1. 23-year-old, sexually active female who presents for her first pap smear. Her
history includes no pregnancies. Her first intercourse was at age 14 andhas had
at least 10 sexual partners if not 12 partners since. Which conditionsdo you want
to be alert for during her exam?: HPV
2. 20-year-old, sexually active female seen in the clinic because her boyfriend
was diagnosed with gonorrhea. What is the treatment of choice for gonor-
rhea?: ceftriaxone
3. A 24-year-old female with complaints of dysuria, pain with sex, and mucop-
urulent vaginal discharge. Her boyfriend was recently treated for nongono-
coccal urethritis. What STIs has she most likely been exposed to?: Chlamydia
4. 45-year-old women with complaints of vaginal discharge. You identify clue
cells on the vaginal smear. What diagnosis?: BV
5. Which of the following medications is the treatment of choice for Trich?: -
Flagyl
6. A 26-year-old woman presents with complaints of irregular vaginal bleed-ing.
Which of the following tests should be the first priority.: pregnancy test
7. A 36-year-old woman with complaints of vaginal itching, burning, and
discharge. On the wet mount, you notice hyphae. Which treatment would be
appropriate?: fluconazole
8. 21-year-old woman requesting birth control pills. Which of the following
tests would be essential before prescribing any oral contraceptives?: HCG
9. A 40-year-old woman who sees you yearly for exams. She is single and notin
a monogamous relationship. She smokes occasional and drinks 2 beers a day.
Her BMI is 25. She is requesting birth control. Which is appropriate forher?: IUD
10. What is the most common cause of secondary amenorrhea?: Pregnancy
11. A 22-year-old woman diagnosed with PMS. Which of the following lifestyle
changes to minimize symptoms?: getting regular exercise
12. A 25-year-old woman complaining of painful menstruation. Which pelvic
pathology is the most common cause of dysmenorrhea?: endometriosis
13. A male patient comes in with complaints of painful penile lesions. Small
fluid-filled vesicles that are painful to the touch. Which treatment would you
give?: acyclovir
14. What is the most common serious gynecological complication
inwomen?: PID
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