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NUR 684 WOMENS HEALTH ACTUAL EXAM
PAPER (LATEST VERSION 2026 /2027)
QUESTIONS WITH SOLUTIONS. GRADED A+
◉ Potential causes for galactorrhea include all of the following EXCEPT: Answer: Heavy tobacco use ◉ A 50-year-old woman presents with complaint of a burning sensation behind both nipples and a spontaneous greenish brown nipple discharge. On examination you note bilateral multiduct sticky green nipple discharge with no masses or breast skin changes. The most likely diagnosis is: Answer: Mammary duct ectasia ◉ Differential diagnoses for a woman who presents with red moist patches or one or both breasts include eczema and Paget's disease of the nipple. Findings that fit with Paget's disease of the nipple include which of the following: Answer: Nipple always involved, itching common ◉ Rapid onset of diffuse erythema of the breast with fine dimpling (peau d'orange) of the skin is indicative of: Answer: Inflammatory breast cancer ◉ A 54-year-old woman has a mammogram that is negative but shows that she has dense breasts. Appropriate information for this woman
would include: Answer: Additional surveillance may be recommended depending on other breast cancer risk factors. ◉ Each offspring of an individual found to carry a BRCA mutation has a 50% chance of inheriting the same mutation. Answer: True ◉ In a review of vaccinations at an initial prenatal visit at 12 weeks gestation the patient tells you she had the Tdap vaccination with her last pregnancy which was 2 years ago. You would advise her she needs a: Answer: Tdap vaccination in her third trimester ◉ The screening test for group B streptococcus requires that a specimen be obtained from the: Answer: Vaginal introitus and rectum ◉ Routine gestational diabetes screening is recommended at: Answer: Between 24 and 28 weeks gestation ◉ Expected findings during examination of the pregnant woman who is 10 weeks gestation would include: Answer: Softening of the cervix ◉ Folic acid supplementation prior to conception has been shown to decrease the incidence of: Answer: Neural tube defects
contraindications to any of these medications. Answer: Transdermal estrogen patch ◉ In the PLISSIT model, explaining the possible effect of an illness on sexual functioning is considered: Answer: Limited information ◉ The terms gender identity and sexual orientation have similar meanings. Answer: False ◉ Which of the following statements about women who have sex with women (WSW) is correct? Answer: WSW tend to obtain routine gynecologic care less frequently than women who are heterosexual. ◉ Which of the following is part of the diagnostic criteria for female sexual interest/arousal disorder? Answer: Causes marked distress or interpersonal difficulty ◉ Erectile dysfunction has been linked to which of the following components of metabolic syndrome? Answer: Abdominal obesity Hypertension Hyperlipidemia
All of the above ◉ Specific gynecologic cancer screening recommendations have been established based on gender identity. Answer: False ◉ Known teratogens include all of the following EXCEPT: Answer: Insulin ◉ A 20 year old female presents at the clinic with concern that she had spotting several days in her current pill cycle. She has been on the same combination oral contraceptives for two years without any problems. She states she has not missed any pills and her last period was normal. Appropriate initial management would include: Answer: Discuss her recent sexual history and do a test for Chlamydia if indicated ◉ Potential disadvantages of the progestin only implant (Nexplanon) include: Answer: May cause irregular bleeding of spotting ◉ Which of the following best describes the typical lesion(s) seen with genital herpes? Answer: Multiple vesicles and shallow ulcers ◉ Which of the following statements is correct? Answer: Women with interpregnancy intervals (IPIs) of less than 18 months are more likely to have premature and/or low birth weight infants than those with IPIs greater than 18 months.
