Exam 13: Female Reproductive System

The definitive diagnosis of endometriosis is made with:

A 16-year-old female complains of sudden left-sided lower quadrant abdominal pain. Her last menstrual period was 2 weeks ago. On physical examination, the abdomen is nontender with no masses and no organomegaly. Bowel sounds are normal in four quadrants. Pelvic examination shows mild left lower quadrant tenderness. Pregnancy test is negative. These signs and symptoms are consistent with:

A 20-year-old female complains of thin vaginal discharge and pruritus. On pelvic examination, there are "strawberry spots" on the vaginal walls. With this infection, it is important to:

A 17-year-old female patient complains of amenorrhea for the last 8 months, weight gain, excessive hair growth on the arms and chest, and development of acne. Pelvic examination is normal. The clinician should recognize these are signs of:

A 55-year-old woman complains of amenorrhea and hot flashes for the last 3 months. Pregnancy test is negative. The clinician should recognize that menopause is defined as the absence of menses for:

Your 35-year-old female patient complains of severe cramping with monthly menstrual flow. Painful menstrual periods are termed:

Your 26-year-old female patient reports a history of herpes simplex type 2 infection. On physical examination, you note red blisters over the vulva region. When questioned about sexual activity, she explains that her partner uses a condom whenever her infectious blisters are present. The clinician should recognize:

Your 24-year-old patient complains of vaginal discharge. When deciding what diagnostics to perform, what is most important to ascertain?

A 34-year-old female patient complains of lack of conception after unprotected sexual intercourse for 1 year. The patient has been keeping track of basal body temperature to plot ovulation. Pelvic examination is normal. The clinician should ask the patient if which of the following laboratory test(s) have been done?

Your 16-year-old patient reports that she gets her period sometimes every month and sometimes she skips a month. If menstrual periods are irregular, the term for this condition is:

Primary dysmenorrhea is pain with menses that occurs due to:

Which type of pelvic disorder has the highest rate of mortality in the United States?

Which of the following infections can cause an eye infection in the newborn during vaginal delivery?

Your 24-year-old female patient complains of tenderness at the entrance of the vagina on the right side. She cannot sit comfortably because of the soreness in the perineal area. On pelvic examination, there is a tender, inflamed, fluctuant cyst at the introitus on the right side. These signs and symptoms are indicative of:

Which of the following organisms can cause a syndrome that includes arthritis and conjunctivitis?

Your postmenopausal 60-year-old female patient complains of vaginal irritation and pruritus of the external genitalia. She self-medicated with an over-the-counter anti-candida agent; however, the vaginal symptoms persist. The clinician should recognize that:

In order to perform interventions or prescribe medication for the female patient, it is most important to obtain a complete health history. Which of the following is the most important question to ask female patients?

A 19-year-old female complains of sudden severe left-sided lower quadrant abdominal pain, as well as nausea and vomiting for the last 2 weeks. Last menstrual period was 2 months ago. On physical examination, there is left sided lower quadrant abdominal tenderness and heel strike is positive. Pelvic examination reveals bluish discoloration of the cervix and left-sided adnexal tenderness. These signs and symptoms are consistent with:

A 23-year-old female presents to the emergency room with fever, pelvic pain, vomiting, and dysuria. She reports having had an abortion yesterday in an urban birth control clinic. On physical examination, there is a bloody vaginal discharge, tenderness of the left lower quadrant of the abdomen, and cervical tenderness on pelvic examination. The following is a likely diagnosis:

Postmenopausal vaginal bleeding commonly indicates: