,1. A 65-year-old woman presents with complaints of dyspareunia
and irritative voiding symptoms. Which condition should be
considered in the differential diagnosis?
- A) Urinary Tract Infection
- B) Atrophic Vaginitis
- C) Endometriosis
- D) Ovarian Cancer
Correct Answer: B) Atrophic Vaginitis
Rationale: Atrophic vaginitis is common in postmenopausal
women due to decreased estrogen levels, leading to dyspareunia
and urinary symptoms.
2. Which of the following is the most appropriate initial diagnostic
test for osteoporosis in a 70-year-old woman?
- A) Serum Calcium Level
- B) Bone Biopsy
- C) Dual-Energy X-ray Absorptiometry (DEXA) Scan
- D) MRI of the Lumbar Spine
, Correct Answer: C) Dual-Energy X-ray Absorptiometry
(DEXA) Scan
Rationale: DEXA scan is the gold-standard test for diagnosing
osteoporosis in postmenopausal women.
3. An adult gerontology primary care nurse practitioner sees a 72-
year-old woman who presents with vaginal bleeding 10 years post-
menopause. Which is the most likely cause?
- A) Endometrial Cancer
- B) Hormonal Fluctuation
- C) Cervical Polyps
- D) Ovarian Cyst
Correct Answer: A) Endometrial Cancer
Rationale: Postmenopausal bleeding is commonly caused by
endometrial cancer and warrants further investigation.
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