HA MOD 7-12 PEER NOTES FINAL EXAM
Which findings during a pelvic examination of a postmenopausal woman would you
classify as normal?
A. Thin, dry vaginal epithelium
B. Narrowed vagina
C. Palpable ovaries
D. Drooping uterus
E. Sparse pubic hair
A, B, D, E
A 25-year-old married woman comes to the clinic with a concern about her fertility. She
says that she and her husband have been having unprotected sex for 6 months and she
has not gotten pregnant. How do you most appropriately respond?
A. Explain that one must have unprotected sex for a year before infertility is considered.
B. Suggest laboratory testing be done to ascertain her overall health status.
C. Instruct her on methods of determining ovulation time.
D. Refer her to a fertility specialist.
A
When the term adnexa is used in a patient's medical record, to what does it refer?
A. Contents of the pelvic cavity
B. Uterine accessory organs
C. Fold of tissue partly closing the vaginal orifice
D. Female external genitalia
B
. Which assessment finding supports the documentation of leukorrhea in a patient's
medical record?
A. White to light yellow vaginal discharge
B. Bloody vaginal discharge
C. Purulent vaginal discharge
D. Clear, mucoid vaginal discharge
D
,Which instructions should be given to a woman before an appointment that will include
a Pap test?
A. Change the appointment if you are menstruating, or plan to return for the Pap test at
a later time.
B. Do not have sexual intercourse within the 12 hours before the appointment.
C. Do not douche for 3 days prior to the appointment.
D. Reschedule if you have vaginal itching or burning within the 24 hours prior to the
appointment.
A
Which patient should have a cervical Pap test?
A. 12-year-old incest victim
B. Sexually active 15-year-old
C. 18-year-old rape survivor
D. Married, monogamous 21-year-old
D
Which finding during a health assessment would you document as amenorrhea?
A. Complaint of painful intercourse
B. The dislodging of the cervical mucus plug
C. The bluish discoloration of the cervix
D. Reported absence of menstruation
D
Mrs. Peterson is a 43-year-old patient who presents to the women's health clinic from
her primary care provider. During the taking of her history, Mrs. Peterson complains of a
heavy menstrual flow. Which term could you use in reporting and recording this
information?
A. Menorrhagia
B. Dysmenorrhea
C. Polymenorrhea
D. Metrorrhagia
A
To what does the notation "bloody show" found in a patient's medical record refer?
A. Red-tinged or bloody urine
B. Aberrant growths of endometrial tissue
C. Dislodging of the cervical mucus plug in labor
D. Candidal infection
C
,On review of a patient's record, you read that she is gravida 3. What is the meaning of
this notation?
A. She has been pregnant three times.
B. She has three children.
C. She has triplets.
D. She had three live births.
A
Which question might you ask to determine if a patient has stress incontinence?
A. "Do you ever get an urge to urinate and not make it to the toilet?"
B. "Do you ever leak urine when you are upset?"
C. "Do you lose any urine when you cough or sneeze?"
D. "Do you have to urgently urinate when you exercise?"
C
Which assessment finding would be referred to as a caruncle in a patient's record?
A. Enlarged vestibular gland on the side of the vaginal orifice
B. Small red mass protruding from the urethral meatus
C. Aberrant growth of endometrial tissue
D. Hard, painless nodule in the uterine wall
B
Ms. McMahon is a 33-year-old patient who presents for a routine yearly health
assessment. On examination, you note a bright red, pedunculated growth emerging
from the os. Which term could you use to describe this finding?
A. Caruncle
B. Polyp
C. Bartholin's cyst
D. Uterine fibroid
B
A 36-year-old patient comes to the clinic for her first pelvic examination. She states she
has never been sexually active. Which schedule of cervical cancer testing would you
plan for her?
A. Pap test now, every year times 2, and then every 5 years
B. Pap test now and then every 3 years
C. Pap and HPV test now and every 3 years
, D. Pap and HPV test now and then repeat Pap every 2 years
C
A 68-year-old woman comes to the clinic because of vaginal "spotting." Which is an
appropriate plan of care?
A. Pap test and follow-up in a month
B. Transvaginal ultrasound and referral
C. Gonorrhea/chlamydia culture and HPV testing
D. Colposcopy and follow-up as needed
B
For which problem could you screen using an acetic acid wash?
A. Gonorrhea
B. Syphilis
C. Chlamydia
D. HPV
D
On examination of the cervical os, which shape indicates a nulliparous woman?
A. Thin, horizontal slit
B. Stellate
C. Small and round
D. Irregular oval
C
Which direction would you give to the patient as you insert a vaginal speculum?
