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Child Bearing Child Rearing Family

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Exam 1 Practice

Frage 1 von 50

2

All of the following are infections that affect mostly the labia and vagina except:

Wähle eine der folgenden:

  • Bacterial Vaginosis

  • Candidiasis

  • Trichomonaiasis

  • Chlamydia trachomatis

Erklärung

Frage 2 von 50

2

Patients who are diagnosed with gonorrhea should also be treated for which of the following infections?

Wähle eine der folgenden:

  • Chancroid

  • Chlamydia Trachomatis

  • Herpes genitalis

  • PID

Erklärung

Frage 3 von 50

2

Human papilloma virus (HPV) infection of the larynx has been associated with:

Wähle eine der folgenden:

  • Laryngeal neoplasia

  • Esophageal stricture

  • Cervical cancer

  • Metaplasia of esophageal squamous cells

Erklärung

Frage 4 von 50

2

A 30 year old female who is sexually active complains of a large amount of milk-like vaginal discharge for several weeks. A microscopy slide reveals a large amount of squamous epithelial cells that have blurred margins. Veery few white blood cells are seen. The vaginal pH is 6.0. What is the most likely?

Wähle eine der folgenden:

  • Trichomonas infection

  • Bacterial vaginosis

  • Candidal infection

  • A normal finding

Erklärung

Frage 5 von 50

2

The pap smear results on a 20 year old sexually active student who uses condoms inconsistently shows a large amount of inflammation. Which of the following is the best follow-up action?

Wähle eine der folgenden:

  • The NP needs to do cervical cultures to verify the presence of gonorrhea

  • Prescribed metronidazole vaginal cream for the patient over the phone

  • Call the patient and tell her she needs a repeat pap smear in 6 months

  • Advise the patient to use a Betadine douche at bedtime x3 days

Erklärung

Frage 6 von 50

2

While performing a pap smear on a post-menopausal patient, several areas of flat white skin lesions that are irregularly shaped are found on the patient's labia . The patient reports that the lesions are extremely itchy and have been present for several years without much change. Which condition is best described?

Wähle eine der folgenden:

  • Chronic scabies infection

  • Lichen sclerosus

  • Chronic candidal vaginitis

  • A physiologic variant found in some older women

Erklärung

Frage 7 von 50

2

A sexually active woman is complaing of amenorrhea and vaginal spotting. On exam, her left adnexa is tender and cervical motion tenderness is positive. Which of the following tests should the NP initially order?

Wähle eine der folgenden:

  • Flat plate of the abdomen

  • CBC with white cell differentials

  • Urine pregnancy test

  • Pelvic ultrasound

Erklärung

Frage 8 von 50

2

Fitz-Hugh-Curtis Syndrome is associated with which of the following infection?

Wähle eine der folgenden:

  • Syphylilis

  • Chlamydia trachomatis

  • Herpes genitalis

  • Lymphogranuloma venereum

Erklärung

Frage 9 von 50

2

hCG is produced by the:

Wähle eine der folgenden:

  • Placenta

  • Hypothalamus

  • Anterior pituitary

  • Ovaries

Erklärung

Frage 10 von 50

2

The majority of serum alpha fetoprotien is produced by the:

Wähle eine der folgenden:

  • Fetal liver

  • Mother's liver

  • Placenta

  • Fetal neural tube

Erklärung

Frage 11 von 50

2

A college student has recently been informed that he has an HPV infection on the shaft of his penis. Which of the following may reveal subclinical lesions on the penile shaft?

Wähle eine der folgenden:

  • Perform a KOH exam

  • Scrape off some of the affected skin and send it for culture and sesnitivity

  • Apply acetic acid to the penile shaft and look for acetowhite changes

  • Order serum herpes virus titer

Erklärung

Frage 12 von 50

2

The ELISA and Western Blot tests are both used to test HIV. Which of the following statements is correct?

Wähle eine der folgenden:

  • It is a test ot detect viral RNA

  • A positive ELISA screening does not mean the a person has HIV infection

  • It is a test to detect viruses

  • It is a diagnostic test of the AIDS virus

Erklärung

Frage 13 von 50

2

A 25 year old woman's LMP was 6 weeks ago. She is complaining of nausea with vomiting in the morning and fatigue. Her breasts feel bloaated. The NP suspects that she is pregnant. Her symptoms would be considered:

Wähle eine der folgenden:

  • Positive signs of pregnancy

  • Probable signs of pregnancy

  • Presumptive signs of pregnancy

  • Possible signs of pregnancy

Erklärung

Frage 14 von 50

2

Which of the following should you expect to find on a wet mount slide of a patient diagnosed with bacterial vaginosis?

