AANP Women's Health 2

Question 1

Which contraceptive method has the highest typical-use failure rate?

Accepted Answer

Male condoms

Answer

Intrauterine device (IUD)

Answer

Depot medroxyprogesterone acetate (DMPA)

Answer

Combined oral contraceptive pills

Question 2

A 35-year-old woman who smokes more than 15 cigarettes per day asks about oral contraceptives. What is the appropriate response?

Accepted Answer

Prescribe progestin-only pills as a safer alternative

Answer

Prescribe combined oral contraceptives with close monitoring

Answer

Combined OCP is safe in smokers under age 40

Answer

No contraception is needed as risk is minimal

Question 3

A pregnant woman at 28 weeks with no blood type antibodies has Rh-negative blood. What intervention is indicated?

Accepted Answer

Rh immunoglobulin (RhoGAM) injection now and after delivery

Answer

No treatment needed until delivery

Answer

Transfusion of Rh-positive blood to induce tolerance

Answer

Amniocentesis to determine fetal blood type

Question 4

Which diagnostic test is the gold standard for diagnosing endometriosis?

Accepted Answer

Laparoscopy with biopsy

Answer

Transvaginal ultrasound

Answer

MRI of the pelvis

Answer

Serum CA-125 level

Question 5

A woman reports galactorrhea and amenorrhea. What is the most important initial laboratory test?

Accepted Answer

Serum prolactin level

Answer

FSH and LH levels

Answer

TSH and free T4

Answer

Beta-hCG

Question 6

Which USPSTF-recommended screening is appropriate for a 40-year-old average-risk woman with no family history of breast cancer?

Accepted Answer

Biennial mammogram starting at age 40

Answer

Annual mammogram starting at age 40

Answer

Mammogram starting at age 50 only

Answer

No screening until age 50 per USPSTF 2024 guidelines