Women's Health EOR Exam Questions & Answers (Graded A)

Women's Health EOR Exam Questions & Answers (Graded A) A 15-year-old sexually active female presents with non-pruritic mucopurulent cervicitis and post coital bleeding. She was given medication for the same symptoms three weeks ago but reports she did not take it. Which of the following is the best treatment? A azithromycin x 1 dose B benzathine penicillin G x 1 dose C doxycycline x 7 days D tetracycline x 14 days - ANSWER A The patient has Chlamydia trachomatis, one of the the most common bacterial STI in women. Risk factor for chlamydia include being sexually active under 20 years of age and having multiple sex partners. Azithromycin is highly effective when given as a single dose. Since this patient has a history of non-compliance, the one dose medication, taken in the office, is the treatment of choice. She must also be counseled on having her sexual partner(s) treated. A 55-year-old female presents complaining of vaginal bleeding. LMP was 3 years ago; Pap smear is normal. An endometrial biopsy is performed. Which of the following histological cells types is most likely to be found? A adenocarcinoma B adenosquamous C clear cell D secretory - ANSWER A In the US, adenocarcinoma comprises 70-80% of endometrial carcinoma. This figure is even higher in other countries. A 28-year-old female describes a one year history of weight gain, irritability and increased tension which occur 5 days before onset of menses. Which of the following dietary modifications will most likely decrease her symptoms? A decreasing snacking throughout day B decreasing sodium intake C limiting caffeine D limiting complex carbohydrates - ANSWER C The woman is suffering from premenstrual syndrome (PMS). The etiology is not known but it is thought that estrogen and progesterone may influence serotonin centrally, causing the symptoms of PMS. Limiting caffeine, alcohol, tobacco, and chocolate has been found to help with some patients. A 32-year-old G2P1001 presents at 27 weeks gestation. Glucose challenge returns at 165 mg/dl. Results of a glucose tolerance test are: fasting: 90 mg/dl 1-hour: 195 mg/dl 2-hour: 145 mg/dl 3-hour: 130 mg/dl According to the White Classification, which of the following is the best diagnosis? A no gestational diabetes B class A-1 gestational diabetes C class A-2 gestational diabetes D class B gestational diabetes - ANSWER A Gestational diabetes screening is recommended between 24-28 weeks gestation. Initially a 50-gram non fasting glucose load is performed. If the results are over 140 mg/dL, a fasting 3-hour glucose tolerance test is done. Normal values are: fasting: 95 mg/dL; 1-hour: 180 mg/dL; 2-hour: 155 mg/dL; 3 hour: 140 mg/dL. To make the diagnosis of gestational diabetes, at least two values must be elevated. Only the 1-hour glucose level is high in this patient.