Wähle eine der folgenden:

  • Tzanck cells

  • A large amount of leukocyte and epithelial cells

  • A large amount of bacteria coating the squamous cells and very few leukocytes

  • Epithelial cells and a small amount of blood

Erklärung

Frage 15 von 50

2

A 14 year old teen is worried that she has not started to menstruate like most of her friends. During the gynecological examination, the NP tells her mother, who is in the room with the patient, that her daughter is starting Tanner Stage II. What are the physical exam findings?

Wähle eine der folgenden:

  • Breast buds and some straight pubic hair

  • Fully developed breasts and curly pubic hair

  • Breast tissue with the areola on a separate mound with curly pubic hair

  • No breast tissue and no pubic hair

Erklärung

Frage 16 von 50

2

Physiologic anemia of pregnancy is due to:

Wähle eine der folgenden:

  • An increase in the CO at the end of the second trimester

  • A physiologic decrease in the production of RBCs in pregnant women

  • An increase of up to 50% of the plasma volume in pregnant women

  • An increase in the need for dietary iron in pregnancy

Erklärung

Frage 17 von 50

2

You are reviewing a pap smear report on a 25 year old female. Which of the following cells should be on a pap smear to be classified as a satisfactory specimen?

Wähle eine der folgenden:

  • Clue cells and endometrial cells

  • Vaginal cells and cervical cells

  • Squamous epithelial cells and endocervical cells

  • Leukocytes and RBCs

Erklärung

Frage 18 von 50

2

What does a KOH prep help the NP diagnose?

Wähle eine der folgenden:

  • Herpes zoster

  • Yeast infections

  • HSV

  • Viral infections

Erklärung

Frage 19 von 50

2

All of the following are reportable diseases except:

Wähle eine der folgenden:

  • Lyme disease

  • Gonnorrhea

  • Nongonococcal urethritis

  • Syphilis

Erklärung

Frage 20 von 50

2

A woman is being evaluated by the NP for complaints of dyspareunia. A microscopy slide reveals a large number of atrophic squamous epithelial cells. The vaginal pH is 4.0. There are very few leukocytes and no RBCs seen on the wet smear. Which of the following is the most likely?

Wähle eine der folgenden:

  • Atrophic vaginitis

  • BV

  • Trichomoniasis

  • This is a normal finding

Erklärung

Frage 21 von 50

2

The following conditions are absolute contraindications for the use of OCPs except:

Wähle eine der folgenden:

  • Hepatomas

  • History of emboli that resolved with heparin therapy 15 years ago

  • A family history of migraine with aura

  • A history of gall bladder disease during pregnancy

Erklärung

Frage 22 von 50

2

All of the following findings are associated with secondary stage of an infection with the organism Treponema palladium except:

Wähle eine der folgenden:

  • Condyloma accumata

  • Maculopapular rash on the palms and soles

  • Lymphadenopathy

  • Condyloma lata

Erklärung

Frage 23 von 50

2

The following are acceptable methods of birth control for breast feeding mothers except:

Wähle eine der folgenden:

  • Diaphragm with spermicidal gel

  • Micronor (Progesterone Only pill)

  • Condoms

  • Low dose oral contraceptives with at least 20 mcg of estriadol

Erklärung

Frage 24 von 50

2

Women with a history of PID have an increased risk for all of the following except:

Wähle eine der folgenden:

  • Ectopic pregnancy

  • Scarring of the fallopian tubes

  • Infertility

  • Ovarian cysts

Erklärung

Frage 25 von 50

2

In most states, patients younger than 18 years may consent to health care without parental or legal guardian consent except for which of the following?

Wähle eine der folgenden:

  • Contraception

  • Pregnancy

  • School physical

  • STD evaluation and treatment

Erklärung

Frage 26 von 50

2

The pap smear result for a 20 year old sexually active college student who uses condoms inconsistently reveals a large number of white blood cells and blood along with inflammatory changes. During the speculum exam, the NP who examined the patient noticed that the patients cervix bled very easily (friable) and a small amount of purulent discharge was present on the cervical surface. No cervical motion tenderness was noted during the bimanual exam. What is the next step in the management of this patient?

