TCP Practice Quiz 1
TCP Practice Quiz 1
Welcome to the TCP Practice Quiz 1! This quiz is designed to test your knowledge on gynecological topics, pregnancy, and women's health. Whether you are a medical student, healthcare professional, or just someone interested in this field, this quiz will provide an engaging way to assess your understanding of critical concepts.
- Multiple choice questions covering various aspects of women's health
- Designed for medical students and healthcare practitioners
- Immediate feedback on your answers
How much blood is typically lost in a normal vaginal delivery?
1000 cc
500 cc
200 cc
100 cc
What should you rule out first when a patient presents with dysmenorrhea?
Pregnancy
Menopause
Ovarian CA
Endometrial CA
A 30 yo patient is currently pregnant. She has one pair of 5 year old twins and had a miscarriage last year at 8 weeks gestation. What is her gravidity/parity?
G2P2
G3P2
G3P1
G2P1
What is the most common site of an ectopic pregnancy?
Ovary
Abdomen
Cervix
Fallopian tube
If mom is Rh(-), when is RhoGAM given?
25 weeks
26 weeks and post birth
27 weeks
28 weeks and post birth
A 40 yo F patient presents to your office c/o heavy vaginal bleeding and a feeling of "fullness" in her pelvic area which makes her feel like they need to urinate more than usual. You palpate a large, irregularly shaped uterus which is non-tender. What is the likely diagnosis?
Leiomyoma
Endometriosis
Dysmenorrhea
Ectopic pregnancy
If the patient in the above scenario wants to retain her fertility, which of the following surgical options is best to recommend?
Hysterectomy
Myomectomy
Endometrial ablation
Uterine artery embolization
Dark staining microscopy shows Donovan bodies on STI screening. What is your diagnosis?
HPV
Chlamydia
Chancroid
Granuloma inguinale
A 15-yo F G0, P0 patient presents to the office c/o abdominal cramping radiating to her low back + diarrhea during each of her last 3 periods. She denies any abnormal bleeding outside of the cycle or change to her flow. What is the most appropriate next step for this patient?
Recommend NSAIDs
Recommend an OCP
Perform a Beta hCG and STI testing
Refer to GYN
Regarding the previous patient, assuming all laboratory results were within normal limits and no abnormalities were found on laparoscopy, what would be the best initial treatment for this patient?
Herbal remedies
OCPs
Lifestyle changes
NSAIDs
Which theory of endometriosis is most widely accepted?
Retrograde menstruation (Sampson's theory)
Vascular and lymphatic dissemination (Halban's theory)
Coelomic metaplasia (Meyer's theory)
All theories are equally accepted
T/F: Levels of prostaglandins is directly related to the severity of the dysmenorrhea?
True
False
Which of the following does the progesterone challenge test NOT help determine?
Endometrial function
Pt's ability to adequately produce estrogen
Pt's ability to adequately produce progesterone
If the pt has a patent genital outflow tract
Which of the following is routinely done in the first prenatal visit?
Diabetes screen
Breast exam
Group B Strep screen
Give RhoGAM
True or false: A patient can still deliver vaginally if they have an active HSV outbreak.
True
False
What is NOT an intrauterine example of secondary dysmenorrhea?
Fibroids
IUDs
Endometriosis
Polyps
What does VDRL test for?
Syphilis
Chlamydia
HPV
Cervical CA
What theory best explains endometriosis in pre-menstruating girls?
Sampson's theory
Halban's theory
Meyer's Theory
None of the above
During a PAP smear, what types of cells are visualized in the endocervix?
Squamous cells
Glandular cells
Endothelial cells
All of the above
Pregnant pt has a positive Homan's sign. What medication is absolutely CI?
Lovenox
Heparin
Coumadin
Vitamin K
A 50 yo F patient presents to your office c/o bloating and fatigue which have begun to occur about a week before her period over her past three menstrual cycles. She says she has felt "full" sooner during meals as well. She thinks she's probably just "getting old" but came in to be safe. The next appropriate step in managing this patient is...
Reassurance
Advise pt to avoid EtOH and caffeine
Refer to psych for SSRI
Pelvic exam and transvaginal US
What is the most common indication for hysterectomy?
Polyps
Leiomyoma (fibroids)
Endometriosis
PMDD
Which of the following is true regarding TRUE labor?
Contractions occur with steady intensity
Sedation relieves contractions
Discomfort occurs in back and abdomen
There is no change in cervical dilation
Which is true of chronic pelvic pain?
Lasts 3 months or longer
Affects 1 in 12 women
Is most common in women of reproductive age
Must be associated with menstruation
A 54-year-old woman presents with chest and neck flushing. She states this began 6 months ago. The “warm feeling,” as she describes it, is becoming more frequent and seems to occur mainly in the evening. She denies any recent infections. There are no dermatologic lesions seen on physical examination. Her final menstrual period was 14 months ago. These symptoms are most likely due to a decline in which of the following hormones?
Estradiol
Follicle-stimulating hormone
Progesterone
Prolactin
What type of squamous cell vulvar CA is slow growing and has a good prognosis?
Verrucous carcinoma
Keratinizing type
Basaloid type
Warty type
T/F: Atypical glandular cells favor neoplastic changes
True
False
Which of the following is a protective factor against developing leiomyomas?
