Deck 34: Assisting in Obstetrics and Gynecology

Question 1

Which type of examination usually involves taking pelvic measurements?

A) New patient visit
B) Diagnosis of PID
C) Initial prenatal visit
D) Consultation regarding contraception

Answer 1

Initial prenatal visit

Question 2

Failure to have a menstrual period is called

A) metrorrhagia.
B) menorrhagia.
C) amenorrhea.
D) dysmenorrhea.

Answer 2

amenorrhea.

Question 3

Candidiasis is characterized by

A) itching.
B) bleeding.
C) infertility.
D) ulceration.

Answer 3

itching.

Question 4

Genital herpes is characterized by

A) itching.
B) bleeding.
C) infertility.
D) ulceration.

Question 5

An elective cesarean section may be recommended if the mother has which STI?

A) Candidiasis
B) Gonorrhea
C) HIV
D) HPV

Question 6

HPV is associated with

A) cancer.
B) bleeding.
C) infertility.
D) ulceration.

Question 7

Stage ______ is the stage of labor in which the baby is born.

A) I
B) II
C) III

Question 8

Which of the following is not true about the fallopian tubes?

A) The distal end of the tube attaches to the ovaries.
B) They are also called the oviducts.
C) They may develop adhesions from chronic inflammation.
D) Fertilization typically occurs in the distal third of the tubes.

Question 9

Which of the following can potentially cause cancer?

A) Fibroid
B) Ovarian
C) Fibrocystic breast disease
D) Genital warts

Question 10

Pain or cramps with menstruation is called

A) metrorrhagia.
B) menorrhagia.
C) amenorrhea.
D) dysmenorrhea.

Question 11

Which type of abortion is characterized by spotting without dilation of the cervix?

A) Complete
B) Spontaneous
C) Missed
D) Threatened

Question 12

Hormonal contraceptives include the following:

A) Implanon implant
B) Depo-Provera injections
C) Birth control pill or patch
D) All of the above

Question 13

Stage ______ is the stage of labor in which the placenta is delivered.

A) I
B) II
C) III

Question 14

Menses lasting longer than 7 days is called

A) metrorrhagia.
B) menorrhagia.
C) amenorrhea.
D) dysmenorrhea.

Question 15

Syphilis is associated with

A) itching.
B) bleeding.
C) infertility.
D) a chancre.

Question 16

Stage _____ is the stage of labor in which the cervix dilates.

A) I
B) II
C) III

Question 17

The cervix controls the opening to which organ?

A) Fallopian tube
B) Ovary
C) Uterus
D) Vagina

Question 18

Bleeding between menses is called

A) metrorrhagia.
B) menorrhagia.
C) amenorrhea.
D) dysmenorrhea.

Question 19

Which type of abortion may require a D&C?

A) Complete
B) Spontaneous
C) Missed
D) Threatened

Question 20

Which method of birth control has the highest failure rate?

A) Condom
B) Diaphragm
C) IUD
D) Birth control pills

Question 21

The signs and symptoms of endometriosis include

A) anovulation.
B) white vaginal discharge.
C) dyspareunia.
D) fever.

Question 22

Which of the following procedures can be used as a diagnostic tool to collect biopsy samples and as a treatment to remove abnormal tissue?

A) LEEP
B) Conization
C) Colposcopy
D) Both A and B
E) All of the above

Question 23

Which of the following cervical intraepithelial neoplasia categories indicates carcinoma in situ?

A) CIN I
B) CIN II
C) CIN III
D) CIN IV

Question 24

Which of the following terms is associated with spotting or bleeding between menstrual cycles?

A) Metrorrhagia
B) Amenorrhea
C) Oligomenorrhea
D) Menorrhagia

Question 25

Which of the following are idiopathic benign tumors composed mainly of smooth muscle and some fibrous connective tissue?

A) Fibromyomas
B) Leiomyomas
C) Myomas
D) All of the above

Question 26

Of the four hormones that control the mammary glands, which hormone stimulates the development of the duct system?

