Women's Health - Exam 2 with
correct verified answers2024
Which kind of speculum is often most suitable for examination of the nulliparous
patient?
A. Ling speculum
B. Graves speculum
C. Pederson speculum
D. Mogans speculum - correct answerC. Pederson speculum
Elevating the head of the examining table approximately 30 degrees facilitates the
A. physician not being distracted by eye contact with the patient
B. contraction of the abdominal wall muscle groups, making examination easier
C. observation of the patient's responses
D. ability of the patient to comfortably look around to distract her from the
examination - correct answerC. observation of the patient's responses
Menopause is defined as the cessation of menses for greater than
A. 9 months
B. 12 months
C. 18 months
D. 24 months - correct answerB. 12 months
[confirmed by Heather via email, in response to some speaker who indicated some
other value]
If a patient becomes uncomfortable with a topic during a history-taking session, the
best response of the physician is to
A. make a joke to relieve the tension
B. ignore the discomfort and proceed with questioning
C. discontinue discussion of the topic to avoid further patient discomfort and damage
to the patient-physician relationship
D. address the patient's discomfort in a positive and supportive manner - correct
answerD. address the patient's discomfort in a positive and supportive manner
Which type of speculum is most appropriate for the examination of a parous
menstrual woman?
A. Pederson speculum
B. Graves speculum
C. Mogans speculum
D. Ling speculum - correct answerB. Graves speculum
In the cooperative model, creating an interaction where the patient feels that she is
being heard and accepted is an illustration of the principle of
A. engagement
B. empathy
C. enlistment
,Women's Health - Exam 2 with
correct verified answers2024
D. educating - correct answerB. empathy
Which of the following statements about the steps in the breast examination is
correct?
A. palpation and inspection are done simultaneously
B. inspection is done first
C. palpation is done first
D. palpation is only done if inspection is abnormal - correct answerB. inspection is
done first
Peau d'orange change in the breast is associated with
A. edema of the lymphatics
B. jaundice
C. galactorrhea
D. too vigorous breast-feeding - correct answerA. edema of the lymphatics
During bimanual examination of the adnexa in normal premenopausal women, the
ovaries are palpable
A. almost never
B. all the time
C. about three-quarters/most of the time
D. about half of the time - correct answerD. about half of the time
In a woman describing sufficiently frequent sexual encounters, infertility typically is
described as a failure to conceive after
A. 9 months
B. 12 months
C. 6 months
D. 18 months - correct answerB. 12 months
Which of the following uterine positions is most associated with dyspareunia and
dysmenorrhea?
A. retroverted, anteflexed
B. retroverted, retroflexed
C. anteverted, anteflexed
D. midposition, retroflexed - correct answerB. retroverted, retroflexed
Which uterine configuration is most difficult to assess for size, shape, configuration,
and mobility?
A. retroverted
B. anteverted
C. there is no difference in difficulty
D. midposition - correct answerA. retroverted
,Women's Health - Exam 2 with
correct verified answers2024
Inquiry concerning adult and child history of sexual abuse and assault should be
included in the sexual history
A. only for a patient with whom the physician has a long-standing rapport
B. only if a specific indication is noted
C. sometimes, if the length of the visit permits
D. always, even for a new patient - correct answerD. always, even for a new patient
Pelvic muscle training programs have which of the following goals?
A. increasing midstream urine flow
B. increasing the amount of time between episodes of incontinence
C. decreasing the duration of urine flow
D. eliminating episodes of incontinence - correct answerB. increasing the amount of
time between episodes of incontinence
A transducer is placed in the vagina to measure intra-abdominal pressure as part of
A. the Burch procedure
B. cystourethroscopy
C. multichannel urodynamic testing
D. single-channel urodynamic testing - correct answerC. multichannel urodynamic
testing
Procidentia describes uterine descent beyond the
A. level of the uterine artery
B. plane of the pelvic inlet
C. vulva
D. ischial spines - correct answerC. vulva
In characterizing the degree of prolapse, a situation where the leading part of the
prolapse is more than 1cm beyond the hymen but less than or equal to the total
vaginal length is defined as
A. stage I
B. stage II
C. stage IV
D. stage III - correct answerD. stage III
Which of the following surgical procedures obliterates the vaginal canal?
