Women's Health

Question 0

Use of tamoxifen in postmenopausal women increases the risk of these 2 conditions

Answer 0

Endometrial cancer and thromboembolic disease

Question 1

5-year breast cancer risk in the Gail model at which tamoxifen should be considered for women 35-60 years of age

Answer 1

1.66% and above

Question 2

Bilateral prophylactic mastectomy should be offered to women with these 3 indications

Answer 2

(1) Family history of multiple relatives with premenopausal or bilateral breast cancer, (2) BRCA1 or BRCA2 mutation, (3) p53 mutation (Li-Fraumeni syndrome)

Question 3

The only cause of vaginitis that is sexually transmitted

Answer 3

Trichomoniasis

Question 4

Definitive diagnosis of Neisseria and Chlamydia cervicitis

Answer 4

Nucleic acid amplification test

Question 5

Single dose treatment vaginal candidiasis

Answer 5

Fluconazole

Question 6

Treatment for recurrent vaginal candidiasis

Answer 6

Weekly fluconazole for 6 months

Question 7

Treatment for urogenital, rectal, and pharyngeal gonorrhea in patients with penicillin allergy

Answer 7

Azithromycin (single dose)

Question 8

Preferred treatment of Chlamydia infection during pregnancy

Answer 8

Azithromycin (single dose)

Question 9

Two illnesses linked to HSV recurrences

Answer 9

Benign recurrent lymphocytic meningitis and recurrent erythema multiforme

Question 10

Also known as benign recurrent lymphocytic meningitis

Answer 10

Mollaret meningitis

Question 11

Frequency of HSV recurrence that warrants chronic suppressive therapy

Answer 11

6 or more per year

Question 12

Fibrous uterine scarring after a previous dilatation and curettage

Answer 12

Asherman syndrome

Question 13

First-line treatment for polycystic ovary syndrome if fertility is not desired

Answer 13

Spironolactone and oral contraceptives

Question 14

Ovulation induction agent for polycystic ovary syndrome

Answer 14

Clomiphene citrate

Question 15

Drug that improves ovulation rates in PCOS but not FDA approved for this condition

Answer 15

Metformin

Question 16

Most common cause of menorrhagia

Answer 16

Uterine fibroids

Question 17

A severe form of premenstrual syndrome characterized by anger, irritability, and internal tension

Answer 17

Premenstrual dysphoric disorder (PMDD)

Question 18

Treatment for mild premenstrual syndrome

Answer 18

Exercise and vitamin B6

Question 19

Effective first-line treatments for premenstrual syndrome and premenstrual dysphoric disorder (3)

Answer 19

Fluoxetine, sertraline, paroxetine

Question 20

Indication for short-term hormone replacement therapy in menopause

Answer 20

Intolerable vasomotor symptoms

Question 21

Effective first-line therapy for primary dysmenorrhea

Answer 21

NSAIDs

Question 22

Gold standard for diagnosis of endometriosis

Answer 22

Laparoscopy

Question 23

First-line therapy for endometriosis

Answer 23

NSAIDs

Question 24

Two most important risk factors for osteoporosis in women

Answer 24

Increasing age and previous fracture

Question 25

Most common cause of osteoporosis in women

Answer 25

Estrogen deficiency

Question 26

Treatment for pain from osteoporotic fractures

Answer 26

Calcitonin

Question 27

Bisphosphonate that may be given IV once yearly

Answer 27

Zolendronate

Question 28

Bisphosphonate that may be given IV every 3 months

Answer 28

Ibandronate

Question 29

Malignancy associated with use of teriparatide

Answer 29

Osteosarcoma

Treatment should be limited to 2 years

Question 30

Preferred formulation for emergency contraception (more efficacious, fewest side effects)

Answer 30

Levonorgestrel