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Multiple Choice Questions (MCQ)

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Category: Obstetrics & Gynecology--->Human Sexuality and Contraception
Page: 3

Question 11#Print Question

A 23-year-old woman presents to your office with the complaint of a red splotchy rash on her chest that occurs during intercourse. It is nonpuritic and painless. She states that it usually resolves within a few minutes to a few hours after intercourse.

Which of the following is the most likely cause of the rash?

a. Allergic reaction to her partner’s pheromones
b. Decreased systolic blood pressure during the plateau phase
c. Increased estrogen during the excitement phase
d. Vasocongestion during the excitement phase
e. Vasoconstriction during the orgasmic phase


Question 12#Print Question

A 19-year-old woman presents for elective termination of pregnancy at 8 weeks’ gestation. She previously had regular menses every 28 days. Pregnancy is confirmed by β-human chorionic gonadotropin (β-hCG), and ultrasound confirms expected gestational age.

Which of the following techniques for termination of pregnancy would be safe and effective in this patient at this time? 

a. Dilation and evacuation (D&E)
b. Hypertonic saline infusion
c. Suction dilation and curettage (D&C)
d. Misoprostol
e. Hysterotomy


Question 13#Print Question

A 48-year-old woman presents to your office with the complaint of vaginal dryness during intercourse. She reports no medical problems or prior surgeries, and she does not take any medications. She has regular menstrual cycles every 28 days, and has never had asexually transmitted disease. She describes her sexual relationship with her husband as satisfying. Her physical examination is normal.

Components of the natural lubrication produced by the female during sexual arousal and intercourse include which of the following?

a. Fluid from Skene glands
b. Mucus produced by endocervical glands
c. Viscous fluid from Bartholin glands
d. Transudate-like material from the vaginal walls
e. Uterotubal fluid


Question 14#Print Question

A 62-year-old woman presents for annual examination. Her last menstrual period was 9 years ago, and she never used postmenopausal hormone replacement because of a strong family history of breast cancer. She now complains of diminished interest in sexual activity.

Which of the following is the most likely cause of her complaint?

a. Decreased vaginal length
b. Decreased ovarian function
c. Alienation from her partner
d. Untreatable sexual dysfunction
e. Physiologic anorgasmia


Question 15#Print Question

A 22-year-old nulliparous woman has recently become sexually active. She consults you because of painful intercourse. She says her pain occurs with insertion, and is accompanied by cramping of her pelvic muscles. She says it is so painful that she does not want to have intercourse with her boyfriend, which is causing problems in their relationship. Other than confirmation of these findings, the pelvic examination is normal.

Which of the following is the most common cause of this condition?

a. Endometriosis
b. Psychogenic causes
c. Bartholin gland abscess
d. Vulvar atrophy
e. Ovarian cyst




Category: Obstetrics & Gynecology--->Human Sexuality and Contraception
Page: 3 of 8