Chapter 23 Homework

Front 1

Gynecology is the branch of medicine that deals with:

Back 1

Diseases of the reproductive organs of women

Front 2

The absence or cessation of the menstrual period is known as:

Back 2

Amenorrhea

Front 3

Pain associated with the menstrual period is known as:

Back 3

Dysmenorrhea

Front 4

Excessive bleeding during the menstrual period is known as:

Back 4

Dysfunctional uterine bleeding

Front 5

A complete gynecologic examination consists of a:

Back 5

Breast and pelvic examination

Front 6

In what position is the patient placed for a breast examination?

Back 6

Supine

Front 7

The American Cancer Society recommends that a woman perform a breast self-examination:

Back 7

Monthly

Front 8

Which of the following positions is used to perform a pelvic examination?

Back 8

Lithotomy

Front 9

Why is it important that the patient be relaxed during the pelvic examination?

Back 9

All

- To make it easier for the physician to perform the bimanual pelvic examination

- To reduce patient discomfort

- For easier insertion of the vaginal speculum

- To make the examination easier for the patient

Front 10

Which of the following is included in a pelvic examination?

Back 10

All

- Bimanual pelvic examination

- Inspection of the external genitalia, vagina, and cervix

- Rectal-vaginal examination

- Collection of a specimen for a Pap test

Front 11

The function of a vaginal speculum is to:

Back 11

Hold the walls of the vagina apart

Front 12

If a Pap test is being performed using the liquid- based method, the vaginal speculum should be:

Back 12

Lubricated with a water-based lubricant

Front 13

What is the purpose of the Pap test?

Back 13

Early detection of cancer of the cervix

Front 14

The patient should be instructed not to douche before having a Pap smear taken because douching:

Back 14

Reduces the number of cells available for analysis

Front 15

A Pap smear should not be performed during a woman’s menstrual period because blood cells:

Back 15

Obscure the specimen and interfere with an accurate reading

Front 16

When collecting a Pap smear, the ectocervical specimen is obtained using:

Back 16

The S-shaped end of the cervical scraper

Front 17

All of the following are advantages of the liquid-based Pap method except:

Back 17

It is less expensive than the direct smear method

- Debris is removed from the specimen

- The cells are dispersed in a thin even layer on the slide

- Almost all of the Pap specimen is preserved

Front 18

All of the following are reasons for fixing Pap smear slides except to:

Back 18

Prevent the epithelial cells from dying

- Attach the smear firmly to the slide

- Maintain the normal appearance of the cells

- Protect the slides from contaminants

Front 19

The purpose of the maturation index is to:

Back 19

Provide the physician with an endocrine evaluation

Front 20

The Bethesda System for reporting the results of the Pap test includes:

Back 20

A detailed description of any abnormal findings

Front 21

The purpose of a bimanual pelvic examination is to:

Back 21

Determine the size, shape, and position of the uterus and ovaries

Front 22

In preparation for a gynecologic examination, the patient should be instructed to:

Back 22

All

- Wear the examining gown with the opening in front

- Empty her bladder, if needed

- Breathe deeply, slowly, and evenly during the examination

- Undress completely

Front 23

All of the following are symptoms of trichomoniasis except:

Back 23

Abdominal pain

Front 24

The causative agent of trichomoniasis is a:

Back 24

Motile protozoan

Front 25

What preparation is required to examine Trichomonas vaginalis under the microscope?

Back 25

The vaginal discharge is placed on a slide with a drop of isotonic saline

Front 26

The drug commonly employed to treat trichomoniasis is:

Back 26

Metronidazole (Flagyl)

Front 27

Which of the following patients is most likely to develop candidiasis?

Back 27

A patient on prolonged antibiotic therapy

Front 28

If Candida albicans is present, what would be observed under the microscope?

Back 28

Yeast buds, spores, and hyphae

Front 29

Which of the following is a symptom of candidiasis?

Back 29

Thick, odorless, cottage cheese–like discharge

Front 30

Chlamydia often occurs in association with:

Back 30

Gonorrhea

Front 31

If left untreated, a chlamydial infection in a woman may result in:

Back 31

Infertility

Front 32

Gonorrhea is transmitted through:

Back 32

Sexual intercourse

Front 33

Symptoms of gonorrhea in a man include:

Back 33

All

- Dysuria

- Urethritis

- Cystitis

- Profuse yellow purulent discharge

Front 34

Chlamydia and gonorrhea are usually diagnosed using:

Back 34

A DNA-probe test

Front 35

What is the purpose of prenatal care?

