FMCLA Women's Health and Obstetrics 3

Question 1

Which contraceptive method has the highest typical-use failure rate?

Accepted Answer

Male condom

Answer

Male condoms have a typical-use failure rate of approximately 13% per year due to inconsistent and incorrect use.

Question 2

A woman presents with a 3-cm simple ovarian cyst found incidentally on pelvic ultrasound. She is premenopausal. What is the recommended management?

Accepted Answer

Repeat ultrasound in 6–12 weeks

Answer

Simple ovarian cysts under 5 cm in premenopausal women are typically benign and warrant follow-up ultrasound to confirm resolution.

Question 3

Which antihypertensive is preferred for treating hypertension during pregnancy?

Accepted Answer

Labetalol

Answer

Labetalol is a preferred antihypertensive in pregnancy; ACE inhibitors like lisinopril are teratogenic and contraindicated.

Question 4

What defines severe preeclampsia apart from hypertension?

Accepted Answer

Severe-range BP (≥160/110) plus end-organ damage

Answer

Severe preeclampsia is defined by BP ≥160/110 mmHg or evidence of end-organ damage (renal, hepatic, neurologic, hematologic).

Question 5

A 22-year-old sexually active woman presents with mucopurulent cervical discharge, cervical motion tenderness, and uterine tenderness. The most likely diagnosis is:

Accepted Answer

Pelvic inflammatory disease

Answer

The combination of cervical motion tenderness, uterine tenderness, and mucopurulent discharge meets criteria for pelvic inflammatory disease.

FMCLA - Family Medicine Certification Longitudinal Assessment Practice Test

FMCLA - Family Medicine Certification Longitudinal Assessment Practice Test

FMCLA Women's Health and Obstetrics 3