Test Bank For Beckmann and Ling's Obstetrics Gynecology, 8th Edition

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Beckmann and Ling's Obstetrics andGynecology / Edition 8/ 8theditionTESTBANKChapter 1: Women’s Health Examination and Women’s Health CareManagement1:Elevating the head of the examining table approximately 30 degrees facilitatesa:the observation of the patient's responsesb:the ability of the patient to comfortably look around to distract her from the examinationc:the contraction of the abdominal wall muscle groups, making the examination easierd:comfortable blood pressure measuremente:the physician not being distracted by eye contact with the patient2:Which of the following uterine positions is most associated with dyspareunia?a:Midposition, retroflexedb:

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Retroverted, anteflexedc:Anteverted, anteflexedd:Retroverted, retroflexede:Midpostion, anteflexed3:Inquiry concerning adult and child history of sexual abuse should be included in the sexual historya:if time permitsb:in visits where there are suspicious physical findings but not otherwisec:in visits where sufficient time is allottedd:in all new patient visitse:in visits where a specific indication is noted4:Peau d'orange change in the breast is associated witha:edema of the lymphaticsb:jaundice

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c:too vigorous breastfeedingd:overly tight undergarmentse:galactorrhea5:Which kind of speculum is often most suitable for examination of the nulliparous patient?a:Morgan's speculumb:Endoscopic speculumc:Ling speculumd:Graves speculume:Pederson speculum6:Which uterine configuration is most difficult to assess for size, shape, configuration, and mobility?a:Midpositionb:Antevertedc:

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There is no difference in difficultyd:Retroverted7:Which type of speculum is most appropriate for the examination of a parous menstrual woman?a:Ling speculumb:Graves speculumc:Pederson speculumd:Endoscopic speculume:Morgan's speculum8:Menopause is defined as the cessation of menses for greater thana:9 monthsb:36 monthsc:12 monthsd:18 months

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e:24 months9:In a woman describing sufficiently frequent sexual encounters, infertility typically is described as afailure to conceive aftera:3 monthsb:9 monthsc:12 monthsd:18 monthse:6 months10:During bimanual examination of the adnexa in normal premenopausal women, the ovaries are palpablea:all the timeb:almost neverc:about one-half of the timed:about thee-quarters/most of the time

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e:about one-quarter of the time11:If a patient becomes uncomfortable with a topic during a history-taking session, the best response of thephysician is toa:address the patient's discomfort in a positive and supportive mannerb:discontinue discussion of the topic to avoid further patient discomfortc:discontinue discussion to avoid damage to the patient-physician relationshipd:continue after making a joke to relieve tensione:ignore the discomfort and proceed with questioning12:Which of the following statements about the steps in the breast examination is correct?a:Palpation is done firstb:Palpation and inspection are done simultaneouslyc:Palpation is only done if inspection is abnormald:Palpation may be done with detailed inspection if a woman is especially modest

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e:Inspection is done first13:Questions that promote the physician's fullest understanding of the patient's situation are bestcharacterized asa:compassionateb:chronologicalc:sympatheticd:emphatice:evidence based14:The last menstrual period is dated from thea:first day of the last normal periodb:last day of the last normal periodc:first day of the last bleeding episoded:last day of the last bleeding episode

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15:The passage of clots during menstruationa:is always abnormalb:may be either normal or abnormalc:is always normald:is extremely rare16:In the abbreviation of the obstetric history-G[1] P[2] [3] [4] [5]-"1" stands for the number ofa:living childrenb:pregnanciesc:term pregnanciesd:preterm pregnanciese:abortions17:In the abbreviation of the obstetric history-G[1] P[2] [3] [4] [5]-"2" stands for the number of

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a:living childrenb:pregnanciesc:term pregnanciesd:preterm pregnanciese:abortions18:In the abbreviation of the obstetric history-G[1] P[2] [3] [4] [5]-"3" stands for the number ofa:living childrenb:pregnanciesc:term pregnanciesd:preterm pregnanciese:abortions19:In the abbreviation of the obstetric history-G[1] P[2] [3] [4] [5]-"4" stands for the number of

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a:living childrenb:pregnanciesc:term pregnanciesd:preterm pregnanciese:abortions20:In the abbreviation of the obstetric history-G[1] P[2] [3] [4] [5]-"5" stands for the number ofa:living childrenb:pregnanciesc:term pregnanciesd:preterm pregnanciese:abortions21:Tanner's classification with respect to the breast relates to changes in the breasta:

