Answer 30

30.  Choice B is the correct answer.  Couples under 35 that fail to conceive for 12 months are considered infertile.  Couples over 35 that fail to conceive for 6 months are considered infertile. 

Question 30

30.  Infertility is defined as a couple that has failed to conceive without contraception with the couple having regular intercourse under the age of 35 for _____ months.

A.  6 months

B.  12 months

C.  18 months

D.  24 months

Answer 29

29.  Choice A is the correct answer.  Pregnancy is actually a cause of secondary amenorrhea not primary amenorrhea.  Causes of primary amenorrhea include:  chromosomal abnormalities, hypothalamic hypogonadism, absence of uterus, absence of cervix, absence of vagina, transverse vaginal septum, imperforate hymen, and pituitary disease.

Question 29

29.  All of the following are causes of primary amenorrhea except:

A.  Pregnancy

B.  Hypothalamic Hypogonadism

C.  Absence of uterus

D.  Absence of cervix

Answer 28

28.  Choice D is the correct answer.  Primary amenorrhea is the absence of menarche by the age of 15.

Question 28

28.  Primary amenorrhea is the absence of menarche by the age of:  

A.  12

B.  13

C.  14

D.  15

Answer 27

27.  Choice B is the correct answer.  Metronidazole is the treatment of choice for gardnarella and trichomonas.  Ceftriaxone is for gonorrhea.

Question 27

27.  Which of the following is the treatment of choice for bacterial vaginitis?

A.  Clindamycin 900 mg four times a day

B.  Metronidazole 500 mg BID

C.  Ceftriaxone 250 mg IM

D.  Amoxicillin 500 mg TID

Answer 26

26.  Choice C is the correct answer.  Clue cells are indicative of Gardnarella.  This is the organism that causes bacterial vaginitis.

Question 26

26.  Your patient is a 34 year old female that presents with vaginal itching, and white vaginal discharge.  Pelvic exam revealed a white vaginal discharge with no cervical motion tenderness.  Her wet prep and KOH revealed "clue cells."  Which of the following is the likely causative organism?

A.  Trichomonas
B.  Candidia
C.  Gardnarella
D.  Gonorrhea