◉ A common side effect of oral tolterodine (Detrol) for treatment of urge incontinence is: Answer: Dry Mouth ◉ A 25-year-old female who is planning for a first pregnancy asks if there are any tests for infections she should have before she gets pregnant. Appropriate advice would include that she should consider testing for: Answer: HIV infection ◉ A woman with hypertension that has been well controlled with an angiotensin converting enzyme inhibitor (ACEI) and who is otherwise healthy is interested in becoming pregnant in the near future. Appropriate information would include: Answer: She will need to switch to another antihypertensive medication prior to becoming pregnant. ◉ You are seeing a 29-year-old female for an annual well woman visit who is considering a pregnancy in the next year. She had a preterm birth 2 years ago and wants to know what she can do to prevent this from happening again. Appropriate information would include: Answer: She should discuss with her OB/GYN provider the potential benefit of treatment with progesterone with this next pregnancy. ◉ A mother brings her infant into the office for a well-baby visit at 3 months of age. You ask how she is doing and she tells you she has been having difficulty sleeping with frequent nightmares and having panic attacks for no reason. Her affect at this visit is normal except for expressing worry about her symptoms and she appears to be bonding
well with the baby. The baby is doing well now although he had to be resuscitated and then transported to a NICU at another hospital immediately after birth because he was preterm and low-birth-weight. You suspect possible: Answer: Post-traumatic stress disorder ◉ Risk factors for ovarian cancer include: Answer: Nulliparity ◉ Which of the following could be a sign or symptom of either PID or an ectopic pregnancy in a sexually active, reproductive age woman? Answer: Cervical motion tenderness Spotting Pelvic mass All of the above ◉ Increased production of __________________ is associated with primary dysmenorrhea. Answer: Prostaglandin ◉ The results of bone densitometry test on a 65 year-old-woman is a Tscore of - 2.0. This indicates she has: Answer: Bone loss that is at the level for a diagnosis of osteopenia ◉ A woman who was late starting a new pack of her combination oral contraceptives (COCs) and had unprotected sex is given ulipristal acetate (Ella) for emergency contraception. She should be advised to:
◉ A 26-year-old woman presents with multiple, painless, umbilicated papules on her mons pubis. The most likely diagnosis is: Answer: Molluscum contagiosum ◉ A 45-year-old female presents with complaint of lower abdominal pain with urinary frequency and urgency for the past three months. The pain is worse during sexual intercourse and relieved somewhat when she urinates. Physical exam reveals suprapubic tenderness as well as tenderness along the anterior wall of the vagina and urethra. The remainder of her exam is normal. What diagnosis fits best with these findings? Answer: Interstitial cystitis/painful bladder syndrome ◉ Noncontraceptive benefits of combination oral contraceptives include all of the following EXCEPT: Answer: Decrease in cervical cancer ◉ Symptoms of epididymitis include all of the following EXCEPT: Answer: Sudden onset of severe pain ◉ According to U.S. Medical Eligibility Criteria for Contraceptive Use you should refrain from providing combination oral contraceptives to a woman in which of the following situations: Answer: Breastfeeding and less than one month postpartum ◉ A woman who has been on Depo Provera IM for 9 months presents for her injection. It has been 16 weeks since her last injection. The last time she had sex was 7 days ago. Appropriate management would be:
Answer: Perform a sensitive urine pregnancy test and give the injection if the test is negative ◉ CDC recommendations for follow up of a female treated for PID with ceftriaxone 250 mg IM and doxycycline 100 mg orally bid for 14 days is: Answer: See patient again within 72 hours after initiation of treatment ◉ A 20 - year-old sexually active female comes to the clinic for contraception. She has had 1 male sex partner. She has never had a pelvic exam or any sexually transmitted infection testing. She has no symptoms of any infection. According to current nationally accepted guidelines which of the following tests should she have at this visit for routine screening purposes? Answer: Chlamydia, gonorrhea, and HIV ◉ During a pregnancy the uterus is palpable at, or just above, the symphysis pubis at __ weeks gestation: Answer: 12 ◉ A 22-year-old woman presents with c/o a non-tender mass in her left breast that does not change with her menstrual cycle. On examination, you note a freely movable, 0.5 cm x 1 cm firm, rubbery non-tender mass. The most likely diagnosis is: Answer: Fibroadenoma
