Multiple Choice Questions (MCQ)

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Category: Medicine--->Women’s Health
Page: 5

Question 21#Print Question

. A 60-year-old woman presents with complaints of pain during intercourse. She describes the pain as sharp and constant during sexual activity, and there is a lack of lubrication. This discomfort is very bothersome to her because she wishes to continue an active sex life. She underwent surgical menopause at age 44 due to uterine fibroids and heavy bleeding. She used oral estrogen until age 50; she has used no hormonal therapy since then. On physical examination you note significant urethral and vaginal atrophy.

Which of the following is the best treatment option for this patient? 

a. Commercial lubricant (K-Y lubricating jelly)
b. Oral estrogen
c. Vaginal estrogen preparation
d. Sildenafil
e. Topical antifungal therapy

Question 22#Print Question

A 43-year-old woman presents to your office because of musculoskeletal pain and weight gain. Over the past 6 months, she has noted generalized aches and pains of muscles and joints, fatigue, and poor sleep quality. She admits to wanting to stay in bed rather than socialize with her friends and family. She denies fever, night sweats, morning stiffness, joint redness, blood loss, easy bruising, or daytime somnolence. Physical examination reveals normal BMI, normal thyroid, normal cardiovascular examination, normal joints, and no tenderness to palpation. CBC, TSH, ESR, ANA, rheumatoid factor, electrolytes, liver enzymes, and kidney function tests are normal. She wants pain control.

Which treatment is most likely to relieve her symptoms? 

a. Long-acting opiates
b. Oral acetaminophen/hydrocodone combination
c. Prednisone
d. Methotrexate
e. Antidepressant

Question 23#Print Question

You are reviewing your office records as part of a performance review mandated by an insurance company. One criterion is appropriate to use of low-dose aspirin for prevention of heart attack or stroke. According to the United States Preventive Services Task Force recommendations,

which of the following patients should be treated with low-dose (81 or 162 mg daily) aspirin? 

a. 46-year-old healthy woman to prevent heart attack
b. 42-year-old healthy man to prevent heart attack
c. 42-year-old healthy man to prevent heart attack
d. 66-year-old healthy man to prevent stroke
e. 95-year-old healthy woman to prevent heart attack and stroke

Category: Medicine--->Women’s Health
Page: 5 of 5