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Section V: Review Questions and Answers
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(107) A distraught couple visits your office, upset at not being able to conceive after 1 year of regular, unprotected intercourse The female is a nulligravid, takes no medication, and denies any medical illnesses The husband reports that he is healthy as well and has never fathered a child before What is the most appropriate initial step in the evaluation of this couple (a) Basal body temperature charting (b) Postcoital test (c) Semen analysis, including sperm antibodies (d) History and physical examination of both partners (e) Laparoscopy
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Answer: d
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(108) A 25-year-old woman presents to Answer: d the ER immediately after being rescued from a motor vehicle accident She states that she is pregnant and ultrasound reveals an 18-week-old fetus A fetal heart rate is appreciated The patient looks stable on physical examination and has sustained cuts and scrapes on her arms, face, and legs Her clothes and exposed skin are soiled The cervix remains long and closed While reading her medical record, you notice that her MMR, varicella, and tetanus are not up to date Which shot is the most appropriate to give at this time (a) Measles (b) Mumps (c) Rubella (d) Tetanus (e) Varicella
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11: Review Questions and Answers
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(109) Your patient presents at 30 weeks of pregnancy and requests an elective cesarean delivery While discussing why she wants this procedure, you describe to her the complications that can arise from a cesarean delivery Of all the following complications, which one has the highest association with cesarean delivery (a) Bladder injuries (b) DVT (c) Aspiration pneumonia (d) Wound infections (e) Postpartum endometritis (110) Which of the following can be visualized on a sonogram during the first trimester (a) Diencephalon (b) Mesencephalon (c) Prosencephalon (d) Rhombencephalon (e) Telencephalon (111) A 44-year-old woman is diagnosed with epithelial ovarian cancer She is found to have cancer that is limited to one ovary with extension to the uterus and fallopian tubes What ovarian cancer stage should be assigned to this patient (a) Stage 1 (b) Stage IIA (c) Stage IIB (d) Stage IIC (e) Stage III
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Answer: e
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Answer: c
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Section V: Review Questions and Answers
(112) A 34-year-old woman had a colposcopic examination with a negative biopsy result Her endocervical canal curettage result returned positive What is the next appropriate step in management (a) Observe for the next 4 6 months (b) No follow-up is needed (c) Repeat colposcopic examination in the next 2 3 months (d) Vaginal hysterectomy (e) Perform conization of the cervix (113) Which of the following sets contain the most important risk factors for cervical cancer (a) The use of oral contraceptives (b) Family history of cervical cancer (c) Marriage at an early age and having HSV-1 (d) History of smoking, multiple sex partners, and first intercourse in the adolescent years (e) Multiparous woman with marriage at a late age (114) Which of the following sets describe the clinical appearance of lichen sclerosis (a) Moist, thick, white, scaly plaques (b) Nontender ulcerative lesions (c) White, thin, atrophic-appearing plaques (d) Excoriated, thickened, and erythematous epithelium
Answer: e
Answer: d
Answer: c
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11: Review Questions and Answers
(115) A 31-year-old woman presents to you with complaints of intense vaginal itching and frothy discharge with malodorous odor Pelvic examination reveals greenish-gray discharge with numerous strawberry-like punctate marks on the cervix What is the proper treatment for this patient (a) Fluconzazole (b) Estrogen cream (c) Metronidazole (d) Penicillin (e) Doxcycline (116) A 62-year-old woman presents to your office with complaints of a 6-month history of intense and painful vulvar itching She also states that she can feel a small lump She denies any vaginal bleeding Her past medical, surgical, and family histories are unremarkable Examination of the vulva reveals a small fleshy outgrowth on her left labia majora A biopsy is performed and pathology reveals squamous cell carcinoma in situ Which of the following statements is most appropriate in the management of this patient (a) Postoperative radiation is recommended (b) Careful observation for the next 6 months to see if the growth enlarges or remains the same is recommended (c) Colposcopy of the vagina and cervix should be done postoperatively (d) Total vulvectomy is recommended (e) Groin dissection is necessary
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