AANP Women's Health

Question 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?

Accepted Answer

Ectopic pregnancy

Answer

Unilateral pelvic pain with vaginal bleeding in early pregnancy is ectopic pregnancy until proven otherwise, as rupture can cause life-threatening hemorrhage.

Question 2

Which screening test is currently recommended for cervical cancer detection in average-risk women aged 21–29?

Accepted Answer

Pap smear alone every 3 years

Answer

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.

Question 3

A woman presents with cyclic pelvic pain, dysmenorrhea, and dyspareunia. Pelvic exam reveals a fixed, retroverted uterus. What is the most likely diagnosis?

Accepted Answer

Endometriosis

Answer

Endometriosis classically causes cyclic pelvic pain, dysmenorrhea, dyspareunia, and can cause a fixed, retroverted uterus due to adhesions from ectopic endometrial tissue.

Question 4

Which medication is the recommended pharmacological treatment for postmenopausal osteoporosis prevention as first-line therapy?

Accepted Answer

Bisphosphonates (e.g., alendronate)

Answer

Bisphosphonates such as alendronate are the first-line pharmacological treatment for postmenopausal osteoporosis due to their proven efficacy in reducing fracture risk.

Question 5

The most common cause of vaginal discharge with a thin, gray, fishy-smelling discharge and clue cells on wet mount is:

Accepted Answer

Bacterial vaginosis

Answer

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).

AANP - American Association of Nurse Practitioners Practice Test

AANP - American Association of Nurse Practitioners Practice Test

AANP Women's Health