16yo female has h/o secondary amenorrhea. Menarche at 10yo,
regular cycles x2yrs, has not menstruated x4yrs. What is most
frequent etiology of this problem?
a. Eating disorder
b. Pregnancy
c. Anovulatory cycles
d. Stress Correct Answer a
18yo female c/o secondary amenorrhea. On exam, there is
normal secondary sex characteristics and normal genitalia.
Pregnancy is ruled out. What would necessitate further eval?
a. Elevated blood cholesterol levels
b. Androgen deficiency
c. Galactorrhea
d. Hirsutism Correct Answer c
22yo female c/o pelvic pain. Exam reveals cervical motion and
uterine tenderness. Which supports PID dx?
a. Temp <100F
b. Absence of WBCs in vag fluid
c. Mucopurulent vag discharge
d. Lab documentation of cervical infection w/E. coli Correct
Answer c
24yo female is dx'd w/primary dysmenorrhea. Which med
would be used as first-line to help control symptoms?
,a. Antianxiety meds
b. Progesterone-only contraception
c. Oral steroids
d. NSAIDs Correct Answer d
25yo female c/o tender area near her introitus and to the L of her
perineum. Very painful sex was first sign. Initially bump was
very small, but now is ping-pong ball size. On exam, abscess is
present on L medial side of labia minora and there's edema
extending into perineum. What is dx?
a. Lipoma
b. Dermoid cyst
c. Bartholin's cyst
d. Skene's duct cyst Correct Answer c
25yo female c/o vaginal irritation and discharge. On exam,
cervix is easily friable and erythematous. No adnexal tenderness.
Wet prep reveals mobile protozoa on NS slide. This most likely
represents:
a. Trichomonas
b. Mucopurulent cervicitis
c. Bacterial vaginosis
d. Gonorrhea Correct Answer a
25yo postmenopausal female c/o pain in upper outer quadrant of
L breast x1mo. Best course of action would be:
,a. Reassure pt that pain is often not presenting symptom of
breast cancer.
b. Teach pt breast self-exam.
c. Order labs as most likely this is secondary to hormonal
fluctuation
d. Perform breast exam and order mammo Correct Answer d
28yo female c/o breast tenderness, fatigue, abd bloating, fluid
retention, irritability 1wk before her menses onset. What is most
important info to obtain from this pt to determine if the pt has
PMS?
a. Severity of symptoms
b. Occurrence of symptoms in menstrual cycle
c. Frequency and number of symptoms over past 4mo Correct
Answer b
32yo woman c/o postcoital bleeding. Which would not be
included in the initial assessment?
a. Pap smear
b. Uterine biopsy
c. Pelvic ultrasound
d. CBC w/diff Correct Answer b
35yo woman c/o 6mo h/o hypermenorrhea, backache, pelvic
pressure. On exam, you discover 12wk size uterus w/irregular
contour. What does this represent?
a. Uterine cancer
b. Dysfunctional uterine bleeding
, c. Uterine fibroid
d. Fecal impaction Correct Answer c
39yo female has completed course of amox for strep throat.
LMP was 2wks ago, says it was normal. On exam, there's
erythema of extern. genitalia w/small amount of white
discharge. Micro wet prep reveals few clue cells, but many
budding hyphae. No WBCs. Which one would be the most
appropriate treatment?
a. Metronidazole 500mg BID x7 days
b. OTC hydrocortisone 1% cream TID
c. Fluconazole tabs 150mg x1 dose
d. Erythromycin 500mg TID x10 days Correct Answer c
4 phenotypes of PCOD/S: Correct Answer -
Hyperandrogenism/chronic anovulation
-Hyperandrogenism/polycystic ovaries on US but w/ovulatory
cycles
-Chronic anovulation/polycystic ovaries w/out
hyperandrogenism
-Hyperandrogenism, chronic anovulation, polycystic ovaries
49yo female c/o dark, watery brown vaginal discharge. Which
best describes what might be seen on physical exam in pt's with
cervical cancer?
a. Ulcerated firm cervix
b. Vague lower abd pain
c. Enlarged tender femoral lymph nodes
d. Soft, still shaped cervix Correct Answer a
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