FMCLA Women's Health and Obstetrics 2

Question 1

What is the recommended interval for Pap smear screening in a 30-year-old woman with no prior abnormalities using co-testing?

Accepted Answer

Every 5 years

Answer

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?

Accepted Answer

HPV 16 and 18

Answer

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:

Accepted Answer

Endometriosis

Answer

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?

Accepted Answer

Oxytocin

Answer

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?

Accepted Answer

Fallopian tube ampulla

Answer

Approximately 70% of ectopic pregnancies implant in the ampullary portion of the fallopian tube.

FMCLA - Family Medicine Certification Longitudinal Assessment Practice Test