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MN 576 Midterm Exam Unit 5 – Question and Answers

1. Which HPV types are most often associated with cervical and anogenital cancer?
2. During a breast exam you note all of the findings below as normal except:
3. 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:
4. The vaccine Gardasil that is used to prevent some strains of HPV infection is recommended in both males and females.
5. Lesbians may experience which of the following barriers to health care?
6. Which of the following best describes lesions associated with condyloma acuminatum?
7. 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:
8. How long after contact do clinical manifestations of syphilis typically occur?
9. In assessing a woman with disabilities, which of the following terms should be avoided?
10. The definition of menopause is
11. Treatment options for bacterial vaginosis include all of the following except:
12. Physical examination of a 19-year-old woman with a 3-day history of vaginal itch reveals moderate perineal excoriation, vaginal erythema, and a white, clumping discharge. Expected microscopic examination findings include:
13. Which of the following is a contraindication to estrogen/progestin-containing methods (combined oral contraception [COC], patch [Ortho Evra], or ring [NuvaRing])?
14. Recommendations for adolescents with disabilities include a comprehensive sex education program that should be tailored to fit their specific needs.
15. 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?
16. The Pap test should not be considered a screening test for STDs.
17. Which of the following agents is most active against C. trachomatis?
18. When performing a bimanual exam all of the following are noted as normal findings except:
19. Routine screening for C. trachomatis on an annual basis is recommended for all sexually active females aged <25 years .
20. When performing a pelvic examination the first part of the external genitalia exam is
21. In women who have experienced a spinal cord injury, temporary cessation of menses is normal for up to one year following the injury.
22. When counseling a woman about COC use, you advise that:
23. Which of the following terms describes the mechanism of action of imiquimod (Aldara)?
24. Treatment of vulvovaginitis caused by Candida albicans includes:
25. Screening for osteoporosis with DEXA scan should begin
26. What is the approximate incubation period for Neisseria gonorrhoea?
27. What percentage of anogenital and cervical cancers can be attributed to HPV infection?
28. Universal screening for chlamydia and gonorrhea in women ?35 years entering juvenile and adult correctional facilities has been a long-standing recommendation.
29. 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:
30. HCV infection is the most common chronic bloodborne infection in the United States, with an estimated 2.7 million persons living with chronic infection
31. Adolescent girls are not candidates for IUD use for contraception
32. About ____ of patients with genital warts have spontaneous regression of the lesions?
33. 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:
34. Which HPV types are most likely to cause genital condyloma acuminatum?
35. Which test is performed around the time of ovulation to diagnose the basis of infertility?
36. 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?
37. Women with bacterial vaginosis typically present with:
38. Treatment options for patients with condyloma acuminatum include all of the following except:
39. The average onset of perimenopause is between the ages of:
40. Which of the following is not representative of the presentation of primary syphilis?
41. Noncontraceptive benefits of COC use include a decrease in all of the following except:
42. In patients who are allergic to azithromycin, an alternative treatment to chlamydia is
43. 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.
44. Which of the following may be a useful tool in screening for Female Sexual Disorder (FSD)?
45. Which of the following is found in tertiary syphilis?
46. A patient presents to you with a chief complaint of primary dysmenorrhea, which nonpharmacologic intervention might you recommend she try first?
47. Which of the following agents is active against N. gonorrhoeae?
48. A recommended treatment for rectal gonorrhea is:
49. When charting on a patient whom you have noted a breast lump it is important to document
50. 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: