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Chapter 14

Multiple Choice

Identify the choice that best completes the statement or answers the question.

____ 1. A 23-year-old sexually active woman presents for her first Pap smear. Her history includes nulligravida, age at first intercourse 14, and more than 10 sexual partners. Which of the following conditions should the clinician be particularly alert for during her exam?

Human papillomavirus (HPV) Vagismus
Endometrial hyperplasia Polycystic ovarian syndrome

____ 2. A 20-year-old woman is seen in the clinic because her boyfriend was found to have gonorrhea. Which of the following is the treatment of choice for gonorrhea?

Ceftriaxone Acyclovir
Doxycycline Metronidazole

____ 3. A 24-year-old woman presents to the clinic with dysuria, dyspareunia, and a mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal urethritis. What sexually transmitted disease (STD) has she most probably been exposed to?

Gonorrhea Chlamydia
Human papillomavirus (HPV) Trichomonas

____ 4. A 45-year-old woman is seen in the clinic with complaints of a vaginal discharge. The clinician identifies clue cells on the vaginal smear. Which of the following diagnoses is associated with this finding?

Trichomonas Human papillomavirus (HPV)
Bacterial vaginosis Herpes simplex virus (HSV)

____ 5. Which of the following medications is the treatment of choice for trichomonas?

Metranidazole Diflucan
Ceftriaxone Doxycycline

____ 6. A 58-year-old woman presents with a breast mass. Which of the following responses by the clinician would be most appropriate?

“It is probably just a cyst, because that is the most common breast mass.”
“We will order a mammogram and ultrasound to help establish a diagnosis.”
“We will go ahead and schedule you for a biopsy because that is the only way to know for sure.”
“Because your lump is painful, it is most likely not cancer.”

____ 7. A 26-year-old woman is seen with complaints of irregular vaginal bleeding. Which of the following tests should be the first priority?

Pregnancy test Endometrial biopsy
Pelvic ultrasound Platelet count

____ 8. A 42-year-old woman presents to the clinic with complaints of painful intercourse for the last month. Which of the following should be explored as the most likely cause for her dyspareunia?

Menopause Excess progesterone
Dehydration Sexual trauma as a child

____ 9. A 36-year-old woman is seen with complaints of vaginal itching, burning, and discharge. On KOH wet mount of vaginal discharge, the clinician notices hyphae. Which of the following treatments would be appropriate?

Fluconazole Metronidazole
Estrogen vaginal cream Doxycycline

____ 10. A 21-year-old woman is seen in the clinic requesting birth control pills. Which of the following tests is essential before prescribing any oral contraceptive?

Pregnancy test Thyroid-stimulating hormone (TSH)
Complete blood cell (CBC) count Urine dip for protein

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