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N850 test 1
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Questions in this quiz (57)
1what conditions must be met for the Lactational amenorrhea method of birth control to be effective? (select all that apply)
- Amust be > 6 months Post partum
- Bused effectively intermittently
- Cfull-time breastfeeding
- Dno return of menses
2Your patient who is breastfeeding asks about hormonal contraceptive selection what would you inform this patient?
- AMicronor a Progestin-only oral birth control is appropriate for her
- BThe patient should attempt lactational amenorrhea method
- CXulane a combined hormonal patch would be appropriate for her
- DShe may select whatever method she likes but she will have to stop breastfeeding
3what is the maximum time frame that treatment should be initiated for EC?
- A72-120hrs
- B24-48hrs
- C12-24hrs
- D5-7days
4which of the following statements about EC is FALSE
- AECPs disrupt follicular by blunting the LH surge required for ovulation, resulting in anovulation or delayed ovulation
- Bwill not harm developing embryo
- CTreatment initiated ASAP after unprotected IC, and definitely within 120 hours
- Dhormonal IUDs are approved for EC use
5which of the following has the highest efficacy of the listed EC
- ALevonorgestrel only (Plan B)
- BHormonal IUD
- CCopper IUD
- DUlipristal
6Your patient with a BMI of 36 presents to the clinic requesting emergency contraception which of the following will you offer to her
- ACopper IUD
- BLevonorgestrel only (Plan B)
- CUlipristal acetate (ella)
- DProgestin only minipills
7which of the following statements are TRUE about EC?
- Apregnancy test is required prior to use
- BCombination pills preferred w/ history of thromboembolic disease
- CNo significant interaction with antibiotics
- DUlipristal: can be used for breastfeeding women
8which of the following is NOT a risk factor for breast cancer?
- AHRT use
- Bavoiding breastfeeding
- CFibrocystic changes
- Dobesity
9which of the following is NOT a treatment option for Hidradenitis suppurativa
- Asteroids
- Bwarm compresses
- Cantibiotics
- Dantibacterial soap
10your 25yo 8week pp pt presents to the clinic for a breast mass that she noticed in the shower. she states that she has stopped breast feeding due to work. the mass is firm, without pain, not mobile, and does not increase in size with her menses, symmetrical and about the size of a dime. ultrasound shows that it contains fluid. which of the following is the most likely diagnosis?
- AFibroadenoma
- BGalactocele
- CFibrocystic Breast
- DBartholin gland cyst
11Based on United States STD surveillance data, which age group has the highest rates of infection with Chlamydia trachomatis?
- Amales aged 15-24 years
- BFemales aged 15-24 years
- CFemales aged 25-40 years
- Dmales aged 25-40 years
12Which one of the following best describes the most common clinical presentation of chlamydial urethral infection in males?
- AYellow urethral discharge
- BDysuria
- CAsymptomatic
- DScrotal pain
13appropriate first-line therapy for urogenital infection due to Chlamydia trachomatis in an adult?
- ACeftriaxone 250 mg intramuscularly
- BAzithromycin 1 gram orally in a single dose
- Cdoxycycline 1 gram orally in a single dose
- DCeftriaxone 250 mg intramuscularly in a single dose plus Azithromycin 1 gram orally in a single dose
14A 26-year-old male has two new recent sexual partners and presents with urethral discharge. Which one of the following tests is preferred for detecting Chlamydia trachomatis?
- AUrethral swab Gram's stain
- BUrethral swab culture
- CFirst catch urine nucleic acid amplification test
- DFirst catch urine culture
15A 19-year-old woman has Chlamydia trachomatis detected on a screening test of a self-collected vaginal swab. She has a pregnancy test, which is negative.
Which one of the following medications is recommended for treatment in this case?- ADoxycline 200 mg orally in a single dose
- BCiprofloxacin 500 mg orally twice daily for 5 days
- CAzithromycin 1 g orally in a single dose
- DLevofloxacin 250 mg orally once a day for 5 days
16best describes the clinical sign and symptoms of urethritis caused by infection with Neisseria gonorrhoeae in men?
