GNRS 591 QUIZ QUESTIONS & ANSWERS
A 27 year old female whose mother had breast cancer diagnosed at 36 years of age
asks you if there are any precautions besides self and clinical breast exams she can
take to determine her risk for breast cancer. You would appropriately respond:
A. The patient should have started annual screening mammograms at 21 years of age
and you will send her immediately.
B. You would recommend to the patient that she receive genetic testing for the BRCA
1/2 genes.
C. Self breast exams are sufficient until the patient is 30 years of age.
D. You will recommend a bilateral modified radical mastectomy to remove both of her
breasts based on her family history. - Answer -B
Which of the following women is the best candidate for the copper IUD (Paragard)?
A. A nulliparous woman with heavy menses
B. A 25 year old woman with 3 children who has a history of hypertension
C. A 32 year old woman who has a history of intracavity uterine fibroids
D. A 42 year old woman who is done having children and has a history of anemia -
Answer -B
The three main structures involved in normal control of the menstrual cycle include:
A. Pituitary, ovaries and cerebellum
B. Pancreas, ovaries and uterus
C. Hypothalamus, pituitary and thyroid
D. Hypothalamus, pituitary and ovaries - Answer -D
Using Nagel's rule to determine the estimated date of birth (EDB) for a woman whose
LMP is June 14th, 2014, the NP would arrive at which date?
A. March 21st, 2015
B. September 7th, 2015
C. March 14th, 2015
,D. April 4th, 2015 - Answer -A
A mother brings her 17 year old daughter to the clinic to discuss birth control options for
the adolescent prior to the onset of sexual activity. In addition to discussing the various
birth control options, the NP appropriately recommends:
A. The patient should begin pap smear testing shortly after she becomes sexually
active
B. The patient should use condoms only as condoms are the only recommended birth
control method for 17 year old individuals
C. The patient is a candidate for human papillomavirus (HPV) vaccination and
condoms are recommended in addition to other birth control methods to help protect
against sexually transmitted infections (STIs)
D. both mother and daughter should receive the HPV vaccination as it doesn't matter
when the vaccine is given - Answer -C
Postpartum depression differs from postpartum psychosis in which way?
A. Postpartum depression is accompanied by loss of interest in life activities, whereas
psychosis may be accompanied by hallucinations and/or hearing voices
B. Postpartum depression must always be treated with antidepressants, whereas
psychosis is generally treated with therapy
C. Postpartum depression occurs at 6 months after birth, whereas psychosis is
generally rapid in onset
D. Postpartum psychosis usually presents with severe temperature elevations, whereas
postpartum depression is psychosomatic - Answer -A
What is the appropriate medication treatment for a 20 year old patient whose gonorrhea
test result is positive?
A. Acyclovir 400mg po tid
B. Doxycycline 100mg po bid x 7 days and metronidazole 500mg po bid x 7 days
C. Azithromycin 1 gm po once and ceftriaxone 250mg IM once
D. Acyclovir 400mg po tid and ceftriaxone 250mg IM once - Answer -C
Mastitis in a breastfeeding woman would best be treated outpatient with:
,A. Vancomycin
B. Doxycycline
C. Dicloxacillin
D. Azithromycin - Answer -C
A non-breastfeeding postpartum woman should be instructed to do which of the
following in order to decrease milk production?
A. hand expression of milk from the breasts and tylenol
B. cold-packs alternating with pumping the breasts
C. warm showers and breast pumping
D. cold (ice) packs to the breasts and a supportive bra - Answer -D
Treatment options for condyloma acuminatum include:
A. Imiquimod (Aldara)
B. Metronidazole
C. Acyclovir
D. Azithromycin - Answer -A
A sexually active 19 year old patient comes to the clinic requesting her annual pap
smear test and physical exam. The NP appropriately advises the patient:
A. No testing is required until the patient is 25 years of age
B. All that is required in the patient's age group is a clinical breast exam
C. Pap smears are no longer part of the annual screening requirement for patients
under 21 year of age, but gonorrhea and chlamydia testing are recommended
D. The NP will comply with the patient's request as the patient is correct - Answer -C
A patient complains of a yellow-greenish frothy, malodorous vaginal discharge with
vaginal irritation for several days. An appropriate test to screen for the described
problem would include:
, A. RPR or VDRL
B. Herpes simplex virus culture
C. HIV blood test
D. Wet mount saline slide - Answer -D
Treatment for bacterial vaginosis includes:
A. Azithromycin (Zpack)
B. Terconazole 0.8% qhs x 3
C. Metronidazole 500mg po bid x 7 days
D. Ceftriazone 125mg IM once - Answer -C
Classic signs of endometritis include:
A. Fever and breast pain
B. Foul smelling discharge and pelvic pain
C. Urinary incontinence and white vaginal discharge
D. Heavy bleeding and rectal pressure - Answer -B
Which of the following is often found in women using DMPA (Depo-Provera)?
A. Weight gain
B. Acne
C. Rapid return of fertility upon discontinuation
D. hypermenorrhea - Answer -A
A woman receives a negative pap smear and positive HPV DNA test result, but has not
experienced any pathology thus far. The patient asks the NP what these results
indicate. Of the following responses, the NPs best response is:
A. These test results indicate you have been exposed to the HPV virus and it is
recommended that you are either re-screened in one year or HPV genotyping
performed now for types 16 and 18 to determine the need for colposcopy.
