Multiple Choice Questions (MCQ)

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Category: Medicine--->Women’s Health
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Question 1# Print Question

A 23-year-old woman with a 5-pack-year history of cigarette use wonders if she is a candidate for the quadrivalent HPV vaccine. She has been sexually active for 5 years with three partners. Her recent first pap smear was normal, but her examination revealed two nontender vaginal lesions which resemble flesh-colored cauliflower. You first educate her that quitting smoking will help her immune system fight the strain of HPV that she already has acquired.

What advice should you give her? 

A. She is already infected with one strain, but the vaccine will still be effective against acquiring the other three strains
B. The vaccine will protect her from every HPV strain
C. If she receives the vaccine, she will never have to have another pap smear
D. She is already infected with one strain, and there is no benefit in vaccination against the others
E. The vaccine will help cure her genital warts

Question 2# Print Question

A 45-year-old woman presents to your office to establish care. She has been watching television programs hosted by doctors recommending various screening tests, and she wishes to have “everything done.” She has a history of gastroesophageal reflux and seasonal allergies, and no family history of diabetes or cancer. Her best friend was recently diagnosed with ovarian cancer, so she would like to be tested for that.

Which of the following recommendations (based on the United States Preventive Services Task Force) would be appropriate? 

A. DXA bone density scan
B. Annual Pap smear
C. CA-125 and pelvic sonogram every 5 years
D. Annual mammogram
E. Alcohol counseling

Question 3# Print Question

A 60-year-old white woman presents for an office visit. Her mother recently broke her hip, and the patient is concerned about her own risk for osteoporosis. She weighs 165 lb and is 5 ft 6 in tall. She has a 50-pack-year history of tobacco use. Medications include a multivitamin and levothyroxine 50 µg/d. Her exercise regimen includes mowing the lawn and taking care of the garden. She took hormone replacement therapy for 6 years after menopause, which occurred at age 49.

Which recommendation for osteoporosis screening is most appropriate for this patient? 

A. Nuclear medicine bone scan
B. Dual x-ray absorptiometry (DXA scan)
C. Quantitative CT bone densitometry
D. Peripheral bone densitometry
E. No testing is recommended at this time

Question 4# Print Question

A 21-year-old woman presents for her annual examination. She enjoys drinking to excess on the weekends with her friends and smokes cigarettes to “keep her weight down.” She avoids dairy products because they cause bloating and diarrhea. Her medications include birth control pills and OTC antihistamine. She runs 3 miles per day at least 5 days per week. She is 5 ft 2 in and 105 lb. In addition to counseling her on using a barrier method for avoidance of sexually transmitted diseases,

what other advice should you give?

A. Binge drinking has no adverse health repercussions
B. She shouldn’t start vitamin D or calcium until after menopause
C. She should change her current exercise routine to water aerobics
D. She has several significant factors contributing to a low peak bone mass
E. Smoking is an acceptable form of weight control

Question 5# Print Question

An orthopedic surgeon asks you to help him manage an 82-year-old woman who just received a hip replacement as a result of a hip fracture. The patient was watering her flowers when she tripped on the water hose and heard her hip crack as she fell to the ground. She has a history of hypothyroidism, mild CVA, and hypertension. Her mother had lost about 5 inches of height in her older years. She believes that she has lost “a few inches” in comparison to her husband. On review of systems, she admits to chronic diarrhea. Her only home medication is metoprolol. On physical examination, her blood pressure is 158/90; pulse 88 and regular; the hip is tender to palpation. Labs show normal calcium, renal function, and alkaline phosphatase. TSH, celiac panel, and 25-OH vitamin D level are also normal.

Which of the following medications would be most effective in preventing another fracture? 

A. Raloxifene
B. Calcitonin-salmon nasal spray
C. Estradiol
D. Hydrochlorothiazide
E. A bisphosphonate

Category: Medicine--->Women’s Health
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