Question 1

Which of the following are "Grade: A recommendation" from the U.S.Preventive Services Task Force? Select all that apply.

Accepted Answer

A)  Screen persons at increased risk for syphilis infection. 
B)  Screen for cervical cancer in women who have been sexually active and have a cervix. 
C)  Screen all sexually active women, including those who are pregnant, for gonorrhea infection if they are at increased risk for infection. 
D)  Provide high-intensity behavioral counseling to prevent sexually transmitted infections (STIs) for all sexually active adolescents and for adults at increased risk for STIs. 
E)  Screen for chlamydial infection for all sexually active, non-pregnant young women, aged 24 and younger, and for older non-pregnant women who are at increased risk.
F) Refer women whose family history is associated with an increased risk for deleterious mutations in BRCA1 or BRCA2 genes for genetic counseling and evaluation for BRCA testing. 
A)  Screen persons at increased risk for syphilis infection. 
B)  Screen for cervical cancer in women who have been sexually active and have a cervix. 
C)  Screen all sexually active women, including those who are pregnant, for gonorrhea infection if they are at increased risk for infection. 
D)  Provide high-intensity behavioral counseling to prevent sexually transmitted infections (STIs) for all sexually active adolescents and for adults at increased risk for STIs. 
E)  Screen for chlamydial infection for all sexually active, non-pregnant young women, aged 24 and younger, and for older non-pregnant women who are at increased risk.
F) Refer women whose family history is associated with an increased risk for deleterious mutations in BRCA1 or BRCA2 genes for genetic counseling and evaluation for BRCA testing.

Question 2

To obtain an endocervical smear,you should insert the Cytobrush through the speculum into the cervical os approximately 1 cm and

Accepted Answer

A)  leave the Cytobrush in the cervical os for 30 seconds to ensure saturation. 
B)  rotate the Cytobrush 360° clockwise and then counterclockwise. 
C)  rotate the Cytobrush 360° clockwise. 
D)  swab the endocervix in a forward and backward brushing motion. 
A)  leave the Cytobrush in the cervical os for 30 seconds to ensure saturation. 
B)  rotate the Cytobrush 360° clockwise and then counterclockwise. 
C)  rotate the Cytobrush 360° clockwise. 
D)  swab the endocervix in a forward and backward brushing motion.

Question 3

Blanching of the cervix after swabbing with a cotton-tipped applicator that was soaked in 5% acetic acid most likely indicates

Accepted Answer

A)  bacterial infection. 
B)  benign cellular changes of the cervix. 
C)  early cervical cancer. 
D)  human papillomavirus. 
A)  bacterial infection. 
B)  benign cellular changes of the cervix. 
C)  early cervical cancer. 
D)  human papillomavirus.

Question 4

Graves' bivalve vaginal specula,sizes medium and large,are used in examining most women who are

Accepted Answer

A)  menopausal. 
B)  not sexually active. 
C)  post-hysterectomy. 
D)  sexually active. 
A)  menopausal. 
B)  not sexually active. 
C)  post-hysterectomy. 
D)  sexually active.

Question 5

The shape of your patient's cervical os is bilateral transverse,which indicates

Accepted Answer

A)  normal findings. 
B)  cervical tears from rapid childbirth. 
C)  multiple deliveries. 
D)  nulliparity. 
A)  normal findings. 
B)  cervical tears from rapid childbirth. 
C)  multiple deliveries. 
D)  nulliparity.

Question 6

Deaths attributed to uterine and cervical cancer have declined by 50% because of the advent of _________________________.

Accepted Answer

Pap smears
Deaths attributed to uterine

Question 7

Upon examining a patient with a urinary tract infection,which symptoms would you expect the patient to experience? Select all that apply.

Accepted Answer

A)  Stabbing pain 
B)  Gastrointestinal symptoms 
C)  Urgency in voiding 
D)  Frequency in voiding 
E)  Stress incontinence
F) Flank pain 
A)  Stabbing pain 
B)  Gastrointestinal symptoms 
C)  Urgency in voiding 
D)  Frequency in voiding 
E)  Stress incontinence
F) Flank pain

Question 8

Palpation of the cervix is performed by inserting into the vagina the index and middle fingers of your

Accepted Answer

A)  dominant hand with the palmar surface of the finger pads facing upward. 
B)  dominant hand with the palmar surface of the finger pads facing downward. 
C)  nondominant hand with the palmar surface of the finger pads facing upward. 
D)  nondominant hand with the palmar surface of the finger pads facing downward. 
A)  dominant hand with the palmar surface of the finger pads facing upward. 
B)  dominant hand with the palmar surface of the finger pads facing downward. 
C)  nondominant hand with the palmar surface of the finger pads facing upward. 
D)  nondominant hand with the palmar surface of the finger pads facing downward.

Question 9

Which body change normally occurs with ovulation?

Accepted Answer

A)  Basal body temperature decreases. 
B)  Cervical mucus becomes clearer, thinner, and threadlike. 
C)  Pain occurs in the vulva. 
D)  Menstrual flow begins. 
A)  Basal body temperature decreases. 
B)  Cervical mucus becomes clearer, thinner, and threadlike. 
C)  Pain occurs in the vulva. 
D)  Menstrual flow begins.

