Doctor ERICK PHDAPEA 3P
Exam
Prep- Women's
Health Questions with
Correct Answers and
Explanations
LATEST 2022-2023
Three of the following interventions are appropriately used to prevent osteoporosis
after menopause. Which one is NOT?
Avoidance of corticosteroids
Performance of weight-bearing activities for 40 mins at least 5
days/week Estrogen replacement therapy Adequate calcium &
vitamin D
intake C.
Prevention of osteoporosis may be optimized by elimination of risk factors and
engaging in interventions that maximize bone density. Good nutrition from
infancy throughout adulthood is a major component of good bone health. Others
include engaging in weight-bearing exercises, adequate intake of calcium and
vitamin D, smoking cessation, limiting alcohol consumption to moderate amounts,
and avoidance when possible of medications that may decrease bone density
(corticosteroids, anticonvulsants). Osteoporosis occurs at accelerated rates in
women who are post-menopausal. The lack of estrogen can produce rapid bone
,loss due to bone resorption. Estrogen replacement is not used to prevent or treat
osteoporosis.
A patient who is scheduled for pelvic exam with PAP smear should be advised to
avoid douching, sexual intercourse, and tampon use before her exam. For how
long should she be advised to avoid these activities for optimal evaluation?
24 hours
48 hours
36 hours
1
week B.
The general recommendation is to avoid these activities and any vaginal medication
for 48 hours prior to the PAP smear. Douching and tampon use can remove
superficial cells, which are the ones collected and used as representative samples
on PAP smear. Sexual intercourse should be avoided because there can be specimen
contamination by the male partner. With vaginal medications or creams, either can
serve as a barrier to epithelial cell sampling.
When collecting cervical cells for a PAP smear, when are the endocervical cells
typically collected?
After the ectocervical specimen with a
broom After the ectocervical specimen
with a brush Before the ectocervical
specimen with a broom Before the
ectocervical specimen with a brush B.
Ectocervical specimens are collected first to minimize any bleeding that can occur
when the endocervical cells are sampled. The brush is considered a
superior tool for the collection of endocervical specimens because it produces the
highest yield of endocervical cells, and thus, is a good reflection of the health of the
cervix.
, Alternatively, a cervical broom can be used to collect endocervical cells and
ectocervical cells simultaneously. It is rotated for 5 turns before the samples are
placed on the slide. This may be used in pregnant women.
A 16-year-old female is diagnosed with primary dysmenorrhea. She has taken
over- the-counter ibuprofen in 800-mg increments every 8 hours during menses
for the past 3 months, with minimal relief of symptoms. What intervention will
provide greatest relief of dysmenorrhea symptoms?
Flurbiprofen during menses
Combined oral contraceptives
Daily multivitamin with B12
supplementation 30 minutes of regular
exercise daily B.
NSAIDs and hormonal contraceptives represent the mainstay of pharmacologic
treatment for dysmenorrhea. NSAIDs produce an 80-86% response rate when used
for dysmenorrhea. The general recommendation is that when one agent (NSAIDs
or hormonal contraceptives) does not produce relief of symptoms, the other agent
should be tried. Hence, the best choice is oral contraceptives. Both agents should
be considered for women who are symptomatic with one agent only.
A 22-year-old female states that she has multiple sexual partners and
inconsistently uses barrier protection. Which form of birth control should the
nurse practitioner avoid prescribing in this patient?
Intrauterine
device Progestinonly
pill
Diaphragm Oral
contraceptives A.
Multiple sexual partners place the patient at increased risk for infection with
sexually transmitted diseases. The patient is at very high risk of developing pelvic
inflammatory disease (PID) when there is an implanted foreign body. An example
Exam
Prep- Women's
Health Questions with
Correct Answers and
Explanations
LATEST 2022-2023
Three of the following interventions are appropriately used to prevent osteoporosis
after menopause. Which one is NOT?
Avoidance of corticosteroids
Performance of weight-bearing activities for 40 mins at least 5
days/week Estrogen replacement therapy Adequate calcium &
vitamin D
intake C.
Prevention of osteoporosis may be optimized by elimination of risk factors and
engaging in interventions that maximize bone density. Good nutrition from
infancy throughout adulthood is a major component of good bone health. Others
include engaging in weight-bearing exercises, adequate intake of calcium and
vitamin D, smoking cessation, limiting alcohol consumption to moderate amounts,
and avoidance when possible of medications that may decrease bone density
(corticosteroids, anticonvulsants). Osteoporosis occurs at accelerated rates in
women who are post-menopausal. The lack of estrogen can produce rapid bone
,loss due to bone resorption. Estrogen replacement is not used to prevent or treat
osteoporosis.
A patient who is scheduled for pelvic exam with PAP smear should be advised to
avoid douching, sexual intercourse, and tampon use before her exam. For how
long should she be advised to avoid these activities for optimal evaluation?
24 hours
48 hours
36 hours
1
week B.
The general recommendation is to avoid these activities and any vaginal medication
for 48 hours prior to the PAP smear. Douching and tampon use can remove
superficial cells, which are the ones collected and used as representative samples
on PAP smear. Sexual intercourse should be avoided because there can be specimen
contamination by the male partner. With vaginal medications or creams, either can
serve as a barrier to epithelial cell sampling.
When collecting cervical cells for a PAP smear, when are the endocervical cells
typically collected?
After the ectocervical specimen with a
broom After the ectocervical specimen
with a brush Before the ectocervical
specimen with a broom Before the
ectocervical specimen with a brush B.
Ectocervical specimens are collected first to minimize any bleeding that can occur
when the endocervical cells are sampled. The brush is considered a
superior tool for the collection of endocervical specimens because it produces the
highest yield of endocervical cells, and thus, is a good reflection of the health of the
cervix.
, Alternatively, a cervical broom can be used to collect endocervical cells and
ectocervical cells simultaneously. It is rotated for 5 turns before the samples are
placed on the slide. This may be used in pregnant women.
A 16-year-old female is diagnosed with primary dysmenorrhea. She has taken
over- the-counter ibuprofen in 800-mg increments every 8 hours during menses
for the past 3 months, with minimal relief of symptoms. What intervention will
provide greatest relief of dysmenorrhea symptoms?
Flurbiprofen during menses
Combined oral contraceptives
Daily multivitamin with B12
supplementation 30 minutes of regular
exercise daily B.
NSAIDs and hormonal contraceptives represent the mainstay of pharmacologic
treatment for dysmenorrhea. NSAIDs produce an 80-86% response rate when used
for dysmenorrhea. The general recommendation is that when one agent (NSAIDs
or hormonal contraceptives) does not produce relief of symptoms, the other agent
should be tried. Hence, the best choice is oral contraceptives. Both agents should
be considered for women who are symptomatic with one agent only.
A 22-year-old female states that she has multiple sexual partners and
inconsistently uses barrier protection. Which form of birth control should the
nurse practitioner avoid prescribing in this patient?
Intrauterine
device Progestinonly
pill
Diaphragm Oral
contraceptives A.
Multiple sexual partners place the patient at increased risk for infection with
sexually transmitted diseases. The patient is at very high risk of developing pelvic
inflammatory disease (PID) when there is an implanted foreign body. An example
