NU 641
Women’s Health
Review Exam
Q&A
2024
,1. A 45-year-old female patient presents with a complaint of persistent
lower abdominal pain. Based on the current evidence-based guidelines,
which of the following is the most appropriate initial diagnostic test?
A) Transvaginal ultrasound
B) Complete blood count (CBC)
C) Urinalysis
D) Pelvic MRI
Answer: A) Transvaginal ultrasound
Rationale: Transvaginal ultrasound is the preferred initial diagnostic test
for women presenting with lower abdominal pain as it provides detailed
images of the reproductive organs and can help identify gynecological
conditions such as ovarian cysts or fibroids.
2. In managing menopause-related symptoms, which of the following
therapeutic options aligns with contemporary practice for a patient who
prefers non-pharmacological management?
A) Hormone replacement therapy (HRT)
B) Cognitive-behavioral therapy (CBT)
C) Antidepressant medication
D) Over-the-counter (OTC) supplements
Answer: B) Cognitive-behavioral therapy (CBT)
Rationale: CBT is an evidence-based non-pharmacological approach
that helps manage menopause-related symptoms by addressing
psychological and behavioral factors.
3. When assessing cardiovascular risk in postmenopausal women, which
factor is most significant according to current guidelines?
A) Age
B) Family history of heart disease
C) Body mass index (BMI)
D) Smoking status
Answer: D) Smoking status
Rationale: Smoking is a modifiable risk factor that significantly
increases the risk of cardiovascular disease in postmenopausal women.
4. For a patient with Polycystic Ovary Syndrome (PCOS), which of the
following management strategies is recommended to improve fertility
, outcomes?
A) Weight loss and lifestyle modification
B) Immediate referral for in vitro fertilization (IVF)
C) Prescribing oral contraceptive pills
D) Initiation of insulin-sensitizing agents
Answer: A) Weight loss and lifestyle modification
Rationale: Weight loss and lifestyle changes are first-line treatments for
women with PCOS to improve fertility outcomes as they can help restore
ovulation.
5. In primary care settings, which screening test is recommended for early
detection of cervical cancer in women aged 30-65 years?
A) Annual Pap smear test
B) HPV DNA test every 5 years
C) Co-testing with Pap smear and HPV DNA test every 5 years
D) Visual inspection with acetic acid (VIA)
Answer: C) Co-testing with Pap smear and HPV DNA test every 5 years
Rationale: Co-testing every 5 years is recommended for women aged
30-65 as it provides greater accuracy in detecting precancerous changes.
6. A patient presents with symptoms suggestive of a urinary tract infection
(UTI). Which of the following is an appropriate step in the assessment
process?
A) Prescribing antibiotics without testing
B) Ordering a pelvic ultrasound
C) Performing a urine culture and sensitivity test
D) Recommending cranberry supplements
Answer: C) Performing a urine culture and sensitivity test
Rationale: A urine culture and sensitivity test is essential to confirm the
diagnosis of UTI and guide appropriate antibiotic therapy.
7. For a woman diagnosed with breast cancer, which factor most
significantly influences the choice of treatment?
A) Patient's age at diagnosis
B) Stage of cancer at diagnosis
C) Patient's preference for treatment modality
D) Presence of BRCA1 or BRCA2 gene mutation
Answer: B) Stage of cancer at diagnosis
Women’s Health
Review Exam
Q&A
2024
,1. A 45-year-old female patient presents with a complaint of persistent
lower abdominal pain. Based on the current evidence-based guidelines,
which of the following is the most appropriate initial diagnostic test?
A) Transvaginal ultrasound
B) Complete blood count (CBC)
C) Urinalysis
D) Pelvic MRI
Answer: A) Transvaginal ultrasound
Rationale: Transvaginal ultrasound is the preferred initial diagnostic test
for women presenting with lower abdominal pain as it provides detailed
images of the reproductive organs and can help identify gynecological
conditions such as ovarian cysts or fibroids.
2. In managing menopause-related symptoms, which of the following
therapeutic options aligns with contemporary practice for a patient who
prefers non-pharmacological management?
A) Hormone replacement therapy (HRT)
B) Cognitive-behavioral therapy (CBT)
C) Antidepressant medication
D) Over-the-counter (OTC) supplements
Answer: B) Cognitive-behavioral therapy (CBT)
Rationale: CBT is an evidence-based non-pharmacological approach
that helps manage menopause-related symptoms by addressing
psychological and behavioral factors.
3. When assessing cardiovascular risk in postmenopausal women, which
factor is most significant according to current guidelines?
A) Age
B) Family history of heart disease
C) Body mass index (BMI)
D) Smoking status
Answer: D) Smoking status
Rationale: Smoking is a modifiable risk factor that significantly
increases the risk of cardiovascular disease in postmenopausal women.
4. For a patient with Polycystic Ovary Syndrome (PCOS), which of the
following management strategies is recommended to improve fertility
, outcomes?
A) Weight loss and lifestyle modification
B) Immediate referral for in vitro fertilization (IVF)
C) Prescribing oral contraceptive pills
D) Initiation of insulin-sensitizing agents
Answer: A) Weight loss and lifestyle modification
Rationale: Weight loss and lifestyle changes are first-line treatments for
women with PCOS to improve fertility outcomes as they can help restore
ovulation.
5. In primary care settings, which screening test is recommended for early
detection of cervical cancer in women aged 30-65 years?
A) Annual Pap smear test
B) HPV DNA test every 5 years
C) Co-testing with Pap smear and HPV DNA test every 5 years
D) Visual inspection with acetic acid (VIA)
Answer: C) Co-testing with Pap smear and HPV DNA test every 5 years
Rationale: Co-testing every 5 years is recommended for women aged
30-65 as it provides greater accuracy in detecting precancerous changes.
6. A patient presents with symptoms suggestive of a urinary tract infection
(UTI). Which of the following is an appropriate step in the assessment
process?
A) Prescribing antibiotics without testing
B) Ordering a pelvic ultrasound
C) Performing a urine culture and sensitivity test
D) Recommending cranberry supplements
Answer: C) Performing a urine culture and sensitivity test
Rationale: A urine culture and sensitivity test is essential to confirm the
diagnosis of UTI and guide appropriate antibiotic therapy.
7. For a woman diagnosed with breast cancer, which factor most
significantly influences the choice of treatment?
A) Patient's age at diagnosis
B) Stage of cancer at diagnosis
C) Patient's preference for treatment modality
D) Presence of BRCA1 or BRCA2 gene mutation
Answer: B) Stage of cancer at diagnosis
