Smells like Teen Spirit
Breast health
Weight, Weight..don't tell me
Under pressure
Now Screening..
100
A 15-year-old adolescent female who is sexually naïve comes to your office for the recommended initial reproductive health visit; she has no complaints related to her reproductive health; which of the following is NOT indicated during this encounter? a. Pelvic examination b. Establishment of rapport c. Stage of adolescence evaluation d. Reproductive health care needs assessment
What is Pelvic examination
100
The American Cancer Society (ACS) has published guidelines for the conduct of the clinical breast examination. Which of the following components of the examination is no longer recommended? a. Axillary lymph node palpation b. Inspection for skin abnormalities c. Breast palpation with the patient supine d. Inspection with patient’s arms raised overhead
What is Inspection with patient’s arms raised overhead
100
Most U.S. women are overweight or obese. Which of the following statements is FALSE regarding the body mass index (BMI) as a clinical tool? a. A normal BMI in adults ranges from 18.5 to 24. b. For adolescents, BMI is expressed as a percentile. c. The calculation of BMI includes age, weight, and height. d. The BMI reflects risk of obesity-related medical conditions.
What is The calculation of BMI includes age, weight, and height
100
Prehypertension increases the risk of developing hypertension at a later time. Respectively, what are the lower limits of systolic and diastolic blood pressure measurements (mm Hg) that define prehypertension? a. 120, 80 b. 135, 85 c. 140, 90 d. 145, 95
What is 120, 80
100
What fasting venous blood glucose value is the threshold for diagnosis of diabetes mellitus in adults? a. > 120 mg/dL b. > 125 mg/dL c. > 140 mg/dL d. > 145 mg/dL
What is >125 mg/dl
200
A 19 year old sexually active female comes to your office asking for emergency contraception because the condom broke last night. Which of the following needs to be done prior to giving Plan B? 1. Pelvic exam 2. Pap smear 3. Pregnancy test 4. 1 and 3 5. None of the above
What is none of the above
200
Expressing the nipples for the detection of discharge is currently recommended selectively for which of the following indications? a. Breast pain (mastalgia) b. Current breastfeeding with fever c. Spontaneous nipple discharge in a nonlactating woman d. Bilateral milky discharge that is present only when expressed by the patient
What is Spontaneous nipple discharge in a nonlactating woman
200
Bariatric surgery has become a more commonly used adjunct to other weight-loss strategies. Which of the following is an INCORRECT statement regarding recommendations for bariatric surgery? a. Pregnancy should be delayed for 12 to 18 months following bariatric surgery. b. Gastric banding is now the only recommended bariatric surgery method c. Patients with comorbid conditions can be considered for bariatric surgery at BMIs of 35 or more. d. If no comorbid conditions are present, bariatric surgery may be selected for patients with BMIs of 40 or more.
What is Gastric banding is now the only recommended bariatric surgery method
200
Identifiable causes of hypertension include the regular use of all EXCEPT which of the following agents? a. Licorice b. Valproic acid c. Combination oral contraceptives d. Nonsteroidal anti-inflammatory agents
What is valproic acid
200
According to current ACOG guidelines, how often should a 26-year-old woman with HIV be screened for cervical cancer, assuming she has no symptoms or physical findings of cervical cancer? a. Annually b. Every 2 years c. Every 3 years d. Every 5 years
What is annually.
