Week 3 practice quiz Flashcards
The most used and safest method of interval contraception worldwide is what?
a) COCs
b) IUDs
c) Condoms
d) Spermicides
b)IUDs
What is the best first step if a pt with an IUD has abdominal pain?
a) hCG
b) Pelvic exam
c) Transvaginal ultrasound
d) Abd. ultrasound
a) hCG
Only absolute contraindication to Nexplanon is what?
a) Ovarian CA in past 5 years
b) Ovarian CA in past 3 years
c) Breast CA in past 5 yrs
d) Breast CA in past 10 yrs
c) Breast CA in past 5 yrs
Which IUD is recommended for nulliparous women for up to 3 years?
a) Paragard
b) Mirena
c) Kyleena
d) Liletta
c) Kyleena
Infection risk is highest for the first ____ days after insertion of an IUD.
a) 7
b) 10
c) 15
d) 20
e) 25
d) 20
True or false: With biphasic and triphasic COCPs, the amount of estrogen doesn’t change.
False (not the case for triphasic)
Extended cycle pills should NOT be recommended for which of the following conditions?
a) Menorrhagia
b) Amenorrhea
c) Dysmenorrhea
d) Endometriosis
b) Amenorrhea
True or false: OCPs decrease the risk of ectopic pregnancy
True
The only absolute contraindication to progesterone-only pills is what?
a) Progesterone sensitive endometrial CA
b) Progesterone sensitive breast CA
c) Progesterone sensitive cervical CA
d) Any form of CA
b) Progesterone sensitive breast CA
True or false: No pregnancy test is needed for emergency contraceptives.
True
Which of the following was NOT discussed as an emergency contraceptive option?
a) Plan B
b) Ella
c) Mirena
d) Paragard
c) Mirena
True or false: Plan B uses progesterone to block the LH surge.
True
True or false: OCPs release more than 60% more estrogen than the patch
False (opposite)
The patch should be started when?
a) Within the first day of period
b) Within the first 5 days of period
c) Can be started at any time
d) At the end of period
b) Within the first 5 days of period
True or false: The Depo shot typically suppresses ovulation.
True
True or false: the oldest and most widely used barrier contraception is condoms
True
Which of the following are aspects of the rhythm method required for it to be effective? Select all that apply
a) Menstrual calendar
b) Basal body temperature: AM temp
c) Basal body temperature: PM temp
d) Cervical mucous analysis
e) Avoidance of intercourse during fertile periods
a) Menstrual calendar
b) Basal body temperature: AM temp
d) Cervical mucous analysis
e) Avoidance of intercourse during fertile periods
Which of the following forms of female sterilization decreases ovarian cancer risk?
a) Tubal ligation (BTL)
b) Hysterectomy
c) Salpingectomy
d) Vasectomy
c) Salpingectomy
White, thick, “cottage cheese” discharge is a hallmark of what? Is it an STI?
a) Bacterial Vaginosis (BV); no
b) Bacterial Vaginosis (BV); yes
c) Candidiasis; no
d) Candidiasis; yes
a) Bacterial Vaginosis (BV); no
True or false: Diflucan (fluconazole) is not safe in pregnancy.
False; it’s safe
What is the treatment for all the lichens?
a) Estrogen replacement cream (topical) daily for 3 months
b) Diflucan (fluconazole) 150mg po x 1
c) Clobetasol 0.05% TID for a month then daily for 2 months
d) Clobetasol 0.05% BID for a month then daily for 3 months
e) Monistat or generic (Miconazole) x 7 days
f) Monistat or generic (Miconazole) x 14 days
d) Clobetasol 0.05% BID for a month then daily for 3 months
Vulvar pruritus was mentioned to be a common Sx of which of the following? Select all that apply.
a) High-grade squamous intraepithelial lesion of the vulva (HSIL)
b) Candidiasis
c) Vulvar intraepithelial neoplasia (VIN)
d) Allergic Vaginitis
e) Bartholin’s Gland cyst
f) Lichen Simplex Chronicus
g) Trichomoniasis
h) Lichen Sclerosus
i) Vulvar melanoma
j) Lichen Planus
k) Bacterial Vaginosis (BV)
l) Low-grade squamous intraepithelial lesion of the vulva (LSIL)
a) High-grade squamous intraepithelial lesion of the vulva (HSIL)
b) Candidiasis
c) Vulvar intraepithelial neoplasia (VIN)
d) Allergic Vaginitis
f) Lichen Simplex Chronicus
h) Lichen Sclerosus
i) Vulvar melanoma
j) Lichen Planus
True or false: Most cases of vulvar intraepithelial neoplasia (VIN) never turn into cancer.
True
True or false: Pthirus pubis is a bacteria
False
Which of the following occurs in 80% of sexually active women by age 50?
a) HSV
b) HPV
c) Bacterial vaginosis (BV)
d) Trichomoniasis
b) HPV
What causes 90% of genital warts (condyloma acuminata) cases?
a) HSV
b) HPV strains 16 and 18
c) HPV strains 6 and 11
d) Hepatitis B
c) HPV strains 6 and 11
What is the most common vaginal infection in women of childbearing age? Choose the best answer
a) Bacterial Vaginosis (BV) (Gardnerella bacteria)
b) Trichomoniasis (Trichomonas vaginalis parasite)
c) Bacterial Vaginosis (BV) (Pthirus bacteria)
d) Trichomoniasis (Trichomonas vaginalis bacteria)
a) Bacterial Vaginosis (BV) (Gardnerella bacteria)
What was mentioned to be a common social Hx finding with High-grade squamous intraepithelial lesion of the vulva (HSIL)?
a) Alcohol consumption
b) Smoking
c) Illicit drug use
d) Sedentary lifestyle
e) Processed foods
b) Smoking
True or false: You should use a colposcopy before you biopsy, excise, or abalate an HSIL.
True
Which of the following is primarily characterized by a fiery, red background mottled with whitish hyperkeratotic areas?
a) Lichen Sclerosus
b) Trichomoniasis
c) Squamous cell carcinoma (SSC) of the vulva
d) Paget disease
e) Carcinoma of the Bartholin Gland
f) Lichen Planus
d) Paget disease
The Amsel criteria evaluates which of the following?
Vulvar cancer
a) Vaginal Intraepithelial Neoplasia (VAIN)
b) Bacterial Vaginosis (BV)
c) Bartholin’s Gland cysts
d) HPV
e) Vaginal atrophy
b) Bacterial Vaginosis (BV)
A 40 year old patient comes in with an itchy purplish area on her vulva. She complains of burning pain, dyspareunia, and increased vaginal discharge. What is her most likely Dx?
a) Lichen Sclerosus
b) Lichen Planus
c) Lichen Simplex Chronicus
d) Vulvar Cancer
b) Lichen Planus
A 65 year old pt has a white, shiny, itchy plaque on her vulva with tissue-paper skin. She complains of burning perineal pain and dyspareunia. What is her most likely Dx, and what would you Tx her with?
a) Lichen Sclerosus; Clobetasol 0.05% TID for a month then daily for 2 months
b) Lichen Simplex Chronicus; Clobetasol 0.05% TID for a month then daily for 2 months
c) Lichen Sclerosus; Clobetasol 0.05% BID for a month then daily for 3 months
d) Lichen Simplex Chronicus; Clobetasol 0.05% BID for a month then daily for 3 months
c) Lichen Sclerosus; Clobetasol 0.05% BID for a month then daily for 3 months