Question 10

Your 12-year-old patient complains of pelvic discomfort,which she states is the result of injuries from riding a horse.Your assessment of a patient reveals bruising of the mons pubis and labia.Which additional finding is the strongest evidence that the patient has been sexually abused?

Accepted Answer

A)  lack of eye contact and complete relaxation 
B)  genital herpes lesions 
C)  vaginal infection 
D)  urinary tract infection 
A)  lack of eye contact and complete relaxation 
B)  genital herpes lesions 
C)  vaginal infection 
D)  urinary tract infection

Question 11

To assess a patient for the risk factors of cervical cancer,you would ask if she has a history of

Accepted Answer

A)  breast cancer. 
B)  human papillomavirus. 
C)  infertility. 
D)  her mother taking diethylstilbestrol during pregnancy. 
A)  breast cancer. 
B)  human papillomavirus. 
C)  infertility. 
D)  her mother taking diethylstilbestrol during pregnancy.

Question 12

After the fertilized ovum is implanted,the corpus luteum is maintained by the presence of which hormone(s)?

Accepted Answer

A)  estrogen and progesterone 
B)  follicle-stimulating hormone 
C)  human chorionic gonadotropin 
D)  luteinizing hormone 
A)  estrogen and progesterone 
B)  follicle-stimulating hormone 
C)  human chorionic gonadotropin 
D)  luteinizing hormone

Question 13

To palpate the right ovary,you would move your hand on the patient's abdomen to the right lower quadrant

Accepted Answer

A)  about halfway between the anterior iliac spine and the umbilicus. 
B)  just inside the anterior iliac spine. 
C)  just superior to the anterior iliac spine. 
D)  just to the right of the bladder. 
A)  about halfway between the anterior iliac spine and the umbilicus. 
B)  just inside the anterior iliac spine. 
C)  just superior to the anterior iliac spine. 
D)  just to the right of the bladder.

Question 14

Which of the following occurs during the follicular phase of the ovarian cycle?

Accepted Answer

A)  decreased secretion of cervical mucus 
B)  development of the corpus luteum 
C)  maturation of the graafian follicle 
D)  maintenance of high levels of progesterone and estrogen 
A)  decreased secretion of cervical mucus 
B)  development of the corpus luteum 
C)  maturation of the graafian follicle 
D)  maintenance of high levels of progesterone and estrogen

Question 15

Chadwick's sign,a significant finding on inspection of the cervix,indicates

Accepted Answer

A)  malignancy. 
B)  cervical hypertrophy. 
C)  pelvic inflammatory disease. 
D)  pregnancy. 
A)  malignancy. 
B)  cervical hypertrophy. 
C)  pelvic inflammatory disease. 
D)  pregnancy.

Exam 21: Female Genitalia

Which of the following are "Grade: A recommendation" from the U.S.Preventive Services Task Force? Select all that apply.

To obtain an endocervical smear,you should insert the Cytobrush through the speculum into the cervical os approximately 1 cm and

Blanching of the cervix after swabbing with a cotton-tipped applicator that was soaked in 5% acetic acid most likely indicates

Graves' bivalve vaginal specula,sizes medium and large,are used in examining most women who are

The shape of your patient's cervical os is bilateral transverse,which indicates

Deaths attributed to uterine and cervical cancer have declined by 50% because of the advent of _________________________.

Upon examining a patient with a urinary tract infection,which symptoms would you expect the patient to experience? Select all that apply.

Palpation of the cervix is performed by inserting into the vagina the index and middle fingers of your

Which body change normally occurs with ovulation?

Your 12-year-old patient complains of pelvic discomfort,which she states is the result of injuries from riding a horse.Your assessment of a patient reveals bruising of the mons pubis and labia.Which additional finding is the strongest evidence that the patient has been sexually abused?

To assess a patient for the risk factors of cervical cancer,you would ask if she has a history of

After the fertilized ovum is implanted,the corpus luteum is maintained by the presence of which hormone(s)?

To palpate the right ovary,you would move your hand on the patient's abdomen to the right lower quadrant

Which of the following occurs during the follicular phase of the ovarian cycle?

Chadwick's sign,a significant finding on inspection of the cervix,indicates

Critical Thinking And The Nursing Process

Communication Techniques And The Patient Interview

The Complete Health History Including Documentation

Developmental Assessment

Cultural Assessment

Spiritual Assessment

Nutritional Assessment

Physical Examination Techniques

General Survey, vital Signs, and Pain

Skin, hair, and Nails

Head, neck, and Regional Lymph Nodes

Eyes

Ears, nose, mouth, and Throat

Breasts And Regional Nodes

Thorax And Lungs

Heart

Peripheral Vasculature And Lymphatic System

Abdomen

Musculoskeletal System

Mental Status And Neurological Techniques

Male Genitalia

Anus, rectum, and Prostate

The Pregnant Patient

The Pediatric Patient

The Older Adult Patient

The Complete Health History And Physical Examination

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