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MN 576 Midterm Exam – Question and Answers

1. In assessing a woman with disabilities, which of the following terms should be avoided?
2. Which of the following terms describes the mechanism of action of imiquimod (Aldara)?
3. The NP is seeing a 30-year-old woman before her routine gynecologic examination, the NP questions that patient about her recent menstrual cycles. Which statement made by the patient should prompt further investigation?
4. Complementary and alternative medicine (CAM) is defined as a group of therapies that are not considered part of Western culture and include all of the following except:
5. Which HPV types are most often associated with cervical and anogenital cancer?
6. When counseling a woman about COC use, you advise that:
7. Puberty consists of a series of predictable events, and the sequence of changes in secondary sexual characteristics has been categorized by several groups. The staging system utilized most frequently used to describe these events is Tanner staging.
8. A preferred treatment option for trichomoniasis is:
9. Presumptive treatment for PID should be initiated in 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 of the following minimum clinical criteria are present on pelvic examination:
10. Which of the following is found in tertiary syphilis?
11. Which of the medications can be prescribed to a patient to treat and or prevent osteoporosis in the postmenopausal patient and should be taken weekly.
12. Which of the following may be a useful tool in screening for Female Sexual Disorder (FSD)?
13. Noncontraceptive benefits of COC use include a decrease in all of the following except:
14. Cervical cancer can be prevented with regular screening tests, like the Pap test and the HPV DNA test (HPV test). All women should start getting regular Pap tests at age 21 years.
15. During a breast exam you note all of the findings below as normal except:
16. Which test is performed around the time of ovulation to diagnose the basis of infertility?
17. Treatment of vulvovaginitis caused by Candida albicans includes:
18. A female patient who has not reached menarche by age 15 should be considered for a diagnosis of
19. The vaccine Gardasil that is used to prevent some strains of HPV infection is recommended in both males and females.
20. About ____ of patients with genital warts have spontaneous regression of the lesions?
21. Treatment options for bacterial vaginosis include all of the following except:
22. The Pap test should not be considered a screening test for STDs.
23. What is the approximate incubation period for Neisseria gonorrhoea?
24. Screening for osteoporosis with DEXA scan should begin
25. A 30-year-old woman presents without symptoms but states that her male partner has dysuria without penile discharge. Examination reveals a friable cervix covered with thick yellow discharge. This description is most consistent with an infection caused by:
26. How long after contact do clinical manifestations of syphilis typically occur?
27. Which HPV types are most likely to cause genital condyloma acuminatum?
28. In assessing a 13 year old female, you know that the presence of breast bud  with elevation of breast and papilla; enlargement of areola indicate which Tanner Stage?
29. The definition of menopause is
30. Treatment options for patients with condyloma acuminatum include all of the following except:
31. A 22-year-old woman taking a 35-mcg ethinyl estradiol COC calls after forgetting to take her pills for 2 consecutive days. She is 2 weeks into the pack. You advise her to:
32. When performing a bimanual exam all of the following are noted as normal findings except:
33. In women who have experienced a spinal cord injury, temporary cessation of menses is normal for up to one year following the injury.
34. When performing a pelvic examination the first part of the external genitalia exam is
35. A patient presents to you with a chief complaint of primary dysmenorrhea, which nonpharmacologic intervention might you recommend she try first?
36. A 22-year-old woman taking a 35-mcg ethinyl estradiol COC comes into the office complaining of sudden onset of calf pain.  She states she recently traveled abroad and the pain started when she returned home. You suspect
37. Which of the following is not representative of the presentation of secondary syphilis?
38. Which of the following best describes lesions associated with condyloma acuminatum?
39. When charting on a patient whom you have noted a breast lump it is important to document
40. HCV infection is the most common chronic blood borne infection in the United States.
41. Recommendations for adolescents with disabilities include a comprehensive sex education program that should be tailored to fit their specific needs.
42. In patients who are allergic to azithromycin, an alternative treatment to chlamydia is
43. Which of the following agents is most active against C. trachomatis?
44. A 24-year-old woman presents with a 1-week history of thin, green-yellow vaginal discharge with perivaginal irritation. Physical examination findings include vaginal erythema with petechial hemorrhages on the cervix, numerous white blood cells, and motile organisms on microscopic examination. These findings most likely represent:
45. Lesbians may experience which of the following barriers to health care?
46. Adolescent girls are not candidates for IUD use for contraception
47. Which of the following is a contraindication to estrogen/progestin-containing methods (combined oral contraception [COC], patch [Ortho Evra], or ring [NuvaRing])?
48. Women with bacterial vaginosis typically present with:
49. Which of the following is not representative of the presentation of primary syphilis?
50. What percentage of anogenital and cervical cancers can be attributed to HPV infection?