APEA 3P Exam Prep- Women's Health Questions with Correct Answers and Explanations

APEA 3P Exam Prep- Women's Health Questions with Correct Answers and Explanations
Three of the following interventions are appropriately used to prevent osteoporosis
after menopause. Which one is NOT?
Avoidance of corticosteroids
Performance of weight-bearing activities for 40 mins at least 5 days/week
Estrogen replacement therapy
Adequate calcium & vitamin D intake
C.
Prevention of osteoporosis may be optimized by elimination of risk factors and
engaging in interventions that maximize bone density. Good nutrition from infancy
throughout adulthood is a major component of good bone health. Others include
engaging in weight-bearing exercises, adequate intake of calcium and vitamin D,
smoking cessation, limiting alcohol consumption to moderate amounts, and
avoidance when possible of medications that may decrease bone density
(corticosteroids, anticonvulsants). Osteoporosis occurs at accelerated rates in
women who are post-menopausal. The lack of estrogen can produce rapid bone loss
due to bone resorption. Estrogen replacement is not used to prevent or treat
osteoporosis.
A patient who is scheduled for pelvic exam with PAP smear should be advised to
avoid douching, sexual intercourse, and tampon use before her exam. For how long
should she be advised to avoid these activities for optimal evaluation?
24 hours
48 hours
36 hours
1 week
B.
The general recommendation is to avoid these activities and any vaginal medication
for 48 hours prior to the PAP smear. Douching and tampon use can remove
superficial cells, which are the ones collected and used as representative samples
on PAP smear. Sexual intercourse should be avoided because there can be specimen
contamination by the male partner. With vaginal medications or creams, either can
serve as a barrier to epithelial cell sampling.
When collecting cervical cells for a PAP smear, when are the endocervical cells
typically collected?
After the ectocervical specimen with a broom
After the ectocervical specimen with a brush
Before the ectocervical specimen with a broom
Before the ectocervical specimen with a brush