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MN 576 Midterm Exam Quiz Answer Kaplan University

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MN 576 Midterm Exam Quiz Answers All Verified

Question 1

Which HPV types are most often associated with cervical and anogenital cancer?
Question options:
1) 1, 2, and 3
2) 6 and 11
3) 16 and 18
4) 22 and 24

Question 2

During a breast exam you note all of the findings below as normal except:
Question options:
1) asymetrical size
2) a supernumerary nipple
3) hyperpigmentation
4) breasts that move up symmetrically with raising the arms

Question 3

A 30-year-old woman presents without symptoms but states that her male partner has dysuria without
penile discharge. Examination reveals a friable cervix covered with thick yellow discharge. This
description is most consistent with an infection caused by:
Question options:
1) Chlamydia trachomatis.
2) Neisseria gonorrhoeae.
3) human papillomavirus (HPV).
4) Trichomonas vaginalis.

Question 4

The vaccine Gardasil that is used to prevent some strains of HPV infection is recommended in both males
and females.
Question options:
1) True
2) False

Question 5

Lesbians may experience which of the following barriers to health care?
Question options:
1) Homophobia from the healthcare provider
2) Incorrect knowledge about health care needs of lesbians by healthcare providers
3) Lack of insurance and/or access under partner’s coverage
4) All of the above

Question 6

Which of the following best describes lesions associated with condyloma acuminatum?
Question options:
1) verruciform
2) plaque-like
3) vesicular-form
4) bullous

Question 7

Presumptive treatment for PID should be initiated in sexually active young women and other women at
risk for STDs if they are experiencing pelvic or lower abdominal pain, if no cause for the illness other than
PID can be identified, and if one or more of the following minimum clinical criteria are present on pelvic
Question options:
1) cervical motion tenderness
2) uterine tenderness
3) adnexal tenderness.
4) All of the above

Question 8

How long after contact do clinical manifestations of syphilis typically occur?
Question options:
1) less than 1 week
2) 1 to 3 weeks
3) 2 to 4 weeks
4) 4 to 6 weeks

Question 9

In assessing a woman with disabilities, which of the following terms should be avoided?
Question options:
1) Crippled
2) Handicapped
3) Mentally retarded
4) All of the above

Question 10

The definition of menopause is
Question options:
1) Frequently skipping period for one year
2) One year without a period
3) Onset of hot flashes and night sweats with irregular menstruation
4) None of the above

Question 11

Treatment options for bacterial vaginosis include all of the following except:
Question options:
1) oral metronidazole.
2) clindamycin cream.
3) oral clindamycin.
4) oral azithromycin.

Question 12

Physical examination of a 19-year-old woman with a 3-day history of vaginal itch reveals moderate perineal excoriation, vaginal erythema, and a white, clumping discharge. Expected microscopic examination findings include:
Question options:
1) a pH greater than 6. 0.
2) an increased number of lactobacilli.
3) hyphae.
4) an abundance of white blood cells.

Question 13

Which of the following is a contraindication to estrogen/progestin-containing methods (combined oral
contraception [COC], patch [Ortho Evra], or ring [NuvaRing])?
Question options:
1) mother with a history of breast cancer
2) personal history of hepatitis A at age 10 years
3) presence of factor V Leiden mutation
4) cigarette smoking one pack per day in a 22-year-old

Question 14

Recommendations for adolescents with disabilities include a comprehensive sex education program that
should be tailored to fit their specific needs.
Question options:
1) True
2) False

Question 15

In assessing a 13 year old female, you know that the presence of breast bud with elevation of breast and
papilla; enlargement of areola indicate which Tanner Stage?
Question options:
1) Stage1
2) Stage 2
3) Stage 3
4) Stage 4

Question 16
The Pap test should not be considered a screening test for STDs.
Question options:
1) True
2) False

Question 17

Which of the following agents is most active against C. trachomatis?
Question options:
1) amoxicillin
2) metronidazole
3) azithromycin
4) ceftriaxone

Question 18

When performing a bimanual exam all of the following are noted as normal findings except:
Question options:
1) retoverted uterus
2) anteflexed uterus
3) fixed immobile uterus
4) smooth, firm ovary

Question 19

Routine screening for C. trachomatis on an annual basis is recommended for all sexually active females
aged <25 years .
Question options:
1) True
2) False

Question 20

When performing a pelvic examination the first part of the external genitalia exam is
Question options:
1) speculum examination
2) palpation
3) inspection
4) cervical sampling

Question 21

In women who have experienced a spinal cord injury, temporary cessation of menses is normal for up to
one year following the injury.
Question options:
1) True
2) False

Question 22

When counseling a woman about COC use, you advise that:
Question options:
1) long-term use of COC is discouraged because the body needs a “rest” from birth control
pills from time to time.
2) fertility is often delayed for many months after discontinuation of COC.
3) there is an increase in the rate of breast cancer after protracted use of COC.
4) premenstrual syndrome symptoms are often improved with use of COC.

Question 23

Which of the following terms describes the mechanism of action of imiquimod (Aldara)?
Question options:
1) keratolytic
2) immune modulator
3) cryogenic
4) cytolytic

Question 24

Treatment of vulvovaginitis caused by Candida albicans includes:
Question options:
1) metronidazole gel.
2) clotrimazole cream.
3) hydrocortisone ointment.
4) clindamycin cream.

Question 25

Screening for osteoporosis with DEXA scan should begin
Question options:
1) age 50
2) one year after menopause
3) age 65
4) age 60

Question 26
What is the approximate incubation period for Neisseria gonorrhoea?
Question options:
1) 1 to 5 days
2) 7 to 10 days
3) 18 days
4) 28 days

Question 27

What percentage of anogenital and cervical cancers can be attributed to HPV infection?
Question options:
1) less than 30%
2) at least 50%
3) at least 70%
4) 95% or greater

Question 28

Universal screening for chlamydia and gonorrhea in women ≤35 years entering juvenile and adult
correctional facilities has been a long-standing recommendation.
Question options:
1) True
2) False

Question 29

A 22-year-old woman taking a 35-mcg ethinyl estradiol COC calls after forgetting to take her pills for 2
consecutive days. She is 2 weeks into the pack. You advise her to:
Question options:
1) take the last pill missed immediately, even if this means taking 2 pills today.
2) discard two pills and take two pills today.
3) discard the rest of the pack and start a new pack with the first day of her next menses.
4) continue taking one pill daily for the rest of the cycle.

Question 30

HCV infection is the most common chronic bloodborne infection in the United States, with an estimated
2.7 million persons living with chronic infection
Question options:
1) True
2) False

Question 31

Adolescent girls are not candidates for IUD use for contraception
Question options:
1) True
2) False

Question 32

About ____ of patients with genital warts have spontaneous regression of the lesions?
Question options:
1) 10%
2) 25%
3) 50%
4) 75%

Question 33

Complementary and alternative medicine (CAM) is defined as a group of therapies that are not
considered part of Western culture and include all of the following except:
Question options:
1) Congugated estrogen
2) Aromatherapy
3) Tai Chi
4) Yoga

Question 34

Which HPV types are most likely to cause genital condyloma acuminatum?
Question options:
1) 1, 2, and 3
2) 6 and 11
3) 16 and 18
4) 22 and 24

Question 35

Which test is performed around the time of ovulation to diagnose the basis of infertility?
Question options:
1) Hysterosalpingogram
2) Ultrasonography
3) Laparoscopy
4) Follicle-stimulating hormone (FSH) level

Question 36

The NP is seeing a 30-year-old woman before her routine gynecologic examination, the NP questions
that patient about her recent menstrual cycles. Which statement made by the patient should prompt
further investigation?
Question options:
1) “My flow is very heavy all the time.”
2) “I have occasionally spot in between cycles”
3) “My menstrual cycles varies from 25 to 30 days.”
4) “I have cramping prior to my cycle starting”

Question 37

Women with bacterial vaginosis typically present with:
Question options:
1) vulvitis.
2) pruritus.
3) dysuria.
4) malodorous discharge.

Question 38

Treatment options for patients with condyloma acuminatum include all of the following except:
Question options:
1) topical acyclovir.
2) cryotherapy.
3) podofilox.
4) trichloroacetic acid.

Question 39

The average onset of perimenopause is between the ages of:
Question options:
1) 35 to 40 years.
2) 40 to 45 years.
3) 45 to 50 years.
4) 50 to 55 years.

Question  40

Which of the following is not representative of the presentation of primary syphilis?
Question options:
1) painless ulcer
2) localized lymphadenopathy
3) flu-like symptoms
4) spontaneously healing lesion

Question 41

Noncontraceptive benefits of COC use include a decrease in all of the following except:
Question options:
1) iron-deficiency anemia.
2) pelvic inflammatory disease (PID).
3) cervicitis.
4) ovarian cancer.

Question 42

In patients who are allergic to azithromycin, an alternative treatment to chlamydia is
Question options:
1) Doxycycline 100mg twice daily for 7 days
2) Macrobid 100mg twice daily for 5 days
3) BactimDS 1 PO BID for 3 day
4) All of the above

Question 43

Puberty consists of a series of predictable events, and the sequence of changes in secondary sexual
characteristics has been categorized by several groups. The staging system utilized most frequently used
to describe these events is Tanner staging.
Question options:
1) True
2) False

Question 44

Which of the following may be a useful tool in screening for Female Sexual Disorder (FSD)?
Question options:
1) The Female Sexual Function Index
2) The Female Sexual Distress Scale
3) The Orgasmic Disorder Scale
4) A and B

Question 45

Which of the following is found in tertiary syphilis?
Question options:
1) arthralgia
2) lymphadenopathy
3) macular or papular lesions involving the palms and soles
4) gumma

Question 46

A patient presents to you with a chief complaint of primary dysmenorrhea, which nonpharmacologic
intervention might you recommend she try first?
Question options:
1) participating in physical activity
2) increase iron rich foods to replace blood that is lost
3) use of a heating pad on the pelvis for cramping
4) use of an NSAID

Question 47

Which of the following agents is active against N. gonorrhoeae?
Question options:
1) ceftriaxone
2) metronidazole
3) ketoconazole
4) amoxicillin

Question 48

A preferred treatment option for trichomoniasis is:
1) oral metronidazole.
2) clindamycin vaginal cream
3) topical acyclovir.
4) oral azithromycin.

Question 49

When charting on a patient whom you have noted a breast lump it is important to document
Question options:
1) tenderness
2) size
3) location
4) mobility
5) all of the above

Question 50

A 24-year-old woman presents with a 1-week history of thin, green-yellow vaginal discharge with
perivaginal irritation. Physical examination findings include vaginal erythema with petechial
hemorrhages on the cervix, numerous white blood cells, and motile organisms on microscopic
examination. These findings most likely represent:
Question options:
1) motile sperm with irritative vaginitis.
2) trichomoniasis.
3) bacterial vaginosis.
4) condyloma acuminatum.



MN 576 Midterm Exam Quiz Answer Kaplan University

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