APEA 3P EXAM PREP1 WOMEN HEALTH QUESTIONS WITH
VERIFIED ANSWERS AND EXPLANATION
APEA 3P EXAM P REP1 WOMEN
HE ALTH QUESTIONS WI TH VERIFIE D
ANSWERS AND EXP LANATION
A 54-year-oldfemalepresentswith a small to moderate
amountof vaginalbleedingof recent onset. he
S has
been postmeno pausal orf approx
imately 2 years.What
diagnosi
s is leastlikely?
Endometrial
carcinoma
Ovarian can
cer
Endometrial
hyperplasi
a
Uterine poly
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, APEA 3P EXAM PREP1 WOMEN HEALTH QUESTIONS WITH
VERIFIED ANSWERS AND EXPLANATION
Postme nopausa l bleeding (PMB)is an uncommon
presentatio n of ovariancancer, but can present thisway.
In women th wi PMB, like
lycausesof uterin e pathology
should eb evaluated before con sideringovarian
patholog y. In early menopause,he t most ommon
c
etiologysi atrophy of th e endometriumor vaginal
mucosa . This patient hasbeen postmenopausalor f
approxim ately2 years.Other co mmon caus es ofPMB
are polyp s, fibroids, an
d endomet rial hyperplasia.
Threeof thefollowinginterventions
areappropriately
usedto prevent osteopo
rosisafter meno
pause. Which
one
is NOT?
Avoidance
of corticoste
roids
about:blank Performance
of weight-be
aring acti
vities or
f 40 2/52
, APEA 3P EXAM PREP1 WOMEN HEALTH QUESTIONS WITH
VERIFIED ANSWERS AND EXPLANATION
vitamin D intake C.
Prevention of osteoporosis may be optimized by
elimination of risk factors and engaging in
interventions that maximize bone density. Good
nutrition from infancy throughout adulthood is a
major component of good bone health. Others
include engaging in weight-bearing exercises,
adequate intake of calcium and vitamin D,
smoking cessation, limiting alcohol
consumption to moderate amounts, and
avoidance when possible of medications that
may decrease bone density
(corticosteroids, anticonvulsants).
Osteoporosis occurs at accelerated rates in
women who are post-menopausal. The lack of
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, APEA 3P EXAM PREP1 WOMEN HEALTH QUESTIONS WITH
VERIFIED ANSWERS AND EXPLANATION
estrogen can produce rapid bone loss due to
bone resorption. Estrogen replacement is not
used to prevent or treat osteoporosis.
A patient who is scheduled for pelvic exam
with PAP smear should be advised to avoid
douching, sexual intercourse, and tampon
use before her exam. For how long should
she be advised to avoid these activities for
optimal evaluation?
24 hours
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