A) Estrogen
B) Progesterone
C) Prolactin
D) Oxytocin

Question 27

The primary reason for HIV screening of all pregnant women is

A) treatment prevents the development of AIDS.
B) properly treating the pregnant woman helps protect the fetus from HIV.
C) treating the pregnant woman extends her life.
D) the law requires that all pregnant women be screened for HIV.

Question 28

Patient education on the use of a diaphragm should include which of the following?

A) Use spermicidal products if you want extra protection.
B) Be refitted if you gain more than 15 pounds.
C) Before repeating intercourse, remove the diaphragm and add spermicide.
D) If the diaphragm has a small hole, add more spermicide for protection.

Question 29

In which of the following uterine walls is the powerful muscular layer that contracts during childbirth?

A) Endometrium
B) Myometrium
C) Perimetrium
D) Fondus

Question 30

Depo-Provera is a good contraceptive choice for which of the following?

A) Patients at risk of developing osteoporosis
B) Patients who prefer not to be seen at the physician's office for at least 6 months
C) Patients who want to delay pregnancy for at least 18 months
D) Patients who are compliant with OCP therapy

Question 31

The leading cause of gynecologic cancer deaths is ____________ cancer.

A) endometrial
B) breast
C) ovarian
D) cervical

Question 32

OCPs can be used to treat which of the following conditions?

A) Anovulation
B) Prevention of ovarian cysts
C) Polycystic ovaries
D) All of the above

Question 33

An untreated maternal gonorrheal infection can result in what problems for the infant?

A) Fetal blindness
B) Life-threatening blood infection
C) Joint infection
D) All of the above

Question 34

The primary symptom of uterine fibroids is

A) menorrhagia.
B) an abnormal Pap smear.
C) dyspareunia.
D) uterine dysplasia.

Question 35

Which of the following is an injectable contraceptive that contains high doses of progestin?

A) Ortho Evra patch
B) NuvaRing
C) Depo-Provera
D) Implanon and Nexplanon

Question 36

Development of the mammary glands is controlled by which hormone(s)?

A) Estrogen
B) Oxytocin
C) Progesterone
D) Prolactin
E) A and C

Question 37

What is the most common vaginal infection in women of childbearing age in the United States?

A) Bacterial vaginosis
B) Candidiasis
C) Cervicitis
D) Pelvic inflammatory disease

Question 38

An NST may be ordered if the

A) mother has HIV.
B) mother has pre-eclampsia.
C) baby is moving frequently in utero.
D) mother has endometriosis.

Question 39

Which of the following HPV vaccines also protects against genital warts and anal cancer in both females and males?

A) Cervarix
B) Gardasil
C) Gardasil 9
D) Both B and C
E) All of the above

Question 40

Which patients should be screened for gestational diabetes mellitus?

A) All women planning to become pregnant
B) Any woman suspected of having been exposed to HIV
C) Pregnant women approximately 1 month before the due date
D) Pregnant women at 24 to 28 weeks' gestation

Question 41

The thinning of the cervix during labor, which is measured from 0% to 100%, is called _____________.

Question 42

A fluid-filled cyst in one of the vestibular glands that are located on either side of the vaginal orifice is called a __________________.

Question 43

Fetal health status can be checked with a(n) _________, which uses fetal monitoring to assess the fetal heart rate, along with the mother's reports of fetal movement.

Question 44

___________ is the opening of the cervix during labor and is measured in centimeters.

Question 45

_____________ describes an abnormal change in cellular size, shape, and appearance.

Question 46

As legal protection for the provider, during which part of the examination should the medical assistant remain in the examination room?

A) Breast examination
B) Abdominal examination
C) Pelvic examination
D) All of the above

Question 47

Oral contraceptive pills (OCPs) can have serious side effects. Explain the mnemonic ACHES, which can be used to help patients remember problems that should be immediately reported to the physician. What might these symptoms indicate?

Question 48

Which of the following prenatal blood or laboratory tests helps determine immunity to German measles?

