NR602 Final Exam
Which one best describes lesions associated with condyloma acuminatum?
a. Verruciform
b. Plaque-like
c. Vesicular
d. Bullous ANS: a
39yo female has completed course of amox for strep throat. LMP was 2wks ago, says it was normal. On
exam, there's erythema of extern. genitalia w/small amount of white discharge. Micro wet prep reveals
few clue cells, but many budding hyphae. No WBCs. Which one would be the most appropriate
treatment?
a. Metronidazole 500mg BID x7 days
b. OTC hydrocortisone 1% cream TID
c. Fluconazole tabs 150mg x1 dose
d. Erythromycin 500mg TID x10 days ANS: c
Woman c/o vaginal itching, white discharge. She is in good health except for recent abx for strep throat.
Pelvic reveals tender vulvovaginal area w/edema and nonmalodorous white patches. Which is the most
likely cause?
a. Bacterial vaginosis
b. Trichomonas
c. Lactobacillus overgrowth
d. Candidiasis ANS: d
,18yo female c/o secondary amenorrhea. On exam, there is normal secondary sex characteristics and
normal genitalia. Pregnancy is ruled out. What would necessitate further eval?
a. Elevated blood cholesterol levels
b. Androgen deficiency
c. Galactorrhea
d. Hirsutism ANS: c
24yo female is dx'd w/primary dysmenorrhea. Which med would be used as first-line to help control
symptoms?
a. Antianxiety meds
b. Progesterone-only contraception
c. Oral steroids
d. NSAIDs ANS: d
Primary amenorrhea is best described as:
a. Cessation of menstruation x6mo
b. Failure of menstruation to occur by 17ho
c. Failure of menstruation to occur by 13yo
d. Cessation of menstruation x6mo after menarche ANS: c
25yo female c/o vaginal irritation and discharge. On exam, cervix is easily friable and erythematous. No
adnexal tenderness. Wet prep reveals mobile protozoa on NS slide. This most likely represents:
,a. Trichomonas
b. Mucopurulent cervicitis
c. Bacterial vaginosis
d. Gonorrhea ANS: a
16yo female has h/o secondary amenorrhea. Menarche at 10yo, regular cycles x2yrs, has not
menstruated x4yrs. What is most frequent etiology of this problem?
a. Eating disorder
b. Pregnancy
c. Anovulatory cycles
d. Stress ANS: a
Woman is experiencing vaginal discharge. Wet mount with KOH would be used to confirm:
a. Herpes simplex
b. Gonorrhea
c. Candidiasis
d. Chlamydia ANS: c
Treatment options for condyloma acuminatum include:
a. Imiquimod (Aldera)
b. Azithromycin
c. Acyclovir
d. Metronidazole ANS: a
, 25yo postmenopausal female c/o pain in upper outer quadrant of L breast x1mo. Best course of action
would be:
a. Reassure pt that pain is often not presenting symptom of breast cancer.
b. Teach pt breast self-exam.
c. Order labs as most likely this is secondary to hormonal fluctuation
d. Perform breast exam and order mammo ANS: d
PID typically presents with all of the following except:
a. Dysuria
b. Leukopenia
c. Cervical motion tenderness
d. Abd pain ANS: b
Which of the following are of a reproductive and pelvic origin?
a. Salpingo-oophoritis (fallopian tube/ovary) secondary to PID
b. Gynecologic malignancy
c. Adhesions
d. Myomata uteri ANS: a
25yo female c/o tender area near her introitus and to the L of her perineum. Very painful sex was first
sign. Initially bump was very small, but now is ping-pong ball size. On exam, abscess is present on L
medial side of labia minora and there's edema extending into perineum. What is dx?
Which one best describes lesions associated with condyloma acuminatum?
a. Verruciform
b. Plaque-like
c. Vesicular
d. Bullous ANS: a
39yo female has completed course of amox for strep throat. LMP was 2wks ago, says it was normal. On
exam, there's erythema of extern. genitalia w/small amount of white discharge. Micro wet prep reveals
few clue cells, but many budding hyphae. No WBCs. Which one would be the most appropriate
treatment?
a. Metronidazole 500mg BID x7 days
b. OTC hydrocortisone 1% cream TID
c. Fluconazole tabs 150mg x1 dose
d. Erythromycin 500mg TID x10 days ANS: c
Woman c/o vaginal itching, white discharge. She is in good health except for recent abx for strep throat.
Pelvic reveals tender vulvovaginal area w/edema and nonmalodorous white patches. Which is the most
likely cause?
a. Bacterial vaginosis
b. Trichomonas
c. Lactobacillus overgrowth
d. Candidiasis ANS: d
,18yo female c/o secondary amenorrhea. On exam, there is normal secondary sex characteristics and
normal genitalia. Pregnancy is ruled out. What would necessitate further eval?
a. Elevated blood cholesterol levels
b. Androgen deficiency
c. Galactorrhea
d. Hirsutism ANS: c
24yo female is dx'd w/primary dysmenorrhea. Which med would be used as first-line to help control
symptoms?
a. Antianxiety meds
b. Progesterone-only contraception
c. Oral steroids
d. NSAIDs ANS: d
Primary amenorrhea is best described as:
a. Cessation of menstruation x6mo
b. Failure of menstruation to occur by 17ho
c. Failure of menstruation to occur by 13yo
d. Cessation of menstruation x6mo after menarche ANS: c
25yo female c/o vaginal irritation and discharge. On exam, cervix is easily friable and erythematous. No
adnexal tenderness. Wet prep reveals mobile protozoa on NS slide. This most likely represents:
,a. Trichomonas
b. Mucopurulent cervicitis
c. Bacterial vaginosis
d. Gonorrhea ANS: a
16yo female has h/o secondary amenorrhea. Menarche at 10yo, regular cycles x2yrs, has not
menstruated x4yrs. What is most frequent etiology of this problem?
a. Eating disorder
b. Pregnancy
c. Anovulatory cycles
d. Stress ANS: a
Woman is experiencing vaginal discharge. Wet mount with KOH would be used to confirm:
a. Herpes simplex
b. Gonorrhea
c. Candidiasis
d. Chlamydia ANS: c
Treatment options for condyloma acuminatum include:
a. Imiquimod (Aldera)
b. Azithromycin
c. Acyclovir
d. Metronidazole ANS: a
, 25yo postmenopausal female c/o pain in upper outer quadrant of L breast x1mo. Best course of action
would be:
a. Reassure pt that pain is often not presenting symptom of breast cancer.
b. Teach pt breast self-exam.
c. Order labs as most likely this is secondary to hormonal fluctuation
d. Perform breast exam and order mammo ANS: d
PID typically presents with all of the following except:
a. Dysuria
b. Leukopenia
c. Cervical motion tenderness
d. Abd pain ANS: b
Which of the following are of a reproductive and pelvic origin?
a. Salpingo-oophoritis (fallopian tube/ovary) secondary to PID
b. Gynecologic malignancy
c. Adhesions
d. Myomata uteri ANS: a
25yo female c/o tender area near her introitus and to the L of her perineum. Very painful sex was first
sign. Initially bump was very small, but now is ping-pong ball size. On exam, abscess is present on L
medial side of labia minora and there's edema extending into perineum. What is dx?
