Female Gynecologic History and Physical (H&P) Practice Test

These questions are part of the practice quiz. Start practicing

• Which elements should be included in the gynecologic social history?
• In the long-hand obstetric history notation, what does P stand for?
• Which description accurately reflects candidiasis discharge?
• What guidelines should women who have had a hysterectomy but the cervix remains follow?
• What additional screening method can be considered for women aged 25-29?
• Which of the following factors increases a woman's risk of developing HPV-related cervical cancer?
• Which symptom is most associated with endometriosis?
• Rectocele is defined as which of the following?
• Which finding best indicates cervicitis?
• How does uterine size and position on examination help narrow the differential diagnosis?
• How often should women at average risk undergo a screening mammogram?
• Rectovaginal examination is particularly useful for evaluating pelvic pathology and which ligaments?
• Which osteoporosis screening should all women 65+ have?
• Which data are typically included in the medical history portion of the gynecologic H&P?
• Pelvic organ prolapse is often associated with which of the following?
• What is the Gardasil dosing schedule?
• Which imaging modality is used for screening high-risk patients?
• Adnexal tenderness or masses on exam most often indicate pathology of which structures, and what are common etiologies?
• Which component is essential during a gynecologic pelvic examination?
• Polymenorrhea is defined as what interval between menses?
• Which of the following statements about palpation during breast exam is true?
• Twin births count as a single gravid experience.
• Which of the following is listed as one of the five illnesses to document in the family history when taking an obstetric history?
• What is a supernumerary nipple?
• Which of the following is a classic feature of PCOS?
• Which STIs are routinely screened for in a gynecologic H&P based on risk?
• Which features in the history suggest abnormal uterine bleeding (AUB)?
• Which patterns of menstrual irregularity in adolescents prompt urgent evaluation?
• What is the current evidence regarding breast self-examination effectiveness?
• In obstetric history, what do Gravida, Term, Preterm, Abortions, and Living represent?
• Which statement about cervical cancer screening guidelines by age is true?
• If a patient requests to reschedule due to discomfort, what is the appropriate response?
• Is clear, serous, green, non-bloody nipple discharge that is multi-ductal concerning?
• If a woman is no longer having menstrual cycles, does she still need a breast exam?
• What key elements should be covered when taking a sexual history?
• What factors are essential when evaluating contraception history?
• True or false: you should only do an internal GYN exam on a child if you are qualified (not PAs) and if there is evidence of bleeding, discharge, trauma or abuse.
• What is the correct guideline statement for cervical cancer screening in women aged 30-65 with cytology and HPV?
• Which of the following is a risk factor for HPV-related cervical cancer?
• What is rectocele?
• In a gynecologic assessment, when is a formal pelvic examination indicated?
• Which risk factors are commonly discussed in counseling for endometrial cancer?
• Spontaneous unilateral bloody discharge is most concerning for which condition until proven otherwise?
• Which of the following is NOT a listed risk factor prompting DEXA screening in 50-64?
• Gardasil is contraindicated in patients with which allergy?
• Metrorrhagia refers to which bleeding pattern?
• When documenting cervical os status, what information should be included?
• What privacy measures are essential during a gynecologic examination?
• Which factor indicates being a known carrier of a pathogenic mutation for HBOC in self or relative?
• What is the screening recommendation for women aged 65+ who do NOT have a 9-10 year history of negative results?
• If a patient has G5P1215, how many total pregnancies has she had?
• Females exposed to what chemical have a higher risk of developing cervicovaginal cancer?
• When doing a Pap smear where is the sample obtained from?
• A normal menstrual cycle is defined by which frequency and duration?
• In pregnancy, which statement about vulvovaginal infections is accurate?
• Which historical symptoms are concerning for ovarian cancer and warrant further evaluation?
• Ultrasound is mainly used for diagnostic follow-up rather than routine screening.
• Which factor is associated with hereditary breast and ovarian cancer syndrome?
• Chlamydia screening risk factors include which of the following?
• What should be included in postpartum contraception planning?
• Which postpartum H&P elements are relevant for the gynecologic examination after delivery?
• In gynecology, how should care for minors be handled regarding consent and confidentiality?
• In documenting cervical os status, which statement correctly describes typical states and their implications?