Wähle eine der folgenden:

  • The NP needs to do cervical cultures to verify gonorrhea

  • Prescribe metronidazole cream for the patient over the phone

  • Call the patient and tell her she needs a repeat pap smear in 6 months

  • Advise her to use a Betadine douche at bedtime for 3x days

Erklärung

Frage 27 von 50

2

Human Papilloma Virus infection in women has been associated with the development of:

Wähle eine der folgenden:

  • Ectopic pregnancy

  • Infertility

  • Cervical cancer

  • PID

Erklärung

Frage 28 von 50

2

When Molloscum Contagiosum is found on the genital area of children, which of the following is the best explanation?

Wähle eine der folgenden:

  • It should raise suspicion of child sexual abuse

  • It should not be considered a STD

  • It is caused by atypical bacteria

  • It is caused by the pox virus and will resolve on its own

Erklärung

Frage 29 von 50

2

Which of the following methods is used to diagnose gonorrheal pharyngitis or proctitis?

Wähle eine der folgenden:

  • Serum chlamydial titer

  • Gen-Probe

  • Thayer-Martin culture

  • Culture and sensitivity of the purulent discharge

Erklärung

Frage 30 von 50

2

All of the following are considered Category X drugs except:

Wähle eine der folgenden:

  • Misoprostol (Cytotec)

  • Isotretinoin (Accutane)

  • Finasteride (Proscar)

  • Meperidine (Demerol)

Erklärung

Frage 31 von 50

2

An 18 year old waitress is diagnosed with PID. the cervical Gen-Probe result is positive for Neisseria gonorrhoeae and negative for chlamydia trachomatis. All of the following statements are true regarding the management for this patient except:

Wähle eine der folgenden:

  • This patient should be treated for chlamydia even though the Gen-Probe for chlamydia is negative

  • Ceftriaxone 250 mg IM and doxycylcine 100 mg BID x14 days are appropriate treatment for this patient

  • Advise the patient to return to the clinic for a repeat pelvic exam in 48 hours

  • Repeat the Gen-Probe test for chlamydia trachomatis to ensure that the previous test was not false-negative result

Erklärung

Frage 32 von 50

2

What Tanner stage is a girl at when her breasts form a secondary mound?

Wähle eine der folgenden:

  • Tanner Stage II

  • Tanner Stage III

  • Tanner Stage IV

  • Tanner Stage V

Erklärung

Frage 33 von 50

2

A 35 year old smoker is being evaluated for birth control choices. The patient has a history of PID along with embolic epidosde after her last pregnancy, Which of the following birth control methods are appropriate for this patient?

Wähle eine der folgenden:

  • Condom and the vaginal sponge

  • Estrogen patches

  • IUD

  • Depo-Provera

Erklärung

Frage 34 von 50

2

A 21 year old woman complains of left-sided pelvic pain accompanied by dyspareunia. During the gynecological exam, the NP notices green cervical discharge. The patient mentions new onset of a painful and swollen left knee and denies a history of trauma. This best describes:

Wähle eine der folgenden:

  • Septic arthritis

  • Reiter's sydrome

  • Chondromalacia of the patella

  • Disseminated gonorrheal infection

Erklärung

Frage 35 von 50

2

A 25 year old woman complains of dysuria, severe vaginal pruritus, and a malodorous vaginal discharge. Pelvic examination reveals a strawberry-colored cervix and frothy yellow discharge. Microscopic exam of the discharge reveals mobile organisms that have flagella. The correct pharmacological therapy for this condition is:

Wähle eine der folgenden:

  • Metronidazole (Flagyl)

  • Ceftriaxone sodium (Rocephin)

  • Doxycycline hyclate (Vibramycin)

  • Clotrimazole (Gyne-Lotrimin)

Erklärung

Frage 36 von 50

2

Metronidazole (Flagyl) produces the disulfiram (Antabuse) effect when combined with alcoholic beverages or medicine. You should educate the patient to avoid:

Wähle eine der folgenden:

  • Alcoholic drinks while she is taking the medication

  • Alcoholic drinks 1 day before, during, and a few days after therapy.

  • Alcoholic drinks after she takes the medicine

  • There is no need to avoid any food or drink

Erklärung

Frage 37 von 50

2

All of the following drugs interfere with the metabolism of oral contraceptives except:

Wähle eine der folgenden:

  • Tetracylcine

  • Rifampin

  • Phenytoin (Dilantin)

  • Ciprofloxacin (Cipro)

Erklärung

Frage 38 von 50

2

Which of the following is a CDC-recommended treatment for a case of uncomplicated gonorrheal and chlamydial infection?

