Your-Doctor
Multiple Choice Questions (MCQ)


Quiz Categories Click to expand

Category: Obstetrics & Gynecology--->Preventive Care and Health Maintenance
Page: 3

Question 11# Print Question

A married 41-year-old G5P3114 presents to your office for a routine examination. She reports being healthy except for a history of migraine headaches. All her Pap smears have been normal. She developed gestational diabetes in her last pregnancy. She drinks alcohol socially, and admits to smoking occasionally. Her grandmother was diagnosed with ovarian cancer when she was in her fifties. Her blood pressure is 140/90 mm Hg, height is 5 ft 5 in, and weight is 150 lb.

Which of the following is the most common cause of death in women of this patient’s age?

A. HIV
B. Cardiac disease
C. Accidents
D. Suicide
E. Cancer


Question 12# Print Question

A 44-year-old G2P2 presents for her well-women examination. She reports no prior medical problems or surgeries. She does not use tobacco, but reports that she drinks two glasses of wine on the weekends and occasionally smokes marijuana. She works as a secretary. She is recently divorced and has become sexually active with a new partner. She has not had STD testing since her divorce.

She asks whether she should be tested for HIV. How should you counsel her?

A. She should be tested for HIV because she uses illicit drugs
B. She should be tested for HIV because she has a new partner
C. She should be tested only if her new partner uses intravenous drugs
D. She does not need to have testing for HIV
E. She does not need testing since she has only had one partner since her last HIV test


Question 13# Print Question

A 40-year-old G3P2012 presents for her well-woman examination. Her last Pap smear and visit to a doctor was 5 years ago. She has had two vaginal deliveries and her largest baby weighed 4000 g. She has no current medical problems, but had a history of gestational diabetes in her last pregnancy. She had a postpartum bilateral tubal ligation. Her menstrual cycles occur every 28 days and last 5 days. She is sexually active in a monogamous relationship with her husband of 16 years. She reports that she occasionally leaks urine when she coughs; otherwise she has no complaints. On physical examination, she weighs 198 lbs and her blood pressure is 132/81 mm Hg. Her breast and pelvic examinations are normal.

What are the most appropriate screening tests for this patient?

A. Pap smear, gonorrhea, chlamydia testing
B. Pap smear, fasting glucose, lipid profile
C. Pap smear, fasting glucose, lipid profile, urinalysis
D. Pap smear, fasting glucose, lipid profile, TSH, urinalysis
E. Pap smear, fasting glucose, lipid profile, mammogram, urinalysis


Question 14# Print Question

A 36-year-old G2P2 presents for her well-woman examination. She has had two spontaneous vaginal deliveries without complications. Her largest child weighed 3500 g at birth. She uses oral contraceptive pills and has never had an abnormal Pap smear. She does not smoke, but drinks about four times per week. Her weight is 70 kg. Her vital signs are normal. After placement of the speculum, you note a clear cyst approximately 2.5 cm in size on the lateral wall of the vagina on the right side. The cyst is nontender and does not cause the patient any dyspareunia or discomfort.

Which of the following is the most likely diagnosis of this mass?

A. Bartholin duct cyst
B. Gartner duct cyst
C. Lipoma
D. Hematoma
E. Inclusion cyst


Question 15# Print Question

A 50-year-old G4P4 presents for her well-woman examination. She had one cesarean delivery followed by three vaginal deliveries. Her menses stopped 1 year ago and she occasionally still has a hot flash. She tells you that about 10 years ago she was treated with a loop electro-excision procedure (LEEP) for cervical intraepithelial neoplasia (CIN) III. Since that time, all of her Pap tests have been normal.

What recommendation should you make regarding how frequently she should undergo Pap smear testing?

A. She needs an annual Pap smear for 20 years following her LEEP
B. She needs an annual Pap smear for the rest of her life since she had CIN III
C. She should undergo routine age-based screening
D. She should have HPV co-testing, and if negative, can discontinue Pap smears
E. You should recommend a hysterectomy so she can stop having Pap smears




Category: Obstetrics & Gynecology--->Preventive Care and Health Maintenance
Page: 3 of 4