KAPLAN MN576 2018 September Unit 5 Midterm Exam Latest

MN576 Primary Care of the Womens Health

Unit 5 Midterm Exam  

Question 1                         

Lesbians may experience which of the following barriers to health care?

Question options:

 

1)            Homophobia from the healthcare provider

 

 

2)            Incorrect knowledge about health care needs of lesbians by healthcare providers

 

 

3)            Lack of insurance and/or access under partner’s coverage

 

 

4)            All of the above

 

Question 2                         

Which of the following is not representative of the presentation of secondary syphilis?

Question options:

 

1)            generalized rash

 

 

2)            chancre

 

 

3)            arthralgia

 

 

4)            lymphadenopathy

 

Question 3                         

In women who have experienced a spinal cord injury, temporary cessation of menses is normal for up to one year following the injury.

Question options:

 

1) True

 

2) False

Question 4                         

When performing a bimanual exam all of the following are noted as normal findings except:

Question options:

 

1)            retoverted uterus

 

 

2)            anteflexed uterus

 

 

3)            fixed immobile uterus

 

 

4)            smooth, firm ovary

 

 

Question 5                         

Which of the following agents is most active against C. trachomatis?

Question options:

 

1)            amoxicillin

 

 

2)            metronidazole

 

 

3)            azithromycin

 

 

4)            ceftriaxone

 

Question 6                         

Which HPV types are most likely to cause genital condyloma acuminatum?

Question options:

 

1)            1, 2, and 3

 

 

2)            6 and 11

 

 

3)            16 and 18

 

 

4)            22 and 24

 

Question 7                         

A recommended treatment for rectal gonorrhea is:

Question options:

 

1)            oral amoxicillin.

 

 

2)            oral azithromycin.

 

 

3)            oral ciprofloxacin.

 

 

4)            ceftriaxone injection.

 

Question 8                         

According to the CDC, women who have sex with women (WSW) are a diverse group with variations in sexual identity, sexual behaviors, sexual practices, and risk behaviors.

Question options:

 

1) True

 

2) False

Question 9                         

How long after contact do clinical manifestations of syphilis typically occur?

Question options:

 

1)            less than 1 week

 

 

2)            1 to 3 weeks

 

 

3)            2 to 4 weeks

 

 

4)            4 to 6 weeks

 

Question 10                       

The Pap test should not be considered a screening test for STDs.

Question options:

 

1) True

 

2) False

Question 11                       

Which of the following terms describes the mechanism of action of imiquimod (Aldara)?

Question options:

 

1)            keratolytic

 

 

2)            immune modulator

 

 

3)            cryogenic

 

 

4)            cytolytic

 

Question 12                       

HCV infection is the most common chronic bloodborne infection in the United States, with an estimated 2.7 million persons living with chronic infection

Question options:

 

1) True

 

2) False

Question 13                       

About ____ of patients with genital warts have spontaneous regression of the lesions?

Question options:

 

1)            10%

 

 

2)            25%

 

 

3)            50%

 

 

4)            75%

 

Question 14                       

Which of the following is a contraindication to estrogen/progestin-containing methods (combined oral contraception [COC], patch [Ortho Evra], or ring [NuvaRing])?

Question options:

 

1)            mother with a history of breast cancer

 

 

2)            personal history of hepatitis A at age 10 years

 

 

3)            presence of factor V Leiden mutation

 

 

4)            cigarette smoking one pack per day in a 22-year-old

 

Question 15                       

Presumptive treatment for PID should be initiated in sexually active young women and other women at risk for STDs if they are experiencing pelvic or lower abdominal pain, if no cause for the illness other than PID can be identified, and if one or more of the following minimum clinical criteria are present on pelvic examination:

Question options:

 

1)            cervical motion tenderness

 

 

2)            uterine tenderness

 

 

3)            adnexal tenderness.

 

 

4)            All of the above

 

Question 16                       

The definition of menopause is

Question options:

 

1)            Frequently skipping period for one year

 

 

2)            One year without a period

 

 

3)            Onset of hot flashes and night sweats with irregular menstruation

 

 

4)            None of the above

 

Question 17                       

Universal screening for chlamydia and gonorrhea in women ≤35 years entering juvenile and adult correctional facilities has been a long-standing recommendation.

