CJE Women's Health Exam Latest Actual
Exam Questions & Correct Detailed
Answers (2026/2027 Edition)
SECTION 1: GYNECOLOGICAL CONDITIONS
Question 1
What is an early indication of cervical cancer?
A. Heavy menstrual bleeding
B. Bloody spotting after intercourse
C. Pelvic pain
D. Fever
Correct Answer: B
Rationale: Postcoital bleeding (bloody spotting after intercourse) is an early
warning sign of cervical cancer. Other early signs can include abnormal
vaginal bleeding between periods or after menopause. Regular Pap smears
are essential for early detection.
Question 2
Which factors are associated with endometriosis? (Select all that apply)
A. Abdominal pain
B. Rectal pressure
C. Fever
D. Heavy bleeding
,Correct Answers: A, B
Rationale: Endometriosis is commonly associated with abdominal pain
(often severe during menstruation) and rectal pressure or pain, especially
during bowel movements. The endometrial tissue grows outside the uterus,
causing inflammation and pain in the pelvic and abdominal regions.
Question 3
What can cause abnormal uterine bleeding? (Select all that apply)
A. Hypothyroidism
B. Failure to ovulate
C. Bleeding disorders
D. Unidentified pregnancy
E. Oral contraceptives
F. Benign lesions of the uterus
Correct Answers: A, B, C, D, E, F
Rationale: Abnormal uterine bleeding can be caused by multiple factors.
Hypothyroidism and other endocrine disorders can disrupt the menstrual
cycle. Anovulation (failure to ovulate) leads to irregular bleeding. Bleeding
disorders and benign lesions (fibroids, polyps) can also cause abnormal
bleeding. Oral contraceptives may cause breakthrough bleeding, and
pregnancy must always be ruled out.
Question 4
A 30-year-old patient receiving fertility treatment develops severe
abdominal pain, rapid weight gain, nausea, and shortness of breath.
Ultrasound shows enlarged ovaries with significant fluid accumulation.
Which diagnosis is most likely?
, A. Pelvic Inflammatory Disease (PID)
B. Ovarian Hyperstimulation Syndrome (OHSS)
C. Uterine Fibroids
D. Menopause
Correct Answer: B
Rationale: Ovarian Hyperstimulation Syndrome (OHSS) is a complication of
fertility treatments involving ovarian stimulation. It occurs due to increased
vascular permeability, causing fluid shifts, enlarged ovaries, ascites,
abdominal pain, weight gain, and possible respiratory compromise. PID is
infectious, fibroids are benign uterine tumors, and menopause is not a
complication of fertility medication.
Question 5
Galactorrhea (unexplained breast milk production) should prompt a test for
which blood hormone level?
A. Estrogen
B. Prolactin
C. Progesterone
D. FSH
Correct Answer: B
Rationale: Galactorrhea is caused by elevated prolactin levels, which
stimulate milk production. A prolactin level should be ordered when a
patient presents with unexplained breast milk production, especially when
not pregnant or breastfeeding. This can be caused by pituitary tumors
(prolactinomas), medications, or other conditions.
Question 6
Which diagnosis is most likely for a 60-year-old patient presenting for
Exam Questions & Correct Detailed
Answers (2026/2027 Edition)
SECTION 1: GYNECOLOGICAL CONDITIONS
Question 1
What is an early indication of cervical cancer?
A. Heavy menstrual bleeding
B. Bloody spotting after intercourse
C. Pelvic pain
D. Fever
Correct Answer: B
Rationale: Postcoital bleeding (bloody spotting after intercourse) is an early
warning sign of cervical cancer. Other early signs can include abnormal
vaginal bleeding between periods or after menopause. Regular Pap smears
are essential for early detection.
Question 2
Which factors are associated with endometriosis? (Select all that apply)
A. Abdominal pain
B. Rectal pressure
C. Fever
D. Heavy bleeding
,Correct Answers: A, B
Rationale: Endometriosis is commonly associated with abdominal pain
(often severe during menstruation) and rectal pressure or pain, especially
during bowel movements. The endometrial tissue grows outside the uterus,
causing inflammation and pain in the pelvic and abdominal regions.
Question 3
What can cause abnormal uterine bleeding? (Select all that apply)
A. Hypothyroidism
B. Failure to ovulate
C. Bleeding disorders
D. Unidentified pregnancy
E. Oral contraceptives
F. Benign lesions of the uterus
Correct Answers: A, B, C, D, E, F
Rationale: Abnormal uterine bleeding can be caused by multiple factors.
Hypothyroidism and other endocrine disorders can disrupt the menstrual
cycle. Anovulation (failure to ovulate) leads to irregular bleeding. Bleeding
disorders and benign lesions (fibroids, polyps) can also cause abnormal
bleeding. Oral contraceptives may cause breakthrough bleeding, and
pregnancy must always be ruled out.
Question 4
A 30-year-old patient receiving fertility treatment develops severe
abdominal pain, rapid weight gain, nausea, and shortness of breath.
Ultrasound shows enlarged ovaries with significant fluid accumulation.
Which diagnosis is most likely?
, A. Pelvic Inflammatory Disease (PID)
B. Ovarian Hyperstimulation Syndrome (OHSS)
C. Uterine Fibroids
D. Menopause
Correct Answer: B
Rationale: Ovarian Hyperstimulation Syndrome (OHSS) is a complication of
fertility treatments involving ovarian stimulation. It occurs due to increased
vascular permeability, causing fluid shifts, enlarged ovaries, ascites,
abdominal pain, weight gain, and possible respiratory compromise. PID is
infectious, fibroids are benign uterine tumors, and menopause is not a
complication of fertility medication.
Question 5
Galactorrhea (unexplained breast milk production) should prompt a test for
which blood hormone level?
A. Estrogen
B. Prolactin
C. Progesterone
D. FSH
Correct Answer: B
Rationale: Galactorrhea is caused by elevated prolactin levels, which
stimulate milk production. A prolactin level should be ordered when a
patient presents with unexplained breast milk production, especially when
not pregnant or breastfeeding. This can be caused by pituitary tumors
(prolactinomas), medications, or other conditions.
Question 6
Which diagnosis is most likely for a 60-year-old patient presenting for
