SMARTY PANCE REPRODUCTIVE QUESTIONS AND
ANSWERS
On examination of a pregnant patient the physician assistant notes a bluish or purplish
discoloration of the vagina and cervix. This is called - Answers- Chadwick's sign
On examination of a pregnant patient the physician assistant notes the fundal height is
at the level of the umbilicus. This corresponds to what gestational age? - Answers- 20
weeks
Which of the following is the most common manifestation of polycystic ovarian
syndrome? - Answers- Hirsutism
A 25 year-old female presents with vulvar pruritus and a thick, white vaginal discharge.
Which of the following tests will be most helpful in making the correct diagnosis? -
Answers- KOH prep
Which of the following prenatal vitamins has been shown to decrease the risk of neural
tube defects? - Answers- Folic acid
A 35 year-old female presents with a solitary breast mass. Fine needle aspiration
reveals bloody fluid with no malignant cells. What is the next best step in the care of this
patient? - Answers- Excisional biopsy
What is the primary treatment for an infected Bartholin's duct cyst? - Answers- Incision
and drainage
A female patient presents with a vaginal discharge that has a fishy odor. On wet mount
examination of the discharge a few white blood cells and many stippled epithelial cells
are noted. Which of the following is the treatment of choice for this patient? - Answers-
Metronidazole
A 36-week pregnant patient presents to the ED with hypertension. Physical examination
reveals 2+/4+ edema in the lower extremities with hyperreflexia and clonus bilaterally. A
urinalysis reveals 3+ protein. Which of the following is the best treatment option for this
patient? - Answers- Magnesium sulfate
A patient presents with infertility due to chronic anovulation. Laboratory testing reveals a
normal follicle stimulating hormone, estradiol, and prolactin levels. The patient's
progestin challenge test was positive. Which of the following is the drug of choice for the
treatment of infertility in this patient? - Answers- Clomiphene citrate
Which of the following autosomal disorders results from the chromosomal abnormality
of trisomy 21? - Answers- Down's syndrome
, Human papilloma virus has been strongly associated with the development of which of
the following? - Answers- Cervical carcinoma
Progesterone influence on the breast tissue prior to menstruation causes - Answers-
growth of the lobules and alveoli.
A 40 year-old female presents with a 1.5 cm well-circumscribed mass noted on
mammography in the right upper, outer quadrant. Which of the following procedures is
most appropriate and should be done next? - Answers- Fine needle aspiration
A 25 year-old presents with pelvic pain and uterine bleeding. Her Beta-HCG was 1200
mIU/L six days ago. Her current Beta-HCG is 1600 mIU/L. What is the next best test in
the evaluation of this patient? - Answers- Transvaginal ultrasound is the best test to
separate ectopic from intrauterine pregnancy.
A couple presents having not been able to conceive over the past 12 months.
Evaluation of the male has been normal. The female has had regular menses. Ovulation
can be confirmed with mid-luteal phase measurement of which of the following? -
Answers- Progesterone
A 30 year-old presents with persistent vaginal discharge and vulvar pruritus. The
discharge is profuse, frothy, greenish, and foul smelling. pH of the vagina is 6.0. Which
of the following is the most likely diagnosis? - Answers- Trichomoniasis
A 30-week pregnant patient presents with sudden onset of profuse, painless vaginal
bleeding. Which of the following is the most likely diagnosis? - Answers- Placenta
previa
A 25 year-old female presents with constant premenstrual pelvic pain. She also notes
dysmenorrhea and dyspareunia. Which of the following is the most likely diagnosis? -
Answers- Endometriosis
Pharmacologic treatment of a patient with gestational diabetes should consist of which
of the following? - Answers- Regular insulin
What is the initial treatment of choice for hyperthyroidism in a 10-week pregnant
patient? - Answers- Propylthiouracil (PTU)
Treatment of the patient with Pediculosis pubis consists of which of the following? -
Answers- Permethrin (Nix) cream
Patient education for a 23 year-old using oral contraceptives should include which of the
following? - Answers- Rifampin may decrease the effectiveness of the oral
contraceptives
ANSWERS
On examination of a pregnant patient the physician assistant notes a bluish or purplish
discoloration of the vagina and cervix. This is called - Answers- Chadwick's sign
On examination of a pregnant patient the physician assistant notes the fundal height is
at the level of the umbilicus. This corresponds to what gestational age? - Answers- 20
weeks
Which of the following is the most common manifestation of polycystic ovarian
syndrome? - Answers- Hirsutism
A 25 year-old female presents with vulvar pruritus and a thick, white vaginal discharge.
