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Well Woman Care

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

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a. Screening tests

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b. Promotion of ideal health behaviors

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c. Referral as needed for management of chronic medical conditions

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d. All of the above

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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?

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a. Endometriosis

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b. Substance abuse

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c. Thromboembolic events

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d. Vaccine preventable childhood illnesses

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

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a. It increases diagnostic testing rate.

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b. It lowers breast cancer mortality rate.

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c. It decreases diagnosis of benign breast disease.

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

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

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a. Axillary lymph node palpation

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b. Inspection for skin abnormalities

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c. Breast palpation with the patient supine

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d. Inspection with patient’s arms raised overhead

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

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a. Cyclic breast pain

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b. Current breastfeeding with fever

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c. Spontaneous nipple discharge in a nonlactating woman

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

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

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