Women's Health: Multiple Choice & Other Questions

Question 1

A 28 year-old woman has secondary dysmenorrhea. Select all choices consistent with this diagnosis.

1. Dysmenorrhea since menarche.
2. OB/GYN referral is appropriate.
3. Dysmenorrhea is getting worse over time.
4. NSAIDs and/or oral contraceptives usually relieve symptoms.
5. Patient has a history of endometriosis.

Answer 1

2. OB/GYN referral is appropriate.
3. Dysmenorrhea is getting worse over time.
4. Patient has a history of endometriosis.

Question 2

A 24 year-old woman taking oral combined oral contraceptives for 3 months is having breakthrough bleeding (BTB). What should be changed to stop the BTB? Select all that apply.

1. Higher progestin
2. Lower progestin
3. Higher estrogen
4. Lower estrogen
5. Rule out STIs

Answer 2

3. Higher estrogen
4. Rule out STIs

Question 3

Select all true statement about contraceptives.

1. Long-acting reversible contraceptives (LARCs) may be safely used by nulliparous women.
2. For patients with PCOS, combination pills are generally safe, effective and help with PCOS symptoms.
3. LARCs should not be inserted by PCPs.
4. Estrogen-containing contraceptives should not be prescribed for patients with a history of migraine aura.

Answer 3

1. Long-acting reversible contraceptives (LARCs) may be safely used by nulliparous women.
2. For patients with PCOS, combination pills are generally safe, effective and help with PCOS symptoms.
3. Estrogen-containing contraceptives should not be prescribed for patients with a history of migraine aura.

Question 4

A patient has been diagnosed with bacterial vaginosis. Select all appropriate diagnostic or management considerations.

1. Per CDC, patients should be treated with oral or vaginal metronidazole or an alternative antibiotic.
2. Recommend condom use.
3. Recommend douching for symptom relief.
4. Inform patient she has an STI.
5. Test for other STIs, per the CDC.

Answer 4

1. Per CDC, patients should be treated with oral or vaginal metronidazole or an alternative antibiotic.
2. Recommend condom use.
3. Test for other STIs, per the CDC.

Question 5

A 24 year-old woman calls the office reporting she has a “yeast infection.” How should the NP handle this? Select all that apply.

1. Take a brief history before deciding if she should be seen.
2. Call in a prescription for a topical antifungal agent.
3. Recommend an OTC topical agent for symptom relief until she can be seen.
4. Schedule an appointment for her ASAP.

Answer 5

4 = BEST answer

3. Recommend an OTC topical agent for symptom relief until she can be seen.
4. Schedule an appointment for her ASAP.

Question 6

According to AACE 2020 guidelines, which statements describe appropriate evaluation for possible DXA screening (for women)? Select all that apply.

1. Evaluate all postmenopausal women ≥50 years for osteoporosis.
2. Detailed history, exam optional.
3. FRAX calculation
4. Fragility fractures regardless of age.

Answer 6

1. Evaluate all postmenopausal women ≥50 years for osteoporosis.
2. FRAX calculation
3. Fragility fractures regardless of age.