Reproductive System 1 The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 39

Welcome to episode 39of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Join me as I continue tocover topic specific PANCE and PANRE review from the Academy course content following the NCCPA content blueprint. Click here to download my interactive content blueprint checklist This week we will be covering 10 topic specificOBGYN/reproductiveboard review questions. The reproductive systemaccounts for 8% of your PANCE/PANRE board exam. Below you will find an interactive exam to complement the podcast. I hope you enjoy this free audio component to the examination portion of this site. The full reproductive review includes over 107 reproductive system content blueprint specific questions andis available to all members of the PANCE and PANRE Academyor my new site SMARTY PANCE!! You can download and listen to past FREE episodes here,oniTunes, Google Play andStitcherRadio. You can listen to the latest episode, take an interactive quizand download your results below. Listen Carefully Then Take The Quiz If you can't see the audio player click hereto listen to the full episode. Reproductive SystemPANCE and PANREPodcast Quiz Audio PANCE and PANRE OBGYN 1 Please wait while the activity loads. If this activity does not load, try refreshing your browser. Also, this page requires javascript. Please visit using a browser with javascript enabled. If loading fails, click here to try again Start Congratulations - you have completed Audio PANCE and PANRE OBGYN 1. You scored %%SCORE%% out of %%TOTAL%%. Your performance has been rated as %%RATING%% Your answers are highlighted below. Question 1On examination of a pregnant patient the physician assistant notes the fundal height is at the level of the umbilicus. This corresponds to what gestational age?A16 weeks Hint: See B for explanation.B20 weeks C24 weeks Hint: See B for explanation.D28 weeksHint: See B for explanation.Question 1 Explanation: At 20-22 weeks the fundal height is typically at the level of the umbilicus. Question 2A couple presents having not been able to conceive over the past 12 months. Evaluation of the male has been normal. The female has had regular menses. Ovulation can be confirmed with mid-luteal phase measurement of which of the following?AThyroid stimulating hormone Hint: TSH is used only if signs of thyroid disease are presentBLuteinizing hormoneHint: LH, FSH, and prolactin are used to confirm ovulation in patients with irregular menstrual cycles.CProgesterone DProlactinHint: See B for explanation.Question 2 Explanation: Ovulation can best be confirmed by measuring serum progesterone le vels in the mid-luteal phase.Question 3A 30 year-old presents with persistent vaginal discharge and vulvar pruritus. The discharge is profuse, frothy, greenish, and foul smelling. pH of the vagina is 6.0. Which of the following is the most likely diagnosis?AVulvovaginal candidiasis Hint: Vulvovaginal candidiasis presents with a thick, curd-like discharge and vulvar pruritus.BBacterial vaginosisHint: Bacterial vaginosis presents with malodorous, gray-white discharge. The pH is typically 5.0-5.5.CTrichomoniasisDAtrophic vaginitisHint: Atrophic vaginitis is usually without discharge, but presents with vaginal dryness.Question 3 Explanation: Trichomoniasis presents with vulvar pruritus and a profuse, frothy, greenish, foul-smelling vaginal discharge with a pH usually exceeding 5.0.Question 4A 30-week pregnant patient presents with sudden onset of profuse, painless vaginal bleeding. Which of the following is the most likely diagnosis?AAbruptio placentaeHint: Abruptio placentae presents w ith abdominal pain and vaginal bleeding.BUterine ruptureHint: Uterine rupture presents with vaginal bleeding or hematuria with suprapubic pain and tenderness.CPlacenta previaDDisseminated intravascular coagulationHint: Disseminated intravascular coagulation presents with systemic signs of bleeding and thrombosis and typically presents at the time of delivery.Question 4 Explanation: Placenta previa presents with sudden, painless, profuse bleeding in the third trimester. Question 5A 25 year-old female presents with constant premenstrual pelvic pain. She also notes dysmenorrhea and dyspareunia. Which of the following is the most likely diagnosis?AUterine leiomyoma Hint: Leiomyomas of the uterus may present with abnormal uterine bleeding, but typically do not present with any