correct answers 2024
You are about to conduct a complete vaginal exam and obtain a cervical cytology
specimen. For which of these should you use the bifid end of the Ayre spatula?
A. Vaginal pool
B. Cervical scrape
C. Endocervical specimen
D. Acetic acid wash - correct answerB. Also called a cervical brush
Which form of vulvovaginal inflammation is most characterized by fishy, foul smelling
vaginal odor?
A. Candidiasis
B. Bacterial vaginosis
C. Chlamydia
D. Trichomoniasis - correct answerB. Bacterial vaginosis - the key to answering this
question is realizing that it is asking most characterized
On vaginal exam of a 23 year old African American female you note vaginal
erythema, malodorous, frothy yellowish, green discharge. The patient c/o pruritis and
dyspareunia. The nurse practitioner would order therapy based on what diagnosis?
A. Bacterial Vaginosis
B. Candidiasis
C. Gonorrhea
D. Trichomonas - correct answerD. Trichomonas: Frothy with yellow green discharge
and a fishy odor
Which of these best depicts the site of most breast tumors in women?
A. Lower outer quadrant
B. Tail of spence
C. Upper outer corner
D. Axilla - correct answerC. Upper outer corner
A 72 year old patient presents for her annual physical exam. She states thatshe has
never had an abnormal pap smear or mammogram and adds, "I really don't want to
do all that stuff anymore unless you think it is really necessary". You note in her chart
that indeed, she has always had a normal pap smear and mammogram. Thus based
on the latest national guidelines what would you order for this visit?
A. Pap Smear
B. Mammogram
C. Both
, Women's Health Questions with
correct answers 2024
D. Neither - correct answerB. Mammogram. Current national guidelines recommend
a Pap smear until age 65 if normal and mammograms until 75 unless abnormal.
An older woman complains to the nurse practitioner that she has leakage of urine
when she sneezes or laughs. The patient thinks that it is getting worse. Which of the
following would be an appropriate initial intervention?
A. Educate the patient about kegal exercises
B. Recommend that she limit her fluid intake to less than 1 liter daily
C. Refer the patient to a urologist for a cystoscopy
D. Advise the patient that shew ill be given medicine to help her with bladder control
- correct answerA. Stress and urge incontinence are caused by the relaxation / loss
of tone and ligaments of the pelvic floor that support the bladder, uterus, urethra,
lower bowel, and vagina. Kegal exercises are pelvic floor strengthening exercises
performed by repeated contracting, holding, and relaxing of the pubococcygeus
muscle.
Human papilloma virus (HPV) of the larynx has also been associated with:
A. Laryngeal cancer
B. Esophageal stricture
C. Cervical cancer
D. Metaplasia of the squamous cells - correct answerA. Laryngeal cancer
A 48 year old woman is told by her physician that she is starting menopause. All of
the following are possible findings in premenopausal women except:
A. Hot flashes that may interfere with sleep
B. Irregular menstrual periods
C. Severe Vaginal atrophic changes
D. Cyclic mood swings - correct answerC.
A 22 year old sexually active woman is complaining of amenorrhea and vaginal
spotting. On examination, her left adnexa is tender and cervical motion tenderness is
positive. Which test should the nurse practitioner initially order?
A. Flat plate of the abdomen
B. CBC with diff
C. Pregnancy test
D. Pelvic ultrasound - correct answerC. Pregnancy test: Her positive physical
findings of left adnexal tenderness and cervical motion tenderness and spotting
suggest ectopic pregnancy rather than pelvic inflammatory disease. Amenorrhea
should always be treated as pregnancy until proven otherwise.