FMCLA Women's Health and Obstetrics 2 — Questions and Answers
Question 1: What is the recommended interval for Pap smear screening in a 30-year-old woman with no prior abnormalities using co-testing?
- Every year
- Every 3 years
- Every 5 years (Correct answer)
- Every 10 years
Correct answer: Every 5 years
Women aged 30–65 who undergo co-testing (Pap + HPV) should be screened every 5 years if both tests are negative.
Question 2: Which HPV types are responsible for the majority of cervical cancer cases?
- HPV 6 and 11
- HPV 16 and 18 (Correct answer)
- HPV 31 and 33
- HPV 45 and 52
Correct answer: HPV 16 and 18
HPV types 16 and 18 account for approximately 70% of all cervical cancers worldwide.
Question 3: A woman presents with cyclic pelvic pain, dysmenorrhea, and dyspareunia. The most likely diagnosis is:
- Uterine fibroids
- Endometriosis (Correct answer)
- Ovarian torsion
- Pelvic inflammatory disease
Correct answer: Endometriosis
The triad of dysmenorrhea, dyspareunia, and cyclic pelvic pain is classic for endometriosis, a common gynecologic condition.
Question 4: Which medication is used to treat postpartum hemorrhage due to uterine atony as first-line?
- Misoprostol
- Oxytocin (Correct answer)
- Carboprost
- Tranexamic acid
Correct answer: Oxytocin
IV oxytocin is the first-line uterotonic agent for postpartum hemorrhage due to uterine atony.
Question 5: What is the most common site of ectopic pregnancy implantation?
- Ovary
- Cervix
- Fallopian tube ampulla (Correct answer)
- Abdominal cavity
Correct answer: Fallopian tube ampulla
Approximately 70% of ectopic pregnancies implant in the ampullary portion of the fallopian tube.
Question 6: A pregnant woman at 36 weeks is found to have GBS colonization on vaginal-rectal culture. What is the appropriate management?
- Oral amoxicillin started immediately
- IV penicillin G during labor (Correct answer)
- No treatment required
- Cesarean delivery
Correct answer: IV penicillin G during labor
Intrapartum IV penicillin G is given to GBS-positive mothers during labor to prevent neonatal early-onset GBS disease.
FMCLA Women's Health and Obstetrics 2
What is the recommended interval for Pap smear screening in a 30-year-old woman with no prior abnormalities using co-testing?