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Well Woman Care

As both specialists and primary care providers, gynecologists provide which of the following to their patients?

a. Screening tests

b. Promotion of ideal health behaviors

c. Referral as needed for management of chronic medical conditions

d. All of the above

A 45-year-old woman has failed medical management of her symptomatic uterine leiomyomas. She is about to undergo a total hysterectomy and bilateral salpingo-oophorectomy with subsequent initiation of estrogen therapy. Before major surgery or hormone initiation, it is most important to obtain a family or personal history of which medical problem?

a. Endometriosis

b. Substance abuse

c. Thromboembolic events

d. Vaccine preventable childhood illnesses

Which of the following is true regarding self breast examination (SBE)?

a. It increases diagnostic testing rate.

b. It lowers breast cancer mortality rate.

c. It decreases diagnosis of benign breast disease.

d. It is recommended by US Preventive Services Task Force (USPSTF).

Which of the following components of the clinical breast examination is no longer recommended because it adds no useful information?

a. Axillary lymph node palpation

b. Inspection for skin abnormalities

c. Breast palpation with the patient supine

d. Inspection with patient’s arms raised overhead

During the clinical breast examination, attempts at nipple discharge expression are not required unless which of the following indications is present?

a. Cyclic breast pain

b. Current breastfeeding with fever

c. Spontaneous nipple discharge in a nonlactating woman

d. Bilateral, milky discharge evident only when expressed by the patient

Which of the following is true regarding the use of a gel lubricant when performing a vaginal speculum examination?


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