- Anon-healing sores
- Burethral discharge
- Casymptomatic
- DScrotal pain
17A 19-year-old man is evaluated in the clinic with a purulent urethral discharge. A Gram's stain is performed on a sample of the discharge.
Which one of the following is most consistent with a diagnosis of gonorrhea?- AExtracellular gram-positive cocci in chains
- BExtracellular gram-negative rods in rows
- CGram-negative diplococci within white blood cells
- DAbundant white blood cells with no visible organisms
18A 23-year-old woman is diagnosed with gonococcal cervicitis based on purulent discharge and Gram's stain findings. Results for chlamydia are pending.
Which one of the following regimens is recommended?- ACefixime 400 mg orally in a single dose plus Doxycycline 100 mg twice
- BCeftriaxone 250 mg IM in a single dose plus Azithromycin 1 g orally in a single dose
- CCeftriaxone 500 mg IM in a single dose plus Azithromycin 1 g orally in a single dose
- DCefixime 1000 mg orally in a single dose plus Doxycycline 100 mg twice daily
19Which one of the following combinations of clinical and laboratory findings most accurately describes primary HSV-2 infection?
- ANo lesions or symptoms, HSV-1 antibodies may or may not be present, HSV-2 antibodies are present
- BLesions present, symptoms usually severe, HSV-1 and HSV-2 antibodies not present
- CLesions present, symptoms usually mild, HSV-1 antibodies may or may not be present, HSV-2 antibodies are present
- DLesions present, symptoms usually moderate, HSV-1 antibodies present, HSV-2 antibodies are not present
20Which one of the following options is a preferred therapy for both episodic and suppressive treatment of recurrent genital herpes infections?
- ATopical cidofovir
- BOral acyclovir
- COral valganciclovir
- DTopical imiquimod
21Which one of the following statements about suppressive antiviral therapy for HSV-2 is TRUE?
- ASuppressive acyclovir therapy will cause acyclovir resistance in about 30% of patients therapy
- BSuppressive antiviral therapy with daily valacyclovir decreases the rate of HSV-2 transmission to susceptible heterosexual partners
- CSuppressive antiviral therapy reduces the frequency of genital herpes recurrences by 25%
- DSuppressive acyclovir therapy cannot be used in patients with renal impairment
22A 38-year-old man is seen with an episode of recurrent genital herpes. Which one of the following treatment options would be considered a recommended regimen for this man in this situation?
- AValacyclovir 1000 mg orally as a single dose
- BAcyclovir 800 mg orally as a single dose
- CValacyclovir 500 mg orally twice a day for 3 days
- DAcyclovir 400 mg orally once a day for 3 days
23Which one of the following regimens has been shown to reduce transmission of HSV in heterosexual HSV-2 discordant heterosexual couples?
- AFamciclovir 250 mg orally once daily taken by the HSV-seropositive partner
- BFamciclovir 500 mg orally once daily taken by the HSV-seronegative partner
- CAcyclovir 800 mg orally once daily taken by the HSV-seronegative partner
- DValacyclovir 500 mg orally once daily taken by the HSV-seropositive partner
24Which one of the following statements regarding anogenital human papillomavirus transmission is TRUE?
- ATransmission occurs predominantly via sexual activity and only in persons with visible genital lesions.
- BTransmission via fomites accounts for up to 25% of cases.
- CUse of condoms reduces, but does not eliminate the risk of sexual transmission of HPV.
- DApproximately 50% of mothers with genital HPV at the time of delivery transmit HPV to their newborn.
25Which one of the following statements is TRUE regarding the natural history of HPV infection?
- AMore than 90% of HPV infections are cleared within 2 years.
- BPersistent HPV infection consistently leads to development of HPV-related cancer within 10 years.
