Week 3 practice quiz

Question 1

The most used and safest method of interval contraception worldwide is what?
a) COCs
b) IUDs
c) Condoms
d) Spermicides

Answer 1

b)IUDs

Question 2

What is the best first step if a pt with an IUD has abdominal pain?
a) hCG
b) Pelvic exam
c) Transvaginal ultrasound
d) Abd. ultrasound

Answer 2

a) hCG

Question 3

Only absolute contraindication to Nexplanon is what?
a) Ovarian CA in past 5 years
b) Ovarian CA in past 3 years
c) Breast CA in past 5 yrs
d) Breast CA in past 10 yrs

Answer 3

c) Breast CA in past 5 yrs

Question 4

Which IUD is recommended for nulliparous women for up to 3 years?
a) Paragard
b) Mirena
c) Kyleena
d) Liletta

Answer 4

c) Kyleena

Question 5

Infection risk is highest for the first ____ days after insertion of an IUD.
a) 7
b) 10
c) 15
d) 20
e) 25

Answer 5

d) 20

Question 6

True or false: With biphasic and triphasic COCPs, the amount of estrogen doesn’t change.

Answer 6

False (not the case for triphasic)

Question 7

Extended cycle pills should NOT be recommended for which of the following conditions?
a) Menorrhagia
b) Amenorrhea
c) Dysmenorrhea
d) Endometriosis

Answer 7

b) Amenorrhea

Question 8

True or false: OCPs decrease the risk of ectopic pregnancy

Answer 8

True

Question 9

The only absolute contraindication to progesterone-only pills is what?
a) Progesterone sensitive endometrial CA
b) Progesterone sensitive breast CA
c) Progesterone sensitive cervical CA
d) Any form of CA

Answer 9

b) Progesterone sensitive breast CA

Question 10

True or false: No pregnancy test is needed for emergency contraceptives.

Answer 10

True

Question 11

Which of the following was NOT discussed as an emergency contraceptive option?
a) Plan B
b) Ella
c) Mirena
d) Paragard

Answer 11

c) Mirena

Question 12

True or false: Plan B uses progesterone to block the LH surge.

Answer 12

True

Question 13

True or false: OCPs release more than 60% more estrogen than the patch

Answer 13

False (opposite)

Question 14

The patch should be started when?
a) Within the first day of period
b) Within the first 5 days of period
c) Can be started at any time
d) At the end of period

Answer 14

b) Within the first 5 days of period

Question 15

True or false: The Depo shot typically suppresses ovulation.

Answer 15

True

Question 16

True or false: the oldest and most widely used barrier contraception is condoms

Answer 16

True

Question 17

Which of the following are aspects of the rhythm method required for it to be effective? Select all that apply
a) Menstrual calendar
b) Basal body temperature: AM temp
c) Basal body temperature: PM temp
d) Cervical mucous analysis
e) Avoidance of intercourse during fertile periods

Answer 17

a) Menstrual calendar
b) Basal body temperature: AM temp
d) Cervical mucous analysis
e) Avoidance of intercourse during fertile periods

Question 18

Which of the following forms of female sterilization decreases ovarian cancer risk?
a) Tubal ligation (BTL)
b) Hysterectomy
c) Salpingectomy
d) Vasectomy

Answer 18

c) Salpingectomy

Question 19

White, thick, “cottage cheese” discharge is a hallmark of what? Is it an STI?
a) Bacterial Vaginosis (BV); no
b) Bacterial Vaginosis (BV); yes
c) Candidiasis; no
d) Candidiasis; yes

Answer 19

a) Bacterial Vaginosis (BV); no

Question 20

True or false: Diflucan (fluconazole) is not safe in pregnancy.

