Week 1 practice questions

Question 1

Which of the following is NOT one of the 4 basic principles of practice?
a) Safety
b) Ethical practices
c) Nonmaleficence
d) Value-based healthcare
e) Prevention & early mitigation of disease

Answer 1

c) Nonmaleficence

Nonmaleficence is a part of ethical practices, not a standalone basic principle

Question 2

Which theory describes the developmental origins of adult disease?
a) Barker hypothesis
b) Adaptive developmental plasticity
c) Allostasis
d) Preconception theory

Answer 2

a) Barker hypothesis

Question 3

What are the only effective screening tests for gyn cancers? Select all that apply
a) Pap (Papanicolaou) smear
b) Self breast exam
c) HPV test
d) Ovarian cancer test
e) Mammography

Answer 3

a) Pap (Papanicolaou) smear
e) Mammography

Question 4

Who should get an annual breast exam?
a) 50 years and older
b) 40 years and older
c) 45 years and older
d) 21 years and older

Answer 4

b) 40 years and older

Question 5

Which of the following is NOT a risk factor for cervical cancer?
a) Multiple full-term pregnancies (> 3)
b) Long term OCP use
c) Young at 1st full-term pregnancy (< 20 y/o)
d) Old at 1st full-term pregnancy (>35 y/o)
e) Low income
f) HPV

Answer 5

d) Old at 1st full-term pregnancy (>35 y/o)

Question 6

Which STDs are pregnant women screened for?
a) HPV, chlamydia, gonorrhea, syphilis
b) HIV, HPV, chlamydia, gonorrhea
c) HIV, chlamydia, gonorrhea, syphilis
d) HPV, chlamydia, gonorrhea, trichomoniasis

Answer 6

c) HIV, chlamydia, gonorrhea, syphilis

Question 7

True or false: With DEXA scans, the SD from the mean peak BMD of a normal, young adult population is called a T-score

Answer 7

True

Question 8

__________________ may present in older women as dementia
a) Hypothyroidism
b) Hyperthyroidism
c) Hypoaldosteronism
d) Hyponatremia

Answer 8

a) Hypothyroidism

Question 9

HTN should be screened annually for women and/or girls age _______ and older
a) 21
b) 18
c) 13
d) 35

Answer 9

c) 13

Question 10

Which of the following are the four principle-based ethics?
a) Autonomy, empathy, nonmaleficence, justice
b) Autonomy, beneficence, nonmaleficence, justice
c) Empathy, equality, autonomy, justice
d) Autonomy, equality, nonmaleficence, justice

Answer 10

b) Autonomy, beneficence, nonmaleficence, justice

Question 11

“Right to refuse care” falls under which part of the 7-step decision making process?
a) Identify the decision makers
b) Systematically evaluate the options
c) Select the option that can best be justified
d) Identify ethical conflicts & set priorities

Answer 11

d) Identify ethical conflicts & set priorities

Question 12

Which of the following are NOT positive neurotransmitters? Select all that apply.
a) Norepinephrine
b) Dopamine
c) Serotonin
d) Oxytocin
e) Prolactin
f) GABA

Answer 12

c) Serotonine
e) Prolactin
f) GABA

(these are negative NTs)

Question 13

During which phase of sexual response does the uterus pull up and away from the vagina?
a) Excitement
b) Plateau
c) Orgasm
d) Resolution

Answer 13

a) Excitement

Question 14

True or false: Female sexual dysfunction disorders do NOT include pain disorders.

Answer 14

False

Question 15

Medical conditions commonly affecting sexual response are typically associated with the loss of production of at least one of two hormones/ NTs; what are these 2?
a) Androgens and dopamine
b) Estrogen and androgens
c) Estrogen and serotonin
d) Prolactin and serotonin
e) Dopamine and serotonin

Answer 15

b) Estrogen and androgens

Question 16

True or false: You should use “intercourse” instead of “sexual activity” when speaking to patients

Answer 16

False (it’s the opposite)

Question 17

Which of the following is NOT a method of pelvimetry mentioned in class?
a) Bimanual exam
b) X-ray
c) MRI
d) CT scan

Answer 17

c) MRI

Question 18

Which conjugate of the pelvis is most narrow, needs to be > 11 cm for vaginal birth, and is unable to be directly measured clinically?
a) Obstetric
b) Oblique
c) Diagonal
d) Oblong
e) Sacral