symptoms.BEndometrial polyps Hint: Endometrial polyps present with menorrhagia and intermenstrual and premenstrual bleeding, pain is not typical.COvarian cystsHint: Ovarian cysts present with adnexal mass and acute pain upon rupture.DEndometriosisQuestion 5 Explanation: Endometriosis presents with premenstrual pelvic pain, dysmenorrhea, and dyspareunia.Question 6A female patient presents with a vaginal discharge that has a fishy odor. On wet mount examination of the discharge a few white blood cells and many stippled epithelial cells are noted. Which of the following is the treatment of choice for this patient?ANonoxynol-9 Hint: Nonoxynol-9 is a spermicidal agent and not used to treat bacterial vaginosis.BCeftriaxone Hint: Ceftriaxone is used in the treatment of Neisseria gonorrhoeae.CMetronidazole DClotrimazoleHint: Clotrimazole is used in the treatment of candidiasis.Question 6 Explanation: Metronidazole is the treatment of choice for bacterial vaginosis. Bacterial vaginosis presents with a vaginal discharge with a fishy odor and clue cells on wet mount exam.Question 7A 36-week pregnant patient presents to the ED with hypertension. Physical examination reveals 2+/4+ edema in the lower extre mities with hyperreflexia and clonus bilaterally. A urinalysis reveals 3+ protein. Which of the following is the best treatment option for this patient?AMagnesium sulfateBNifedipine (Procardia) Hint: Nifedipine can lead to severe hypotension and should be avoided in this case.CDiazepam (Valium) Hint: Diazepam may cause respiratory depression, hypotonia, and thermoregulatory problems in the newborn and should be avoided.DCaptopril (Capoten)Hint: Captopril and other ACE inhibitors should be avoided in pregnant patients due to side effectsQuestion 7 Explanation: Magnesium sulfate is indicated in this patient with preeclampsia to reduce the risk of seizures.Question 8A 40 year-old female presents with a 1.5 cm well-circumscribed mass noted on mammography in the right upper, outer quadrant. Which of the following procedures is most appropriate and should be done next?AFine needle aspirationBBRCA 1 and BRCA 2 genetic testing Hint: Although BRCA 1 and BRCA 2 genetic tests are used in the r isk assessment for possible breast and ovarian cancer, it would not replace the need to perform a more definitive evaluation of an identified breast mass.CSerum CA-125Hint: Serum CA-125 is a tumor marker for ovarian, not breast, cancer.DRadiation therapyHint: Radiation therapy is only indicated after a diagnosis of breast cancer is proven and may be used as adjunctive therapy.Question 8 Explanation: Fine needle aspiration is fairly accurate, easily performed, and has minimal morbidity.Question 9If a woman has a normal 28-day menstrual cycle what tissue and hormonal phase occurs during the last 14 days?AProliferative follicular phase under the influence of estrogenHint: See B for explanation.BSecretory luteal phase under the influence of estrogen and progesteroneCProliferative follicular phase under the influence of estrogen and progesteroneHint: See B for explanation.DSecretory luteal phase under the influence of estrogenHint: See B for explanation.Question 9 Explanation: The endometrial changes seen in the latter half of the cycle are under the influence of both estrogen and progesterone from the corpus luteum. During this phase, the endometrium becomes more vascularized and slightly edematous.Question 10A 72 year-old female presents with vulvar pruritus for the last nine months, which has progressively worsened over the last two months. She states that she went through menopause at age 54 and has been on estrogen and progesterone therapy since that time. Physical examination reveals red lesions with white plaques on the vulva. What should the next course of management include?ARefer to a gynecologist for biopsyBRefer to a dermatologist for antifungal therapyCTreat with a topical steroidDTreat with estrogen creamQuestion 10 Explanation: Vulvar squamous cell hyperplasia causes thickening and hyperkeratosis of the vulva. The lesions are red and moist and cause intense pruritus over time the area becomes thickened and a white plaque may develop. Biopsy must be done to evaluate for intraepithelial neoplasm or invasive tumor. Once you are finished, click the button below. Any items you have not completed will be marked incorrect. Get Results There are 10 questions to complete. List Return Shaded items are complete. 