and indomethacin.
The most common cause of chronic pelvic pain in reproductive-age
women is:
a. adenomyosis
b. endometriosis
c. pelvic inflammatory disease
d. uterine fibroids -
correct answer ✅b. endometriosis
,Midwifery & WHNP Certification Review
Guide: Gynecologic, Reproductive, and
Sexual Disorders Exam Actual Questions
and Answers 2026
Approximately 7% to 10% of premenopausal women are affected
by endometriosis; it is the most common cause of chronic pelvic
pain.
Which of the following contraceptive methods has also been FDA
approved for treatment of endometriosis?
a. Combination oral contraceptive pills
b. Levonorgestrel IUS
c. Progestin-only contraceptive pills
d. Subcutaneous 104 DMPA -
correct answer ✅d. Subcutaneous 104 DMPA
Subcutaneous 104 DMPA is an FDA-approved medication for
treatmetn of endometriosis. Other medical management includes
analgesics (NSAIDs are the first choice), GnRH agonists, and danazol
to induce regression of endometrial implants; IM DNPA has also
been found to be effective.
A complication of PID is:
, Midwifery & WHNP Certification Review
Guide: Gynecologic, Reproductive, and
Sexual Disorders Exam Actual Questions
and Answers 2026
a. adenomyosis
b. endometriosis
c. infertility
d. irritable bowel syndrome -
correct answer ✅c. infertility
Approximately 25% of cases of PID result in infertility, ectopic
pregnancy, or chronic pelvic pain.
The ovulation prediction urine test:
a. detects the LH surge
b. detects an increase in progesterone
c. predicts fertility level
d. predicts ovulation within 12 hours -
correct answer ✅a. detects the LH surge
