Chapter 42: Obstetrics and Gynecology Test Bank Kinn’s The Clinical Medical Assistant, 14th Edition Niedzwiecki

Chapter 42: Obstetrics and Gynecology Niedzwiecki: Kinn’s The Clinical Medical Assistant, 14th Edition MULTIPLE CHOICE 1. Which type of examination usually involves taking pelvic measurements? a. New patient visit b. Diagnosis of PID c. Initial prenatal visit d. Consultation regarding contraception ANS: C The physician may do this at the first prenatal exam. REF: p. 1018 OBJ: 10 TOP: Patient Care: Prepare patient and assist Physician Exams/Treatments/Specialty Procedures MSC: CAAHEP : I.P.9 | ABHES: 8.d 2. Hormonal contraceptives include the following: a. vaginal rings. b. Depo -Provera injections. c. birth control pill or patch. d. All are correct ANS: D Hormonal methods, when used as directed, are the most effective means of birth control. REF: p. 1012 OBJ: 8 TOP: Pharmacology/Medications: Drug Indications for Use MSC: CAAHEP: I.P.9 | ABHES: 8.d 3. Which method of birth control has the highest failur e rate? a. Condom b. Diaphragm c. IUD d. Birth control pills ANS: B Diaphragms have a high failure rate, because they must be used during every sexual contact. REF: p. 1013 OBJ: 8 TOP: Pharmacology/Medications: Drug Indications for Use MSC: CAAHEP: I.P.9 | ABHES: 8.d 4. Failure to have a menstrual period is called: a. metrorrhagia. b. menorrhagia. c. amenorrhea. d. dysmenorrhea. ANS: C Women who do not have periods are amenorrheic. REF: p. 1008 OBJ: 2. Explain the phases of the menstrual cycle. TOP: Pathology/Diseases/Conditions: Health Related Syndromes MSC: CAAHEP: I.C.8 | ABHES: 2.b 5. Depo -Provera is a good contraceptive choice for which of the following? a. Patients at risk of developing osteoporosis. b. Patients who prefer not to be seen at the physician’s office for at least 6 months. c. Patients who want to delay pregnancy for at least 18 months. d. Patients who are compliant with OCP therapy. ANS: C Depo -Provera delays the return of fertility, so the patient must want to prevent pregnancy for some time after the injections end. REF: p. 1013 OBJ: 8 TOP: Pharmacology/Medications: Drug Indications for Use MSC: CAAHEP: I.P.9 | ABHES: 8.d 6. Patient education on the use of a diaphragm should include which of the following? a. Use spermicidal products if you want extra protection. b. Be refitted if you gain more than 15 pounds. c. Before repeating intercourse, remove the diaphragm, and add spermicide. d. If the diaphragm has a small hole, add more spermicide for protection. ANS: B The device must be refitted if the patient’s weight changes significantly; sperm icides must always be used with this device. REF: p. 1012 OBJ: 8 TOP: Patient Care: Patient Education MSC: CAAHEP: I.P.9 | ABHES: 8.d 7. OCPs can be used to treat which of the following conditions? a. Anovulation b. Prevention of ovarian cysts c. Premenstrual syndrome d. All are correct ANS: D OCP hormones help treat all of these conditions. REF: p. 1021 OBJ: 11 TOP: Pharmacology/Medications: Drug Indications for Use MSC: CAAHEP: I.P.9 | ABHES: 8.d 8. Which patients should be screened for gestational diabetes mellitus? a. All women planning to become pregnant b. Any woman suspected of having been exposed to HIV c. Pregnant women approximately 1 month before the due date d. BMI before pregnancy of 30 or higher