12345678910End Return You have completed questions question Your score is Correct Wrong Partial-Credit You have not finished your quiz. If you leave this page, your progress will be lost. Correct Answer You Selected Not Attempted Final Score on Quiz Attempted Questions Correct Attempted Questions Wrong Questions Not Attempted Total Questions on Quiz Question Details Results Date Score Hint Time allowed minutes seconds Time used Answer Choice(s) Selected Question Text All doneNeed more practice!Keep trying!Not bad!Good work!Perfect! Looking for all the podcast episodes? This FREE series is limited to every other episode, you can download and enjoy the complete audio series by joiningThe PANCE and PANRE Exam Academy. I will bereleasing new episodes every few weeks. The Academy isdiscounted, so sign up now. Resources and Show Notes: Reproductive system PANCE and PANRE content blueprint course on Smarty PANCE Reproductive System Content Blueprint 107 question exam on Smarty PANCE (members only) Download my freeinteractive content blueprint checklist My list of recommended PANCE and PANRE review books USE CODE PALIFE TO GET 10% OFF THE RUTGERS PANCE AND PANRE REVIEW COURSE This Podcast is also available on iTunes and Stitcher Radio for Android iTunes:The Audio PANCE AND PANRE Podcast iTunes Google Play: The Audio PANCE and PANRE Podcast Google Play Stitcher Radio:The Audio PANCE and PANRE Podcast Stitcher document.createElement('audio'); http://traffic.libsyn.com/pasquini/Reproductive_System_-_The_Audio_PANCE_and_PANRE_Board_Review_Podcast.mp3Podcast: Download () | EmbedSubscribe: Apple Podcasts | Android | Email | Google Podcasts | Stitcher | RSS | PANCE and PANRE Podcast PlayerView all posts in this seriesThe Audio PANCE and PANRE Board Review Podcast Episode 1The Audio PANCE and PANRE Board Review Podcast Episode 3The Audio PANCE and PANRE Board Review Podcast Episode 5The Audio PANCE and PANRE Board Review Podcast Episode 7The Audio PANCE and PANRE Board Review Podcast Episode 9The Audio PANCE and PANRE Board Review Podcast Episode 11The Audio PANCE and PANRE Board Review Podcast Episode 13The Audio PANCE and PANRE Board Review Podcast Episode 15The Audio PANCE and PANRE Board Review Podcast Episode 17The Audio PANCE and PANRE Board Review Podcast Episode 19The Audio PANCE and PANRE Board Review Podcast Episode 21The Audio PANCE and PANRE Board Review Podcast Episode 23The Audio PANCE and PANRE Board Review Podca st Episode 25Cardiology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 27Pulmonology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 29Gastroenterology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 31EENT 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 33Genitourinary 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 35Musculoskeletal 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 37Reproductive System 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 39Episode 41: The Audio PANCE and PANRE Board Review PodcastEpisode 43: The Audio PANCE and PANRE Board Review PodcastMurmur Madness: The Audio PANCE and PANRE Episode 45Episode 47: The Audio PANCE and PANRE Board Review Podcast Comprehensive Audio QuizEpisode 49: The Audio PANCE and PANRE Board Review Podcast Comprehensive Audio QuizEpisode 51: The Au dio PANCE and PANRE Board Review Podcast Comprehensive Audio QuizEpisode 53: General Surgery End of Rotation Exam The Audio PANCE and PANRE PodcastEpisode 55: The Audio PANCE and PANRE Board Review PodcastEpisode 57: The Audio PANCE and PANRE Board Review PodcastEpisode 59: Emergency Medicine EOR The Audio PANCE and PANRE Board Review PodcastEpisode 61: The Audio PANCE and PANRE Board Review PodcastEpisode 63: The Audio PANCE and PANRE PA Board Review PodcastPodcast Episode 65: Hepatitis B Breakdown With Joe Gilboy PA-CPodcast Episode 67: Ten PANCE and PANRE Board Review Audio QuestionsPodcast Episode 69: Ten PANCE and PANRE Board Review Audio QuestionsPodcast Episode 71: Ten PANCE and PANRE Board Review Audio QuestionsPodcast Episode 73: Ten FREE PANCE and PANRE Audio Board Review QuestionsPodcast Episode 75: Ten FREE PANCE and PANRE Audio Board Review QuestionsPodcast Episode 77: The Audio PANCE and PANRE Board Review Podcast You may also like -The Audio PANCE and PANRE Board Review Podcast Episode 1 Welcome to episode 1of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. 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