APEA WOMEN'S HEALTH
QUEASTION BANK WITH EXAM
QUESTIONS AND CORRECT
SOLUTIONS||100% GUARANTEED
PASS||UPDATED 2026\2027
SYLLABUS||A+ GRADED||<<RECENT
VERSION>>
Hard nodular rectal 'shelf' - ANSWER ✓ Suggestive of metastatic tissue in the
rectouterine pouch.
Galactorrhea - ANSWER ✓ A milky breast discharge usually observed
bilaterally, suggestive of pregnancy or elevated prolactin level.
Oligomenorrhea - ANSWER ✓ Infrequent bleeding with menses occurring at
greater than 35-day intervals, or 4-9 menstrual cycles per year.
Pelvic inflammatory disease (PID) - ANSWER ✓ The most common cause of
acute pelvic pain in women.
Rectocele - ANSWER ✓ Exposed by using the upper blade as a retractor during a
vaginal exam with a speculum.
Vaginal atrophy - ANSWER ✓ Noted in older females, leading to the
recommendation of a smaller size speculum for pelvic exams.
Polymenorrhea - ANSWER ✓ Occurs when there are fewer than 21-day intervals
between menses.
Menorrhagia - ANSWER ✓ Refers to excessive or prolonged menstrual flow
occurring at regular intervals.
,Metrorrhagia - ANSWER ✓ Refers to intermenstrual bleeding.
Ruptured ovarian cysts - ANSWER ✓ One of the common causes of acute pelvic
pain, alongside PID and appendicitis.
Sexually transmitted infections - ANSWER ✓ Considered red flags for pelvic
inflammatory disease.
Bartholin gland infection - ANSWER ✓ Can be visualized without the use of the
speculum.
Speculum insertion technique - ANSWER ✓ Involves separating the labia,
pressing downward on the introitus to relax the levator muscles, and gently
inserting the speculum after moistening it.
Severe vaginal atrophy - ANSWER ✓ A condition that may require adjusting the
size of the speculum to a smaller size during examination.
Mucopurulent cervicitis - ANSWER ✓ A condition that produces purulent,
yellow drainage from the cervical os, usually from Chlamydia trachomatis,
Neisseria gonorrhoeae, or herpes infection.
Candidal vaginitis - ANSWER ✓ A condition that produces a white and curd-
like, thin discharge from the vagina and does not originate from the cervix.
Cervical polyp - ANSWER ✓ A lesion that is bright red, soft, and fragile, usually
arising from the endocervical canal.
Indirect inguinal hernia - ANSWER ✓ The most common type of hernia in
women.
Bacterial vaginosis - ANSWER ✓ A condition characterized by a gray, thin,
malodorous (fishy) vaginal discharge.
Ovarian cyst - ANSWER ✓ A smooth and rather compressible non-tender lesion
that can be palpated over the ovary.
,Myoma - ANSWER ✓ A nodule on the anterior uterine surface that can be felt
during a bimanual vaginal exam.
Menopause - ANSWER ✓ Cessation of menses for 12 months.
Oligomenorrhea - ANSWER ✓ Infrequent bleeding with menses occurring
greater than 35-day intervals, or 4-9 menstrual cycles per year.
Menorrhagia - ANSWER ✓ Excessive or prolonged menstrual flow occurring at
regular intervals.
Retention cyst - ANSWER ✓ Appears as a translucent nodule on the cervical
surface.
Epidermoid cyst - ANSWER ✓ A small, firm, round cystic nodule in the labia.
Cystourethrocele - ANSWER ✓ Occurs when the entire anterior vaginal wall,
together with the bladder and urethra, is involved in the bulge.
Trichomonas vaginalis - ANSWER ✓ Causes trichomonal vaginitis, presenting
with a profuse, yellowish, green vaginal discharge that is malodorous.
Gonorrhea - ANSWER ✓ Typically presents with a thick and bloody vaginal
discharge.
Tubo-ovarian abscess - ANSWER ✓ Difficult to palpate and typically presents
with severe pain and purulent vaginal discharge.
