Which one best describes lesions associated with condyloma acuminatum?
a. Verruciform
b. Plaque-like
c. Vesicular
d. Bullous - ANSWERa
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 amoun...
Which one best describes lesions associated with condyloma acuminatum?
a. Verruciform
b. Plaque-like
c. Vesicular
d. Bullous - ANSWERa
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 - ANSWERc
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 - ANSWERd
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 - ANSWERc
,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 - ANSWERd
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 - ANSWERc
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
c. Bacterial vaginosis
d. Gonorrhea - ANSWERa
16yo female has h/o secondary amenorrhea. Menarche at 10yo, regular cycles x2yrs, has not
menstruated x4yrs. What is most frequent etiology of this problem?
a. Eating disorder
b. Pregnancy
c. Anovulatory cycles
d. Stress - ANSWERa
Which of the following are of a reproductive and pelvic origin?
a. Salpingo-oophoritis (fallopian tube/ovary) secondary to PID
b. Gynecologic malignancy
c. Adhesions
,d. Myomata uteri - ANSWERa
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 - ANSWERc
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 - ANSWERa
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 - ANSWERc
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 - ANSWERb
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 - ANSWERc
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 - ANSWERb
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 - ANSWERa
What is the most common cause of dysfunctional uterine bleeding?
a. Endocrine disorders
b. Stress
c. Anovulation
d. Anatomical abnormality – ANSWERc
Woman is experiencing vaginal discharge. Wet mount with KOH would be used to confirm:
a. Herpes simplex
b. Gonorrhea
c. Candidiasis
d. Chlamydia - ANSWERc
Treatment options for condyloma acuminatum include:
a. Imiquimod (Aldera)
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