Q: Which of the following is likely to be present on physical examination in a woman with leakage of urine with coughing and sneezing?
(a) Hypertrophic bladder
(b) Paravaginal defect
(c) Rectocele
(d) Hypermobile urethra
Answer: (d) Hypermobile urethra
Explanation: In stress urinary incontinence, leakage of urine with coughing and sneezing is a common symptom. Understanding the physical examination findings associated with this condition is crucial for diagnosis.
Q: What is the best treatment for a woman complaining of constipation and the need to push her vagina backward to achieve a bowel movement?
(a) Resection and repair of enterocele
(b) Anterior colporrhaphy
(c) Posterior colporrhaphy
(d) Hysterectomy
Answer: (c) Posterior colporrhaphy
Explanation: Understanding the appropriate treatment for a woman with constipation and difficulty in bowel movements is essential for providing effective care.
Q: Which technique may be used to decrease the likelihood of vaginal vault prolapse in a woman undergoing a hysterectomy for uterine fibroids?
(a) Fixation of the vagina to the anterior abdominal wall
(b) Prophylactic pessary
(c) Obliteration of the vaginal cavity
(d) Obliteration of the
Answer: (a) Fixation of the vagina to the anterior abdominal wall
Explanation: Knowing the techniques to prevent vaginal vault prolapse post-hysterectomy is important for ensuring successful outcomes for the patient.
Q: What is the most likely organism isolated from the fimbria of the tubes in a woman with acute salpingitis after using an intrauterine contraceptive device?
(a) N. gonorrhoeae
(b) C. trachomatis
(c) Nocardia species
(d) T. pallidum
Answer: (b) C. trachomatis
Explanation: Identifying the likely organism causing acute salpingitis is crucial for appropriate treatment and management of the condition.
Q: Which of the following is the most likely etiology of yellowish vaginal discharge in an adolescent female with an erythematous cervix and numerous leukocytes on examination?
(a) Chlamydia trachomatis
(b) Ureaplasma species
(c) Neisseria gonorrhoeae
(d) Bacterial vaginosis
Answer: (a) Chlamydia trachomatis
Explanation: Understanding the etiology of vaginal discharge based on clinical findings is essential for accurate diagnosis and treatment planning.
Q: What is the most likely etiology of a college student’s sexually transmitted pharyngitis?
(a) Chlamydia trachomatis
(b) HIV pharyngitis
(c) Neisseria gonorrhoeae
(d) Human papillomavirus
Answer: (c) Neisseria gonorrhoeae
Explanation: Identifying the probable cause of sexually transmitted pharyngitis is crucial for appropriate treatment and management of the condition.
Q: Which of the following is the most likely diagnosis for a woman with severe pain with menses for 3 years that seems to be worsening, despite trying oral contraceptives and NSAIDs without relief?
(a) GnRH agonist therapy
(b) Psychiatric evaluation
(c) Trigger point injection
(d) Opiate medical therapy
Answer: (a) GnRH agonist therapy
Explanation: Identifying the likely diagnosis for a woman with severe menstrual pain is crucial for providing appropriate management and relief of symptoms.
Q: What is the best therapy for a woman with severe pain with menses that began within her first year of menses, normal physical examination, and negative pregnancy test?
(a) Pelvic adhesions
(b) High prostaglandin levels
(c) Tubal inflammation
(d) Endometriosis
Answer: (b) High prostaglandin levels
Explanation: Understanding the appropriate therapy for a woman with severe menstrual pain is essential for providing effective treatment and symptom relief.
Q: Which of the following findings is most likely in a woman with severe pain with menses that began within her first year of menses and normal physical examination?
(a) High prostaglandin levels
(b) Endometriosis
(c) Pelvic adhesions
(d) Tubal inflammation
Answer: (a) High prostaglandin levels
Explanation: Recognizing high prostaglandin levels as a potential cause of severe menstrual pain helps guide treatment strategies for patients with these symptoms.
