Week 1 practice questions Flashcards
Which of the following is NOT one of the 4 basic principles of practice?
a) Safety
b) Ethical practices
c) Nonmaleficence
d) Value-based healthcare
e) Prevention & early mitigation of disease
c) Nonmaleficence
Nonmaleficence is a part of ethical practices, not a standalone basic principle
Which theory describes the developmental origins of adult disease?
a) Barker hypothesis
b) Adaptive developmental plasticity
c) Allostasis
d) Preconception theory
a) Barker hypothesis
What are the only effective screening tests for gyn cancers? Select all that apply
a) Pap (Papanicolaou) smear
b) Self breast exam
c) HPV test
d) Ovarian cancer test
e) Mammography
a) Pap (Papanicolaou) smear
e) Mammography
Who should get an annual breast exam?
a) 50 years and older
b) 40 years and older
c) 45 years and older
d) 21 years and older
b) 40 years and older
Which of the following is NOT a risk factor for cervical cancer?
a) Multiple full-term pregnancies (> 3)
b) Long term OCP use
c) Young at 1st full-term pregnancy (< 20 y/o)
d) Old at 1st full-term pregnancy (>35 y/o)
e) Low income
f) HPV
d) Old at 1st full-term pregnancy (>35 y/o)
Which STDs are pregnant women screened for?
a) HPV, chlamydia, gonorrhea, syphilis
b) HIV, HPV, chlamydia, gonorrhea
c) HIV, chlamydia, gonorrhea, syphilis
d) HPV, chlamydia, gonorrhea, trichomoniasis
c) HIV, chlamydia, gonorrhea, syphilis
True or false: With DEXA scans, the SD from the mean peak BMD of a normal, young adult population is called a T-score
True
__________________ may present in older women as dementia
a) Hypothyroidism
b) Hyperthyroidism
c) Hypoaldosteronism
d) Hyponatremia
a) Hypothyroidism
HTN should be screened annually for women and/or girls age _______ and older
a) 21
b) 18
c) 13
d) 35
c) 13
Which of the following are the four principle-based ethics?
a) Autonomy, empathy, nonmaleficence, justice
b) Autonomy, beneficence, nonmaleficence, justice
c) Empathy, equality, autonomy, justice
d) Autonomy, equality, nonmaleficence, justice
b) Autonomy, beneficence, nonmaleficence, justice
“Right to refuse care” falls under which part of the 7-step decision making process?
a) Identify the decision makers
b) Systematically evaluate the options
c) Select the option that can best be justified
d) Identify ethical conflicts & set priorities
d) Identify ethical conflicts & set priorities
Which of the following are NOT positive neurotransmitters? Select all that apply.
a) Norepinephrine
b) Dopamine
c) Serotonin
d) Oxytocin
e) Prolactin
f) GABA
c) Serotonine
e) Prolactin
f) GABA
(these are negative NTs)
During which phase of sexual response does the uterus pull up and away from the vagina?
a) Excitement
b) Plateau
c) Orgasm
d) Resolution
a) Excitement
True or false: Female sexual dysfunction disorders do NOT include pain disorders.
False
Medical conditions commonly affecting sexual response are typically associated with the loss of production of at least one of two hormones/ NTs; what are these 2?
a) Androgens and dopamine
b) Estrogen and androgens
c) Estrogen and serotonin
d) Prolactin and serotonin
e) Dopamine and serotonin
b) Estrogen and androgens
True or false: You should use “intercourse” instead of “sexual activity” when speaking to patients
False (it’s the opposite)
Which of the following is NOT a method of pelvimetry mentioned in class?
a) Bimanual exam
b) X-ray
c) MRI
d) CT scan
c) MRI
Which conjugate of the pelvis is most narrow, needs to be > 11 cm for vaginal birth, and is unable to be directly measured clinically?
