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uWise OBGYN Exam Questions with 100% Correct Answers | Latest Version (2024/2025) Expert Verified
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uWise OBGYN Exam Questions with 100%Correct Answers | Latest Version (2024/2025)
Expert Verified
Ai28-year-
oldiG2P2iwomanireturnsitodayiforifollowiupioniheriabnormalipapismeari
whichirevealsiatypicalisquamousicellsiofiundeterminedisignificancei(AS
CUS).iReflexiHPVitestingiisipositiveiforihighiriskitype.iSheihasineverihadiai
prioriabnormalipapismear,iandihasibeenifollowingitheirecommendediscr
eeningiguidelines.iSheiisiasymptomatic.iHeripelviciexamirevealsiainorm
alicervixiwithiaismalliamountioficervicalimucous.iWhatiisitheinextibestist
epiinitheimanagementiofithisipatient?
A.iRoutineiscreening
B.iRepeatiPapismeariinioneiyear
C.iRepeatiHPVitestingiinioneiyear
D.iRepeatico-testingiwithiPapiandiHPViinioneiyear
E.iColposcopyi-iCorrectiAnswer-E.iColposcopy
Ai17-year-
oldiG0ihighischoolistudentiisibroughtiinibyiherimotheriforiherifirstigynec
ologiciexamination.iSheibeganiherimensesiatiagei12iandihasihadiregulari
periodsiforitheipastithreeiyears.iHerilastimenstrualiperiodiwasioneiweeki
ago.iForiprivacy,iyouiaskitoiexamineitheipatientiwithoutiherimother.iFur
therihistoryiisiobtainediinitheiexaminationiroom.iSheiadmitsithatisheiha
sibeenisexuallyiactiveiwithiheriboyfriendiforitheipastithreeiyears.iSheius
,esicondomsioccasionallyiandiisifearfuliaboutipossibleipregnancy.iSheire
questsithatiherimotherinotibeiinformediaboutiherisexualiactivity.iOniph
ysicaliexamination,isheiisianxious,ibutinormallyideveloped.iHeripelviciex
aminationirevealsinoivulvarilesions,iminimalinon-
malodorousidischarge,iandiainulliparousiappearingicervix.iTheibimanua
liexaminationirevealsiainormalisizeiuterus,iandiheriadnexaiareinon-
tenderiandinotienlarged.iUrineipregnancyitestiisinegative.iIniadditionitoi
discussingi-iCorrectiAnswer-C
Counselingiaboutiandiscreeningiforisexuallyitransmittediinfectionsiisithe
ibestinextistep.iThisipatientidoesinotirequireitreatmentidueitoiailackiofidi
agnosticicriteria.iAiserumiBeta-
hCGiisinotiindicatediinitheisettingiofinormalimenstrualicyclesiwithilastim
enstrualiperiodiaiweekiagoiandiainegativeiurineipregnancyitest.iGuidelin
esiforiinitiationioficervicalicanceriscreeningiisirecommendediatiagei21ire
gardlessioficoitarche.iAipelviciultrasoundiwouldinotibeiindicatediatithisit
imeiespeciallyisinceitheipregnancyitestiisinegativeiandigiveniherilackiofi
menstrualioripelvicisymptoms.
Ai68-year-
oldiG2P2iwomaniwhoihasirecentlyimovediiniwithiheridaughteri(ailong-
standingipatientiofiyours)icomesiiniforiaihealthimaintenanceiexaminatio
n.iAivaginalihysterectomyiwasidoneiiniherififtiesiforiuterineiprolapse.iSh
eiisinotisureiifiheriovariesiwereiremoved.iSheihasineverihadianiabnormali
mammogramioriPapismeariandihasihadiyearlyiexams.iSheistoppedihorm
oneireplacementitherapyi10iyearsiago.iSheiwasirecentlyiwidowediafteri
beingimarriedifori50iyears.iSheidoesinotismokeioridrink.iHeridiabetesiisi
well-
controllediwithiMetformin;isheitakesiaidailyibabyiaspiriniandiisioniailipid
,-
loweringiagent.iOniexamination,isheiisiaithinielderlyiwomaniwithiaidow
ager'sihump.iHeribreastiexamiisiunremarkable.iHerilowerigenitalitractiisi
notableiforiatrophy.iNoimassesiareinotedionibimanualiandirecto-
vaginaliexam.iAifecalioccultiblooditestiisinegative.iWhichiofitheifollowin
gitestsiisinotinecessary?
A.iBoneidensity
B.iColonoscopy
C.iPapismei-iCorrectiAnswer-C
Papismeariscreeningiisinotiindicatediinipatientsiwhoihaveihadiaihysterec
tomy,iunlessiitiwasidoneiforicervicalicancerioriaihigh-
gradeicervicalidyspalsia.iPatientsiwithiaiuterusicanidiscontinueicervicalic
anceriscreeningibetweenitheiagesiofi65i-
i70iifitheyihaveihadithreeiconsecutiveinegativeismearsioritwoinegativeic
onsecutiveicotestingiinitheilasti10iyearsiandinoihistoryiofihigh-
gradeicervicaliintraepithelialineoplasiaioricancer.iPatientsistillineediyear
lyibimanualiandirectovaginaliexam.iMammogramsiareidoneiannually,ias
ibreasticanceriincreasesiwithiage.iColonicanceriscreeningiisirecommend
ediatiageififty.iTheipatientihasianiexaggeratedithoracicispineicurvature,it
ermediaidowager'sihump,ilikelyisecondaryitoithoracicicompressionifract
uresisecondaryitoiosteoporosis.iIfithisiisiconfirmedioniaiboneidensityites
t,isheimayibenefitifromitheiadditioniofibisphosphonates.
Ai32-year-
oldiG2P2iwomanipresentsiforiaihealthimaintenanceiexamination.iSheiisii
nigoodihealthiandihasinoiconcerns.iSheidoesinotihaveiaihistoryiofiabnor
maliPapismearsiandiherilastioneiwasithreeiyearsiago.iHeriexaminationiisi
, normaliincludingiheripelviciexam.iAiPapismeariisiperformediandireturnsi
asinormaliwithiHPVinegative.iWhatiisitheimostiappropriateiscreeningire
commendationiforicervicalicanceriinithisipatient?
A.iPapismeariandiHPVitestingiinioneiyear
B.iPapismeariandiHPVitestingiinithreeiyears
C.iPapismeariandiHPVitestingiinifiveiyears
D.iHPVitestingialoneiinioneiyear
E.iHPVitestingialoneiinithreeiyearsi-iCorrectiAnswer-C
AccordingitoitheiAmericaniCanceriSocietyi(ACS),itheiAmericaniSocietyifo
riColposcopyiandiCervicaliPathologyi(ASCCP),ianditheiAmericaniSocietyif
oriClinicaliPathologyi(ASCP)iguidelinesiforitheiPreventioniandiEarlyiDete
ctioniofiCervicaliCancer,iwomeniagesi30itoi65iyearsishouldibeiscreenedi
withicytologyiandiHPVitestingi(''cotesting'')ieveryifiveiyearsi(preferred)i
oricytologyialoneieveryithreeiyearsi(acceptable).iScreeningibyiHPVitesti
ngialoneiisinotirecommendediforimosticlinicalisettingsiandithereiisiinsuff
icientievidenceitoichangeiscreeningiintervalsiinithisiageigroupifollowingi
aihistoryiofinegativeiscreens.
Ai25-year-
oldiG0iwomaniisischeduleditoidiscussiherirecentiabnormaliPapismeariwh
ichishowediatypicalisquamousicellsiofiundeterminedisignificancei(ASCU
S).iSheihasihadioneiPapismeariatiagei22iwhichiwasinormal.iHerionlyisigni
ficantigynecologicihistoryiisigenitaliwartsithatihaveinotirespondeditoitre
atmentiwithilocaliapplicationiofitrichloroaceticiacid.iSheihasihadieightise
xualipartners.iSheiusesicondomsiandioralicontraceptives.iSheihasismoke
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