Which of the following tests will be most helpful in making the correct diagnosis? -
Answers- KOH prep
Which of the following prenatal vitamins has been shown to decrease the risk of neural
tube defects? - Answers- Folic acid
A 35 year-old female presents with a solitary breast mass. Fine needle aspiration
reveals bloody fluid with no malignant cells. What is the next best step in the care of this
patient? - Answers- Excisional biopsy
What is the primary treatment for an infected Bartholin's duct cyst? - Answers- Incision
and drainage
A female patient presents with a vaginal discharge that has a fishy odor. On wet mount
examination of the discharge a few white blood cells and many stippled epithelial cells
are noted. Which of the following is the treatment of choice for this patient? - Answers-
Metronidazole
A 36-week pregnant patient presents to the ED with hypertension. Physical examination
reveals 2+/4+ edema in the lower extremities with hyperreflexia and clonus bilaterally. A
urinalysis reveals 3+ protein. Which of the following is the best treatment option for this
patient? - Answers- Magnesium sulfate
A patient presents with infertility due to chronic anovulation. Laboratory testing reveals a
normal follicle stimulating hormone, estradiol, and prolactin levels. The patient's
progestin challenge test was positive. Which of the following is the drug of choice for the
treatment of infertility in this patient? - Answers- Clomiphene citrate
Which of the following autosomal disorders results from the chromosomal abnormality
of trisomy 21? - Answers- Down's syndrome
, Human papilloma virus has been strongly associated with the development of which of
the following? - Answers- Cervical carcinoma
Progesterone influence on the breast tissue prior to menstruation causes - Answers-
growth of the lobules and alveoli.
A 40 year-old female presents with a 1.5 cm well-circumscribed mass noted on
mammography in the right upper, outer quadrant. Which of the following procedures is
most appropriate and should be done next? - Answers- Fine needle aspiration
A 25 year-old presents with pelvic pain and uterine bleeding. Her Beta-HCG was 1200
mIU/L six days ago. Her current Beta-HCG is 1600 mIU/L. What is the next best test in
the evaluation of this patient? - Answers- Transvaginal ultrasound is the best test to
separate ectopic from intrauterine pregnancy.
A couple presents having not been able to conceive over the past 12 months.
Evaluation of the male has been normal. The female has had regular menses. Ovulation
can be confirmed with mid-luteal phase measurement of which of the following? -
Answers- Progesterone
A 30 year-old presents with persistent vaginal discharge and vulvar pruritus. The
discharge is profuse, frothy, greenish, and foul smelling. pH of the vagina is 6.0. Which
of the following is the most likely diagnosis? - Answers- Trichomoniasis
A 30-week pregnant patient presents with sudden onset of profuse, painless vaginal
bleeding. Which of the following is the most likely diagnosis? - Answers- Placenta
previa
A 25 year-old female presents with constant premenstrual pelvic pain. She also notes
dysmenorrhea and dyspareunia. Which of the following is the most likely diagnosis? -
Answers- Endometriosis
Pharmacologic treatment of a patient with gestational diabetes should consist of which
of the following? - Answers- Regular insulin
What is the initial treatment of choice for hyperthyroidism in a 10-week pregnant
patient? - Answers- Propylthiouracil (PTU)
Treatment of the patient with Pediculosis pubis consists of which of the following? -
Answers- Permethrin (Nix) cream
Patient education for a 23 year-old using oral contraceptives should include which of the
following? - Answers- Rifampin may decrease the effectiveness of the oral
contraceptives
