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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.

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  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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).

  6. 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.