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ENA Gynecologic Emergencies Exam/27 Q’s and A’s
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ENA Gynecologic Emergencies Exam/27 Q’s and A’sA patient presents with right lower quadrant pain, which she rates as an 8
(on a 0-to-10 scale). She is afebrile and states that her last normal menstrual
period began 2 weeks ago. Based on these findings, which disorder is she
most likely to have?
A. Syphilis
B. Tuboovarian abscess
C. Ectopic pregnancy
D. Ovarian cyst - -D. Ovarian Cyst
-Which gynecologic disorder causes visceral pain?
A. Ruptured ectopic pregnancy
B. Adhesions
C. Endometritis
D. Ruptured ovarian cyst - -B. Adhesions
-Chlamydia trachomatis causes which disorder?
A. Ovarian torsion
B. Vulvovaginitis
C. Dermatitis
D. Cervicitis - -D. Cervicitis
-Which statement accurately characterizes vaginal bleeding?
A. Vaginal bleeding is normal in prepubertal females.
B. Six saturated pads or ten saturated tampons per day signal excessive
bleeding.
C. Exercise can cause abnormal vaginal bleeding or amenorrhea.
D. Dysfunctional uterine bleeding results from development of the corpus
luteum. - -C. Exercise can cause abnormal vaginal bleeding or amenorrhea.
-Which organism causes cervicitis?
A. Human papillomavirus
B. Candida albicans
C. Trichomonas vaginalis
D. Chlamydia trachomatis - -D. Chlamydia trachomatis
-Which statement correctly describes endometriosis?
A. Endometriosis causes pain that usually is worse midcycle.
B. Endometriosis is easily diagnosed in the emergency department.
, C. Endometriosis results from endometrial tissue development inside the
uterus.
D. Endometriosis is a common cause of cyclic pain in menstruating women. -
-D. Endometriosis is a common cause of cyclic pain in menstruating women.
-Which statement correctly describes a Bartholin's gland abscess?
A. Bartholin's glands are easily palpated and visualized.
B. Bartholin's glands are located on the labia majora.
C. A Bartholin's gland abscess is treated with human papillomavirus
quadrivalent vaccine, recombinant (Gardasil).
D. A cyst develops when the duct of the gland becomes occluded and can
lead to an abscess. - -D. A cyst develops when the duct of the gland
becomes occluded and can lead to an abscess.
-Which statement correctly describes vaginitis?
A. Trichomoniasis is usually a sexually transmitted infection.
B. Vaginitis is common in prepubertal females.
C. The most common cause of vaginitis is Candida albicans.
D. A strawberry cervix is a sign of bacterial vaginosis. - -A. Trichomoniasis is
usually a sexually transmitted infection.
-Which vaginal discharge is typically associated with trichomoniasis?
A. Odorless, clear to milky white discharge
B. Thick, odorless, white vaginal discharge
C. Thin, homogenous, malodorous discharge that is white to gray and coats
the vaginal wall
D. Malodorous, copious, frothy discharge that is white to greenish-yellow - -
D. Malodorous, copious, frothy discharge that is white to greenish-yellow
-Which organism can cause a miscarriage?
A. Herpes simplex virus
B. Hepatitis B virus
C. Human immunodeficiency virus
D. Human papillomavirus - -A. Herpes simplex virus
-Which statement accurately characterizes primary dysmenorrhea?
A. Pain typically precedes menstrual flow by up to 24 hours.
B. Management of primary dysmenorrhea includes the use of opioids.
C. Pain occurs secondary to estrogen-mediated uterine contractions.
D. The pain is most severe in perimenopausal women. - -A. Pain typically
precedes menstrual flow by up to 24 hours.
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