Question options:

 

1) True

 

2) False

Question 18                       

What percentage of anogenital and cervical cancers can be attributed to HPV infection?

Question options:

 

1)            less than 30%

 

 

2)            at least 50%

 

 

3)            at least 70%

 

 

4)            95% or greater

 

Question 19                       

Which of the following is not representative of the presentation of primary syphilis?

Question options:

 

1)            painless ulcer

 

 

2)            localized lymphadenopathy

 

 

3)            flu-like symptoms

 

 

4)            spontaneously healing lesion

 

Question 20                       

A 22-year-old woman taking a 35-mcg ethinyl estradiol COC comes into the office complaining of sudden onset of calf pain.  She states she recently traveled abroad and the pain started when she returned home. You suspect

Question options:

 

1)            muscle fatigue

 

 

2)            DVT

 

 

3)            fibromyalgia

 

 

4)            depression

 

Question 21                       

Which of the following is found in tertiary syphilis?

Question options:

 

1)            arthralgia

 

 

2)            lymphadenopathy

 

 

3)            macular or papular lesions involving the palms and soles

 

 

4)            gumma

 

Question 22                       

A 30-year-old woman presents without symptoms but states that her male partner has dysuria without penile discharge. Examination reveals a friable cervix covered with thick yellow discharge. This description is most consistent with an infection caused by:

 

Question options:

 

1)            Chlamydia trachomatis.

 

 

2)            Neisseria gonorrhoeae.

 

 

3)            human papillomavirus (HPV).

 

 

4)            Trichomonas vaginalis.

 

Question 23                       

Puberty consists of a series of predictable events, and the sequence of changes in secondary sexual characteristics has been categorized by several groups. The staging system utilized most frequently used to describe these events is Tanner staging.

Question options:

 

1) True

 

2) False

Question 24                       

Adolescent girls are not candidates for IUD use for contraception

Question options:

 

1) True

 

2) False

Question 25                       

Which of the medications can be prescribed to a patient to treat and or prevent osteoporosis in the postmenopausal patient and should be taken weekly.

Question options:

 

1)            Actonel 150 mg

 

 

2)            Fosamax 70 mg

 

 

3)            NSAIDs

 

 

4)            Calcium

 

Question 26                       

Recommendations for adolescents with disabilities include a comprehensive sex education program that should be tailored to fit their specific needs.

Question options:

 

1) True

 

2) False

Question 27                       

Treatment options for bacterial vaginosis include all of the following except:

Question options:

 

1)            oral metronidazole.

 

 

2)            clindamycin cream.

 

 

3)            oral clindamycin.

 

 

4)            oral azithromycin.

 

Question 28                       

Routine screening for C. trachomatis on an annual basis is recommended for all sexually active females aged <25 years .

Question options:

 

1) True

 

2) False

Question 29                       

Physical examination of a 19-year-old woman with a 3-day history of vaginal itch reveals moderate perineal excoriation, vaginal erythema, and a white, clumping discharge. Expected microscopic examination findings include:

Question options:

 

1)            a pH greater than 6. 0.

 

 

2)            an increased number of lactobacilli.

 

 

3)            hyphae.

 

 

4)            an abundance of white blood cells.

 

Question 30                       

Treatment of vulvovaginitis caused by Candida albicans includes:

Question options:

 

1)            metronidazole gel.

 

 

2)            clotrimazole cream.

 

 

3)            hydrocortisone ointment.

 

 

4)            clindamycin cream.

 

Question 31                       

During a breast exam you note all of the findings below as normal except:

Question options:

 

1)            asymetrical size

 

 

2)            a supernumerary nipple

 

 

3)            hyperpigmentation

 

 

4)            breasts that move up symmetrically with raising the arms

 

Question 32                       

Which of the following agents is active against N. gonorrhoeae?

Question options:

 

1)            ceftriaxone

 

 

2)            metronidazole

 

 

3)            ketoconazole

 

 

4)            amoxicillin

 

Question 33                       

A female patient who has not reached menarche by age 15 should be considered for a diagnosis of

Question options:

 

1)            oligomenorrhea

 

 

2)            amenorrhea

 

 

3)            primary amenorrhea

 

 

4)            secondary amenorrhea

 

Question 34                       

Cervical cancer can be prevented with regular screening tests, like the Pap test and the HPV DNA test (HPV test). All women should start getting regular Pap tests at age 21 years.