- CClearance of HPV infection only slightly reduces a person’s risk of developing HPV-related cancer.
- DThe average time from infection with HPV until the development of HPV-related cancer is 6.5 years.
26Which one of the following statements is TRUE regarding clinical presentations of anogenital warts?
- ABleeding is not a known symptom associated with anal warts
- BVulvovaginal warts may cause dyspareunia, pruritus, or burning discomfort
- CAnogenital warts rarely regress without treatment
- DAnogenital warts always cause significant clinical symptoms
27Which one of the following would be an indication to perform a biopsy of an anogenital wart?
- AA wart is larger than 3 cm
- BA wart is larger than 5 cm
- CA wart is persistently ulcerated or bleeding
- DA wart resolves with treatment but later returns at the same location
28Which treatment is considered a recommended patient-applied treatment for external anogenital warts?
- ATrichloroacetic acid (TCA) 80-90% solution
- BCidofovir 1% gel
- CImiquimod 3.75% cream
- DBichloroacetic acid (BCA) 10-20% solution
29A pregnant women has multiple vulvar warts that she wants to have treated. Which one of the following choices is considered an acceptable option for this woman?
- AImiquimod
- BPodofilox
- CTrichloroacetic acid
- DTopical cidofovir
30Which one of the following is TRUE regarding the HPV vaccine dosing schedule for healthy boys and girls?
- ABoys and girls ages 9 through 14 require only 2 doses
- BBoys and girls ages 17 and older require only 1 dose
- CBoys and girls younger than age 11 require 4 doses
- DBoys and girls ages 15 and older require only 2 doses
31How is acute PID defined?
- AAcute is less than or equal to 7 days in duration
- BAcute is less than or equal to 30 days in duration
- CAcute is less than or equal to 14 days in duration
- DAcute is less than or equal to 21 days in duration
32select The most common pathogens associated with PID, (select all that apply)
- AChlamydia trachomatis
- BStreptococcus pneumoniae
- CGroup B streptococcus
- DNeisseria gonorrhoeae
33Which one of the following is considered a known chronic sequela following acute pelvic inflammatory disease (PID) in a young woman?
- ACervical incompetence
- BIncreased risk for ovarian cancer
- CUterine prolapse
- DInfertility
34Treatment Guidelines recommend presumptive PID treatment for sexually active young women and other women at risk for STDs if they are experiencing pelvic or lower abdominal pain, if no cause for the illness other than PID can be identified, and if one or more minimum clinical criteria are met. Which one of the following is included under "Minimal Clinical Criteria"?
- APurulent discharge from the cervical os
- BCervical motion tenderness occurring in the absence of any other explanation
- CCervical petechiae without evidence of thrombocytopenia or cervical trauma
- DErythema of the vaginal wall
35Which one of the following statements is TRUE regarding appropriate follow-up for PID?
- AAll women treated for PID should have a one-time visit with a reproductive health specialist
- BPatients should be re-examined within 72 hours after initiation of therapy
- CAll women treated for PID should receive antimicrobial prophylaxis for major dental work
- DAll women treated for PID should undergo yearly pelvic ultrasound every 5 years until age 45 to monitor for possible long-term sequelae
36A 26-year-old woman is diagnosed with pelvic inflammatory disease. She has no antibiotic allergies. The decision is made to treat her as an out-patient. Which one of the following regimens is recommended?
- ACeftriaxone 250 mg IM in a single dose plus doxycycline 100 mg twice a day for 14 days plus metronidazole 500 mg orally twice a day for 14 days
- BCeftriaxone 250 mg IM in a single dose plus azithromycin 1 g orally in a single dose
- CMoxifloxacin 400 mg orally in a single dose plus doxycycline 100 mg twice a day for 14 days
- DCeftriaxone 1 g IM in a single dose plus moxifloxacin 400 mg orally in a single dose plus doxycycline 100 mg twice a day for 14 days
37A 22-year-old man is diagnosed with syphilis and condylomata lata.