300
Which of the following statements regarding placement of IUDs in adolescents is TRUE: 1. Expulsion rates are higher in teens 2. IUDs lead to increased rates of infertility in adolescents 3. Misoprostol given prior decreases pain with placement 4. Teens have the lowest usage rates of IUDs as compared to any other age group
What is teens have the lowest usage rate
300
Which of the following are recommended for breast cancer screening by current ACOG guidelines? a. Self breast examination b. Periodic clinical breast exam starting at age 19 c. Screening mammography every 1 to 2 years for women ages 40 to 49 years d. All of the above
What is All of the above
300
The effect of obesity on the effectiveness of various contraceptive methods is not fully understood. Which contraceptive method has been determined most conclusively to be less effective in women weighing more than 90 kg? a. Subdermal contraceptive rod b. Depot medroxyprogesterone acetate c. Combination hormone contraceptive patch d. Combination hormone oral contraceptive pills
What is the patch
300
Upon diagnosing hypertension, which of the following tests are recommended to further investigate possible causes and comorbidities? a. Urinalysis and serum creatinine b. Thyroid function and blood glucose c. Electrocardiogram and lipid profile d. All of the above
What is all of the above
300
Which of the following statements is INCORRECT regarding colon cancer and colon cancer screening in asymptomatic woman at average risk? a. Screening colonoscopy, if negative, should be repeated every 5 to 7 years. b. Colon cancer is ranked third among the leading causes of cancer death in women. c. Several organizations recommend that women of average risk begin screening at age 50 years. d. Annual fecal immunochemical testing (FIT) is more specific (fewer false positive results) than the fecal occult blood test (FOBT), which uses a guaiac paper-based oxidation reaction.
What is a. screening colonoscopy if negative should be repeated every 5 to 7 years
400
What percentage of women age 15-19 have engaged in intercourse? 1. 17% 2. 27% 3. 47% 4. 87%
What is 47%
400
Which of the following statements is FALSE. 1. Annual breast MRI should be performed on those who are BRCA+ 2. Breast self-awareness should not include self breast exam 3. The lifetime risk of breast cancer for women is 1 in 8 4. ACOG recommends annual breast mammography for screening starting at the age of 40
What is 2. breast self-aweness should not include self breast exam
400
The clinical usefulness of diagnosing the metabolic syndrome is not fully understood at present. What waist circumference in females is the threshold value for one of metabolic syndrome’s current diagnostic criteria? a. 35 inches (88 cm) b. 40 inches (101 cm) c. 45 inches (114 cm) d. 50 inches (127 cm)
What is 35 inches
400
An appropriately sized blood pressure cuff is necessary for the accurate measurement of blood pressure and screening for hypertension. At minimum, what percentage of the arm above the elbow should the air bladder of the cuff encircle? a. 40% b. 60% c. 80% d. 100%
What is 80%
400
Which of the following is currently recommended for ovarian cancer screening in women at average risk? a. Pelvic examination b. Pelvic sonography every 2 to 3 years c. Annual cancer antigen (CA125) level measurement d. Annual cancer antigen (CA125) level measurement and pelvic sonography
What is a pelvic exam
500
Which of the following statements about the HPV vaccine is FALSE: 1. The HPV vaccines can be given to patients with previous CIN or genital warts. 2.The presence of immunosuppression is not a contraindication to HPV vaccination. 3.Human papillomavirus vaccines are licensed in the United States for women older than 26 years. 4.The quadrivalent HPV vaccine is approved for use in males and females, whereas the bivalent HPV vaccine is approved for use only in females.
What is HPV vaccines are license in the U.S. for women >26yo
500
ACS recommends MRI screening for all of the following EXCEPT those with: 1. BRCA1 or BRCA2 mutation 2. dense breasts 3. First degree relative with BRCA1 or BRCA 2 and have not been tested themselves 4. History of chest radiation between age 10 and 30
What is those with dense breasts
500
The U.S. Preventive Services Task Force recommends a minimum of how many minutes of moderate-intensity activity per week, performed in episodes of at least 10 minutes? a. 60 b. 90 c. 120 d. 150
What is 150 minutes
500
Lifestyle modifications for prevention and management of hypertension include the following EXCEPT: 1. Weight loss 2. Smoking cessation 3. Low sodium intake 4. reducing dietary intake of saturated fats and cholesterol 5. All are appropriate lifestyle modifications
What is all are appropriate
500
All adults (up to age 64) should be screened regardless of risk factors for which sexually transmitted disease according to the American College of Obstetricians and Gynecologists (ACOG) and the Centers for Disease Control and Prevention (CDC)? a. Hepatitis B virus b. Treponema pallidum c. Chlamydia trachomatis d. Human immunodeficiency virus (HIV)
What is HIV
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