A. bulking agents
B. colpocleisis
C. rectopubic colposuspension
D. Burch - correct answerB. colpocleisis
, Women's Health - Exam 2 with
correct verified answers2024
In a symptomatic patient, which of the following is indicative of lower urinary tract
infection?
A. 10,000 colonies of E. coli
B. >100,000 colonies of mixed flora
C. 10,000 colonies of S. aureus
D. 1,000 colonies of Bacteroides species - correct answerA. 10,000 colonies of E.
coli
In general, urinary incontinence is highest in women at what age range?
A. <35
B. 30-40
C. >65
D. 45-55 - correct answerC. >65
Asymptomatic bacteriuria is found in approximately what percent of postmenopausal
women?
A. <5%
B. 10%
C. 30%
D. 20% - correct answerD. 20%
A 62-year-old woman is found to have stress urinary incontinence. A retropubic
colposuspension is recommended for this patient in order to
A. reduce the pressure of the bladder
B. rotate the angel of the urethra
C. compress the urethrovesical angle
D. restore the proximal urethra to the retropubic position - correct answerD. restore
the proximal urethra to the retropubic position
A cystocele may best be demonstrated clinically by
A. use of a Valsalva maneuver
B. observing posterior rotation of the anterior vaginal wall in response to change in
position
C. gentle traction on the cervix
D. use of a Sims speculum to retract the anterior vaginal wall - correct answerA. use
of a Valsalva maneuver
First urinary tract infections in women are most commonly caused by
A. E. coli
B. Proteus mirabilis
C. beta-streptococcus
D. Clostridium perfringens - correct answerA. E. coli
correct verified answers2024
Which kind of speculum is often most suitable for examination of the nulliparous
patient?
A. Ling speculum
B. Graves speculum
C. Pederson speculum
D. Mogans speculum - correct answerC. Pederson speculum
Elevating the head of the examining table approximately 30 degrees facilitates the
A. physician not being distracted by eye contact with the patient
B. contraction of the abdominal wall muscle groups, making examination easier
C. observation of the patient's responses
D. ability of the patient to comfortably look around to distract her from the
examination - correct answerC. observation of the patient's responses
Menopause is defined as the cessation of menses for greater than
A. 9 months
B. 12 months
C. 18 months
D. 24 months - correct answerB. 12 months
[confirmed by Heather via email, in response to some speaker who indicated some
other value]
If a patient becomes uncomfortable with a topic during a history-taking session, the
best response of the physician is to
A. make a joke to relieve the tension
B. ignore the discomfort and proceed with questioning
C. discontinue discussion of the topic to avoid further patient discomfort and damage
to the patient-physician relationship
D. address the patient's discomfort in a positive and supportive manner - correct
answerD. address the patient's discomfort in a positive and supportive manner
Which type of speculum is most appropriate for the examination of a parous
menstrual woman?
A. Pederson speculum
B. Graves speculum
C. Mogans speculum
D. Ling speculum - correct answerB. Graves speculum
In the cooperative model, creating an interaction where the patient feels that she is
being heard and accepted is an illustration of the principle of
A. engagement
B. empathy
C. enlistment
,Women's Health - Exam 2 with
correct verified answers2024
D. educating - correct answerB. empathy
Which of the following statements about the steps in the breast examination is
correct?
A. palpation and inspection are done simultaneously
B. inspection is done first
C. palpation is done first
D. palpation is only done if inspection is abnormal - correct answerB. inspection is
done first
Peau d'orange change in the breast is associated with
A. edema of the lymphatics
B. jaundice
C. galactorrhea
D. too vigorous breast-feeding - correct answerA. edema of the lymphatics
During bimanual examination of the adnexa in normal premenopausal women, the
ovaries are palpable
A. almost never
B. all the time
C. about three-quarters/most of the time
D. about half of the time - correct answerD. about half of the time
In a woman describing sufficiently frequent sexual encounters, infertility typically is
described as a failure to conceive after
A. 9 months
B. 12 months
C. 6 months
D. 18 months - correct answerB. 12 months
Which of the following uterine positions is most associated with dyspareunia and
dysmenorrhea?
A. retroverted, anteflexed
B. retroverted, retroflexed
C. anteverted, anteflexed
D. midposition, retroflexed - correct answerB. retroverted, retroflexed
Which uterine configuration is most difficult to assess for size, shape, configuration,
and mobility?
A. retroverted
B. anteverted
C. there is no difference in difficulty
D. midposition - correct answerA. retroverted
,Women's Health - Exam 2 with
correct verified answers2024
Inquiry concerning adult and child history of sexual abuse and assault should be
included in the sexual history
A. only for a patient with whom the physician has a long-standing rapport
B. only if a specific indication is noted
C. sometimes, if the length of the visit permits
D. always, even for a new patient - correct answerD. always, even for a new patient
Pelvic muscle training programs have which of the following goals?
A. increasing midstream urine flow
B. increasing the amount of time between episodes of incontinence
C. decreasing the duration of urine flow
D. eliminating episodes of incontinence - correct answerB. increasing the amount of
time between episodes of incontinence
A transducer is placed in the vagina to measure intra-abdominal pressure as part of
A. the Burch procedure
B. cystourethroscopy
C. multichannel urodynamic testing
D. single-channel urodynamic testing - correct answerC. multichannel urodynamic
testing
Procidentia describes uterine descent beyond the
A. level of the uterine artery
B. plane of the pelvic inlet
C. vulva
D. ischial spines - correct answerC. vulva
In characterizing the degree of prolapse, a situation where the leading part of the
prolapse is more than 1cm beyond the hymen but less than or equal to the total
vaginal length is defined as
A. stage I
B. stage II
C. stage IV
D. stage III - correct answerD. stage III
Which of the following surgical procedures obliterates the vaginal canal?
A. bulking agents
B. colpocleisis
C. rectopubic colposuspension
D. Burch - correct answerB. colpocleisis
, Women's Health - Exam 2 with
correct verified answers2024
In a symptomatic patient, which of the following is indicative of lower urinary tract
infection?
A. 10,000 colonies of E. coli
B. >100,000 colonies of mixed flora
C. 10,000 colonies of S. aureus
D. 1,000 colonies of Bacteroides species - correct answerA. 10,000 colonies of E.
coli
In general, urinary incontinence is highest in women at what age range?
A. <35
B. 30-40
C. >65
D. 45-55 - correct answerC. >65
Asymptomatic bacteriuria is found in approximately what percent of postmenopausal
women?
A. <5%
B. 10%
C. 30%
D. 20% - correct answerD. 20%
A 62-year-old woman is found to have stress urinary incontinence. A retropubic
colposuspension is recommended for this patient in order to
A. reduce the pressure of the bladder
B. rotate the angel of the urethra
C. compress the urethrovesical angle
D. restore the proximal urethra to the retropubic position - correct answerD. restore
the proximal urethra to the retropubic position
A cystocele may best be demonstrated clinically by
A. use of a Valsalva maneuver
B. observing posterior rotation of the anterior vaginal wall in response to change in
position
C. gentle traction on the cervix
D. use of a Sims speculum to retract the anterior vaginal wall - correct answerA. use
of a Valsalva maneuver
First urinary tract infections in women are most commonly caused by
A. E. coli
B. Proteus mirabilis
C. beta-streptococcus
D. Clostridium perfringens - correct answerA. E. coli
