**Women's Health Nurse Practitioner
Certification Exam: WHNP Focus**
1. NP assessing 28yo with vaginal discharge, itching, curd-like, vulvar erythema. Wet prep: hyphae and
spores. First-line treatment?
💫RATIONALE✔️✔️: Vulvovaginal candidiasis: topical azole (clotrimazole, miconazole) or oral fluconazole
150 mg x1 dose.
💫ANSWER✔️✔️: C. Fluconazole 150 mg.
2. Pt with dysmenorrhea, pain day 1-2 of menses, relieved by NSAIDs, no pelvic pathology. First-line?
💫RATIONALE✔️✔️: Primary dysmenorrhea: NSAIDs (ibuprofen 600 mg Q6H) starting day before menses.
OCPs if refractory.
💫ANSWER✔️✔️: B. Ibuprofen.
3. NP assessing 35yo with abnormal uterine bleeding, heavy regular periods, no intermenstrual bleeding.
Hemoglobin 10. Next step?
💫RATIONALE✔️✔️: Heavy menstrual bleeding. Transvaginal ultrasound, endometrial biopsy if age >45 or
risk factors.
💫ANSWER✔️✔️: D. Ultrasound.
4. Pt with pelvic pain, dyspareunia, cervical motion tenderness, fever. Likely diagnosis?
💫RATIONALE✔️✔️: Pelvic inflammatory disease (PID). Treat with ceftriaxone + doxycycline ±
metronidazole.
💫ANSWER✔️✔️: A. PID.
5. NP assessing 25yo for contraception. Desires long-acting reversible. Which method highest efficacy?
💫RATIONALE✔️✔️: LARC (IUD, implant) most effective (99%). Levonorgestrel IUD or etonogestrel
implant.
, 💫ANSWER✔️✔️: D. Levonorgestrel IUD.
6. Pt with polycystic ovary syndrome (PCOS), oligomenorrhea, hirsutism, BMI 32. First-line treatment?
💫RATIONALE✔️✔️: Lifestyle modification (weight loss) + OCPs for cycle regulation and antiandrogen
effect.
💫ANSWER✔️✔️: C. OCPs and weight loss.
7. NP assessing 30yo at 10 weeks gestation, first prenatal visit. Rubella IgG negative. Next?
💫RATIONALE✔️✔️: Rubella non-immune. Counsel to avoid exposure. Vaccinate postpartum (MMR)
before discharge.
💫ANSWER✔️✔️: A. Postpartum MMR.
8. Pt with menopause, vasomotor symptoms (hot flashes), no contraindications. First-line treatment?
💫RATIONALE✔️✔️: Menopausal hormone therapy (estrogen + progestin if uterus) most effective for
moderate-severe symptoms.
💫ANSWER✔️✔️: B. Estrogen patch.
9. NP assessing 32yo with breast lump, mobile, smooth, tender, cyclic. Likely?
💫RATIONALE✔️✔️: Fibrocystic changes (benign). Reassure, monitor, imaging if >35 or high risk.
💫ANSWER✔️✔️: C. Fibrocystic changes.
10. Pt with abnormal Pap (ASCUS), HPV positive, age 30. Next step?
💫RATIONALE✔️✔️: ASCUS + HPV positive → colposcopy. If HPV negative, repeat Pap in 3 years.
💫ANSWER✔️✔️: B. Colposcopy.
11. NP assessing 40yo with urinary incontinence, small amount with cough, sneeze, BMI 32. First-line
treatment?
💫RATIONALE✔️✔️: Stress incontinence: pelvic floor exercises (Kegel), weight loss, duloxetine or surgery
(sling).
💫ANSWER✔️✔️: A. Kegel exercises.
Certification Exam: WHNP Focus**
1. NP assessing 28yo with vaginal discharge, itching, curd-like, vulvar erythema. Wet prep: hyphae and
spores. First-line treatment?
💫RATIONALE✔️✔️: Vulvovaginal candidiasis: topical azole (clotrimazole, miconazole) or oral fluconazole
150 mg x1 dose.
💫ANSWER✔️✔️: C. Fluconazole 150 mg.
2. Pt with dysmenorrhea, pain day 1-2 of menses, relieved by NSAIDs, no pelvic pathology. First-line?
💫RATIONALE✔️✔️: Primary dysmenorrhea: NSAIDs (ibuprofen 600 mg Q6H) starting day before menses.
OCPs if refractory.
💫ANSWER✔️✔️: B. Ibuprofen.
3. NP assessing 35yo with abnormal uterine bleeding, heavy regular periods, no intermenstrual bleeding.
Hemoglobin 10. Next step?
💫RATIONALE✔️✔️: Heavy menstrual bleeding. Transvaginal ultrasound, endometrial biopsy if age >45 or
risk factors.
💫ANSWER✔️✔️: D. Ultrasound.
4. Pt with pelvic pain, dyspareunia, cervical motion tenderness, fever. Likely diagnosis?
💫RATIONALE✔️✔️: Pelvic inflammatory disease (PID). Treat with ceftriaxone + doxycycline ±
metronidazole.
💫ANSWER✔️✔️: A. PID.
5. NP assessing 25yo for contraception. Desires long-acting reversible. Which method highest efficacy?
💫RATIONALE✔️✔️: LARC (IUD, implant) most effective (99%). Levonorgestrel IUD or etonogestrel
implant.
, 💫ANSWER✔️✔️: D. Levonorgestrel IUD.
6. Pt with polycystic ovary syndrome (PCOS), oligomenorrhea, hirsutism, BMI 32. First-line treatment?
💫RATIONALE✔️✔️: Lifestyle modification (weight loss) + OCPs for cycle regulation and antiandrogen
effect.
💫ANSWER✔️✔️: C. OCPs and weight loss.
7. NP assessing 30yo at 10 weeks gestation, first prenatal visit. Rubella IgG negative. Next?
💫RATIONALE✔️✔️: Rubella non-immune. Counsel to avoid exposure. Vaccinate postpartum (MMR)
before discharge.
💫ANSWER✔️✔️: A. Postpartum MMR.
8. Pt with menopause, vasomotor symptoms (hot flashes), no contraindications. First-line treatment?
💫RATIONALE✔️✔️: Menopausal hormone therapy (estrogen + progestin if uterus) most effective for
moderate-severe symptoms.
💫ANSWER✔️✔️: B. Estrogen patch.
9. NP assessing 32yo with breast lump, mobile, smooth, tender, cyclic. Likely?
💫RATIONALE✔️✔️: Fibrocystic changes (benign). Reassure, monitor, imaging if >35 or high risk.
💫ANSWER✔️✔️: C. Fibrocystic changes.
10. Pt with abnormal Pap (ASCUS), HPV positive, age 30. Next step?
💫RATIONALE✔️✔️: ASCUS + HPV positive → colposcopy. If HPV negative, repeat Pap in 3 years.
💫ANSWER✔️✔️: B. Colposcopy.
11. NP assessing 40yo with urinary incontinence, small amount with cough, sneeze, BMI 32. First-line
treatment?
💫RATIONALE✔️✔️: Stress incontinence: pelvic floor exercises (Kegel), weight loss, duloxetine or surgery
(sling).
💫ANSWER✔️✔️: A. Kegel exercises.
