lOMoARcPSD| 57911371
APEA 3P Exam Predictor Exam 100% (Best Predictor
Exam) A+ QUESTIONS WITH VERIFIED ANSWERS
AND EXPLANATION
A 54-year-old female presents with a small to moderate
amount of vaginal bleeding of recent onset. She has been
postmenopausal for approximately 2 years. What
diagnosis is least likely? Endometrial carcinoma
Ovarian cancer
Endometrial
hyperplasia
Uterine polyps
B.
Ovarian cancer may present as an adnexal mass, pelvic or
abdominal symptoms and a variety of others.
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, lOMoARcPSD| 57911371
Postmenopausal bleeding (PMB) is an uncommon
presentation of ovarian cancer, but can present this way.
In women with PMB, likely causes of uterine pathology
should be evaluated before considering ovarian
pathology. In early menopause, the most common
etiology is atrophy of the endometrium or vaginal mucosa.
This patient has been postmenopausal for approximately
2 years. Other common causes of PMB are polyps,
fibroids, and endometrial hyperplasia.
Three of the following interventions are appropriately
used to prevent osteoporosis after menopause. Which one
is NOT?
Avoidance of corticosteroids
Performance of weight-bearing activities for 40 mins
at least 5 days/week Estrogen replacement therapy
Adequate calcium &
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
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()
, lOMoARcPSD| 57911371
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 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
48 hours
36 hours
1
wee
k B.
Downloaded by cardi hunch ()
, lOMoARcPSD| 57911371
The general recommendation is to avoid these activities
and any vaginal medication for 48 hours prior to the PAP
smear. Douching and tampon use can remove superficial
cells, which are the ones collected and used as
representative samples on PAP smear. Sexual
intercourse should be avoided because there can be
specimen contamination by the male partner. With vaginal
medications or creams, either can serve as a barrier to
epithelial cell sampling.
When collecting cervical cells for a PAP smear, when are
the endocervical cells typically collected? After the
ectocervical specimen with a broom After the ectocervical
specimen with a brush Before the ectocervical specimen
with a broom Before the ectocervical specimen with a
brush B.
Ectocervical specimens are collected first to minimize any
bleeding that can occur when the endocervical cells are
sampled. The brush is considered a superior tool for the
collection of endocervical specimens because it produces
the highest
Downloaded by cardi hunch
()
APEA 3P Exam Predictor Exam 100% (Best Predictor
Exam) A+ QUESTIONS WITH VERIFIED ANSWERS
AND EXPLANATION
A 54-year-old female presents with a small to moderate
amount of vaginal bleeding of recent onset. She has been
postmenopausal for approximately 2 years. What
diagnosis is least likely? Endometrial carcinoma
Ovarian cancer
Endometrial
hyperplasia
Uterine polyps
B.
Ovarian cancer may present as an adnexal mass, pelvic or
abdominal symptoms and a variety of others.
Downloaded by cardi hunch ()
, lOMoARcPSD| 57911371
Postmenopausal bleeding (PMB) is an uncommon
presentation of ovarian cancer, but can present this way.
In women with PMB, likely causes of uterine pathology
should be evaluated before considering ovarian
pathology. In early menopause, the most common
etiology is atrophy of the endometrium or vaginal mucosa.
This patient has been postmenopausal for approximately
2 years. Other common causes of PMB are polyps,
fibroids, and endometrial hyperplasia.
Three of the following interventions are appropriately
used to prevent osteoporosis after menopause. Which one
is NOT?
Avoidance of corticosteroids
Performance of weight-bearing activities for 40 mins
at least 5 days/week Estrogen replacement therapy
Adequate calcium &
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
Downloaded by cardi hunch
()
, lOMoARcPSD| 57911371
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 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
48 hours
36 hours
1
wee
k B.
Downloaded by cardi hunch ()
, lOMoARcPSD| 57911371
The general recommendation is to avoid these activities
and any vaginal medication for 48 hours prior to the PAP
smear. Douching and tampon use can remove superficial
cells, which are the ones collected and used as
representative samples on PAP smear. Sexual
intercourse should be avoided because there can be
specimen contamination by the male partner. With vaginal
medications or creams, either can serve as a barrier to
epithelial cell sampling.
When collecting cervical cells for a PAP smear, when are
the endocervical cells typically collected? After the
ectocervical specimen with a broom After the ectocervical
specimen with a brush Before the ectocervical specimen
with a broom Before the ectocervical specimen with a
brush B.
Ectocervical specimens are collected first to minimize any
bleeding that can occur when the endocervical cells are
sampled. The brush is considered a superior tool for the
collection of endocervical specimens because it produces
the highest
Downloaded by cardi hunch
()
