Women's Health Flashcards
6 cards from real AANP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Women's Health flashcards as text
A 25-year-old woman has a positive urine pregnancy test and unilateral pelvic pain with vaginal spotting. What must be ruled out first?
Answer: Ectopic pregnancy
Unilateral pelvic pain with vaginal bleeding in early pregnancy is ectopic pregnancy until proven otherwise, as rupture can cause life-threatening hemorrhage.
Which screening test is currently recommended for cervical cancer detection in average-risk women aged 21–29?
Answer: Pap smear alone every 3 years
Current USPSTF and ASCCP guidelines recommend Pap smear alone every 3 years for women aged 21–29; HPV co-testing is not recommended until age 30.
A woman presents with cyclic pelvic pain, dysmenorrhea, and dyspareunia. Pelvic exam reveals a fixed, retroverted uterus. What is the most likely diagnosis?
Answer: Endometriosis
Endometriosis classically causes cyclic pelvic pain, dysmenorrhea, dyspareunia, and can cause a fixed, retroverted uterus due to adhesions from ectopic endometrial tissue.
Which medication is the recommended pharmacological treatment for postmenopausal osteoporosis prevention as first-line therapy?
Answer: Bisphosphonates (e.g., alendronate)
Bisphosphonates such as alendronate are the first-line pharmacological treatment for postmenopausal osteoporosis due to their proven efficacy in reducing fracture risk.
The most common cause of vaginal discharge with a thin, gray, fishy-smelling discharge and clue cells on wet mount is:
Answer: Bacterial vaginosis
Bacterial vaginosis is caused by an overgrowth of anaerobic bacteria, presenting with a fishy-smelling, thin gray discharge and clue cells (epithelial cells studded with bacteria).
A woman at 10 weeks gestation reports heavy bleeding and passage of tissue. Ultrasound shows no intrauterine pregnancy. Quantitative hCG is falling. What type of miscarriage is this?
Answer: Complete abortion
A complete abortion is characterized by complete expulsion of all products of conception, confirmed by falling hCG and no intrauterine pregnancy on ultrasound.