Women’s Health Nurse Practitioner Exam Prep - Question List

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1. What are the criteria used to make a diagnosis of bacterial vaginosis?
  1. Clue cells on microscopic examination of wet mount, the presence of an amine odor when vaginal discharge is mixed with KOH 10%, an increased amount of white, homogeneous vaginal discharge and a vaginal pH of >4.5
  2. Clue cells on microscopic examination of wet mount, the presence of an amine odor when vaginal discharge is mixed with KOH 10%, an increased amount of white, homogeneous vaginal discharge and a vaginal pH of <4.5
  3. Hyphae on microscopic examination of wet mount, the absence of an amine odor when vaginal discharge is mixed with KOH 10%, an increased amount of white, clumpy vaginal discharge, and a vaginal pH of <4.5
2. Maternal emotional lability at five days postpartum, without other psychological symptoms, is most indicative of:
  1. Postpartum blues
  2. Postpartum depression
  3. Postpartum psychosis
3. What is the ASCCP recommended management for an ASCUS (atypical squamous cells of undetermined significance) pap result with a positive high risk HPV 16 cotest in a 26 year old woman without a history of abnormal pap smears?
  1. Colposcopy
  2. LEEP (loop electrosurgical excision procedure)
  3. Repeat pap and HPV cotesting in one year
4. On clinical exam, you detect a 2cm x 1cm non-tender, smooth, round, rubbery, mobile mass in the upper outer quadrant of your 32 year-old nulligravid patient’s right breast. This mass is most likely:
  1. Cancer
  2. Clogged duct
  3. Fibroadenoma
5. Which of the following HPV protocols is correct?
  1. Boys and girls age 9-14 should receive three doses of 9-valent HPV vaccine (Gardasil 9) six to twelve months apart
  2. Boys and girls age 9-14 should receive two doses of 9-valent HPV vaccine (Gardasil 9) six to twelve months apart
  3. Boys and girls should not receive 9-valent HPV vaccine (Gardasil 9) until age 15

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