What is condylomata lata?- AA term used to describe patients with large, irregular chancres in patients with primary syphilis.
- BMultiple cauliflower-like warts that emerge in secondary syphilis as a result of Treponema pallidumu
- CMoist, wart-like papular lesions that develop in 10-20% of patients with secondary syphilis.
- DA rare cutaneous disorder manifested as growths on the scalp in patients with tertiary syphilis
38A 31-year-old woman had a negative screening syphilis test 9 months ago. Five months ago she developed a maculopapular rash that resolved on its own; she now has a Rapid Plasma Reagin (RPR) titer of 1:128.
How would you classify the current stage of syphilis for this patient?- ASyphilis of unknown duration
- BLate latent
- CVery late latent
- DEarly latent
39A 29-year-old man develops a diffuse rash 5 weeks after having sexual contact with a new male partner. Testing for syphilis shows a positive Venereal Diseases Research Lab (VDRL) test of 1:256. He is diagnosed with secondary syphilis. He does not have any antibiotic allergies.
What is the recommended treatment for this patient?- AAzithromycin 1 g orally as a single dose
- BBenzathine penicillin G 2.4 million units IM in a single dose
- CCeftriaxone 1 g IV as a single dose
- DBenzathine penicillin G 7.2 million units total, administered as 3 doses of 2.4 million units IM each at 1-week intervals
40Which one of the following best describes a primary syphilis (chancre) lesion?
- AA painless, well-circumscribed ulcer that has a clean base and persists for 1 to 6 weeks
- BMultiple painful shallow ulcers that have an erythematous base and persist for 3 to 4 days
- CA large serpiginous ulcer that has a soft, beefy edge and persists for 2 to 4 days
- DA painful soft ulcer that persists for 2 to 4 days
41Which one of the following is TRUE regarding a definition of latent syphilis?
- ALate latent refers to syphilis infection of at least 1 year in duration
- BEarly latent refers to syphilis infection of less than 6 weeks in duration
- CLate latent refers to syphilis infection of at least 5 years in duration
- DEarly latent refers to syphilis infection of less than 12 weeks in duration
42A 24-year-old man presents with a diffuse macular and papular rash on his chest, back, hands and feet. He had 2 new male sexual exposures approximately 6 weeks ago. He now has a positive Venereal Diseases Research Laboratory (VDRL) test with a titer of 1:256. He had a negative syphilis test about 3 months ago. He has no other symptoms and his neurologic examination is normal. He has no known antibiotic allergies.
What treatment is indicated?- ACeftriaxone 500 mg IM in a single dose plus Azithromycin 1 g orally in a single dose
- BBenzathine penicillin G 2.4 million units IM in a single dose
- CBenzathine penicillin G 2.4 million units IM weekly for 3 total doses
- DDoxycycline 200 mg twice a day for 3 days
43What is the normal vaginal pH in most healthy women?
- AAcidic, between 3.8 and 4.5
- BAcidic and less than 2.2
- CAlkaline, between 5.8 and 6.2
- DAlkaline and greater than 6.2
44Which of the following is the most common cause of vaginitis in reproductive-aged women?
- ACandidiasis
- BTrichomoniasis
- CBacterial vaginosis
- DAtrophic vaginitis
45What is the most likely diagnosis based on the following criteria: pH 5.0; clue cells greater than 20% per high power field, potassium hydroxide (KOH) "whiff test" positive with an fishy odor, and homogenous discharge?
- ACandidiasis
- BTrichomoniasis
- CBacterial vaginosis
- DChlamydia
46Which one of the following is a recommended treatment regimen for non-pregnant women with symptomatic bacterial vaginosis?
- AMetronidazole 2 grams orally in a single dose
- BMetronidazole 500 mg orally twice a day for 7 days
- CTinidazole gel 0.75%, 5 grams intravaginally as a single application
- DClindamycin 300 mg orally twice a day for 14 days
47Which one of the following best describes the signs and symptoms of trichomoniasis in women?
