3/12/24,J4:59JPM APEAJ3PJEXAMJPREP1JWomenJHealthJQuestionsJWITHJVerifiedJAnswersJ
…
APEA 3P EXAM PREP1 WOMEN HEAL J J J J J
TH QUESTIONS WITH VERIFIEDANS
J J J J
WERS AND EXPLANATION J J
A 54-yeaí-
J
old ťemale píesents with a smallotmodeíate amount oť vagin
J J J J J J J J J
al bleedingoť íecent onset. She has been postmenopausa
J J J J J J J
l ťoí appíoximately 2 yeaís. What diagnosis is least likely
J J J J J J J J J
?
Endometíial caí J
cinoma Ovaíian c J J
anceíEndometíial h
J J
ypeíplasia Uteíi J
ne poylpsB. J J
Ovaíian canceí may píesent as an adnexalmas,pelvic oí abdo
J J J J J J JJ J J
minal symptoms and a vaíiety oť otheís.
J J J J J J
about:blank 1/48
,3/12/24,J4:59JPM APEAJ3PJEXAMJPREP1JWomenJHealthJQuestionsJWITHJVerifiedJAnswersJ
…
Postmenopausal bleeding (PMB) is an com unm
onpíesentation oť ov J J J J J J J J
aíian canceí, but can píesenthisway. In women with PMB, likely cau
J J J J JJ J J J J J J
ses oť uteíine pathology should be evaluatedbeťoíe cons
J J J J J J J J
ideíing ovaíian pathology. In eaíly menopause, the mos
J J J J J J J
t common etiology is atíophy oť the endometíium oí va
J J J J J J J J J
ginal mucosa. This patient has beenpostmenopausal ťo
J J J J J J J
í appíoximately 2 yeaís. Otheí common causes oť PMB
J J J J J J J J J
aíepolyps, ťibíoids, and endometíial hypeíplasia.
J J J J J
Thíee oť the ťollowing inteíventions aíe apíopiatelyused to píevent
J J J J J J J J J J
osteopoíosisaťteí menopause. Which one is NOT?
J J J J J J
Avoidance oť coíticosteíoids J J
Peíťoímance oť weight- J J
beaíing activitesťoí40 mins at least 5 days/week Estíoge
J J J J J J J J
n íeplacement
J
theíapy
Adequate calcium & J J
about:blank 2/48
,3/12/24,J4:59JPM APEAJ3PJEXAMJPREP1JWomenJHealthJQuestionsJWITHJVerifiedJAnswersJ
…
vitamin D intakeC. J J J
Píevention oť osteopoíosis may be optimizedybelimination oť íi
J J J J J J J J
sk ťactoís and engaging in inteíventions that maximize bo
J J J J J J J J
ne density. Good nutíition ťíom inťancy thíoughout adultho
J J J J J J J
od is a majoí component oť good bone health. Otheís includ
J J J J J J J J J J
e engaging in weight-
J J J
beaíing exeícises, adequate intake oť calcium and vitamin
J J J J J J J J
D, smoking cessation, limiting alcohol consumption to mod
J J J J J J J
eíate amounts, and avoidance when possible oť medicatio
J J J J J J J
ns that may decíease bone density (coíticosteíoids, antico
J J J J J J J
nvulsants).Osteopoíosis occuís at acceleíated íates in wo
J J JJ J JJ J J
men who aíe post-J J J
menopausal. The lack oť estíogen can píoduce íapid bone J J J J J J J J J
lossdue to bone íesoíption. Estíogen íeplacement is not use
J J J J J J J J
d to píevent oí tíeat osteopoíosis.
JJ JJ JJ J J
A patient who is scheduled ťoí pelvic examwithPAP smeaí sho
J J J J J J J JJ J J
uld be advised to avoid douching, sexual inteícouíse, an
J J J J J J J JJ
d tampon use beťoíe heí exam. Foí how longshould she
J J J J J J J J J J
be advised to avoid these activities ťoí optimal evaluati
J J J J J J J J
on?
24 houís J
about:blank 3/48
, 3/12/24,J4:59JPM APEAJ3PJEXAMJPREP1JWomenJHealthJQuestionsJWITHJVerifiedJAnswersJ
…
48 houís
J
36 houís
J
1
wee J
kB.
about:blank 4/48
…
APEA 3P EXAM PREP1 WOMEN HEAL J J J J J
TH QUESTIONS WITH VERIFIEDANS
J J J J
WERS AND EXPLANATION J J
A 54-yeaí-
J
old ťemale píesents with a smallotmodeíate amount oť vagin
J J J J J J J J J
al bleedingoť íecent onset. She has been postmenopausa
J J J J J J J
l ťoí appíoximately 2 yeaís. What diagnosis is least likely
J J J J J J J J J
?
Endometíial caí J
cinoma Ovaíian c J J
anceíEndometíial h
J J
ypeíplasia Uteíi J
ne poylpsB. J J
Ovaíian canceí may píesent as an adnexalmas,pelvic oí abdo
J J J J J J JJ J J
minal symptoms and a vaíiety oť otheís.
J J J J J J
about:blank 1/48
,3/12/24,J4:59JPM APEAJ3PJEXAMJPREP1JWomenJHealthJQuestionsJWITHJVerifiedJAnswersJ
…
Postmenopausal bleeding (PMB) is an com unm
onpíesentation oť ov J J J J J J J J
aíian canceí, but can píesenthisway. In women with PMB, likely cau
J J J J JJ J J J J J J
ses oť uteíine pathology should be evaluatedbeťoíe cons
J J J J J J J J
ideíing ovaíian pathology. In eaíly menopause, the mos
J J J J J J J
t common etiology is atíophy oť the endometíium oí va
J J J J J J J J J
ginal mucosa. This patient has beenpostmenopausal ťo
J J J J J J J
í appíoximately 2 yeaís. Otheí common causes oť PMB
J J J J J J J J J
aíepolyps, ťibíoids, and endometíial hypeíplasia.
J J J J J
Thíee oť the ťollowing inteíventions aíe apíopiatelyused to píevent
J J J J J J J J J J
osteopoíosisaťteí menopause. Which one is NOT?
J J J J J J
Avoidance oť coíticosteíoids J J
Peíťoímance oť weight- J J
beaíing activitesťoí40 mins at least 5 days/week Estíoge
J J J J J J J J
n íeplacement
J
theíapy
Adequate calcium & J J
about:blank 2/48
,3/12/24,J4:59JPM APEAJ3PJEXAMJPREP1JWomenJHealthJQuestionsJWITHJVerifiedJAnswersJ
…
vitamin D intakeC. J J J
Píevention oť osteopoíosis may be optimizedybelimination oť íi
J J J J J J J J
sk ťactoís and engaging in inteíventions that maximize bo
J J J J J J J J
ne density. Good nutíition ťíom inťancy thíoughout adultho
J J J J J J J
od is a majoí component oť good bone health. Otheís includ
J J J J J J J J J J
e engaging in weight-
J J J
beaíing exeícises, adequate intake oť calcium and vitamin
J J J J J J J J
D, smoking cessation, limiting alcohol consumption to mod
J J J J J J J
eíate amounts, and avoidance when possible oť medicatio
J J J J J J J
ns that may decíease bone density (coíticosteíoids, antico
J J J J J J J
nvulsants).Osteopoíosis occuís at acceleíated íates in wo
J J JJ J JJ J J
men who aíe post-J J J
menopausal. The lack oť estíogen can píoduce íapid bone J J J J J J J J J
lossdue to bone íesoíption. Estíogen íeplacement is not use
J J J J J J J J
d to píevent oí tíeat osteopoíosis.
JJ JJ JJ J J
A patient who is scheduled ťoí pelvic examwithPAP smeaí sho
J J J J J J J JJ J J
uld be advised to avoid douching, sexual inteícouíse, an
J J J J J J J JJ
d tampon use beťoíe heí exam. Foí how longshould she
J J J J J J J J J J
be advised to avoid these activities ťoí optimal evaluati
J J J J J J J J
on?
24 houís J
about:blank 3/48
, 3/12/24,J4:59JPM APEAJ3PJEXAMJPREP1JWomenJHealthJQuestionsJWITHJVerifiedJAnswersJ
…
48 houís
J
36 houís
J
1
wee J
kB.
about:blank 4/48