A 27 year old female whose mother had breast cancer diagnosed at 36 years of age
asks you if there are any precautions besides self and clinical breast exams she can
take to determine her risk for breast cancer. You would appropriately respond:
A. The patient should have started annual screening mammograms at 21 years of age
and you will send her immediately.
B. You would recommend to the patient that she receive genetic testing for the BRCA
1/2 genes.
C. Self breast exams are sufficient until the patient is 30 years of age.
D. You will recommend a bilateral modified radical mastectomy to remove both of her
breasts based on her family history. - Answer -B
Which of the following women is the best candidate for the copper IUD (Paragard)?
A. A nulliparous woman with heavy menses
B. A 25 year old woman with 3 children who has a history of hypertension
C. A 32 year old woman who has a history of intracavity uterine fibroids
D. A 42 year old woman who is done having children and has a history of anemia -
Answer -B
The three main structures involved in normal control of the menstrual cycle include:
A. Pituitary, ovaries and cerebellum
B. Pancreas, ovaries and uterus
C. Hypothalamus, pituitary and thyroid
D. Hypothalamus, pituitary and ovaries - Answer -D
Using Nagel's rule to determine the estimated date of birth (EDB) for a woman whose
LMP is June 14th, 2014, the NP would arrive at which date?
A. March 21st, 2015
B. September 7th, 2015
C. March 14th, 2015
,D. April 4th, 2015 - Answer -A
A mother brings her 17 year old daughter to the clinic to discuss birth control options for
the adolescent prior to the onset of sexual activity. In addition to discussing the various
birth control options, the NP appropriately recommends:
A. The patient should begin pap smear testing shortly after she becomes sexually
active
B. The patient should use condoms only as condoms are the only recommended birth
control method for 17 year old individuals
C. The patient is a candidate for human papillomavirus (HPV) vaccination and
condoms are recommended in addition to other birth control methods to help protect
against sexually transmitted infections (STIs)
D. both mother and daughter should receive the HPV vaccination as it doesn't matter
when the vaccine is given - Answer -C
Postpartum depression differs from postpartum psychosis in which way?
A. Postpartum depression is accompanied by loss of interest in life activities, whereas
psychosis may be accompanied by hallucinations and/or hearing voices
B. Postpartum depression must always be treated with antidepressants, whereas
psychosis is generally treated with therapy
C. Postpartum depression occurs at 6 months after birth, whereas psychosis is
generally rapid in onset
D. Postpartum psychosis usually presents with severe temperature elevations, whereas
postpartum depression is psychosomatic - Answer -A
What is the appropriate medication treatment for a 20 year old patient whose gonorrhea
test result is positive?
A. Acyclovir 400mg po tid
B. Doxycycline 100mg po bid x 7 days and metronidazole 500mg po bid x 7 days
C. Azithromycin 1 gm po once and ceftriaxone 250mg IM once
D. Acyclovir 400mg po tid and ceftriaxone 250mg IM once - Answer -C
Mastitis in a breastfeeding woman would best be treated outpatient with:
,A. Vancomycin
B. Doxycycline
C. Dicloxacillin
D. Azithromycin - Answer -C
A non-breastfeeding postpartum woman should be instructed to do which of the
following in order to decrease milk production?
A. hand expression of milk from the breasts and tylenol
B. cold-packs alternating with pumping the breasts
C. warm showers and breast pumping
D. cold (ice) packs to the breasts and a supportive bra - Answer -D
Treatment options for condyloma acuminatum include:
A. Imiquimod (Aldara)
B. Metronidazole
C. Acyclovir
D. Azithromycin - Answer -A
A sexually active 19 year old patient comes to the clinic requesting her annual pap
smear test and physical exam. The NP appropriately advises the patient:
A. No testing is required until the patient is 25 years of age
B. All that is required in the patient's age group is a clinical breast exam
C. Pap smears are no longer part of the annual screening requirement for patients
under 21 year of age, but gonorrhea and chlamydia testing are recommended
D. The NP will comply with the patient's request as the patient is correct - Answer -C
A patient complains of a yellow-greenish frothy, malodorous vaginal discharge with
vaginal irritation for several days. An appropriate test to screen for the described
problem would include:
, A. RPR or VDRL
B. Herpes simplex virus culture
C. HIV blood test
D. Wet mount saline slide - Answer -D
Treatment for bacterial vaginosis includes:
A. Azithromycin (Zpack)
B. Terconazole 0.8% qhs x 3
C. Metronidazole 500mg po bid x 7 days
D. Ceftriazone 125mg IM once - Answer -C
Classic signs of endometritis include:
A. Fever and breast pain
B. Foul smelling discharge and pelvic pain
C. Urinary incontinence and white vaginal discharge
D. Heavy bleeding and rectal pressure - Answer -B
Which of the following is often found in women using DMPA (Depo-Provera)?
A. Weight gain
B. Acne
C. Rapid return of fertility upon discontinuation
D. hypermenorrhea - Answer -A
A woman receives a negative pap smear and positive HPV DNA test result, but has not
experienced any pathology thus far. The patient asks the NP what these results
indicate. Of the following responses, the NPs best response is:
A. These test results indicate you have been exposed to the HPV virus and it is
recommended that you are either re-screened in one year or HPV genotyping
performed now for types 16 and 18 to determine the need for colposcopy.