A. "Bear down."
B. "Take some short, shallow breaths."
C. "Blow like you're blowing out a candle."
Which findings during a pelvic examination of a postmenopausal woman would you
classify as normal?
A. Thin, dry vaginal epithelium
B. Narrowed vagina
C. Palpable ovaries
D. Drooping uterus
E. Sparse pubic hair
A, B, D, E
A 25-year-old married woman comes to the clinic with a concern about her fertility. She
says that she and her husband have been having unprotected sex for 6 months and she
has not gotten pregnant. How do you most appropriately respond?
A. Explain that one must have unprotected sex for a year before infertility is considered.
B. Suggest laboratory testing be done to ascertain her overall health status.
C. Instruct her on methods of determining ovulation time.
D. Refer her to a fertility specialist.
A
When the term adnexa is used in a patient's medical record, to what does it refer?
A. Contents of the pelvic cavity
B. Uterine accessory organs
C. Fold of tissue partly closing the vaginal orifice
D. Female external genitalia
B
. Which assessment finding supports the documentation of leukorrhea in a patient's
medical record?
A. White to light yellow vaginal discharge
B. Bloody vaginal discharge
C. Purulent vaginal discharge
D. Clear, mucoid vaginal discharge
D
,Which instructions should be given to a woman before an appointment that will include
a Pap test?
A. Change the appointment if you are menstruating, or plan to return for the Pap test at
a later time.
B. Do not have sexual intercourse within the 12 hours before the appointment.
C. Do not douche for 3 days prior to the appointment.
D. Reschedule if you have vaginal itching or burning within the 24 hours prior to the
appointment.
A
Which patient should have a cervical Pap test?
A. 12-year-old incest victim
B. Sexually active 15-year-old
C. 18-year-old rape survivor
D. Married, monogamous 21-year-old
D
Which finding during a health assessment would you document as amenorrhea?
A. Complaint of painful intercourse
B. The dislodging of the cervical mucus plug
C. The bluish discoloration of the cervix
D. Reported absence of menstruation
D
Mrs. Peterson is a 43-year-old patient who presents to the women's health clinic from
her primary care provider. During the taking of her history, Mrs. Peterson complains of a
heavy menstrual flow. Which term could you use in reporting and recording this
information?
A. Menorrhagia
B. Dysmenorrhea
C. Polymenorrhea
D. Metrorrhagia
A
To what does the notation "bloody show" found in a patient's medical record refer?
A. Red-tinged or bloody urine
B. Aberrant growths of endometrial tissue
C. Dislodging of the cervical mucus plug in labor
D. Candidal infection
C
,On review of a patient's record, you read that she is gravida 3. What is the meaning of
this notation?
A. She has been pregnant three times.
B. She has three children.
C. She has triplets.
D. She had three live births.
A
Which question might you ask to determine if a patient has stress incontinence?
A. "Do you ever get an urge to urinate and not make it to the toilet?"
B. "Do you ever leak urine when you are upset?"
C. "Do you lose any urine when you cough or sneeze?"
D. "Do you have to urgently urinate when you exercise?"
C
Which assessment finding would be referred to as a caruncle in a patient's record?
A. Enlarged vestibular gland on the side of the vaginal orifice
B. Small red mass protruding from the urethral meatus
C. Aberrant growth of endometrial tissue
D. Hard, painless nodule in the uterine wall
B
Ms. McMahon is a 33-year-old patient who presents for a routine yearly health
assessment. On examination, you note a bright red, pedunculated growth emerging
from the os. Which term could you use to describe this finding?
A. Caruncle
B. Polyp
C. Bartholin's cyst
D. Uterine fibroid
B
A 36-year-old patient comes to the clinic for her first pelvic examination. She states she
has never been sexually active. Which schedule of cervical cancer testing would you
plan for her?
A. Pap test now, every year times 2, and then every 5 years
B. Pap test now and then every 3 years
C. Pap and HPV test now and every 3 years
, D. Pap and HPV test now and then repeat Pap every 2 years
C
A 68-year-old woman comes to the clinic because of vaginal "spotting." Which is an
appropriate plan of care?
A. Pap test and follow-up in a month
B. Transvaginal ultrasound and referral
C. Gonorrhea/chlamydia culture and HPV testing
D. Colposcopy and follow-up as needed
B
For which problem could you screen using an acetic acid wash?
A. Gonorrhea
B. Syphilis
C. Chlamydia
D. HPV
D
On examination of the cervical os, which shape indicates a nulliparous woman?
A. Thin, horizontal slit
B. Stellate
C. Small and round
D. Irregular oval
C
Which direction would you give to the patient as you insert a vaginal speculum?
A. "Bear down."
B. "Take some short, shallow breaths."
C. "Blow like you're blowing out a candle."