Back 35

All

- To provide prenatal education

- To promote health

- For the early detection of problems

- To prevent disease

Front 36

In the absence of complications, the first prenatal visit should be scheduled after the patient:

Back 36

Misses her second menstrual period

Front 37

Which of the following is not included in the first prenatal visit?

Back 37

Determination of fetal presentation and position

Front 38

The purpose of the past medical history is to obtain information from the patient on:

Back 38

Conditions that may affect the health of the mother or fetus

Front 39

The purpose of the present pregnancy history is to:

Back 39

All

- Establish a baseline for the present health status of the prenatal patient

- Record medications being taken by the patient

- Determine if the patient has experienced any of the early signs of pregnancy

- Calculate the estimated due date

Front 40

What is the LMP?

Back 40

The first day of the last menstrual period

Front 41

What is the estimated due date of a patient whose last menstrual period was September 5, 2009?

Back 41

6/12/10

Front 42

All of the following are warning signs of pregnancy except:

Back 42

Heartburn

- Vaginal bleeding

- Abdominal pain

- Blurred vision

Front 43

The purpose of the interval prenatal history is to:

Back 43

All

- Determine the presence of any concerns or problems

- Record weight, blood pressure, and urine testing results

- Determine the occurrence of any additional signs of pregnancy

- Record the fetal heart tones and fundal height

Front 44

Which of the following is performed during the initial prenatal examination?

Back 44

All

- Pelvic examination

- Physical examination

- Breast examination

- Measurement of vital signs

Front 45

Which of the following urine tests is performed at each return prenatal visit?

Back 45

Glucose and protein

Front 46

The purpose of measuring fundal height is to:

Back 46

Assess whether or not fetal growth is progressing normally

Front 47

Which of the following is not a characteristic of the Doppler fetal pulse detector?

Back 47

The fetal heart tone can first be detected between 4 and 6 weeks of gestation

- Determine the degree of cervical dilation and effacement

- Determine the presence of fetal distress

- Diagnose pregnancy

Front 48

What is the normal range for the fetal pulse rate?

Back 48

120 to 160 beats per minute

Front 49

A vaginal examination is usually performed as the patient nears term. All of the following are reasons for performing this examination except:

Back 49

To determine when the patient will go into labor

- To confirm the presenting part

- To determine the degree of cervical effacement

- To determine the degree of cervical dilation

Front 50

When is a pregnant woman tested for group B streptococcus?

Back 50

35 to 37 weeks

Front 51

Obstetric ultrasound scanning is used to:

Back 51

All

- Detect the presence of multiple fetuses

- Determine the position of the placenta

- Determine gestational age

- Detect ectopic pregnancy

Front 52

Amniocentesis can be used to:

Back 52

All

- Assess fetal lung maturity

- Determine the gender of the fetus

- Detect fetal distress

- Diagnose certain genetically transmitted conditions

Front 53

Which of the following conditions may warrant fetal heart rate monitoring?

Back 53

All

- Gestational diabetes mellitus

- Decreased fetal activity

- Fetal growth that is not progressing well

- Overdue baby

Front 54

What term describes the period of time in which the body systems are returning to their prepregnant state?

Back 54

Puerperium

Front 55

Which of the following does not need to be reported to the physician?

Back 55

The lochia changes to yellowish white after having been red

- The lochia discharge is absent within the first 2 weeks after delivery

- The lochia discharge increases rather than decreases

- The lochia has a foul odor

Front 56

All of the following are performed during the 6-week postpartum visit except:

Back 56

Pap test

- Breast examination

- Rectovaginal examination

- Pelvic examination

Front 57

CBC

Back 57

Used as a basic screening test to assess the patient’s state of health; includes white blood cell count, red blood cell count, hematocrit, hemoglobin, platelet count, MD differential white blood cell count.

Front 58

Glucose challenge test

Back 58

To screen individuals for gestational diabetes mellitus.

Front 59

Gonorrhea test

Back 59

To detect the presence of an organism that, if left untreated, could infect the infant’s eyes at birth, resulting in ophthalmia neonatorum

Front 60

Hemoglobin

Back 60

To detect the presence of anemia

Front 61

Rh antibody titer

Back 61

To detect the presence of the amount of circulating Rh antibodies

Front 62

Rh factor and ABO blood type

Back 62

To anticipate any ABO or Rh incompatibilities

Front 63

Rubella antibody titer

Back 63

To assess the antibody level present against rubella

Front 64

VDRL

Back 64

To detect the presence of syphilis

Front 65

Syphilis is a contagious disease transmitted by:

Back 65

Sexual contact