NEWEST ACTUAL EXAM
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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?
a. Lipoma
b. Dermoid cyst
c. Bartholin's cyst
d. Skene's duct cyst - ANSWER c
49yo female c/o dark, watery brown vaginal discharge. Which
best describes what might be seen on physical exam in pt's with
cervical cancer?
a. Ulcerated firm cervix
b. Vague lower abd pain
c. Enlarged tender femoral lymph nodes
d. Soft, still shaped cervix - ANSWER a
22yo female c/o pelvic pain. Exam reveals cervical motion and
uterine tenderness. Which supports PID dx?
a. Temp <100F
,b. Absence of WBCs in vag fluid
c. Mucopurulent vag discharge
d. Lab documentation of cervical infection w/E. coli -
ANSWER c
When educating pt about rationale for getting mammo, which
statement is false?
a. Mammo is cost-effective method to screen for breast cancer
b. Mammo detects all breast cancers
c. Mammo should be accompanied by breast exam
d. Negative mammo should not delay biopsy of clinically
suspicious mass - ANSWER b
When educating women about breast cancer risk factors, which
statement is incorrect?
a. Pregnancy after 35yo
b. Late menopause after 57yo
c. Fibrocystic breast dz
d. H/o maternal breast cancer - ANSWER c
Which of the following statements is accurate regarding the
usefulness of mammo in screening and detection of breast
cancer?
a. Mammo shouldn't be done if there is any breast pain or nipple
retraction
b. All women >40yo should have mammo on annual basis
c. Mammo should be done annually for all women of child-
bearing age
d. Mammos should be performed annually after initial
pregnancy, especially if women doesn't breastfeed - ANSWER b
Which would be considered normal surface characteristic of the
cervix during a speculum exam?
,a. Small, yellow, raised around area on cervix
b. Friable, bleeding tissue opening of the cervical os
c. Red patch areas w/occasional white spots
d. Irregular, granular surface w/red patches - ANSWER a
What is the most common cause of dysfunctional uterine
bleeding?
a. Endocrine disorders
b. Stress
c. Anovulation
d. Anatomical abnormality - ANSWER c
Which one best describes lesions associated with condyloma
acuminatum?
a. Verruciform
b. Plaque-like
c. Vesicular
d. Bullous - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER 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