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Category: Obstetrics & Gynecology--->Preventive Care and Health Maintenance
Page: 1

Question 1# Print Question

A 71-year-old G2P2 presents to your gynecology office for a routine examination. She says she is very healthy and denies taking any medication. She has no history of abnormal Pap smears and has only had one sexual partner in her lifetime. She is a nonsmoker and has an occasional cocktail with her dinner. She does not have any complaints. In addition, she denies any family history of cancer. The patient tells you that she is a widow and lives alone in an apartment in town. Her grown children have families of their own and live far away. She states that she is self-sufficient and spends her time visiting friends and volunteering at a local museum. Her blood pressure is 140/70 mm Hg. Her height is 5 ft 4 in and she weighs 130 lb.

Which of the following are the most appropriate screening tests to order for this patient?

A. Pap smear and mammogram
B. Pap smear, mammogram, and colonoscopy
C. Mammogram, colonoscopy, and bone densitometry
D. Mammogram, colonoscopy, bone densitometry, and TB skin test
E. Mammogram, colonoscopy, bone densitometry, TB skin test, and auditory testing


Question 2# Print Question

A 72-year-old G5P5 presents to your office for well-woman examination. Her last examination was 7 years ago, when she turned 65. She has routine checks and laboratory tests with her internist each year. Her last mammogram was 6 months ago and was normal. She takes a diuretic for hypertension. She is a retired school teacher. Her physical examination is normal.

Which of the following is the best vaccination to recommend for this patient?

A. Diphtheria-pertussis
B. Hepatitis B vaccine
C. Influenza vaccine
D. Measles-mumps-rubella
E. Pneumocystis


Question 3# Print Question

A 65-year-old G3P3 presents to your office for annual checkup. She had her last well-woman examination 20 years ago when she had a hysterectomy for fibroids. She reports no medical problems, except some occasional stiffness in her joints early in the morning. She takes a multivitamin daily. Her family history is significant for cardiac disease in both her parents and breast cancer in a maternal aunt at the age of 42 years. Her physical examination is normal.

Which of the following is the most appropriate set of laboratory tests to order for this patient?

A. Lipid profile and fasting blood sugar
B. Lipid profile, fasting blood sugar, and TSH
C. Lipid profile, fasting blood sugar, TSH, and CA-125
D. Lipid profile, fasting blood sugar, TSH, and urinalysis
E. Lipid profile, fasting blood sugar, TSH, urinalysis, and CA-125


Question 4# Print Question

You are following up on the results of routine testing of a 68-year-old G4P3 for her well-woman examination. Her physical examination was normal for a postmenopausal woman. Her Pap smear revealed parabasal cells, her mammogram and lipid profile was normal, and the urinalysis shows hematuria.

Which of the following is the most appropriate next step in the management of this patient?

A. Colposcopy
B. Endometrial biopsy
C. Renal sonogram
D. Urine culture
E. No further treatment or evaluation is necessary if the patient is asymptomatic


Question 5# Print Question

A 74-year-old woman presents to your office for well-woman examination. Her last Pap smear and mammogram were 3 years ago. She has hypertension, high cholesterol, and osteoarthritis. She stopped smoking 15 years ago, and does not use alcohol.

Based on this history, which of the following medical conditions should be this patient’s biggest concern?

A. Alzheimer disease
B. Breast cancer
C. Cerebrovascular disease
D. Heart disease
E. Lung cancer




Category: Obstetrics & Gynecology--->Preventive Care and Health Maintenance
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