Answer 20

False; it’s safe

Question 21

What is the treatment for all the lichens?
a) Estrogen replacement cream (topical) daily for 3 months
b) Diflucan (fluconazole) 150mg po x 1
c) Clobetasol 0.05% TID for a month then daily for 2 months
d) Clobetasol 0.05% BID for a month then daily for 3 months
e) Monistat or generic (Miconazole) x 7 days
f) Monistat or generic (Miconazole) x 14 days

Answer 21

d) Clobetasol 0.05% BID for a month then daily for 3 months

Question 22

Vulvar pruritus was mentioned to be a common Sx of which of the following? Select all that apply.
a) High-grade squamous intraepithelial lesion of the vulva (HSIL)
b) Candidiasis
c) Vulvar intraepithelial neoplasia (VIN)
d) Allergic Vaginitis
e) Bartholin’s Gland cyst
f) Lichen Simplex Chronicus
g) Trichomoniasis
h) Lichen Sclerosus
i) Vulvar melanoma
j) Lichen Planus
k) Bacterial Vaginosis (BV)
l) Low-grade squamous intraepithelial lesion of the vulva (LSIL)

Answer 22

a) High-grade squamous intraepithelial lesion of the vulva (HSIL)
b) Candidiasis
c) Vulvar intraepithelial neoplasia (VIN)
d) Allergic Vaginitis
f) Lichen Simplex Chronicus
h) Lichen Sclerosus
i) Vulvar melanoma
j) Lichen Planus

Question 23

True or false: Most cases of vulvar intraepithelial neoplasia (VIN) never turn into cancer.

Answer 23

True

Question 24

True or false: Pthirus pubis is a bacteria

Answer 24

False

Question 25

Which of the following occurs in 80% of sexually active women by age 50? a) HSV b) HPV c) Bacterial vaginosis (BV) d) Trichomoniasis

Answer 25

b) HPV

Question 26

What causes 90% of genital warts (condyloma acuminata) cases? a) HSV b) HPV strains 16 and 18 c) HPV strains 6 and 11 d) Hepatitis B

Answer 26

c) HPV strains 6 and 11

Question 27

What is the most common vaginal infection in women of childbearing age? Choose the best answer a) Bacterial Vaginosis (BV) (Gardnerella bacteria) b) Trichomoniasis (Trichomonas vaginalis parasite) c) Bacterial Vaginosis (BV) (Pthirus bacteria) d) Trichomoniasis (Trichomonas vaginalis bacteria)

Answer 27

a) Bacterial Vaginosis (BV) (Gardnerella bacteria)

Question 28

What was mentioned to be a common social Hx finding with High-grade squamous intraepithelial lesion of the vulva (HSIL)? a) Alcohol consumption b) Smoking c) Illicit drug use d) Sedentary lifestyle e) Processed foods

Answer 28

b) Smoking

Question 29

True or false: You should use a colposcopy before you biopsy, excise, or abalate an HSIL.

Answer 29

True

Question 30

Which of the following is primarily characterized by a fiery, red background mottled with whitish hyperkeratotic areas? a) Lichen Sclerosus b) Trichomoniasis c) Squamous cell carcinoma (SSC) of the vulva d) Paget disease e) Carcinoma of the Bartholin Gland f) Lichen Planus

Answer 30

d) Paget disease

Question 31

The Amsel criteria evaluates which of the following? Vulvar cancer a) Vaginal Intraepithelial Neoplasia (VAIN) b) Bacterial Vaginosis (BV) c) Bartholin’s Gland cysts d) HPV e) Vaginal atrophy

Answer 31

b) Bacterial Vaginosis (BV)

Question 32

A 40 year old patient comes in with an itchy purplish area on her vulva. She complains of burning pain, dyspareunia, and increased vaginal discharge. What is her most likely Dx? a) Lichen Sclerosus b) Lichen Planus c) Lichen Simplex Chronicus d) Vulvar Cancer

Answer 32

b) Lichen Planus

Question 33

A 65 year old pt has a white, shiny, itchy plaque on her vulva with tissue-paper skin. She complains of burning perineal pain and dyspareunia. What is her most likely Dx, and what would you Tx her with? a) Lichen Sclerosus; Clobetasol 0.05% TID for a month then daily for 2 months b) Lichen Simplex Chronicus; Clobetasol 0.05% TID for a month then daily for 2 months c) Lichen Sclerosus; Clobetasol 0.05% BID for a month then daily for 3 months d) Lichen Simplex Chronicus; Clobetasol 0.05% BID for a month then daily for 3 months

Answer 33

c) Lichen Sclerosus; Clobetasol 0.05% BID for a month then daily for 3 months