A 20-year-old college student presents for his annual physical
examination. He recently became sexually active and is
inquiring about the best means of preventing sexually
transmitted infections (STIs). Of the following, which would be
the most effective means of prevention?
a. Early withdrawal
b. Male condoms
c. Spermicides
d. Diaphragms
e. Cervical caps - .... CORRECT ANSWERD...b.
Male condoms
A 21-year-old college student presents to the student health
clinic for a full physical examination. He is generally healthy;
however, he reports that he has had sexual intercourse with
multiple partners in the past couple of months. He noticed a
small lesion on the shaft of his penis a few days ago. While
,performing the examination, he unwillingly achieves an
erection. How should the clinician proceed at this point?
a. Stop the examination immediately.
b. Have him return to see another provider.
c. Explain this is a normal response and finish the examination.
d. Tell him the examination cannot proceed until the erection
subsides.
e. Assume that he is malingering. - .... CORRECT
ANSWERD...c. Explain this is a normal response and finish
the examination.
A 45-year-old driver's education instructor presents to the clinic
for heavy periods and pelvic pain during her menses. She
reached menarche at age 13 years and has had regular periods
except during her pregnancies. She is a G4P3013 and does not
use birth control as her husband has had a vasectomy. She states
this has been going on for about a year but seems to be getting
worse. Her last period was 1 week ago. On bimanual exam, a
large midline mass halfway to the umbilicus is palpated. Each
, adnexal area is nonpalpable. Her rectal exam is normal. Her
body mass index (BMI) is 27.
What is the best explanation for her physical finding?
a. Large colonic stool
b. Ovarian mass
c. Fibroids
d. 4-Month pregnancy
e. Bartholin gland enlargement - .... CORRECT
ANSWERD...c. Fibroids
A 32-year-old G0 woman comes for evaluation on why she and
her husband have been unable to get pregnant. Her husband has
been married before and has two other children, ages 7 and 4
years. The patient relates she began her periods at age 12 and
has been fairly regular ever since. She began oral contraceptive
pills from when she got married until last year, when she began
to try for a pregnancy.
Before this she had regular cycles for 10 years. She has had a
history of five prior partners. She relates she was once treated
for a severe genital infection when she was in college. Based on
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