WH AUB Quiz questions

The incidence of uterine fibroids a. increases with age. b. decreases with age. c. is often caused by early menopause. d. is related to the age of first menses. Ch 26

a

Type 1 endometrial cancer is caused by a. an excess of estrogen exposure. b. polyps in the endometrium. c. heredity. d. infertility treatments. ch 27

a

Which of the following is a diagnostic label that is listed in the Diagnostic and Statistical Manual IV-TR? a. Premenstrual dysphoric disorder b. Premenstrual magnification c. Dysmenorrhea d. Premenstrual syndrome Ch 23

a

How is secondary dysmenorrhea defined? a. absence of menstruation due to an underlying pathology b. an underlying pathology causing pain symptoms during menstrual flow c. painful menstruation in the absence of pathology d. painful menstruation that occurs in women after the age of 35 Ch 26?

b

Management of ovarian cysts warrant further investigation to ascertain the likelihood of malignancy. Which one of the following statements is not true a. more ovarian assess are being diagnosed during early pregnancy due to the increase use of US in 1st trimester. the risk of malignancy and acute complication form an ovarian mass during pregnancy is low b. PM women have an increased incidence of benign functional cysts. they should be evaluated, routine management is appropriate c. functional cysts both follicular and luteal are common in adolescents allowing for more anovulatory cycles. Early evidence of PCOS may manifest in this age group d. all statements are true ch 26

b

No risk factors other than age are identifiable in ______ of women with breast cancer. a. 100%. b. 85% c. 60% d. 24% Ch 15

b

Term for excessive terminal hair growth in women? a. metformin b. hirsutism c. alopecia d. PCOS Ch 25

b

The most widely accepted theory for the origin of endometriosis is that reverse flow of menses out of the fallopian tubes allows endometrial cells to enter the pelvis and become implanted on the pelvic organs, which is the a. induction theory. b. retrograde menstruation theory. c. coelomic metaplasia theory. d. endometrial repair theory. Ch 26

b

What is the definitive diagnostic technique for vulvar dermatoses? a. Pap test b. Biopsy c. Colposcopy d. Physical exam Ch 26

b

Why shouldn't symptoms such as bloating and breast tenderness be considered disordered perimenstrual symptoms? a. Because only a small minority of women have these symptoms b. Because these symptoms affect the majority of women c. Because these symptoms do not affect women's moods d. Because it is not possible to quantify these symptoms Ch 23

b

Approximately what percentage of women w/ vulvar cancer survive if confined to the primary site? a. 52% b. 75% c. 87% d. 60% Ch 27

c

How can weight loss specifically control symptoms of PCOS? a. It decreases SHBG. b. It increases insulin resistance. c. It decreases androgen levels. d. It increases estrogen levels. ch 25

c

Hyperandrogenism in reproductive-age women is most frequently ass'd with: a. ovarian cancer b. diabetes c. PCOS d. hyperthyroidism Ch 25

c

Kayla 19 has been sexually active for 3 yrs. A decision is made to perform a Pap smear on an office visit where she complained of vaginal discharge and was treated by chlamydia. the results returned low grade squamous intraepithelial lesion (LSIL). which is the most appropriate action. a. refer for immediate colposcopy b. treat for infection and repeat pap in 1 yr. stress f/up c. treat for infection and repeat pap in 6 mos. stress f/up d. no immediate action necessary. educate on safe sex practices and f/up care

c

The most common site for endometrial implants found in other parts of the body is a. the appendix. b. the uterus. c. the ovaries. d. the fallopian tubes. ch 26

c

What is the best definition of abnormal uterine bleeding (AUB)? a. Uterine bleeding for which no pelvic pathology is found b. Uterine bleeding that is irregular during a woman's menstrual cycle c. Uterine bleeding that is irregular in amount or frequency d. Uterine bleeding that is related to systemic conditions Ch 24

c

What percent of women with PCOS are obese? a. 75 b 40 c 50 d 25 Ch 25

c

Exercise-induced amenorrhea is probably due to the combination of low body fat and decreased secretion of a. estrogen. b. prolactin. c. progesterone. d. GnRH ch 24

d

In women of reproductive age, the most common cause of a bleeding pattern that is suddenly different is a. an increase in estrogen. b. a reaction to a change in eating or exercise habits. c. adrenal hyperplasia. d. a complication of pregnancy ch 24

d

Management goals for treating AUB include all but a. normalize the bleed b. restore quality of life c. correct any anemia d. increase androgen levels ch 24

d

Which of the following would not be considered a workup for galactorrhea? a. Labs: HCG, TSH, creatinine, prolactin level b. review medication history for phenothiazines, haloperidol, reserpine, methyldopa c. counsel pt on avoiding nipple stimulation d. correct hyperthyroidism Ch 15

d