Wähle eine der folgenden:

  • Metronidazole (Flagyl) 250 mg PO TID for 7 days

  • Valacyclovir (Valtrex) 500 mg PO BID for 10 days

  • Azythromycin 1 g orally PO OR Doxycylcine 100 mg PO BID for 7 days

  • 1 dose of PO Fluconazole (Diflucan) 150 mg

Erklärung

Frage 39 von 50

2

Which of the following is not a relative contraindication for oral contraceptives pills?

Wähle eine der folgenden:

  • Active Hepatitis A infection

  • Thrombosis related to an IV needle

  • Undiagnosed vaginal bleeding

  • Migraine headache without focal aura

Erklärung

Frage 40 von 50

2

Which of the following is the most common cause of non-gonoccocal urethritis?

Wähle eine der folgenden:

  • E. coli

  • C. trachomatis

  • N. gonorrhea

  • Mycoplasma

Erklärung

Frage 41 von 50

2

Which of the following is considered a relative contraindication for oral contraceptive pills?

Wähle eine der folgenden:

  • Undiagnosed vaginal bleeding

  • A hepatoma of the liver

  • Suspected history of TIAs

  • Depression

Erklärung

Frage 42 von 50

2

All of the following are true statements regarding oral contraceptives except:

Wähle eine der folgenden:

  • The actual failure rate of oral contraceptives is 3%

  • Desogesterol belongs to the progesterone family of drugs

  • The newer low-dose birth control pills do not require back-up method during the first two weeks of use

  • Oral contraceptives are contraindicated in women who are 35 years old or older and smoke

Erklärung

Frage 43 von 50

2

You are performing a pelvic exam on a 25 year old sexually active woman . You palpate a tender and warm cystic mass on the lower edge of the left labia majora, which is red. The most likely diagnosis is:

Wähle eine der folgenden:

  • Skene's gland cyst

  • Cystocele

  • Lymohogranuloma venereum

  • Bartholin's gland abcess

Erklärung

Frage 44 von 50

2

A patient diagnosed with BV should be advised that her sexual partner be treated with:

Wähle eine der folgenden:

  • Ceftriaxone (Rocephin)250 mg IM with doxycylcine 100 mg BID for 14 days

  • Metronidazole (Flagyl) 500 mg PO BID for 7 days and 1 dose of azithromycin (Zithromax)

  • Her partner does not need treatment

  • Clotrimazole cream (Lotrimin) on his penis BID for 1-2 weeks

Erklärung

Frage 45 von 50

2

Which of the following is responsible for the symptom of dysmenorrhea?

Wähle eine der folgenden:

  • Estrogen

  • hCG

  • Prostaglandin

  • Progesterone

Erklärung

Frage 46 von 50

2

Which of the following is the best method for diagnosing candidiasis in the primary care setting?

Wähle eine der folgenden:

  • Wet Smear

  • Tzanack smear

  • KOH smear

  • Clinical findings only

Erklärung

Frage 47 von 50

2

Females with PCOS are at higher risk for:

Wähle eine der folgenden:

  • Heart disease and breast cancer

  • Uterine fibroids and ovarian cancer

  • Premature menopause

  • PID

Erklärung

Frage 48 von 50

2

A college student who is OCPs forgets to take her pills two days in a row during the second week of her pill cycle and wants to know that to do. What is the best advice?

Wähle eine der folgenden:

  • Start a new pack of pill and dispose of the old one

  • Take 2 pills today and 2 pills the next day; use condoms for the rest of the cycle

  • Stop taking the pills right away and start a new pill cycle in two weeks.

  • Take 1 pill now and 2 pills the next day and use condoms

Erklärung

Frage 49 von 50

2

All of the following clinical findings are classifies as major criteria that are necessary to diagnose PID. Which of the following is classified as a minor criterion?

Wähle eine der folgenden:

  • Cervical motion tenderness

  • Adnexal tenderness

  • Uterine tenderness

  • Oral temperature of more than 101

Erklärung

Frage 50 von 50

2

All of the following are true statements about the HPV vaccine Gardisil except:

Wähle eine der folgenden:

  • The CDC recommends the first dose at age 11-12 years

  • The CDC does not recommend the vaccine for males

  • The vaccine is not complete until a total of 3 doses have been administered

  • The minimum age the vaccine can be given is 9 years

Erklärung