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before and after lactationb:associated with malignancyc:associated with maturationd:associated with galactorrheae:associated with fibrocystic changes22:The rectovaginal examination should be performeda:after 52 years of ageb:at the initial patient visitc:only for the evaluation of chronic pelvic paind:only when there are symptoms of pelvic relaxatione:at intervals of 5 years23:In the gynecologic history, it is often possible to distinguish between vaginitis and pelvic inflammatorydisease by inquiring abouta:

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the duration of the painb:the symptoms present (fever/chills, itching)c:the timing of pain in relation to mensesd:the association of pain with body positione:the use of topical medications24:The most common reason for failure to visualize the cervix during the speculum examination isa:failure to use lubricantb:a full bladderc:failure to fully insert the speculumd:use of a speculum that has not been warmede:use of the wrong speculum25:Prehypertension is defined as a blood pressure range ofa:80-90/120-139

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b:90-100/120-139c:80-90/110-129d:70-80/110-129e:70-80/120-139ANS: 1-25. [A, D, D, A, E, D, B, C,C,C,A,E,D,A,B,B,C,D,E,A,C,B,E,C,A]

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Chapter 2: The Obstetrician–Gynecologist’s Role in Screening andPreventive Care1:The sensitivity of a screening test is defined as the proportion ofa:unaffected individuals that test positiveb:affected individuals that test positivec:unaffected individuals that test negatived:affected individuals that test negative2:The specificity of a screening test is defined as the proportion ofa:affected individuals that test negativeb:unaffected individuals that test positivec:affected individuals that test positived:unaffected individuals that test negative3:

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Counseling an obese patient to lose weight is an example ofa:secondary preventionb:primary preventionc:empathyd:engagement4:In women, the thyroid-stimulating hormone screening test should be performed at what interval?a:Every 1-2 years from age 40 years, then yearly after age 50 yearsb:Every 5 years after age 50 yearsc:Annually from puberty or from the onset of sexual activityd:Every 5 years from age 19 years, then every 3-5 years after age 65 years5:The Pap smear for cervical dysplasia should be performed at what interval?a:Every 2-3 years after age 30 years if three consecutive annual tests are negativeb:

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Every 5 years from age 19 years, then every 3-5 years after age 65 yearsc:Every 1-2 years beginning at age 65 yearsd:Every 1-2 years from age 40 years, then yearly after age 50 years6:A cholesterol/lipid profile should be performed for women without risk factors at what interval?a:Every other year from age 40 years, then yearly after age 50 yearsb:Every 5 years after age 45 yearsc:Every 3-5 years after age 65 yearsd:Every 5 years from age 19 years, then every 3-4 years after age 65 years7:A mammography to detect breast cancer should be performed at what interval in women at averagerisk?a:Every 1-2 years after age 65 yearsb:Every 5 years after age 19 years, then every 3-4 years after age 65 yearsc:Every other year from age 40 years, then yearly after age 50 yearsd:

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Every 3-5 years after age 45 years8:A colonoscopy to detect colorectal cancer should be performed at what interval for women at averagerisk?a:Every 10 years starting at age 50 yearsb:Every 1-2 years starting at age 40 yearsc:Every 10 years starting at age 65 yearsd:Every 10 years from age 19 years, then every 3-4 years after age 65 years9:Which of the following is the most appropriate screening mechanism for cervical dysplasia?a:Pap smearb:Serum HPV titerc:HPV-DNA testingd:Colposcopy of suspicious lesions10:Which of the following is the most appropriate screening mechanism for colorectal cancer?

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a:Hemogramb:Colonoscopyc:Physical examination of suspicious lesionsd:CT scan11:Which of the following is the most appropriate screening mechanism for thyroid disease?a:Thyroid-stimulating hormoneb:Free thyroxinec:Yearly physician examinationd:Thyroid-binding globulin12:What is the appropriate interval for Pap testing in women who have had a total hysterectomy forreasons other than cervical dysplasia?a:Every 2 years following the hysterectomyb:

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Every 5 years following the hysterectomyc:No additional Pap testing is neededd:Every year following the hysterectomy13:In sexually active women age 25 or younger, regular screening for Chlamydia should occura:only if the woman is at high risk for infectionb:every 3-5 yearsc:annuallyd:every 2 years14:Bone mineral density testing is recommended for women without risk factors for osteoporosis beginningat what age?a:40 yearsb:65 yearsc:50 yearsd:

