Deck 19: Female Genitalia

Question 1

The adnexa of the uterus are composed of the:

A) corpus and cervix.
B) fallopian tubes and ovaries.
C) uterosacral and broad ligaments.
D) vagina and fundus.

Answer 1

fallopian tubes and ovaries.

Question 2

Which one of the following is a proper technique for the use of a speculum during a vaginal examination?

A) Allow the labia to spread, and insert the speculum slightly open.
B) Insert one finger, and insert the opened speculum.
C) Press the introitus downward, and insert the closed speculum obliquely.
D) Spread the labia, and insert the closed speculum horizontally.

Answer 2

Press the introitus downward, and insert the closed speculum obliquely.

Question 3

The vaginal mucosa of a woman of childbearing years should appear:

A) smooth and pink.
B) moist and excoriated.
C) dry and papular.
D) transversely rugated.

Answer 3

transversely rugated.

Question 4

Posteriorly, the labia minora meet as two ridges that fuse to form the:

A) fourchette.
B) vulva.
C) clitoris.
D) perineum.

Question 5

The risk of ovarian cancer is increased by:

A) the use of oral contraceptives.
B) cigarette smoking.
C) age between 35 and 50 years.
D) early age at first intercourse.

Question 6

Which structure is located posteriorly on each side of the vaginal orifice?

A) Skene glands
B) Clitoris
C) Perineum
D) Bartholin glands

Question 7

Pregnancy-related cervical changes include:

A) flattening and lengthening.
B) thinning and reddening.
C) hardening and pallor.
D) softening and bluish coloring.

Question 8

When collecting specimens, which sample should be obtained first?

A) Chlamydial swab
B) Gonococcal culture
C) Pap smear
D) Wet mount

Question 9

The pelvic joint that separates most appreciably during late pregnancy is the:

A) sacroiliac.
B) symphysis.
C) sacrococcygeal.
D) iliofemoral.

Question 10

During sexual excitement, how is the vaginal introitus lubricated?

A) The Bartholin glands secrete mucus.
B) The clitoris produces moisture.
C) The Skene glands drain fluid.
D) The urethral surfaces secrete water.

Question 11

The female patient should ideally be in which position for the pelvic examination?

A) Fowler
B) Prone
C) Lateral supine
D) Lithotomy

Question 12

When you plan to obtain cytologic studies, speculum introduction may be facilitated by:

A) lubrication with gel.
B) lubrication with warm water.
C) use of a plastic speculum.
D) opening the blades completely.

Question 13

Mrs. Robinson, a 49-year-old patient, presents to the office complaining of missing her menstrual period. She asks about menopause. You explain to her that the conventional definition of menopause is:

A) the first day of the last menstrual period.
B) 1 year with no menses.
C) the last day of the last menstrual period.
D) the cessation of ovulation.

Question 14

A bluish color to the cervix during pregnancy is called (the):

A) McDonald sign.
B) Spinnbarkeit.
C) Goodell sign.
D) Chadwick sign.

Question 15

The form of gynecologic cancer that is increased in obese women is:

A) vaginal.
B) cervical.
C) ovarian.
D) endometrial.

Question 16

Which systemic feature is related to the effects of menopause?

A) Increased abdominal fat distribution
B) Decreased LDL levels
C) Cold intolerance
D) Decreased cholesterol levels

Question 17

A cervical polyp usually appears as a:

A) grainy area at the ectocervical junction.
B) bright red, soft protrusion from the endocervical canal.
C) transverse or stellate scar.
D) hard granular surface at or near the os.

Question 18

Ms. A, age 32, states that she has a recent history of itchy vaginal discharge. Ms. A has never been pregnant. Her partner uses condoms and she uses spermicide for birth control. Which of the following data are most relevant to Ms. A's problem?

A) Bowel habits
B) Douching routines
C) Menstrual flow
D) Nutritional factors

Question 19

Which risk factor is associated with cervical cancer?

A) Endometriosis
B) Low parity
C) Multiple sex partners
D) Obesity

Question 20

The mother of an 8-year-old child reports that she has recently noticed a discharge stain on her daughter's underwear. Both the mother and daughter appear nervous and concerned. You would need to ask questions to assess the child's:

A) drug ingestion.
B) fluid intake.
C) risk for sexual abuse.
D) hormone responsiveness.

Question 21

Asking the woman to close the introitus during a pelvic examination is a test for:

A) endometriosis.
B) rectocele.
C) cervical polyps.
D) sphincter tone.

Question 22

The assessment of which structure is not part of the bimanual examination?

A) Cervix
B) Bladder
C) Uterus
D) Ovaries

Question 23

A young, sexually active woman comes to the urgent care clinic complaining of suprapubic abdominal pain. She is afebrile with rebound tenderness to the right side. There is no dysuria and no vaginal discharge or odor. A pelvic examination is done. She has pain with cervical motion, and you palpate a painful mass over the left adnexal area. Your prioritized action is to:

A) swab for gonococcal infection and then dip her urine.
B) obtain a surgical consult immediately.
C) remove the foreign body.
D) dip her urine and then swab for Chlamydia.

Question 24

The presence of a fishy odor after adding potassium hydroxide to a wet mount slide containing vaginal mucus suggests:

A) bacterial vaginosis.
B) yeast infection.
C) chlamydial infection.
D) pregnancy.

Question 25

Itchy, painful, small red vesicles are typical of:

A) condyloma acuminatum.
B) condyloma latum.
C) herpes simplex lesions.
D) syphilitic chancre.

Question 26

What accommodations should be used for the position of a hearing-impaired woman for a pelvic examination?

A) The patient should assume the M or V position.
B) Her legs should be farther apart.
C) The head of the table should be elevated.
D) The lithotomy position with obstetric stirrups should be used.

Question 27

A mother brings her 8-year-old daughter to the clinic because the child says it hurts to urinate after she fell while riding her bicycle. On inspection, you find posterior vulvar and gross perineum bruising. These findings are consistent with:

A) chronic masturbation.
B) congenital defects.
C) acute urinary tract infection.
D) sexual abuse.

Question 28

A 3-year-old girl is being seen because of a foul vaginal odor. To inspect the vaginal vault, you should first:

A) insert a pediatric vaginal speculum.
B) place the child prone and in the fetal position.
C) insert a cotton-tipped applicator and press down.
D) pull the labia forward and slightly to the side.

Question 29

Mrs. Reilly brings her 6-year-old daughter in with complaints of a foul vaginal discharge noted in her underpants. The most common cause of a foul vaginal discharge in children is a(n):

A) accident.
B) foreign body.
C) infection.
D) ruptured hymen.