ENA gynecological Problems
For a patient with a Bartholin's gland abscess that was drained, which statement indicates that discharge teaching has been effective? A. "I'll take sitz baths and use nonsteroidal anti-inflammatory drugs for comfort." B. "I don't need to take antibiotics because the infection was drained." C. "I may engage in sexual intercourse as soon as I want." D. "My drain will be removed after 1 week."
a
Which gynecologic disorder causes visceral pain? A. Ruptured ectopic pregnancy B. Adhesions C. Endometritis D. Ruptured ovarian cyst
a
Which organism can cause a miscarriage? A. Herpes simplex virus B. Hepatitis B virus C. Human immunodeficiency virus D. Human papillomavirus
a
Which statement about the female reproductive system is correct? A. The uterus is a thick-walled organ suspended in the anterior pelvis. B. The ovaries are located outside the peritoneal cavity. C. The fallopian tubes are contiguous with the ovaries. D. The middle layer of the uterus is the endometrium.
a
Which treatment is used to manage syphilis? A. Penicillin G benzathine (Bicillin LA) 2.4 million units intramuscularly in a single dose B. Erythromycin (Erythrocin) 500 mg orally four times a day for 7 days C. Azithromycin (Zithromax) 1 g orally in a single dose D. Ceftriaxone (Rocephin) 125 mg intramuscularly in a single dose
a
At which point in the menstrual cycle does the leakage of prostaglandin-containing follicular fluid occur? A. During menses B. Just before the onset of menses C. Midcycle D. Just after menstrual flow stops
c
Ectopic pregnancy is a complication of which disorder? A. Human papillomavirus infection B. Genital herpes C. Tuboovarian abscess D. Ovarian cyst
c
For a patient who presents with severe dysfunctional uterine bleeding, which intervention is the priority? A. Transfuse blood. B. Administer conjugated estrogens (Premarin) intravenously. C. Infuse intravenous fluids. D. Prepare the patient for surgery.
c
Which disorder usually is asymptomatic? A. Syphilis B. Chancroid C. Chlamydial infection D. Bartholin's gland abscess
c
Which statement accurately characterizes chancroid? A. It is closely associated with gonorrhea. B. Cultures are used to diagnose chancroid. C. The causative agent is Haemophilus ducreyi. D. The lesion borders are regular, and serous exudate covers the base.
c
Which statement accurately characterizes pelvic inflammatory disease? A. Candida albicans is the organism that most commonly causes pelvic inflammatory disease. B. Pelvic inflammatory disease refers to an infection of the lower reproductive tract. C. Pregnant patients with pelvic inflammatory disease should be admitted to the hospital. D. Frequent vaginal douching is a treatment for pelvic inflammatory disease.
c
Which statement correctly applies to genital herpes? A. Recurrent eruptions are more severe than eruptions with the primary infection. B. Only 20% of patients experience recurrent eruptions. C. Up to 50% of cases are asymptomatic. D. Administration of an antiviral agent can cure genital herpes.
c
Which statement correctly describes ovarian cysts? A. Ovarian cysts are common causes of pelvic pain. B. Ovarian cysts commonly form during the latter half of the menstrual cycle. C. Follicular cysts are the most common ovarian cysts. D. Corpus luteal cysts are more common than ovarian cysts.
