what conditions must be met for the Lactational amenorrhea method of birth control to be effective? (select all that apply)
must be > 6 months Post partum
used effectively intermittently
full-time breastfeeding
no return of menses
Your patient who is breastfeeding asks about hormonal contraceptive selection what would you inform this patient?
Micronor a Progestin-only oral birth control is appropriate for her
The patient should attempt lactational amenorrhea method
Xulane a combined hormonal patch would be appropriate for her
She may select whatever method she likes but she will have to stop breastfeeding
what is the maximum time frame that treatment should be initiated for EC?
72-120hrs
24-48hrs
12-24hrs
5-7days
which of the following statements about EC is FALSE
ECPs disrupt follicular by blunting the LH surge required for ovulation, resulting in anovulation or delayed ovulation
will not harm developing embryo
Treatment initiated ASAP after unprotected IC, and definitely within 120 hours
hormonal IUDs are approved for EC use
which of the following has the highest efficacy of the listed EC
Levonorgestrel only (Plan B)
Hormonal IUD
Copper IUD
Ulipristal
Your patient with a BMI of 36 presents to the clinic requesting emergency contraception which of the following will you offer to her
Ulipristal acetate (ella)
Progestin only minipills
which of the following statements are TRUE about EC?
pregnancy test is required prior to use
Combination pills preferred w/ history of thromboembolic disease
No significant interaction with antibiotics
Ulipristal: can be used for breastfeeding women
which of the following is NOT a treatment option for Hidradenitis suppurativa
steroids
warm compresses
antibiotics
antibacterial soap
your 25yo 8week pp pt presents to the clinic for a breast mass that she noticed in the shower. she states that she has stopped breast feeding due to work. the mass is firm, without pain, not mobile, and does not increase in size with her menses, symmetrical and about the size of a dime. ultrasound shows that it contains fluid. which of the following is the most likely diagnosis?
Fibroadenoma
Galactocele
Fibrocystic Breast
Bartholin gland cyst
what should be done for a 36yo woman complaining of diffused breast tenderness who has had a normal screening mammogram result 6 months ago?
diagnostic mammogram
Supportive, soft bra (sports bra)
Decrease caffeine intake
Decrease salt, particularly 2 weeks before menses
your 34yo pt calls with complaints of breast/nipple pain only on the left with a clear, sometimes blood streaked discharge. she has had her mammogram this year with normal findings. what is the best thing to be done with this pt?
that it is likely benign causes, follow up in 3 months
it is a benign Intraductal papilloma that should be left in place
you should assess for recent trauma to that side
ductogram/possibly MRI
You're breastfeeding patient calls complaining of painful red left breast that is hot to the touch, she states that she feel terrible, and that her temp this morning was 101.5 before taking Tylenol, what should be prescribed for this pt?
doxycycline 500 mg 2 times per day for 5-14 days
Keflex 500 mg 1 time a day for at least 3 days.
Dicloxacillin 500 mg 4 times per day for 5-14 days
doxycycline 125mg 4 times per day for 5-14 days
select the TRUE statement about Breast cancer(select all that apply)
1 in 8 lifetime risk of breast cancer
80% of women who develop breast CA have no FH
2nd leading cause of death among women ages 40-59
80% of breast CA lumps occur in the upper outer quadrant of the breast
98% of breast cancers are PAINLESS
what are the most dangerous types of HPV
6, 11
16, 18
8, 19
16,17
Your patient with gestational diabetes is asking about what artificial sweeteners are safe to use during pregnancy. (select all that apply)
Sunett
Splenda
Sweet ‘N Low
Cyclamate
A woman who is currently pregnant reports that she had 3 previous pregnancies twins delivered at 35 weeks gestation both living, one at 38 weeks gestation living, and one miscarriage at 16 weeks gestation how will this be recorded as her G/TPAL?
G4 p1113
G4 p 1213
g5p 1113
G5 p1213
A patient reports symptoms of otalgia and difficulty hearing from one ear the provider performs an otoscope exam and notes a dark brown mass in the lower portion of the external Canal blocking the patients tympanic membrane what is the initial action
irrigate the canal with normal saline
Ask the patient about previous problems in that ear
prescribed a ceruminolytic agent for that ear
use a curette to attempt to dislodge the mass
A young child has a pale white discoloration behind the tympanic membrane the provider notes no scarring on the tympanic membrane and no retraction of the pars flaccida the parent States the child has never had an ear infection what do these findings most likely represent
chronic cholesteatoma
Congenital cholesteatoma
primary acquired cholesteatoma
secondary acquired cholesteatoma
Child who has recurrent otitis media fails a hearing screen at school, the provider suspects which type of hearing loss in this child
mixed type
Central
Conductive
Sensorineural
A result of screening audiogram on a patient is abnormal, which test can the primary provider perform next to further evaluate the cause of this finding
impedance audiometry
pure tone audiogram
Tympanogram
speech reception test
Which are risk factors for developing hearing loss caused by presbycusis (select all that apply)
Diabetes
GERD
high blood pressure
liver disease
Smoking
31 year old woman presents at 39 weeks and 4 days to the labor and delivery unit with regular contractions occurring every 3 to 5 minutes her contractions last 3-9 seconds she's not sure if she has been leaking any fluid from her vagina your suspicion of rupture of membranes would be supported by which of the following
Nitrazine paper remaining orange when exposed to the fluid in the vagina
a negative Fern test
an ultrasound with a normal AFI
speculum examination with evidence of pooling in the vagina
