08 Oct What had been a significant problem in medical research well into the 1990s?

What had been a significant problem in medical research well into the 1990s?                                    

 

The focus on randomized clinical trials over epidemiological investigations

 

The lack of representation of women in research trials

 

The lack of research related to gynecology

 

The focus on randomized clinical trials over observational research         

 

•             Question 2          Alcohol consumption is considered hazardous for a woman who has:                                     

 

Either 5 or more drinks in one week or 3 per occasion

 

Either 7 or more drinks in one week or 3 per occasion

 

Either 9 or more drinks in one week or 4 per occasion

 

Either 10 or more drinks in one week or 5 per occasion

 

•             Question 3          If a patient has not reported a sexual assault to law enforcement, all of the following clinician actions are important except:                                   

 

Asking if reporting is something, she wants to consider

 

Discussing any fears or concerns that she may have about reporting

 

Explaining that only some forced sexual contacts are reportable crimes

 

Telling her that women who report do better psychologically than those who do not

 

•             Question 4          Which of the following is considered primary prevention?                                           

 

Targeted immunization

 

                Services that limit an existing disability

 

                Routine laboratory screening

 

                Rehabilitation

 

•             Question 5          A key point of A Model of Care Based on a Feminist Perspective is:                                         

 

Men and women are equal

 

The role of provider is to provide support, and participate in shared decision-making

 

The medical care of women should be the same of their male counterparts

 

The focus of care for women should focus on doing for women

 

•             Question 6          Which one of the following statements about genital trauma associated with rape is false?                         

 

                No method currently available can differentiate genital trauma caused by rape from tampon use.

 

                There is a clear need for studies to determine specific patterns of genital injury.

 

                Few victims sustain significant genital trauma because of a sexual assault.

 

The absence of genital trauma proves consent.

 

•             Question 7          What is one of the most frequent reasons women visit their clinician?                                   

 

Pregnancy

 

Intimate Partner Violence

 

Changes in menstrual cycle

 

Prevention and wellness

 

•             Question 8          Which factor bears most on women’s health care today?                                             

 

The complexity of women’s health

 

Women’s status and position in society

 

Population growth

 

The economy

 

•             Question 9          What population of women should be screened for signs and symptoms of thyroid dysfunction?                               

 

                All women

 

                Older women

 

                Older women, smokers, and women with diabetes

 

Older women, postpartum women, and women with Down syndrome

 

•             Question 10        What is the current recommendation by the CDC regarding HIV testing?                                              

 

Test all patients who report risk behaviors associated with HIV.

 

Test all patients unless they explicitly decline to be tested.

 

Test all patients.

 

Test only those patients who ask to be tested.

 

•             Question 11        The ________ is probably the most widely used intimate partner violence (IPV) screen.                                              

 

Hurt, Insult, Threaten, Scream

 

                Campbell’s Danger Assessment (2003)

 

                Sheridan’s HARASS Instrument

 

                Helton’s nine-question AAS

 

•             Question 12        Which of the following factors associated with increased risk for developing osteoporosis appears to be the best predictor of risk?                                               

 

Smoking

 

Low body weight

 

                Sedentary lifestyle

 

                Family history

 

•             Question 13        In respect to an evidentiary examination:                                            

 

The patient may not withhold consent if the clinician is a mandated reporter.

 

The clinician is required to strictly follow local agency protocols, no others.

 

                 

 

The time frame within which it must take place depends on local standards.

 

                Maintaining the chain of custody of all evidence collected is recommended, not required.

 

•             Question 14        Which cancer has the highest mortality rate of all gynecological cancers?                                              

 

                Vulvar cancer

 

                Endometrial cancer

 

                Cervical cancer

 

Ovarian cancer

 

•             Question 15        What is the screening recommendation by the American College of Obstetricians and Gynecologists for intimate partner violence (IPV)?                                       

 

                Selected Answer:           

 

Routinely ask all women direct, specific questions about abuse. Refer to community-based services when identified.

 

Answers:            

 

Routinely ask all women direct, specific questions about abuse. Refer to community-based services when identified.

 

                There is insufficient evidence to recommend for or against routine screening.

 

                No screening recommendation.

 

                Remain alert for signs of family violence at every patient encounter.

 

•             Question 16        The American College of Obstetricians and Gynecologists (2015) identifies the menstrual cycle as a vital sign and recommends:                                        

 

                Focus on educating young girls more than parents about what to expect of a first menses

 

                Educate both young girls and male partner about the menstrual cycle process to avoid pregnancy

 

Educate young girls about the patterns of menstrual cycle and be able to differentiate between normal and abnormal

 

                Avoid asking too many questions about menses it may make the young girl feel uncomfortable

 

•             Question 17        How is screening for the rubella immunity accomplished?                                            

 

By asking the patient

 

By obtaining a history of vaccination or by ordering serologic studies

 

                By ordering serologic studies

 

                By obtaining vaccination records

 

•             Question 18        The urethra can be described as:                                             

 

                a long conduit that extends from the base of the bladder and exiting externally to the vestibule

 

                approximately 8 to 10 cm long extending from the base of the bladder and exiting externally to the vestibule

 

a short conduit that is located at the base of the bladder and exiting externally to the vestibule

 

                designed to be very long to prevent bladder infections

 

                                               

 

•             Question 19        The P in the mnemonic EMPOWER is meant to help the clinician remember to:                                 

 

Document findings properly

 

Encourage planning for safety and support

 

Provide information about domestic violence

 

Refer to program services such as IPV hotlines and shelters

 

•             Question 20        What procedure is used to evaluate abnormal Pap smears and genital tract lesions?                                       

 

Colposcopy

 

                Stereotactic biopsy

 

                Magnetic resonance imaging

 

                Palpation

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