A) Hematocrit and hemoglobin levels
B) Blood type and Rh
C) Rubella titer
D) Syphilis, Hepatitis B, and HIV screening
E) Pap test

Question 49

A physician may perform a(n) ______________________ for a woman who has had an abnormal Pap test finding.

Question 50

____________ tissues are adjacent to or part of organs or tissues, such as the fallopian tubes and the uterus.

Question 51

Compare the characteristics, contraindications, and possible side effects of OCPs, the cervical cap, and an IUD.

Question 52

Which of the following is the second leading cause of cancer deaths in women?

A) Ovarian cancer
B) Endometrial cancer
C) Breast cancer
D) Lung cancer

Question 53

Pregnancy is confirmed when the hormone __________ is found in the urine.

Question 54

The medical term for the act or process of giving birth is _____________.

Question 55

A(n) _________________ is a congenital defect in the brain or spinal column that occurs during embryonic development.

Question 56

____________ is the initial milk that is rich in nutrients and immune properties and is expressed from the breast immediately after the birth of an infant.

Question 57

During the ______________, progesterone secreted from the corpus luteum causes extensive growth of the endometrium.

Question 58

A woman is considered _____________ if she has had two or more pregnancies.

Question 59

Which of the following naturally occurring abortion categories is assigned to a fetus that dies in utero and must be removed surgically?

A) Spontaneous
B) Complete
C) Incomplete
D) Missed
E) Threatened

Question 60

A woman who has had a complete mastectomy for cancer of the breast may experience ______________ in the arm on the affected side.

Question 61

Effacement is the opening of the cervix that occurs during the birth process.

Question 62

Ovarian cancer can be diagnosed with a Pap smear.

Question 63

Lupron injections may be prescribed for advanced endometriosis.

Question 64

The physician asks you to reinforce teaching for a breast self-examination. What should you include in this teaching intervention?

Question 65

An ectopic pregnancy occurs in the inferior uterine wall.

Question 66

The Implanon implant is designed to prevent pregnancy for up to 3 years after insertion.

Question 67

Lucretia Anderson, an 18-year-old patient, has been diagnosed with chlamydia and gonorrhea. This is the third time she has been diagnosed with an STD in the past year. The physician asks you to reinforce patient education with Lucretia about the signs and symptoms of and treatments for chlamydia, gonorrhea, syphilis, genital herpes, and genital warts.

Question 68

Teratogens are substances that cause severe fetal deformities.

Question 69

You are responsible for gathering a detailed gynecologic history on all female patients. What should this history include?

Question 70

Pelvic inflammatory disease is a major cause of infertility.

Question 71

Endometriosis can be a devastating condition for young female patients. Carlie Amos, a 24-year-old patient of Dr. Beck, was diagnosed with endometriosis when she was 16. Describe the disease process, the typical signs and symptoms, the methods of treatment, and the long-term prognosis of this condition to Carlie.

Question 72

The most crucial period for fetal organ development is the third trimester.

Question 73

Assisting with a Pap test is one of the primary responsibilities of a medical assistant working in an OB/GYN office. Explain the procedure and the medial assistant's role in caring for patients undergoing a gynecologic examination.

Question 74

A cystocele is a protrusion of the bladder into the rectal wall.

Question 75

Patient education during pregnancy can positively affect pregnancy outcomes. What should patient education material in the OB/GYN office include? What are important topics to discuss with pregnant women? Provide details about three of these.

Question 76

Extensive growth of the endometrium is seen during the luteal phase of menstruation.

Question 77

Pregnancy is recommended for women with endometriosis, because it frequently cures the disorder.

Question 78

Fibrocystic breast disease causes firm masses throughout the breasts that increase in tenderness in association with the menstrual cycle.

Question 79

The leading gynecologic cause of cancer deaths in women is ovarian cancer.

Question 80

Explain the difference between perimenopause and menopause. Include in your explanation when menopause is determined, as well as three typical discomforts associated with menopause and how they can be treated.