Women's Health Primary Care (QUESTIONS AND ANSWERS)
What is the first step in any encounter with someone coming to a midwife for care? - ANSWERS -
Introduce yourself
Make sure you have the right person
Identify the items below:
BP: (A)/(B) - ANSWERS -A: Systolic
B: Diastolic
Which heart sound has physiologic splitting?
a) S1 b) S2
c) S3 d) S4 - ANSWERS -B) S2 (the "dubb" sound)
What are the components of breast alveoli? - ANSWERS -Secretory acini and contractile myoepithelial cells
Identify the Tail of Spence - ANSWERS -Glandular tissue that extends up to the axilla
Breast cancer is most commonly found in which location?
a) Left, upper quadrant b) Right, upper quadrant
c) Left, lower quadrant d) Right, lower quadrant - ANSWERS -B) Right, upper quadrant
Mammograms have a false positive rate of up to:
a) 10% b) 15%
c) 20% d) 25% - ANSWERS -D) Up to 25% (can be 10-25% false positive rate)
Mammograms have 75-90% sensitivity with 80-90% specificity
According to the Tanner Staging, a girl with enlarged breasts without separation of breast and areola and coarse hair sparsely spread over the mons pubis is at what stage of puberty?
a) II b) III
c) IV d) V - ANSWERS -B) Stage III See ACNM Exam Prep Workbook P. 19
Tanner Staging table
What are the first type of antibodies the body makes in response to a foreign antigen?
a) IgM b) IgA
c) IgG d) IgE - ANSWERS -C) IgG
IgG are the first response antibodies
IgM are the Memory antibodies, providing long-term immunity
IgA are directly Acquired - mother to fetus, or direct (i.e. Rh immune globulin, Hep B immune globulin)
IgE antibodies are produced as an over-reaction to a benign allergen
Which of the following is not an AUTOSOMAL DOMINANT CONDITION?
a) Huntington's Disease b) Osteogenesis imperfecta
c) Phenylketonuria d) Neurofibromatosis - ANSWERS -C) Phenylketonuria
See ACNM Exam Prep Workbook P. 31 & 32
Genetic disorders
Which of the following is not an AUTOSOMAL RECESSIVE CONDITION?
a) Sickle cell anemia b) Cystic fibrosis
c) Thalassemmia d) Marfan syndrome - ANSWERS -D) Marfan syndrome
See ACNM Exam Prep Workbook P. 31 & 32
Genetic disorders
If both parents are carriers, what is the risk of their child inheriting an autosomal recessive condition?
a) 25% b) 50%
c) 30% d) 60% - ANSWERS -A) 25%
EACH child has a 25% risk of being affected if both parents are carriers.
Scenario 1:
Calculate the risk of an autosomal recessive disorder for each conception in which one parent is homozygous for an autosomal recessive condition (Sickle Cell Anemia) and the other parent is not a carrier for the condition:
a) 25% risk that the child will have the condition b) 50/50 risk that the child will be a carrier
c) No risk of having the disease d) 100% risk that the child will be a carrier
e) c & d
f) a & b
g) None of the above - ANSWERS -E) No risk of having the disease (Sickle Cell Disease)
AND
100% risk that the child will be a carrier (Sickle Cell Trait)
Scenario 1: A A a Aa Aa a Aa Aa aa: Sickle Cell Disease (has the condition)
Aa: Sickle Cell Trait (carrier, does not have the condition)
AA: Not affected (does not have the condition and is not a carrier)
Scenario 2:
Calculate the risk of an autosomal recessive disorder for each conception in which both parents are heterozygous for Sickle Cell Anemia, an autosomal recessive condition:
a) 25% risk that the child will have the condition b) 50/50 risk that the child will be a carrier
c) No risk of having the disease
d) 100% risk that the child will be a carrier
e) c & d
f) a & b
g) None of the above - ANSWERS -If both parents have Sickle Cell Trait, answer F) is correct.
Scenario 2: A a
A AA Aa
a Aa aa
aa: Sickle Cell Disease (has the condition)
Aa: Sickle Cell Trait (carrier, does not have the condition)
AA: Not affected (does not have the condition and is not a carrier)
X-linked genetic disorders affect a male child more often than a female child.
a) True
b) False - ANSWERS -A) True
Normal BMI: _________
Overweight BMI: __________
Obese BMI: ________
Extreme Obesity: __________ - ANSWERS -Normal: 18.5-24.9
Overweight: 25-29.9
Obese: =/>30
Extreme Obesity: =/> 40
What is the first step in any encounter with someone coming to a midwife for care? - ANSWERS -
Introduce yourself
Make sure you have the right person
Identify the items below:
BP: (A)/(B) - ANSWERS -A: Systolic
B: Diastolic
Which heart sound has physiologic splitting?
a) S1 b) S2
c) S3 d) S4 - ANSWERS -B) S2 (the "dubb" sound)
What are the components of breast alveoli? - ANSWERS -Secretory acini and contractile myoepithelial cells
Identify the Tail of Spence - ANSWERS -Glandular tissue that extends up to the axilla
Breast cancer is most commonly found in which location?
a) Left, upper quadrant b) Right, upper quadrant
c) Left, lower quadrant d) Right, lower quadrant - ANSWERS -B) Right, upper quadrant
Mammograms have a false positive rate of up to:
a) 10% b) 15%
c) 20% d) 25% - ANSWERS -D) Up to 25% (can be 10-25% false positive rate)
Mammograms have 75-90% sensitivity with 80-90% specificity
According to the Tanner Staging, a girl with enlarged breasts without separation of breast and areola and coarse hair sparsely spread over the mons pubis is at what stage of puberty?
a) II b) III
c) IV d) V - ANSWERS -B) Stage III See ACNM Exam Prep Workbook P. 19
Tanner Staging table
What are the first type of antibodies the body makes in response to a foreign antigen?
a) IgM b) IgA
c) IgG d) IgE - ANSWERS -C) IgG
IgG are the first response antibodies
IgM are the Memory antibodies, providing long-term immunity
IgA are directly Acquired - mother to fetus, or direct (i.e. Rh immune globulin, Hep B immune globulin)
IgE antibodies are produced as an over-reaction to a benign allergen
Which of the following is not an AUTOSOMAL DOMINANT CONDITION?
a) Huntington's Disease b) Osteogenesis imperfecta
c) Phenylketonuria d) Neurofibromatosis - ANSWERS -C) Phenylketonuria
See ACNM Exam Prep Workbook P. 31 & 32
Genetic disorders
Which of the following is not an AUTOSOMAL RECESSIVE CONDITION?
a) Sickle cell anemia b) Cystic fibrosis
c) Thalassemmia d) Marfan syndrome - ANSWERS -D) Marfan syndrome
See ACNM Exam Prep Workbook P. 31 & 32
Genetic disorders
If both parents are carriers, what is the risk of their child inheriting an autosomal recessive condition?
a) 25% b) 50%
c) 30% d) 60% - ANSWERS -A) 25%
EACH child has a 25% risk of being affected if both parents are carriers.
Scenario 1:
Calculate the risk of an autosomal recessive disorder for each conception in which one parent is homozygous for an autosomal recessive condition (Sickle Cell Anemia) and the other parent is not a carrier for the condition:
a) 25% risk that the child will have the condition b) 50/50 risk that the child will be a carrier
c) No risk of having the disease d) 100% risk that the child will be a carrier
e) c & d
f) a & b
g) None of the above - ANSWERS -E) No risk of having the disease (Sickle Cell Disease)
AND
100% risk that the child will be a carrier (Sickle Cell Trait)
Scenario 1: A A a Aa Aa a Aa Aa aa: Sickle Cell Disease (has the condition)
Aa: Sickle Cell Trait (carrier, does not have the condition)
AA: Not affected (does not have the condition and is not a carrier)
Scenario 2:
Calculate the risk of an autosomal recessive disorder for each conception in which both parents are heterozygous for Sickle Cell Anemia, an autosomal recessive condition:
a) 25% risk that the child will have the condition b) 50/50 risk that the child will be a carrier
c) No risk of having the disease
d) 100% risk that the child will be a carrier
e) c & d
f) a & b
g) None of the above - ANSWERS -If both parents have Sickle Cell Trait, answer F) is correct.
Scenario 2: A a
A AA Aa
a Aa aa
aa: Sickle Cell Disease (has the condition)
Aa: Sickle Cell Trait (carrier, does not have the condition)
AA: Not affected (does not have the condition and is not a carrier)
X-linked genetic disorders affect a male child more often than a female child.
a) True
b) False - ANSWERS -A) True
Normal BMI: _________
Overweight BMI: __________
Obese BMI: ________
Extreme Obesity: __________ - ANSWERS -Normal: 18.5-24.9
Overweight: 25-29.9
Obese: =/>30
Extreme Obesity: =/> 40
