Female Vaginal Vulva Cervix Infections! Trivia Quiz

14 Questions | Total Attempts: 567

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Female Vaginal Vulva Cervix Infections! Trivia Quiz

"CTL: Vaginitis & STIs: chlamydia; Genitourinary viral infections" "CTL: Disorders of the vulva, vagina cervix; Pharmacology female reproductive system"


Questions and Answers
  • 1. 
    Patient is a female diabetic who has just been put on tetraycline to control her acne. She now presents with thick white vaginal discharge and a burning sensation on urination. Which of the following agents is most likely causing her vaginitis?
    • A. 

      Neisseria gonorrhoeae

    • B. 

      Gardnerella vaginalis

    • C. 

      Trichomonas vaginalis

    • D. 

      Haemophilus ducryei

    • E. 

      Candida spp

  • 2. 
    Your patient is a 22-year-old pregnant female who complains of intense vulval pruritis, a white, cheesy discharge, and inflammation.  You place a drop of vaginal discharge onto a microscope slide and examine. The following is what you observe. What is your diagnosis?
    • A. 

      Trichomonas vaginalis

    • B. 

      Candida spp

    • C. 

      Gardnerella vaginalis

    • D. 

      Enterobius vermicularis

  • 3. 
    A 30-year-old woman is worked up for an abnormal Pap smear. Colposcopy shows lesions in the cervix. A biopsy was performed. Which of the following is the most likely cause of the lesions?
    • A. 

      Herpes virus

    • B. 

      Papillomavirus

    • C. 

      Polyomavirus

    • D. 

      Retrovirus

    • E. 

      Enterovirus

  • 4. 
    Gardasil® protects females from infection with which strains of HPV?
    • A. 

      6, 11, 16, 18

    • B. 

      11, 16, 18, 21

    • C. 

      6, 16, 18, 21

    • D. 

      6, 11, 16, 18, 21

  • 5. 
    A 29-year-old single woman with a history of having several sexual partners during the past 10 years receives a routine pelvic examination. A Pap smear followed by a cervical biopsy revealed a high grade intraepithelial neoplasm. What are her risk factors for cancer?
    • A. 

      Infection with HPV-6 or HPV-11

    • B. 

      High production of proteins E6 and E7 by HPV

    • C. 

      High production of proteins E1 and E2 by HPV

    • D. 

      Co-infection with HSV-2 or gonorrhea

  • 6. 
    Examination of the Pap smear received from a 34-year-old woman reveals the cellular abnormalities shown in Image # 39. Immunohistochemical staining for HPV type 16 and 18 is negative. Which of the following steps in management of this patient is the most adequate?
    • A. 

      Repeat smear in 6 month

    • B. 

      Colposcopic-guided biopsy

    • C. 

      Ablation

    • D. 

      LEEP

    • E. 

      Conization

    • F. 

      Hysterectomy

  • 7. 
    A 33-year-old woman presents with vaginal bleeding.  At colposcopy, a vaginal mass is found and biopsied (see the image below).  Which of the following etiologic factors was most likely implicated in development of the shown pathology?
    • A. 

      HPV

    • B. 

      Intrauterine DES exposure

    • C. 

      Intrauterine folic acid deficiency

    • D. 

      Intrauterine x-ray exposure

    • E. 

      Hormone-producing ovarian tumors

  • 8. 
    Examination of the Pap smear received from a 34-year-old woman reveals the cells shown for you evaluation. Which of the following histologic images [labeled A) through D)] corresponds to the shown Pap smear?
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 9. 
    A 23-year-old Caucasian woman visited her gynecologist for a regular check up.  A cervical Pap smear was taken (see the image below) and the cytologist recommended repeating cervical cytology in three months. What was the most like reason for such a suggestion? 
    • A. 

      The lesion can progress to low-grade SIL

    • B. 

      The lesion can directly progress to invasive carcinoma

    • C. 

      The patient has a sexually transmitted disease

    • D. 

      The lesion can progress to high-grade SIL

  • 10. 
    A 16 year old virginal Caucasian female presents to your office with primary amenorrhea.  Her history is unremarkable except she complains of monthly lower abdominal pain for the last year.  On examination you find: Most likely diagnosis would be:
    • A. 

      Foreign object

    • B. 

      Imperforate hymen

    • C. 

      Turner’s syndrome

    • D. 

      Vaginal agenesis

  • 11. 
    A 48-year-old woman presents with the complaints of mood swings, irritability, dry skin, dry vagina and bony pains in both legs.  She is finding it hard to accept these recent changes related to her physical and mental health. Her gynecologist diagnoses her symptoms to be due to menopause, and prescribes a menopausal hormone therapy containing an estrogen and a progestin. A progestin is added in the menopausal hormone therapy to reduce the:
    • A. 

      Risk of myocardial infarction

    • B. 

      Mood disturbances and dryness of skin

    • C. 

      Risk of breast hyperplasia and cancer

    • D. 

      Risk of endometrial hyperplasia and cancer

  • 12. 
    A 28-year-old woman with infertility is admitted to the fertility clinic for treatment. As a part of assisted reproductive technique to help the woman to conceive, her physician gives her a drug that works by suppressing the gonadotropin secretion after an initial stimulation. Which of the following drugs works by this mechanism?
    • A. 

      Cetrorelix

    • B. 

      Leuprolide

    • C. 

      Gonadorelin

    • D. 

      Somatrem

  • 13. 
    A 28-year-old apprehensive woman visits your clinic with the following complaints: failure to conceive; absence of menstrual periods; reduction in sex drive; and spontaneous flow of milk from her breast. You prescribe drug X.  The galactorrhea stops and menstruation resumes. This is because drug X
    • A. 

      Stimulated release of gonadotropin-releasing hormone (GnRH).

    • B. 

      Stimulated the ovary directly.

    • C. 

      Is an estrogen antagonist that enhanced gonadotropin release.

    • D. 

      Inhibited prolactin release.

  • 14. 
    A woman in the early stages of menopause who has a family history of osteoporosis is concerned that she is likely to develop the same.     A suitable drug to minimize the development of osteoporosis in this patient would be:
    • A. 

      Fulvestrant

    • B. 

      Tamoxifen

    • C. 

      Clomifene

    • D. 

      Raloxifene

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