SOLVED

1) Your patient is a 25-year-old female who is alert and complaining of fever and general malaise. She has had a fever for the past two days, along with bilateral lower quadrant abdominal pain and bloody vaginal discharge. Her last menstrual period was two months ago, G5P2, with an elective abortion two days prior. Physical examination reveals hot, moist skin and pain with palpation to the lower quadrants. HR = 110, BP = 108/64, RR = 14, SpO2 = 97%. Which of the following is the most likely diagnosis for this patient? A) Menorrhagia B) Retained products of conception C) Endometritis D) Cervical dysplasia 2) Your patient is a 34-year-old female in no apparent distress, complaining of dysuria. She describes a four-day history of dysuria, urinary frequency, and hematuria. She is sexually active with one partner, last menstrual period ten days ago, and G3P3. Physical examination reveals warm, dry skin and pain with palpation above the pubis. HR = 96, BP = 124/68, RR = 12, temp = 99.9°F. Which of the following is the most likely diagnosis for this patient? A) Pyelonephritis B) Pelvic inflammatory disease C) Cystitis D) Endometriosis 3) Your patient is a 33-year-old female who is alert and in significant distress. She describes a one-week history of diffuse lower left quadrant abdominal pain that became acutely worse and specific 1/2 hour ago. She has not had her menstrual period in four months. HR = 120, BP = 72/48, RR = 20. Which of the following would be LEAST likely to have contributed to her current condition? A) Previous ectopic pregnancy B) Tubal ligation C) Oral contraceptive use D) Previous pelvic inflammatory disease 4) A 20-year-old sexually active female presents with right lower quadrant abdominal pain and is hypotensive. She states the pain came on acutely and is severe. She has not had her period for two months. The most likely clinical diagnosis would be: A) ruptured ectopic pregnancy. B) spontaneous abortion. C) ruptured ovarian cyst. D) torsion of an ovarian cyst. 5) Ovulation occurs: A) when the corpus luteum ruptures. B) as a result of an LH surge around day 14 of the menstrual cycle. C) secondary to a decrease in FSH and estrogen. D) when the corpus albicans ruptures. 6) Which of the following would suggest that a patient’s abdominal pain was secondary to mittelschmerz? A) Purulent vaginal discharge B) History of sexual intercourse without contraception C) Acute onset of pain 14 days after the onset of her last menstrual period D) Moderate vaginal bleeding of bright red blood 7) If fertilization of an ovum occurs, which phases of the current menstrual cycle do NOT occur? A) Secretory and ischemic B) Ischemic and menstrual C) Secretory and menstrual D) Proliferative and menstrual 8) Which of the following is a potential complication of untreated pelvic inflammatory disease? A) Sepsis B) Cystitis C) Renal failure D) Primary amenorrhea 9) Your female patient states that it is painful when she has intercourse. This complaint could be documented as: A) dyspareunia. B) dysmenorrheal. C) vaginismus. D) endometriosis. 10) You are called to the scene of a sexual assault. You are presented with a 19-year-old female who is withdrawn and sitting in a corner in her bedroom. Which of the following questions is appropriate to ask? A) “How much alcohol did you have to drink before this happened?” B) “Do you know if you were penetrated?” C) “Did the perpetrator ejaculate?” D) “Are you injured anywhere?” 1