a) Obstetric
b) Oblique
c) Diagonal
d) Oblong
e) Sacral
a) Obstetric
Which muscles did we learn in class act as a sphincter for the urogenital diaphragm?
a) Pelvic muscles
b) Vaginal muscles
c) Diaphragmatic muscles
d) Bulbocavernosus muscles
d) Bulbocavernosus muscles
What is the area where >90% cervical neoplasia arise? Choose the best answer.
a) Transformation zone
b) External OS
c) Endocervix
d) Active SCJ
e) Ectocervix
d) Active SCJ
There’s an increased risk of perforation in ___________& _____________ uteri with certain procedures
a) Anteverted; retroverted
b) Anteflexed; retroflexed
c) Anteverted; retroflexed
d) Retroflexed; midposition
b) Anteflexed; retroflexed
21-hydroxylase deficiency is the most common cause of what?
a) Turner syndrome
b) Müllerian abnormalities
c) Congenital adrenal hyperplasia (CAH)
d) Gartner cysts
c) Congenital adrenal hyperplasia (CAH)
Gartner cysts are located in the _______________ or broad ligament
a) Uterus
b) Vaginal wall
c) Cervix
d) Utero-sacral ligament
b) Vaginal wall
“Reflective listening” replaces “advice giving” in what aspect of patient-provider partnership?
a) Motivational interviewing
b) Empathic communication
c) Culturally competent interviewing
d) Open communication
a) Motivational interviewing
Define menopause
a) Cessation of menses for > 6 months
b) Transition from menstrual to non-menstrual life when ovarian function begins to wane (often lasts 1-2 years)
c) Cessation of menses for > 1 year
d) Transition from menstrual to non-menstrual life when uterine function begins to wane (often lasts 1-2 years)
c) Cessation of menses for > 1 year
Your patient has given birth to triplets, who are now all 15 years old, at 30 weeks. She gave birth to her 5 year old daughter at 27 weeks. She had a spontaneous abortion at 19 weeks, and gave birth at 21 weeks to a son who did not survive.
What is her GTPAL?
a) G4T1P3A1L4
b) G4T0P3A1L4
c) G4T1P3A2L4
d) G4T0P4A2L4
e) G6T0P4A0L4
b) G4T0P3A1L4
Your patient has a 9 year old who she gave birth to at 37 weeks. She also has a 7 year old she gave birth to at 39 weeks, a 5 year old she had at 32 weeks, and a 2 year old she had at 23 weeks. She also has had a spontaneous abortion at 17 weeks and another at 15 weeks.
What is her GTPAL?
a) G6T2P2A2L4
b) G4T4P2A2L4
c) G6T2P4A2L4
d) G4T3P1A2L4
a) G6T2P2A2L4
True or false: breastfeeding is considered a part of obstetric history, and immunizations are a part of preconception counseling.
True
What is the best means of early detection of breast cancer?
a) Mammography only
b) Breast self awareness + mammography
c) Clinician breast exam + breast self awareness
d) Mammography + clinician breast exam
d) Mammography + clinician breast exam
True or false: Clear or milky discharge (galactorrhea) is an abnormal clinical breast exam finding
True
ACOG recommends annual pelvic exam in women _____ yrs & older.
a) 18
b) 20
c) 21
d) 25
c) 21
Failure to find the cervix is most commonly due to what?
a) Not pointing the speculum downward enough
b) Not advancing the speculum far enough
c) Not pointing the speculum upward enough
d) Not opening the speculum wide enough
b) Not advancing the speculum far enough
Pap test specimens are collected from what 2 regions? Be specific/ choose the best answer.
a) Active SCJ & endocervix
b) Transformation zone & endocervix
c) Transformation zone & ectocervix
d) Active SCJ & ectocervix
b) Transformation zone & endocervix
Which of the following describes the tilt of the uterus on the shorter axis?
a) Mid-position
b) Version
c) Flexion
d) Extension
e) Inversion
c) Flexion
