APEA- Women's Exam (100 out of 100) Complete with Verified Elaborations (GRADED A)

APEA- Women's Exam (100 out of 100) Complete with Verified Elaborations (GRADED A) Question: A female patient presents with a white and curd-like thin vaginal discharge. This discharge is most consistent with: candidal vaginitis. bacterial vaginosis Trichomonal vaginitis. gonorrhea. Answer:. candidal vaginitis Question: When examining the cervix, a translucent nodule is noted on the cervical surface. This finding is consistent with: a retention cyst. an epidermoid cyst a syphilitic chancre. a cervical polyp. a retention cyst Question: Urethritis in a female patient may arise from all of the following organisms except: Neisseria gonorrhoeae. Herpes simplex. Chlamydia trachomatis. Campylobacter. campylobacter affects GI tract, commonly causing diarrhea Question: The most common cause of acute pelvic pain in women is: ruptured ovarian cysts. appendicitis. pelvic inflammatory disease. mittelschmerz. pelvic inflammatory disease Question: A woman complains of experiencing uterine bleeding between expected menstrual cycles. This condition is termed: oligomenorrhea. polymenorrhea. metrorrhagia. menorrhagia. metrorrhagia oligo- greater than 35 day intervals poly- fewer than 21 day intervals menorrhagia- long menstruation at regular intervals Question: A female patient has a history of a retroverted uterus. This condition refers to: the normal position of the uterus and cervix. a tilting backward of the uterus and cervix. a backward angulation of the uterus in relation to its cervix. the cervix being located at the introitus and the uterus in the vaginal canal. a tilting backward of the uterus and cervix Question: Upon examination of the cervix, a yellow drainage is visible around the cervical os. This finding is most likely suggestive of: candidal vaginitis. cervical polyp. carcinoma of the cervix. mucopurulent cervicitis. mucopurulent cervicitis Question: Upon examination of the cervix, an irregular cauliflower-like growth was noted around the cervical os. This finding is most suggestive of: venereal warts. a cervical polyp. carcinoma of the cervix. genital herpes. carcinoma of the cervix Question: Upon examination of the vagina, a swollen red ring is noted around the urethral opening. This finding is most consistent with a: prolapse of the urethral mucosa. urethral caruncle. cystocele. cystourethrocele. prolapse of the urethral mucosa Question: In female patients with dyspareunia, superficial pain is most likely related to all of the following except: local inflammation atrophic vaginitis. pressure on a normal ovary. inadequate lubrication. pressure on a normal ovary Question: In which of the following situations would it be difficult for the examiner to palpate an ovary during the bimanual vaginal exam? A slender woman A woman who is anxious A relaxed woman A one year postmenopausal woman a woman who is anxious Question: In a female diagnosed with a third-degree uterine prolapse, the cervix: is located in its normal position. has slipped but is well within the vagina. is located in the introitus. and vagina are outside the introitus. an vagina are outside the introitus Question: The most important risk factor for cervical cancer is: failure to undergo screening. multiple sexual partners. long term use of oral contraception. persistent infection with high-risk human papillomavirus (HPV) subtypes. persistent infection with high-risk human papillomavirus (HPV) subtypes Question: When performing a rectal exam on a female, a hard nodular rectal "shelf" is palpable at the tip of the examiner's finger. This finding is suggestive of: an ovarian cyst. metastatic tissue in the rectouterine pouch. rectal polyp. carcinoma of the rectum. metastatic tissue in the rectouterine pouch Question: To palpate an indirect inguinal hernia in a woman, have her stand and palpate in the labia majora and: palpate the external floor muscles in a clockwise position. apply pressure against the anterior and lateral walls of the vagina. in the rectum. palpate upward to just lateral to the pubic tubercles. palpate upward to just lateral to the pubic tubercles Question: If performed correctly and in a timely fashion, which one of the following is most definitive for the diagnosis of breast cancer? Breast tissue sample Digital mammogram Self-breast examination Clinical breast exam breast tissue sample The most common causes of sexual problems in females are related to: lack of sexual desire. inadequate vaginal lubrication. psychosocial factors. pelvic disorders. psychosocial factors Question: Upon examination of the vagina, a bulge is noted in the lower posterior wall of the vagina. This finding is most consistent with a: cystocele. cystourethrocele. rectocele. Bartholin's gland infection. rectocele Question: The findings of mucopurulent endocervical discharge and cervical motion tenderness on pelvic examination are strongly suggestive of: pelvic inflammatory disease (PID). pyelonephritis. nephrolithiasis urethritis. pelvic inflammatory disease Question: When discussing the female anatomy, the introitus is also known as the: uterus. vaginal canal. vaginal opening. cervical os. vaginal opening Question: The cessation of menses sometime after menarche is