Smoking
Age >40 but not menopausal
Being nulliparous
Obesity
Which of the following is the most definitive diagnostic tool in the diagnosis of endometriosis?
Pelvic US
MRI
Laparoscopy
Transvaginal US
A laceration to the vaginal epithelium or perineal skin is what degree?
1st
2nd
3rd
4th
What is the DOC for mastitis treatment?
OCPs
Azithromycin
Doxycycline
Dicloxicillin
A 55 y/o pt presents to office w hx of bloating, early satiety, heartburn, and pelvic pain. What gynecologic neoplasm is highest on your differential?
Ovarian CA
Endometrial CA
Uterine CA
Vulvar CA
A 26-year-old woman who is nine weeks pregnant presents to the clinic with vaginal bleeding. She reports crampy pelvic pain. Vaginal exam reveals a dilated cervix. Products of conception can be visualized through the cervical os. Which of the following best describes this patient’s condition?
Complete abortion
Inevitable abortion
Missed abortion
Threatened abortion
Which of the following medications is contraindicated in pregnancy?
Magnesium Sulfate
Captopril
Labetalol
Methyldopa
A 70 y/o male presents with gynecomastia. What lab work should be ordered to r/o testicular cancer?
HCG
Alpha-fetoprotiein
Prostate-specific antigen
CBC
A 45 y/o woman had a mammogram done and a single, subareolar mass was found incidentally after pt complained of serosanguinous nipple discharge. What is at the top of your ddx?
Fibrocystic changes
Galactorrhea
Fibroadenoma
Papilloma
Which of the following is an intramural cause of dysmenorrhea?
A. fibroids
B. polyps
C. adenomyosis
D. Both A and B
E. Both A and C
A patient presents to the office c/o pelvic pain for the past 6 months. You palpate a large boggy uterus on physical exam. What is the likely diagnosis?
Endometriosis
PID
Adenomyosis
Intrauterine pregnancy
What does the lack of withdrawal bleeding after a progesterone challenge test indicate?
Pt is anovulatory
Pt is unable to produce estrogen
Pt is unable to produce their own progesterone
Pt is producing too much FSH and LH
Which hormone stimulates the maturation of organs and stimulates bone density in the fetus?
HCG
Progesterone
Prolactin
Estrogen
A 16 y/o male presents with gynecomastia and lab work shows normal estrogen levels but low testosterone levels. What is the most likely cause?
Hypogonadism
Prolactinoma
Estrogen-secreting tumor
Amphetamines
A 60-year-old woman seen in the clinic presents with a palpable breast mass, which is concerning for breast cancer. She had a negative screening mammogram six months ago. Which of the following is the first step in the diagnostic workup?
Diagnostic mammogram and ultrasound
MRI
Surgical biopsy
Ultrasound only
A 32 yo F is G0P0. She presents to your office complaining of dysmenorrhea for the past 6 months in addition to dyspareunia over the last couple of weeks. She and her partner are trying to get pregnant but have had no luck over the past year and are interested in discussing fertility treatments. What is an expected physical exam finding in this patient?
Vaginal discharge
Cervical motion tenderness
Fever
Boggy uterus
What medication used in medical abortions blocks the action of progesterone?
Mifepristone
Methotrexate
Misoprostol
Mirena
What is the most accurate diagnostic tool to evaluate antepartum bleeding?
Beta HCG
US
Estrogen levels
Amniocentesis
Which of the following is not a sign of placental separation during the third stage of labor?
Umbilical cord lengthens
Sudden gush of blood
Uterus becomes soft
Uterus rises upward in the abdomen
T/F: When a baby is delivered and still connected to mom through the umbilical cord, it is important to keep the baby and placenta on an equal plane.
True
False
Which of the following statements are FALSE about clinical management in the second stage of labor?
Upward traction delivers anterior shoulder of baby
During delivery, extract the baby's body slowly
Clear the baby's airway with bulb suction
Check for nuchal cord
Your patient presents to the office complaining of multiple, painful, genital ulcers. On PE, you notice regional lymphadenopathy. You take a culture for testing. What organism do you suspect the culture will show?
Treponema pallidum
Haemophilus ducreyi
Klebsiella granulomatis
C. trachomatis
N. gonorrhoeae
Which of the following is the most common STI in the US?
HSV
HPV
Gonorrhea
Chlamydia
Your patient taking spironolactone for hyperaldosteronism comes into the office with a breast complaint. Their complaint is most likely which of the following?
Sharp pain immediately beneath their sternum
Fibrocystic breast changes
Fibroadenoma
Gynecomastia
In the above patient you decide to abort their spironolactone and begin medical management. Which of the following would be the best option?
GnRH agonist
HCTZ
Azithromycin
Tamoxifen
Which type of cancer might present as eczematous, itchy, scaly rash on the nipple and areola?
Paget's disease of the breast
Infiltrative ductal carcinoma
LCIS
Medullary CA
Patient complains of inability to conceive after 1 year of regular unprotected sex. You want to evaluate the cause of the infertility, which test would be most helpful?
Abdominal US
Transvaginal US
Hysterosalpingography
Pelvic exam
You have decided to treat the above patient with a medication used to induce ovulation, which medication would help achieve that goal?
Tamoxifen
Aromatase inhibitor
An estrogen antagonist
Clomiphene
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