1. Turner’s syndrome can be suspected when the patient has primary amenorrhea and
Short stature and webbed neck
2. A 21-year-old woman comes into your practice seeking birth control. She has only
recently become sexually active and has consistently used condoms for safe sex. Your history
reveals that she does not use tampons during her menses and has very little knowledge about
female reproductive anatomy. Based on this information, which of the following birth control
choices would be least likely to meet her needs for contraceptive management?
Nuvaring
3. The most common type of invasive breast carcinoma is
Infiltrating ductal
4. Measuring waist circumference is most appropriate when the client’s BMI places her in
which of the following categories?
Overweight
5. The American Cancer Society recommends yearly mammogram screening beginning at
age:
Age 45
6. A dancer from an adult club down the street comes in for a renewal of her birth control
pill prescription. She says that everything is fine. On examination, you find grayish-white vaginal
discharge, greenish cervical discharge and cervical motion tenderness. All of the following
differential diagnoses except?
Gonorrhea,
Interstitial cystitis,
Bacterial vaginosis,
Chlamydia
, 7. Which of the following contraception would be best for a woman with sickle cell
anemia?
Progestin-only oral contraceptives
8. During a vaginal examination, you observe bulging of the anterior wall when you ask the
patient to bear down. This is most likely a
Cystocele
9. When examining the cervix of a 20-year-old-female, you note that most of the cervix is
pink but there is a small ring of dark-red tissue surrounding the os. This is most likely?
The squamocolumnar junction
10. A sexually active 18-year-old presents with postcoital spotting, dysuria, and a yellow
discharge. On exam you find her cervix is erythematous and bleeds with contact. The most likely
diagnosis is
Chlamydia
11. A 68-year-old female had her last cervical cancer screening done at age 65 and results
were normal. She has no history of abnormal screenings. She has recently started having sexual
intercourse with a new male partner and asks if she should start having cervical cancer
screening again. An appropriate answer would be that she:
Does not need to resume either Pap tests or HPV testing
12. A 22-year-old experiences six months of amenorrhea. Laboratory test results include
normal prolactin and thyroid-stimulating hormone and negative pregnancy test. The next action
will to:
(Answer)Administer a progestin challenge test
13. A nurse practitioner is screening a female for prescribing contraception for the first
time. Which of the following conditions is an absolute contraindication to estrogen- containing
contraception?
Thromboembolism