c
Which treatment is used to manage syphilis? A. Penicillin G benzathine (Bicillin LA) 2.4 million units intramuscularly in a single dose B. Erythromycin (Erythrocin) 500 mg orally four times a day for 7 days C. Azithromycin (Zithromax) 1 g orally in a single dose D. Ceftriaxone (Rocephin) 125 mg intramuscularly in a single dose
c
A patient presents with right lower quadrant pain, which she rates as an 8 (on a 0-to-10 scale). She is afebrile and states that her last normal menstrual period began 2 weeks ago. Based on these findings, which disorder is she most likely to have? A. Syphilis B. Tuboovarian abscess C. Ectopic pregnancy D. Ovarian cyst
d
For a patient with pelvic inflammatory disease, which treatment is indicated? A. Cefoxitin (Mefoxin) 2 g intravenously B. Ceftriaxone (Rocephin) 250 mg intramuscularly C. Doxycycline (Vibramycin) 100 mg orally, plus metronidazole (Flagyl) 500 mg intravenously D. Ceftriaxone 250 mg intramuscularly, plus doxycycline 100 mg orally or intravenously
d
How is syphilis usually transmitted? A. Via the bloodstream B. By bacteria spilling into the peritoneal space C. Through microabrasions on the mucosal surfaces D. Through direct contact with an infected lesion
d
Which disorder requires treatment with oral fluconazole (Diflucan) or an intravaginal azole preparation? A. Endometriosis B. Bacterial vaginosis C. Trichomoniasis D. Vaginal candidiasis
d
Which organism causes cervicitis? A. Human papillomavirus B. Candida albicans C. Trichomonas vaginalis D. Chlamydia trachomatis
d
Which statement accurately describes gynecologic assessment? A. Defer the sexual history if the topic makes the patient uncomfortable. B. Palpate the area of abdominal or pelvic discomfort first. C. Auscultate for bowel sounds after palpating for abdominal or pelvic discomfort. D. Ask about pelvic pain, bleeding, and discharge during the history
d
Which statement correctly characterizes dysfunctional uterine bleeding? A. In postmenopausal women, dysfunctional uterine bleeding should be expected. B. Dysfunctional uterine bleeding rarely causes vaginal bleeding during a woman's reproductive years. C. The diagnosis of dysfunctional uterine bleeding is easily made through laboratory tests. D. In adolescents, dysfunctional uterine bleeding commonly occurs during the first 18 months after the onset of menstruation.
d
Which statement correctly describes a Bartholin's gland abscess? A. Bartholin's glands are easily palpated and visualized. B. Bartholin's glands are located on the labia majora. C. A Bartholin's gland abscess is treated with human papillomavirus quadrivalent vaccine, recombinant (Gardasil). D. A cyst develops when the duct of the gland becomes occluded and can lead to an abscess.
d
Which statement correctly describes endometriosis? A. Endometriosis causes pain that usually is worse midcycle. B. Endometriosis is easily diagnosed in the emergency department. C. Endometriosis results from endometrial tissue development inside the uterus. D. Endometriosis is a common cause of cyclic pain in menstruating women.
d
Which vaginal discharge is typically associated with trichomoniasis? A. Odorless, clear to milky white discharge B. Thick, odorless, white vaginal discharge C. Thin, homogenous, malodorous discharge that is white to gray and coats the vaginal wall D. Malodorous, copious, frothy discharge that is white to greenish-yellow
d
Which condition causes cyclic pelvic pain? A. Ovarian cyst B. Mittelschmerz C. Ovarian torsion D. Degenerating fibroid
b
Which condition is marked by the twisting of the ovary or fallopian tube? A. Ovarian cyst B. Ovarian torsion C. Endometriosis D. Mittelschmerz
b
Which finding occurs in the secondary phase of syphilis? A. Meningitis B. A dull symmetric rash on the palms C. Neuropathy D. Urine incontinence
b
Which statement accurately characterizes a ruptured tuboovarian abscess? A. Vaginal discharge is thick, odorless, and white. B. Septic shock is a complication. C. The pain is poorly localized. D. The abscess develops during the latter half of the menstrual cycle.
b
Which statement correctly characterizes dysfunctional uterine bleeding? A. In postmenopausal women, dysfunctional uterine bleeding should be expected. B. Dysfunctional uterine bleeding rarely causes vaginal bleeding during a woman's reproductive years. C. The diagnosis of dysfunctional uterine bleeding is easily made through laboratory tests. D. In adolescents, dysfunctional uterine bleeding commonly occurs during the first 18 months after the onset of menstruation.
b
Which statement correctly describes gonorrhea? A. The infection is localized. B. Its incidence is greatest among those ages 15 to 19. C. It is almost always asymptomatic in men. D. Ciprofloxacin (Cipro) is the treatment of choice
b
Which statement correctly describes patient assessment? A. Younger patients are more susceptible to human immunodeficiency virus infection. B. All women of childbearing age should have a urine pregnancy test. C. Patients who present with gynecologic complaints are low acuity patients. D. A sexual history is not required for some patients.
b