termed: primary amenorrhea. secondary amenorrhea. menorrhagia. hypomenorrhea. secondary amenorrhea primary = failure to menstrate by 16 Question: When performing a bimanual vaginal exam, a solid, nodular-like lesion is palpated over the right ovary. This finding is most consistent with: ovarian cancer. an ovarian tumor. a right tubal pregnancy. a tubo-ovarian abscess. an ovarian tumor Question: When performing an examination of the external genitalia of a female patient, a small, firm, round cystic nodule in the labia is identified. This lesion is most consistent with: a syphilitic chancre. an epidermoid cyst. Condylomata acuminata. genital herpes. an epidermoid cyst Question: A gynecological infection characterized by itching, burning, and a vaginal discharge that is typically cheesy in texture and white in color is: trichomoniasis. bacterial vaginosis (BV). yeast infection. gonorrhea. yeast infection Question: To assess pelvic floor muscle strength during the bimanual vaginal exam, have the patient squeeze around the inserted fingers for as long as possible. To consider full strength, snug compression should last for: 1 seconds. 2 seconds. 3 seconds. at lease 5 seconds. 3 seconds Question: When examining the cervix, a bright, red, soft and fragile lesion is noted on the cervical surface. This finding is consistent with: a retention cyst. an epidermoid cyst. a syphilitic chancre. a cervical polyp. a cervical polyp Question: When performing the bimanual vaginal exam, uterine enlargement is noted. This enlargement could suggest: a malignancy. retroversion of the uterus. retroflexion of the uterus. pelvic inflammatory disease. a malignancy Question: Upon examination of the vagina, a small, red, benign tumor is noted at the posterior part of the urethral meatus. This finding is most consistent with a: prolapse of the urethral mucosa. urethral caruncle. cystocele. cystourethrocele. urethral caruncle Question: A 35-year-old female presents with complaints of swelling of her right breast. Findings reveal edema of the lower portion of her right breast. The skin appears thickened with enlarged pores. This condition is consistent with: Paget's disease. the peau d'orange sign. nipple deviation. skin dimpling. the peau d'orange sign orange peel sign = often indicative of breast cancer Question: Chronic pelvic pain may be secondary to all of the above except: sexually transmitted diseases. sexual abuse. fibroids. peptic ulcer disease. peptic ulcer disease Question: A female patient presents with a profuse, yellowish, green vaginal discharge that is malodorous. This vaginal discharge is most consistent with: candidal vaginitis. bacterial vaginosis. Trichomonal vaginitis. gonorrhea. Trichomonal vaginitis Question: Examination of a female patient's right breast reveals a retraction of the nipple and areola. This finding is consistent with: breast cancer. mastitis. Paget's disease of the breast. fibrocystic breast disease. breast cancer Question: During examination of the vagina, a bulge in the upper two-thirds of the anterior vaginal wall is noted. This symptom is most consistent with a: prolapse of the urethral mucosa. urethral caruncle. cystocele. cystourethrocele cystocele Question: A 45-year-old female presents to the nurse practitioner with complaints of postcoital bleeding (greater than spotting) unrelated to the menstrual cycle. What is the most likely cause? Endometriosis Cervical cancer Early pregnancy Menopause cervical cancer Question: A female patient presents with a gray, thin, malodorous (fishy) vaginal discharge. These symptoms are most consistent with: candidal vaginitis. bacterial vaginosis Trichomonal vaginitis. gonorrhea. bacterial vaginosis = fishy discharge and not a profuse amount of discharge Trich - malodorous and usually profuse amount Question: A twenty-year-old female complains of a milky discharge bilaterally from her breasts. This suggests: a normal finding in women in their early twenties. pregnancy or elevated prolactin level. breast disease. breast cancer. pregnancy of elevated prolactin level Question: The shiny, pink area located around the cervical os is known as: a retention cyst. the columnar epithelium. squamous epithelium. the endocervix. squamous epithelium Question: When do the ovaries become non-palpable after menopause? One year Two years Three to five years Six to ten years three to five years Question: In a female diagnosed with a first-degree uterine prolapse, the cervix: is located in its normal position. has slipped but is well within the vagina. is located in the introitus. and vagina are outside the introitus. has slipped but it is well within the vagina When performing a bimanual exam of the vagina, the examiner should lubricate the index and middle fingers of a gloved hand. From a standing position, the fingers should be inserted into the vagina while exerting pressure primarily: anteriorly. posteriorly. toward the "4-o"clock" position. toward the "8-o"clock" position. posteriorly Question: When performing a breast exam, a mobile mass becomes fixed when the arm relaxes. This suggests that the mass is: cystic. attached to the rib or intercostal muscle. non-malignant. attached to the pectoral fascia. attached to the rib or intercostal muscle Question: Primary dysmenorrhea results from: endometriosis. increased prostaglandin production during the luteal phase of the menstrual cycle. pelvic inflammatory disease. endometriosis in the muscular layers of the uterus. increased prostaglandin production during the luteal phase of the menstrual cycle Question: When performing the bimanual vaginal exam, a nodule on the anterior uterine surface could suggest a (an): ovarian cyst. myoma. pregnancy. pelvic inflammatory disease. myoma Question: An ulcerated vulvar lesion in an elderly woman may indicate: Condylomata acuminata. a syphilitic chancre. vulvar cancer. ovarian cancer. vulvular cancer Question: Upon examination of the vagina, a tense, hot, very tender abscess with labial swelling is noted. This finding is most consistent with a: cystocele. urethral caruncle. rectocele. Bartholin gland infection. Bartholin gland infection Question: If urethritis or inflammation of the paraurethral glands is suspected in a female patient, the index finger should be inserted into the vagina and: milk the urethra gently from the outside inward. milk the urethra gently from the inside outward. massage the urethral meatus with the other hand. massage the pelvic floor muscles in a clockwise fashion. milk the urethra gently from the inside outward Question: Menopause is diagnosed in a woman who has experienced amenorrhea for: 6 months. 12 months. 18 months. 24 months. 12 months Question: Daughters of women who took Diethylstilbestrol (DES) during pregnancy are at a high risk for developing all of the following abnormalities except: columnar epithelium covering most or all of the cervix. a slit- like cervical os. vaginal adenosis. a circular collar or ridge of tissue between the cervix and the vagina. a slit-like cervical os Question: When performing a bimanual vaginal exam, a smooth and rather compressible non-tender lesion is palpated over the right ovary. This finding is most consistent with: ovarian cancer. an ovarian cyst. a right tubal pregnancy. a tubo-ovarian abscess. an ovarian cyst Question: To palpate the uterus during a bimanual exam, the examiner would lubricate the index and middle fingers of one hand and insert them into the vagina. The other hand would be placed on the abdomen: near the symphysis pubis while pressing downward and elevating the cervix and uterus with the other hand. about midway between the umbilicus and symphysis pubis while elevating the cervix and uterus with the other hand. just above the umbilicus while pressing downward and elevating the cervix and uterus with the other hand. just below the umbilicus while pressing downward and elevating the cervix and uterus with the other hand. about midway between the umbilicus and symphysis pubis while elevating the cervix and uterus with the other hand. Question: Indications for performing a rectovaginal exam include all of the following except to: palpate a retroverted uterus. assess pelvic pathology. assess an inguinal hernia. screen for colorectal cancer in women over 50. assess an inguinal hernia Question: Causes of post menopausal bleeding typically include all of the following except: endometrial cancer. hormone replacement therapy. atrophic vaginitis. uterine polyps. atrophic vaginitis Question: Retraction of the nipple and areola suggest: a cystic breast. an underlying breast mass. a fibroadenoma. a normal finding in most women. an underlying breast mass Question: Upon examination of the vagina, the entire anterior vaginal wall, together with the bladder and urethra create a bulge. This condition is most consistent with a: prolapse of the urethral mucosa. urethral caruncle. cystocele. cystourethrocele. cystourethrocele Question: During a speculum exam of the cervix the speculum is maintained in an open position by: sliding the speculum along the posterior wall of the vagina. rotating and adjusting the speculum until it cups the cervix. gently tightening the thumb screw on the speculum. rotating the speculum into a horizontal position while maintaining pressure posteriorly. gently tightening the thumb screw on the speculum Question: When preparing to perform a pelvic exam in an older female, vaginal atrophy is noted. Due to this finding, the speculum: should not be used. should be a larger size. should be a smaller size. should be completely dry. should be a smaller size Question: When performing a vaginal exam with a speculum, the use of the lower blade as a retractor during bearing down could expose an anterior wall defect such as a: rectocele. cystocele. Bartholin gland infection. prolapse of the urethral mucosa. cystocele Question: The vaginal mucosa lies in transverse folds called the: fornices. rugae. corpus. fornix. rugae Question: The first sign of puberty in females is: appearance of body odor. increased energy and appetite. occurrence of first menses. appearance of breast buds. appearance of breast buds Question: A woman complains of infrequent menses with intervals greater than 35 days. This condition is termed: oligomenorrhea. polymenorrhea. metrorrhagia. menorrhagia. oligomeorrhea Question: When performing a vaginal exam with a speculum, the use of the upper blade as a retractor could expose a: rectocele. cystocele. Bartholin gland infection. prolapse of the urethral mucosa. rectocele