Answer 18

a) Obstetric

Question 19

Which muscles did we learn in class act as a sphincter for the urogenital diaphragm?
a) Pelvic muscles
b) Vaginal muscles
c) Diaphragmatic muscles
d) Bulbocavernosus muscles

Answer 19

d) Bulbocavernosus muscles

Question 20

What is the area where >90% cervical neoplasia arise? Choose the best answer.
a) Transformation zone
b) External OS
c) Endocervix
d) Active SCJ
e) Ectocervix

Answer 20

d) Active SCJ

Question 21

There’s an increased risk of perforation in ___________& _____________ uteri with certain procedures
a) Anteverted; retroverted
b) Anteflexed; retroflexed
c) Anteverted; retroflexed
d) Retroflexed; midposition

Answer 21

b) Anteflexed; retroflexed

Question 22

21-hydroxylase deficiency is the most common cause of what?
a) Turner syndrome
b) Müllerian abnormalities
c) Congenital adrenal hyperplasia (CAH)
d) Gartner cysts

Answer 22

c) Congenital adrenal hyperplasia (CAH)

Question 23

Gartner cysts are located in the _______________ or broad ligament
a) Uterus
b) Vaginal wall
c) Cervix
d) Utero-sacral ligament

Answer 23

b) Vaginal wall

Question 24

“Reflective listening” replaces “advice giving” in what aspect of patient-provider partnership?
a) Motivational interviewing
b) Empathic communication
c) Culturally competent interviewing
d) Open communication

Answer 24

a) Motivational interviewing

Question 25

Define menopause a) Cessation of menses for > 6 months b) Transition from menstrual to non-menstrual life when ovarian function begins to wane (often lasts 1-2 years) c) Cessation of menses for > 1 year d) Transition from menstrual to non-menstrual life when uterine function begins to wane (often lasts 1-2 years)

Answer 25

c) Cessation of menses for > 1 year

Question 26

Your patient has given birth to triplets, who are now all 15 years old, at 30 weeks. She gave birth to her 5 year old daughter at 27 weeks. She had a spontaneous abortion at 19 weeks, and gave birth at 21 weeks to a son who did not survive. What is her GTPAL? a) G4T1P3A1L4 b) G4T0P3A1L4 c) G4T1P3A2L4 d) G4T0P4A2L4 e) G6T0P4A0L4

Answer 26

b) G4T0P3A1L4

Question 27

Your patient has a 9 year old who she gave birth to at 37 weeks. She also has a 7 year old she gave birth to at 39 weeks, a 5 year old she had at 32 weeks, and a 2 year old she had at 23 weeks. She also has had a spontaneous abortion at 17 weeks and another at 15 weeks. What is her GTPAL? a) G6T2P2A2L4 b) G4T4P2A2L4 c) G6T2P4A2L4 d) G4T3P1A2L4

Answer 27

a) G6T2P2A2L4

Question 28

True or false: breastfeeding is considered a part of obstetric history, and immunizations are a part of preconception counseling.

Answer 28

True

Question 29

What is the best means of early detection of breast cancer? a) Mammography only b) Breast self awareness + mammography c) Clinician breast exam + breast self awareness d) Mammography + clinician breast exam

Answer 29

d) Mammography + clinician breast exam

Question 30

True or false: Clear or milky discharge (galactorrhea) is an abnormal clinical breast exam finding

Answer 30

True

Question 31

ACOG recommends annual pelvic exam in women _____ yrs & older. a) 18 b) 20 c) 21 d) 25

Answer 31

c) 21

Question 32

Failure to find the cervix is most commonly due to what? a) Not pointing the speculum downward enough b) Not advancing the speculum far enough c) Not pointing the speculum upward enough d) Not opening the speculum wide enough

Answer 32

b) Not advancing the speculum far enough

Question 33

Pap test specimens are collected from what 2 regions? Be specific/ choose the best answer. a) Active SCJ & endocervix b) Transformation zone & endocervix c) Transformation zone & ectocervix d) Active SCJ & ectocervix

Answer 33

b) Transformation zone & endocervix

Question 34

Which of the following describes the tilt of the uterus on the shorter axis? a) Mid-position b) Version c) Flexion d) Extension e) Inversion

Answer 34

c) Flexion