- ADysuria, itching, and thin milky white vaginal discharge
- BFoul, fishy odor and thick, clumpy white vaginal discharge
- CAsymptomatic, or frothy gray or yellow-green vaginal discharge
- DMucosal ulcerations associated with pain and radicular symptoms
48Which one of the following adverse clinical outcomes is associated with Trichomonas vaginalis infection in women?
- AEctopic pregnancy
- BInfertility
- COvarian cancer
- DPremature rupture of membranes and preterm labor
49Which one of the following is considered a preferred regimen for the treatment of trichomoniasis in a 28-year-old woman who is not pregnant and has not antimicrobial allergies?
- AMetronidazole 500 mg orally in a single dose
- BAmoxicillin 500 mg three times a day for 5 days plus metronidazole 500 mg twice a day for 5 days
- CTinidazole 2 grams orally in a single dose
- DDoxycycline 100 mg twice a day for 3 days plus metronidazole 500 mg twice a day for 3 days
50Which one of the following women would be considered to have complicated vulvovaginal candidiasis?
- Aa 67-year old woman
- BA 29-year-old woman with three episodes of vulvovaginal candidiasis in 1 year
- C34-year-old woman with diabetes mellitus
- Ddiagnosed in a woman who has experienced symptoms for 8 days
51A 29-year-old woman with a malodorous, homogenous gray vaginal discharge is diagnosed with bacterial vaginosis. She is not pregnant. What is the recommended treatment for this woman?
- AClindamycin 450 mg three times a day for 7 days
- BMetronidazole 500 mg orally twice a day for 7 days
- CDoxycycline 100 mg twice a day for 7 days plus Clindamycin 450 mg three times a day for 7 days
- DDoxycycline 100 mg twice a day for 7 days
52A 30-year-old woman is 28 weeks pregnant and presents with severe vulvar itching and burning, along with thick white clumpy vaginal discharge.
Which one of the following is a recommended regimen for this woman?- AClotrimazole 1% cream 5 g applied intravaginally daily for 7 days
- BFluconazole 150 mg orally in a single dose
- CFluconazole 150 mg orally once daily for 7 days
- DClotrimazole 500 mg orally once
53what should be done for a 36yo woman complaining of diffused breast tenderness who has had a normal screening mammogram result 6 months ago?
- Adiagnostic mammogram
- BSupportive, soft bra (sports bra)
- CDecrease caffeine intake
- DDecrease salt, particularly 2 weeks before menses
54your 34yo pt calls with complaints of breast/nipple pain only on the left with a clear, sometimes blood streaked discharge. she has had her mammogram this year with normal findings. what is the best thing to be done with this pt?
- Athat it is likely benign causes, follow up in 3 months
- Bit is a benign Intraductal papilloma that should be left in place
- Cyou should assess for recent trauma to that side
- Dductogram/possibly MRI
55You're breastfeeding patient calls complaining of painful red left breast that is hot to the touch, she states that she feel terrible, and that her temp this morning was 101.5 before taking Tylenol, what should be prescribed for this pt?
- Adoxycycline 500 mg 2 times per day for 5-14 days
- BKeflex 500 mg 1 time a day for at least 3 days.
- CDicloxacillin 500 mg 4 times per day for 5-14 days
- Ddoxycycline 125mg 4 times per day for 5-14 days
56select the TRUE statement about Breast cancer(select all that apply)
- A1 in 8 lifetime risk of breast cancer
- B80% of women who develop breast CA have no FH
- C2nd leading cause of death among women ages 40-59
- D80% of breast CA lumps occur in the upper outer quadrant of the breast
- E98% of breast cancers are PAINLESS
57what are the most dangerous types of HPV
- A6, 11
- B16, 18
- C8, 19
- D16,17
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- Quiz on N850 test 1 , created by Shawn Tredinnick on 20/09/2021.
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- Shawn Tredinnick
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