Question options:

 

1) True

 

2) False

Question 35                       

When charting on a patient whom you have noted a breast lump it is important to document

Question options:

 

1)            tenderness

 

 

2)            size

 

 

3)            location

 

 

4)            mobility

 

 

5)            all of the above

 

Question 36                       

In assessing a woman with disabilities, which of the following terms should be avoided?

Question options:

 

1)            Crippled

 

 

2)            Handicapped

 

 

3)            Mentally retarded

 

 

4)            All of the above

 

Question 37                       

Screening for osteoporosis with DEXA scan should begin

Question options:

 

1)            age 50

 

 

2)            one year after menopause

 

 

3)            age 65

 

 

4)            age 60

 

Question 38                       

What is the approximate incubation period for Neisseria gonorrhoea?

Question options:

 

1)            1 to 5 days

 

 

2)            7 to 10 days

 

 

3)            18 days

 

 

4)            28 days

 

Question 39                       

In patients who are allergic to azithromycin, an alternative treatment to chlamydia is

Question options:

 

1)            Doxycycline 100mg twice daily for 7 days

 

 

2)            Macrobid 100mg twice daily for 5 days

 

 

3)            BactimDS  1 PO BID for 3 day

 

 

4)            All of the above

 

Question 40                       

Complementary and alternative medicine (CAM) is defined as a group of therapies that are not considered part of Western culture and include all of the following except:

Question options:

 

1)            Congugated estrogen

 

 

2)            Aromatherapy

 

 

3)            Tai Chi

 

 

4)            Yoga

 

 

Question 41                       

A preferred treatment option for trichomoniasis is:

Question options:

 

1)            oral metronidazole.

 

 

2)            clindamycin vaginal cream

 

 

3)            topical acyclovir.

 

 

4)            oral azithromycin.

 

Question 42                       

Which HPV types are most often associated with cervical and anogenital cancer?

Question options:

 

1)            1, 2, and 3

 

 

2)            6 and 11

 

 

3)            16 and 18

 

 

4)            22 and 24

 

Question 43                       

The average onset of perimenopause is between the ages of:

Question options:

 

1)            35 to 40 years.

 

 

2)            40 to 45 years.

 

 

3)            45 to 50 years.

 

 

4)            50 to 55 years.

 

Question 44                       

When performing a pelvic examination the first part of the external genitalia exam is

Question options:

 

1)            speculum examination

 

 

2)            palpation

 

 

3)            inspection

 

 

4)            cervical sampling

 

Question 45                       

A patient presents to you with a chief complaint of primary dysmenorrhea, which nonpharmacologic intervention might you recommend she try first?

Question options:

 

1)            participating in physical activity

 

 

2)            increase iron rich foods to replace blood that is lost

 

 

3)            use of a heating pad on the pelvis for cramping

 

 

4)            use of an NSAID

 

Question 46       

Treatment options for patients with condyloma acuminatum include all of the following except:

Question options:

 

1)            topical acyclovir.

 

 

2)            cryotherapy.

3)            podofilox.

4)            trichloroacetic acid.

 

Question 47

Which of the following best describes lesions associated with condyloma acuminatum?

Question options:

 

1)            verruciform

2)            plaque-like

3)            vesicular-form

4)            bullous

Question 48

When counseling a woman about COC use, you advise that:

Question options:

 

1)            long-term use of COC is discouraged because the body needs a "rest" from birth control pills from time to time.

2)            fertility is often delayed for many months after discontinuation of COC.

3)            there is an increase in the rate of breast cancer after protracted use of COC.

4)            premenstrual syndrome symptoms are often improved with use of COC.

 

Question 49

In assessing a 13 year old female, you know that the presence of breast bud  with elevation of breast and papilla; enlargement of areola indicate which Tanner Stage?

Question options:

1)            Stage1

2)            Stage 2

3)            Stage 3

4)            Stage 4

 

Question 50       

A 24-year-old woman presents with a 1-week history of thin, green-yellow vaginal discharge with perivaginal irritation. Physical examination findings include vaginal erythema with petechial hemorrhages on the cervix, numerous white blood cells, and motile organisms on microscopic examination. These findings most likely represent:

Question options:

1)            motile sperm with irritative vaginitis.

2)            trichomoniasis.

3)            bacterial vaginosis.

4)            condyloma acuminatum.