m m m m m m m m
EXAM 2023 ACTUAL EXAM COMPLETE 400 QUES
m m m m m m
TIONS AND CORRECT DETAILED ANSWERS
m m m m
WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
m m m m
GRADED A+
m m
Whichmone mbestmdescribesmlesionsmassociatedmwithmcondylomamacuminatum?
a. Verruciform
b. Plaque-like
c. Vesicular
d. Bullousm-mANSWER-a
39yomfemale mhasmcompletedmcoursemofmamoxmformstrepmthroat.mLMPmwasm2wksmago,msaysmitmwasmnormal
.mOnmexam,mthere'smerythemamof mextern.mgenitaliamw/smallmamountmofmwhite mdischarge.mMicromwetmpre
pmrevealsmfewmclue mcells,mbutmmanymbuddingmhyphae.mNomWBCs.mWhichmone mwouldmbemthe mmostmappro
priate mtreatment?
a. Metronidazole m500mgmBIDmx7mdays
b. OTCmhydrocortisone m1%mcreammTID
c. Fluconazole mtabsm150mgmx1mdose
d. Erythromycinm500mgmTIDmx10mdaysm-mANSWER-c
Womanmc/omvaginalmitching,mwhitemdischarge.mShemisminmgoodmhealthmexceptmformrecentmabx mformstrepmt
hroat.mPelvicmrevealsmtendermvulvovaginalmareamw/edemamandmnonmalodorousmwhite mpatches.mWhichmi
smthe mmostmlikelymcause?
a. Bacterialmvaginosis
b. Trichomonas
c. Lactobacillusmovergrowth
d. Candidiasism-mANSWER-d
18yomfemale mc/omsecondarymamenorrhea.mOnmexam,mthere mismnormalmsecondarymsex mcharacteristicsmand
m normalm genitalia. m Pregnancy m ism ruledm out. m Whatm would m necessitate m furtherm eval?
a. Elevatedmbloodmcholesterolmlevels
,b. Androgenmdeficiency
c. Galactorrhea
d. Hirsutismm- mANSWER-c
24yomfemale mismdx'dmw/primarymdysmenorrhea. mWhichmmedmwouldmbe musedmasmfirst-
line mtomhelpmcontrolmsymptoms?
a. Antianxietymmeds
b. Progesterone-onlymcontraception
c. Oralmsteroids
d. NSAIDsm-mANSWER-d
Primarymamenorrheamismbestmdescribedmas:
a. Cessationmof mmenstruationmx6mo
b. Failure mofmmenstruationmtomoccurmbym17ho
c. Failure mofmmenstruationmtomoccurmbym13yo
d. Cessationmof mmenstruationmx6momaftermmenarche m-mANSWER-c
25yomfemale mc/omvaginalmirritationmandmdischarge.mOnmexam,mcervixmismeasilymfriable mandmerythematous.m
Nomadnexalmtenderness.mWetmprepmrevealsmmobile mprotozoamonmNSmslide.mThismmostmlikelymrepresents:
a. Trichomonas
b. Mucopurulentmcervicitis
c. Bacterialmvaginosis
d. Gonorrheam-mANSWER-a
16yomfemale mhasmh/omsecondarymamenorrhea.mMenarchematm10yo,mregularmcyclesmx2yrs,mhasmnotmmenst
ruatedmx4yrs.mWhatmismmostmfrequentmetiologymof mthismproblem?
a. Eatingmdisorder
b. Pregnancy
c. Anovulatorymcycles
d. Stressm-mANSWER-a
,Womanmismexperiencingmvaginalmdischarge.mWetmmountmwithmKOHmwouldmbe musedmtomconfirm:
a. Herpesmsimplex
b. Gonorrhea
c. Candidiasis
d. Chlamydiam-mANSWER-c
Treatmentmoptionsmformcondylomamacuminatumminclude:
a. Imiquimodm(Aldera)
b. Azithromycin
c. Acyclovir
d. Metronidazole m-mANSWER-a
25yompostmenopausalmfemale mc/ompainminmuppermoutermquadrantmof mLmbreastmx1mo.mBestmcoursemofmacti
onmwouldmbe:
a. Reassure mptmthatmpainmismoftenmnotmpresentingmsymptommof mbreastmcancer.
b. Teachmptmbreastmself-exam.
c. Ordermlabsmasmmostmlikelymthismismsecondarymtomhormonalmfluctuation
d. Performmbreastmexammandmordermmammom-mANSWER-d
PIDmtypicallympresentsmwithmallmofmthe mfollowingmexcept:
a. Dysuria
b. Leukopenia
c. Cervicalmmotionmtenderness
d. Abdmpainm- mANSWER-b
Whichmof mthe mfollowingmare mof mamreproductive mandmpelvicmorigin?
a. Salpingo-oophoritism(fallopianmtube/ovary) msecondarymtomPID
b. Gynecologicmmalignancy
, c. Adhesions
d. Myomatamuterim-mANSWER-a
25yomfemale mc/omtendermareamnearmhermintroitusmandmtomthemLmofmhermperineum.mVerympainfulmsexmwasmf
irstmsign.mInitiallymbumpmwasmverymsmall,mbutmnowmismping-
pongmballmsize.mOnmexam,mabscessmismpresentmonmLmmedialmsidemofmlabiamminoramandmthere'smedemamext
endingmintomperineum.mWhatmismdx?
a. Lipoma
b. Dermoidmcyst
c. Bartholin'smcyst
d. Skene'smductmcystm-mANSWER-c
49yomfemale mc/omdark,mwaterymbrownmvaginalmdischarge.mWhichmbestmdescribesmwhatmmightmbe mseenmon
m physicalm examm inm pt'sm withm cervicalm cancer?
a. Ulceratedmfirmmcervix
b. Vague mlowermabdmpain
c. Enlargedmtendermfemoralmlymphmnodes
d. Soft,mstillmshapedmcervix m-mANSWER-a
22yomfemale mc/ompelvicmpain.mExammrevealsmcervicalmmotionmandmuterinemtenderness.mWhichmsupportsmP
IDmdx?
a. Tempm<100F
b. Absence mof mWBCsminmvagmfluid
c. Mucopurulentmvagmdischarge
d. Labmdocumentationmofmcervicalminfectionmw/E.mcolim-mANSWER-c
Whenmeducatingmptmaboutmrationale mformgettingmmammo,mwhichmstatementmismfalse?