Syphilitic chancre - ANSWER ✓ Appears as a firm, painless ulcer and suggests
the chancre of primary syphilis.
Bright red lesion on cervix - ANSWER ✓ Consistent with a cervical polyp.
Bulge in anterior vaginal wall - ANSWER ✓ Most consistent with a cystocele.
Nodule on anterior uterine surface - ANSWER ✓ Could suggest a myoma.
Metrorrhagia - ANSWER ✓ Intermenstrual bleeding.
, Cervical - ANSWER ✓ Postcoital bleeding suggests cervical polyps, cervical
cancer, or in an older woman, atrophic vaginitis.
Uterine enlargement - ANSWER ✓ May suggest pregnancy, uterine myomas
(fibroids), or malignancy.
Palpation difficulty - ANSWER ✓ Normal ovaries are usually tender to palpation
but could pose difficulty in some women, especially if they are obese or anxious.
Post menopausal bleeding causes - ANSWER ✓ Include endometrial cancer,
hormone replacement therapy, and uterine and cervical polyps, but not atrophic
vaginitis.
Peau d'orange sign - ANSWER ✓ Edema of the skin produced by lymphatic
blockade, appearing as thickened skin with enlarged pores, often seen first in the
lower portion of the breast.
Squamous epithelium - ANSWER ✓ The shiny, pink area located around the
cervical os.
Speculum exam maintenance - ANSWER ✓ The speculum is maintained in an
open position by gently tightening the thumb screw on the speculum.
Candidal vaginitis - ANSWER ✓ Produces a white and curd-like, thin discharge
that is rarely malodorous.
Trichomonal vaginitis - ANSWER ✓ Caused by Trichomonas vaginalis,
presenting symptoms include a profuse, yellowish, green vaginal discharge that is
malodorous.
which of the following patients is at highest risk for developing breast cancer? -
ANSWER ✓ a. 45 yo F who had 6 pregnancies
b. 61 yo nulliparous F who has dense breast tissue
c. 50 yo F who is obese
d. 32 yo transgender F who has a family hx of breast cancer
QUEASTION BANK WITH EXAM
QUESTIONS AND CORRECT
SOLUTIONS||100% GUARANTEED
PASS||UPDATED 2026\2027
SYLLABUS||A+ GRADED||<<RECENT
VERSION>>
Hard nodular rectal 'shelf' - ANSWER ✓ Suggestive of metastatic tissue in the
rectouterine pouch.
Galactorrhea - ANSWER ✓ A milky breast discharge usually observed
bilaterally, suggestive of pregnancy or elevated prolactin level.
Oligomenorrhea - ANSWER ✓ Infrequent bleeding with menses occurring at
greater than 35-day intervals, or 4-9 menstrual cycles per year.
Pelvic inflammatory disease (PID) - ANSWER ✓ The most common cause of
acute pelvic pain in women.
Rectocele - ANSWER ✓ Exposed by using the upper blade as a retractor during a
vaginal exam with a speculum.
Vaginal atrophy - ANSWER ✓ Noted in older females, leading to the
recommendation of a smaller size speculum for pelvic exams.
Polymenorrhea - ANSWER ✓ Occurs when there are fewer than 21-day intervals
between menses.
Menorrhagia - ANSWER ✓ Refers to excessive or prolonged menstrual flow
occurring at regular intervals.
,Metrorrhagia - ANSWER ✓ Refers to intermenstrual bleeding.
Ruptured ovarian cysts - ANSWER ✓ One of the common causes of acute pelvic
pain, alongside PID and appendicitis.
Sexually transmitted infections - ANSWER ✓ Considered red flags for pelvic
inflammatory disease.
Bartholin gland infection - ANSWER ✓ Can be visualized without the use of the
speculum.
Speculum insertion technique - ANSWER ✓ Involves separating the labia,
pressing downward on the introitus to relax the levator muscles, and gently
inserting the speculum after moistening it.
Severe vaginal atrophy - ANSWER ✓ A condition that may require adjusting the
size of the speculum to a smaller size during examination.
