QUESTION 1An 18-year-old sexually active female comes to clinic and asks how often she should obtain a pap smear. Your best response is:You should wait until you are between the ages of 21 and 29 years old.You should have a Pap test every 3 years beginning at 21 years of ageYou do not need a Pap test you are too young right now give yourself more timeYou can have an annual pap test beginning at age 18 or within six months of first sexual intercourse1 points QUESTION 2A 30-year-old bisexual female is asking about treatment for uterine fibroids. She is asking you about treatment options. The NP knows that:Uterine fibroids are associated with sexual activitySince the patient is gay, she should opt to have a hysterectomyMRI with guided ultrasoundUterine artery embolization1 points QUESTION 3A 20-year-old lesbian is asking about being a mother with her partner. A NP can educate patient about what options for being a mother.AdoptSame sex relationship partners cannot have a babyInvitro fertilizationA and C only1 points QUESTION 4What are risk factors for acquiring HPV?SmokingImmunosuppressionMultiple birthsAll of the aboveNone of the above1 points QUESTION 5What NSAIDs are approved by FDA for the treatment of dysmenorrhea?DiclofenacCelebrexBaralganAcetaminophen1 points QUESTION 6A common side effect of a topical therapy with imiquimod used to treat VIN that has not progressed to invasive disease is:severe headachemild burning or stingingcellulitisnausea, vomiting, and diarrhea1 points QUESTION 7Endometrial cancer occurs most frequently in a woman whoMenopausal and between the ages of 40 – 50Postmenopausal women between the ages of 60-65Perimenopausal women between the ages of 50-55none of the above1 points QUESTION 8What step can a clinician take to learn more about any chemicals used in a woman’s workplace?Contact OSHA (Occupational Health and Safety Administration).Contact the woman’s workplace.Ask the woman to obtain her workplace MSDs (material safety data sheets).Conduct research on the OSHA website.1 points QUESTION 9Cyclic mastalgia:More likely causes unilateral, localized pain that is sharp or burning in natureHas an increased risk of occurrence in women whose diets are low in fatOccurs most frequently in women who are 18 to 30 years oldIs caused by hormonal changes associated with menstruation1 points QUESTION 10What is one factor that can reduce the risk for the development of ovarian cancer?Multiple pregnanciesTransvaginal ultrasoundsIdentification of recurrenceWeight loss1 points QUESTION 11Which of the following is a preventive measure for vulvar cancer?Avoiding exposure to HIVNot smokingThere is no way to prevent it.Colposcopy1 points QUESTION 12The Bethesda System is used toreport breast cytologyreport colon cytologyreport cervical cytologyreport Bartholin gland cyst cytology1 points QUESTION 13The infertility evaluation is an opportune time to suggest health promotion behaviors that may specifically improve fertility, including:Achieving a BMI in the range of 30 to 35, if the woman is under- or overweightReducing alcohol consumption to about 4 drinks per weekReducing caffeine consumption to no more than 350 per dayNone of the above1 points QUESTION 14A 40-year-old white female mother died from ovarian cancer. The patient is asking the nurse practitioner, is there a way to prevent ovarian cancer?There is nothing you can do to prevent cancer because you have a genetic predisposition for the disease.You can prevent ovarian cancer by having a tubal ligation.There are factors that inhibit ovulation that can reduce the risk of developing ovarian cancer.None of the above1 points QUESTION 15A nurse practitioner suspects a patient may have vulvar cancer based but is uncertain what are some possible differential diagnoses based on NPs suspicion.Vulvar candidiasisVulvar vaginitisVulvar psoriasisHSV 21 points QUESTION 16The most common sites of metastatic spread of invasive breast cancer include all of the following except:BonesLungsPituitaryLymph nodes1 points QUESTION 17A 65-year-old female reports to clinic with complaints of urinary tract infection. She reports blood with urination. The NP confirms UTI with POC urine analysis test. The patient also reports low back pain. The NP will more than likely treat patient for what type of UTI?Asymptomatic bacteriuriaCystitisPyelonephritisNephrolithiasis1 points QUESTION 18The HPV vaccine has been proven to be effective in protecting against the four types of HPV that cause genital warts and cervical cancers for as long as:10 years2 years15 years5 years1 points QUESTION 19The first line of treatment for mastalgia, which is effective for 85 percent of women who have mild or moderate symptoms, is:ReassuranceReduction mammoplastyIsoflavones, or naturally occurring phytoestrogens2% lidocaine injection and 40 mg of methyl prednisone1 points QUESTION 20What is now thought to be the most important causative agent in cervical cancer?PCOSVulvar cancerHerpes simplexHPV1 points