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Testing is not recommended for women with no risk factors15:A 40-year-old woman comes for an initial visit. Her BMI is 30 and she had previously given birth to aninfant weighing 9.5lb. Which of the following initial screening tests is indicated for this patient?a:Fasting blood glucoseb:Colonoscopyc:TSH leveld:Bone mineral density testingANS: [b,d,b,b,a,b,c,a,a,b,a,c,c,b,a]

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Chapter 3: Ethics, Liability, and Patient Safety in Obstetrics andGynecology1:The principle that the patient should be given what is "due" most closely matches the principle ofa:justiceb:nonmaleficencec:beneficenced:autonomy2:The principle that there should be respect for the patient's right to make choices based on her beliefsand values best matches the principle ofa:beneficenceb:nonmaleficencec:justiced:

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autonomy3:The principle that there is a duty not to inflict harm or injury best matches the principle ofa:nonmaleficenceb:autonomyc:justiced:beneficence4:The principle that there is a duty to promote the well-being of the patient best matches the principle ofa:justiceb:autonomyc:beneficenced:nonmaleficence5:A 32-year-old patient has delivered at 23 weeks of gestation, 3 days after premature rupture of themembranes. She has discussed the circumstances with her obstetrician and requests that no attempts at

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resuscitation should be made. At delivery there are rare gasping, breathing movements. The pediatricianrecommends that intubation be done. In this case, the individual with the clearest primary responsibilityfor this decision is thea:obstetricianb:pediatricianc:hospital risk managerd:mothere:hospital attorney6:Respect for patient wishes (autonomy) primarily requires that there be assessment of which of thefollowing?a:Cost of the proposed treatmentb:The legal risk to the physician and hospitalc:Patient's ability to consider informationd:Physician's concurrence with the patient's wishese:Standards of care

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7:A 62-year-old woman with newly diagnosed stage III ovarian cancer refuses chemotherapy. She wants to"go home to die." The next step in evaluating this patient is toa:determine insurance coverage for this actionb:call the family for a conferencec:accept the patient's wishes and discharge her from the hospitald:call the state medical licensing board and hospital attorneye:assess the patient's comprehension and look for evidence of impaired decision making8:If a pregnant woman rejects medical recommendations, relying on care given in similar cases would bean example ofa:principle-based ethicsb:virtue-based ethicsc:feminist ethicsd:communication-based ethicse:case-based ethics

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9:The concept of informed consent best relates to the principle ofa:autonomyb:justicec:beneficenced:nonmaleficence10:Paternalism violates the ethical principle ofa:nonmaleficenceb:beneficencec:standard of cared:justicee:autonomy11:The person with primary responsibility to providing informed consent is

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a:the person or physician's staff assigned the taskb:the patientc:the social worker assigned to the patientd:the hospital administratore:the physician12:In medical liability cases the complaint comes from thea:defendantb:judgec:juryd:attorneye:plaintiff13:Most medical errors are associated with

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a:the use of care guidelinesb:the use of medicationsc:the use of standards of cared:the use of hospital regulationse:the use of improper surgical techniqueANS:[a,d,a,c,d,c,e,e,a,e,e,e,b]

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Chapter 4: Embryology and Anatomy1:The genital system develops from the embryonica:yolk sacb:endodermc:mesodermd:ectoderme:cytotrophoblast2:The urogenital ridges give rise to elements of thea:cardiovascular systemb:reproductive systemc:muscular systemd:

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skeletal systeme:gastrointestinal system3:Congenital adrenal hyperplasia ultimately affects the development of the genitalia of female fetusesthrough thea:stimulation of cortisol productionb:stimulation of cortisone productionc:stimulation of androgen productiond:inhibition of the SRY genee:inhibition of the WNT4 gene4:Primary oocytes first appear at what stage of developmenta:In the primordial folliclesb:At pubertyc:In the primary sex cordsd:

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At birthe:In the embryonic yolk sac5:Primordial germ cells can be identified during the third week of development in thea:vaginal plateb:urogenital sinusc:cortical cordsd:gonadal ridgee:yolk sac6:In the female, which of the following persists to form the major parts of the reproductive tract?a:Mesonephric (wolffian) ductsb:Prmary sex cordsc:Paramesonephric (Mullerian) ductsd:Gubernaculum

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