lOMoAR cPSD| 57819357
lOMoAR cPSD| 57819357
NU 665/ NU665 Primary Care Adult Woman II Exam Questions
And Correct Answers (Verified Answers) Plus Rationales 2025
Q&A Graded A+
A 32-year-old woman presents with irregular menstrual cycles and hirsutism.
Ultrasound shows multiple ovarian follicles. Which lab value would support the
diagnosis of PCOS?
A. Low LH
B. Low testosterone
C. Elevated LH to FSH ratio
D. Elevated prolactin
Rationale: An elevated LH/FSH ratio is a common finding in PCOS and helps
confirm the diagnosis along with clinical features.
3. Which of the following is the most appropriate initial imaging study for a 45-
year-old woman with a palpable breast mass?
A. Breast MRI
B. Diagnostic mammogram and ultrasound
C. PET scan
D. Chest X-ray
, lOMoAR cPSD| 57819357
Rationale: A diagnostic mammogram with ultrasound is the appropriate first
step to evaluate a palpable breast mass in women over 30.
4. A 28-year-old pregnant woman presents at 10 weeks gestation. She is G1P0.
What is the most appropriate time to screen for gestational diabetes?
A. At 10 weeks
B. At 16 weeks
C. At 24-28 weeks
D. After delivery
Rationale: Gestational diabetes screening is routinely performed between 24
and 28 weeks of gestation.
5. A 50-year-old postmenopausal woman presents with vaginal bleeding.
What is the first diagnostic step?
A. Transvaginal ultrasound
B. Pap smear
C. Endometrial ablation
D. Start progesterone therapy
Rationale: Postmenopausal bleeding should be evaluated with transvaginal
ultrasound to assess endometrial thickness.
6. Which contraceptive method is contraindicated in a woman with a history of
deep vein thrombosis?
, lOMoAR cPSD| 57819357
A. Copper IUD
B. Combined oral contraceptives
C. Barrier methods
D. Progestin-only pills
Rationale: Estrogen-containing contraceptives are contraindicated in women
with a history of thromboembolism.
7. A 35-year-old woman has not had a Pap smear in over 10 years. What
screening is recommended?
A. Pap smear every year
B. Pap smear with HPV co-testing every 5 years
C. HPV test alone every year
D. No screening needed
Rationale: Women aged 30-65 should have Pap smear with HPV co-testing every
5 years.
8. What is the most common cause of abnormal uterine bleeding in
adolescents?
A. Anovulation
B. Endometrial cancer
C. Uterine fibroids
D. Pregnancy
lOMoAR cPSD| 57819357
NU 665/ NU665 Primary Care Adult Woman II Exam Questions
And Correct Answers (Verified Answers) Plus Rationales 2025
Q&A Graded A+
A 32-year-old woman presents with irregular menstrual cycles and hirsutism.
Ultrasound shows multiple ovarian follicles. Which lab value would support the
diagnosis of PCOS?
A. Low LH
B. Low testosterone
C. Elevated LH to FSH ratio
D. Elevated prolactin
Rationale: An elevated LH/FSH ratio is a common finding in PCOS and helps
confirm the diagnosis along with clinical features.
3. Which of the following is the most appropriate initial imaging study for a 45-
year-old woman with a palpable breast mass?
A. Breast MRI
B. Diagnostic mammogram and ultrasound
C. PET scan
D. Chest X-ray
, lOMoAR cPSD| 57819357
Rationale: A diagnostic mammogram with ultrasound is the appropriate first
step to evaluate a palpable breast mass in women over 30.
4. A 28-year-old pregnant woman presents at 10 weeks gestation. She is G1P0.
What is the most appropriate time to screen for gestational diabetes?
A. At 10 weeks
B. At 16 weeks
C. At 24-28 weeks
D. After delivery
Rationale: Gestational diabetes screening is routinely performed between 24
and 28 weeks of gestation.
5. A 50-year-old postmenopausal woman presents with vaginal bleeding.
What is the first diagnostic step?
A. Transvaginal ultrasound
B. Pap smear
C. Endometrial ablation
D. Start progesterone therapy
Rationale: Postmenopausal bleeding should be evaluated with transvaginal
ultrasound to assess endometrial thickness.
6. Which contraceptive method is contraindicated in a woman with a history of
deep vein thrombosis?
, lOMoAR cPSD| 57819357
A. Copper IUD
B. Combined oral contraceptives
C. Barrier methods
D. Progestin-only pills
Rationale: Estrogen-containing contraceptives are contraindicated in women
with a history of thromboembolism.
7. A 35-year-old woman has not had a Pap smear in over 10 years. What
screening is recommended?
A. Pap smear every year
B. Pap smear with HPV co-testing every 5 years
C. HPV test alone every year
D. No screening needed
Rationale: Women aged 30-65 should have Pap smear with HPV co-testing every
5 years.
8. What is the most common cause of abnormal uterine bleeding in
adolescents?
A. Anovulation
B. Endometrial cancer
C. Uterine fibroids
D. Pregnancy
