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Example Questions
Example Question #11 : Causes And Treatments Of Ob/Gyn Conditions
Sudden onset of severe abdominal pain with a unilateral adnexal mass would most likely be which of the following conditions?
Teratoma
Ovarian torsion
Polycystic ovarian syndrome
Pelvic inflammatory disease
Ovarian torsion
While any of the conditions listed can cause abdominal or pelvic pain, the most likely cause of severe pain of sudden onset is ovarian torsion. This is an emergency condition which can result in loss of the affected ovary if not treated within four hours.
Example Question #12 : Causes And Treatments Of Ob/Gyn Conditions
Clear-cell adenocarcinoma of the vagina is strongly linked to pre-birth exposure to what medication?
Clomiphene
Acetaminophen
Diethylstilbestrol (DES)
Thalidomide
Diethylstilbestrol (DES)
Diethylstilbestrol (DES), a medication used from 1940 to 1971 to reduce the risk of miscarriage, resulted in the later development of clear-cell adenocarcinoma in many of the unborn children of these pregnancies.
Example Question #13 : Causes And Treatments Of Ob/Gyn Conditions
A patient enters the labor and delivery unit. She is having a singleton birth and the baby is showing minimal variability on the fetal monitor. Interventions may include all but __________.
suggesting that the patient walk with a portable monitor
placing the patient on a non-rebreather mask
contacting the provider
giving the patient a 500mL IV fluid bolus
placing the patient flat on her back
placing the patient flat on her back
Increasing fluid and oxygen administration may increase the overall oxygenation of the fetus and result in greater variability in heart rate. It is advisable to change the position of the patient, however, a supine position is not compatible with pregnancy. Contacting the provider is an acceptable intervention given concern for fetal well-being.
Example Question #14 : Causes And Treatments Of Ob/Gyn Conditions
What is the most common cause of mucopurulent cervicitis?
Human papillomavirus
Chlamydia trachomatis
Herpes simplex virus
Neisseria gonorrhea
Chlamydia trachomatis
The most common cause of mucopurulent cervicitis is chlamydia trachomatis, followed by neisseria gonorrhea. Human papillomavirus, while it is associated with increased risk of development of cervical cancer, does not cause mucopurulent cervicitis, nor does herpes simplex.
Example Question #15 : Causes And Treatments Of Ob/Gyn Conditions
Which of the following conditions can result in temporary masculinization of a pregnant woman which resolves after delivery?
Placental aromatase deficiency
Polycystic ovarian syndrome
Growth hormone deficieny
Chloasma
Placental aromatase deficiency
Placental aromatase deficiency is a condition that prevents testosterone from being aromatized into estrogen during pregnancy. This results in a temporary masculinization of the mother that does not continue past delivery. Neither chloasma nor growth hormone deficiency result in masculinization, and masculinizing symptoms of polycystic ovarian syndrome often improve during pregnancy, rather than getting worse.
Example Question #16 : Causes And Treatments Of Ob/Gyn Conditions
Which of the following conditions presents as vulvar pruritus and pain with porcelain-white vaginovulvular atrophy?
Bacterial vaginosis
Lichen sclerosus
Contact vulvitis
Herpes simplex
Lichen sclerosus
Lichen sclerosus is a condition that presents as vulvar pruritus and pain with porcelain-white vaginovulvular atrophy. It is most common in post-menopausal women, though it does occur on occasion in younger women and girls. While all of the other conditions listed can cause puritis and pain, none of them are associated with frank atrophy.
Example Question #17 : Causes And Treatments Of Ob/Gyn Conditions
All of the following are part of the Amsel criteria for bacterial vaginosis except __________.
Thin gray or white vaginal discharge
A positive "whiff" test on addition of potassium hydroxide to the vaginal discharge
Vaginal pH > 4.5
All of there are part of the Amsel criteria for bacterial vaginosis
All of there are part of the Amsel criteria for bacterial vaginosis
The Amsel criteria for bacterial vaginosis are as follows: clue cells seen on microscopic examination, a positive "whiff" test on addition of potassium hydroxide to the vaginal discharge, a vaginal pH > 4.5, and thin gray or white vaginal discharge.
Example Question #18 : Causes And Treatments Of Ob/Gyn Conditions
Which of the following is not a risk-factor for uterine leiomyoma?
Red meat consumption
Family history
Smoking
Obesity
Smoking
The main risk factors for uterine leiomyoma are family history, obesity, and red meat consumption. Smoking is not a risk factor.
Example Question #19 : Causes And Treatments Of Ob/Gyn Conditions
Up to 90% of cases of pelvic inflammatory disease have what etiology?
Chlamydia trachomatis only
Human papillomavirus only
Neisseria gonorrhoeae only
Neisseria gonorrhoeae and chlamydia trachomatis
Neisseria gonorrhoeae and chlamydia trachomatis
75 to 90% of cases of pelvic inflammatory disease are caused by neisseria gonorrhoeae and/or chlamydia trachomatis infections. This condition, typified by adhesion formation in the uterus and fallopian tubes, can result in serious issues such as infertility, ectopic pregnancy, or reproductive cancer.
Example Question #20 : Causes And Treatments Of Ob/Gyn Conditions
Which of the following is part of the diagnostic criteria for pelvic inflammatory disease (PID)?
Fever
Leukocytosis
Elevated erythrocyte sedimentation rate (ESR)
All of these
All of these
The criteria for diagnosis of PID are as follows: fever, cervical motion tenderness, abdominal pain, leukocytosis, elevated ESR, and purulent cervical discharge.
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