Mucopurulent cervicitis - ANSWER ✓ A condition that produces purulent,
yellow drainage from the cervical os, usually from Chlamydia trachomatis,
Neisseria gonorrhoeae, or herpes infection.
Candidal vaginitis - ANSWER ✓ A condition that produces a white and curd-
like, thin discharge from the vagina and does not originate from the cervix.
Cervical polyp - ANSWER ✓ A lesion that is bright red, soft, and fragile, usually
arising from the endocervical canal.
Indirect inguinal hernia - ANSWER ✓ The most common type of hernia in
women.
Bacterial vaginosis - ANSWER ✓ A condition characterized by a gray, thin,
malodorous (fishy) vaginal discharge.
Ovarian cyst - ANSWER ✓ A smooth and rather compressible non-tender lesion
that can be palpated over the ovary.
,Myoma - ANSWER ✓ A nodule on the anterior uterine surface that can be felt
during a bimanual vaginal exam.
Menopause - ANSWER ✓ Cessation of menses for 12 months.
Oligomenorrhea - ANSWER ✓ Infrequent bleeding with menses occurring
greater than 35-day intervals, or 4-9 menstrual cycles per year.
Menorrhagia - ANSWER ✓ Excessive or prolonged menstrual flow occurring at
regular intervals.
Retention cyst - ANSWER ✓ Appears as a translucent nodule on the cervical
surface.
Epidermoid cyst - ANSWER ✓ A small, firm, round cystic nodule in the labia.
Cystourethrocele - ANSWER ✓ Occurs when the entire anterior vaginal wall,
together with the bladder and urethra, is involved in the bulge.
Trichomonas vaginalis - ANSWER ✓ Causes trichomonal vaginitis, presenting
with a profuse, yellowish, green vaginal discharge that is malodorous.
Gonorrhea - ANSWER ✓ Typically presents with a thick and bloody vaginal
discharge.
Tubo-ovarian abscess - ANSWER ✓ Difficult to palpate and typically presents
with severe pain and purulent vaginal discharge.
Syphilitic chancre - ANSWER ✓ Appears as a firm, painless ulcer and suggests
the chancre of primary syphilis.
Bright red lesion on cervix - ANSWER ✓ Consistent with a cervical polyp.
Bulge in anterior vaginal wall - ANSWER ✓ Most consistent with a cystocele.
Nodule on anterior uterine surface - ANSWER ✓ Could suggest a myoma.
Metrorrhagia - ANSWER ✓ Intermenstrual bleeding.
, Cervical - ANSWER ✓ Postcoital bleeding suggests cervical polyps, cervical
cancer, or in an older woman, atrophic vaginitis.
Uterine enlargement - ANSWER ✓ May suggest pregnancy, uterine myomas
(fibroids), or malignancy.
Palpation difficulty - ANSWER ✓ Normal ovaries are usually tender to palpation
but could pose difficulty in some women, especially if they are obese or anxious.
Post menopausal bleeding causes - ANSWER ✓ Include endometrial cancer,
hormone replacement therapy, and uterine and cervical polyps, but not atrophic
vaginitis.
Peau d'orange sign - ANSWER ✓ Edema of the skin produced by lymphatic
blockade, appearing as thickened skin with enlarged pores, often seen first in the
lower portion of the breast.
Squamous epithelium - ANSWER ✓ The shiny, pink area located around the
cervical os.
Speculum exam maintenance - ANSWER ✓ The speculum is maintained in an
open position by gently tightening the thumb screw on the speculum.
Candidal vaginitis - ANSWER ✓ Produces a white and curd-like, thin discharge
that is rarely malodorous.
Trichomonal vaginitis - ANSWER ✓ Caused by Trichomonas vaginalis,
presenting symptoms include a profuse, yellowish, green vaginal discharge that is
malodorous.
which of the following patients is at highest risk for developing breast cancer? -
ANSWER ✓ a. 45 yo F who had 6 pregnancies
b. 61 yo nulliparous F who has dense breast tissue
c. 50 yo F who is obese
d. 32 yo transgender F who has a family hx of breast cancer