• What is the cervical cancer screening recommendation for women aged 65+ who have a 9-10 year history of negative screening results?
• Under what condition can cervical cancer screening be stopped?
• Which racial group has a higher mortality rate from breast cancer?
• In the notation P1215, what does the last digit represent?
• Which finding after examining the midaxillary and supraclavicular nodes suggests malignancy?
• How is primary amenorrhea distinguished from secondary amenorrhea in a gynecologic history?
• The inframammary ridge is a normal finding.
• Which statement best defines nulligravida?
• True or false: most fractures occur in people who do NOT have osteoporosis.
• What age range has a strong consensus to recommend mammograms?
• Which components are essential to document in the initial female gynecologic history and physical (H&P)?
• When is an inverted nipple considered abnormal?
• Which imaging modalities have no role in screening for breast cancer in average-risk women?
• What is a bimanual exam?
• How does family history influence assessment of breast/gynecologic cancer risk?
• Cotesting for women aged 30-65 is recommended at what interval?
• Which urinary symptoms should be queried during a gynecologic history and physical?
• Do women who have had a total hysterectomy (including removal of the cervix) for indications unrelated to cervical cancer need to undergo further screening for cervical cancer?
• Cystocele is defined as which of the following?
• If a woman has not started having mammograms by age 40, when is it recommended that they begin?
• Which HPV type is NOT included in Gardasil's nine-valent vaccine coverage?
• What does the term mastalgia refer to?
• Which discharge description is most typical of bacterial vaginosis?
• During breast inspection, which position involves leaning forward to examine the breasts?
• In the long-hand obstetric history notation, what does T stand for?
• If a patient has T=2, P=1, A=0, L=3, what is parity?
• Which breast mass is most common from ages 30-50 and tends to regress after menopause, often round to firm, mobile and tender?
• Why is pregnancy status checked when evaluating abnormal vaginal bleeding?
• What pregnancy considerations apply to common vulvovaginal infections such as yeast and BV?
• In the long-hand obstetric history, L stands for which concept?
• Which of the following factors increases risk of non-HPV related cervical cancer?
• Which of the following is a possible etiology of milky nipple discharge?
• Which history element is a risk factor for pelvic organ prolapse or urinary incontinence?
• Menopause is defined as cessation of menses for more than how long?
• Which of the following is identified as a risk-reduction strategy for breast cancer?
• Which social history factors are important to document in the gynecologic evaluation?
• Which medication class is known to cause nipple discharge?
• In the long-hand obstetric history notation, what does A stand for?
• False positive mammograms are more common in younger women than older women.
• Which statement best defines primipara?
• Menorrhagia is best described as which of the following?
• What is a cystocele?
• Which of the following is NOT an etiology of milky nipple discharge?
• When should cervical cancer screening be performed during a gynecologic visit?
• Post-coital bleeding is best defined as bleeding that occurs after intercourse.
• Which term describes a woman who has never given birth or whose pregnancy did not progress beyond 20 weeks?
• What are the typical steps of a pelvic examination, in order?
• In a Pap smear, the sample is collected from which zone?
• Which exam is described by inserting two fingers into the vagina and using the other hand on the abdomen to assess the uterus?
• What is the cervical cancer screening interval for women aged 21-29?
• Why is a pregnancy test essential in evaluating amenorrhea or irregular menses?
• What approach helps differentiate gynecologic from non-gynecologic pelvic pain?
• Which statement best defines primigravida?
• Syphilis testing is recommended in which population?
• Spontaneous unilateral bloody nipple discharge until proven otherwise is most likely due to?
• Screening for cervical cancer and STIs in women who have sex with women should be conducted according to guidelines for females, based on open discussion of sexual and behavioral risk factors.
• What is menarche?
• When is a chaperone appropriate during a pelvic exam?
• In PID, which finding is a red flag requiring urgent evaluation?
• Which description describes a typical vaginal discharge in Trichomonas infection?
• Which area should not be forgotten when palpating the breast?
• In the notation P1215, what does the second digit represent?
• Compared with older women, mammography is generally less sensitive in younger women.
• Which option is NOT listed as a major risk factor for developing breast cancer?
• Which of the following is NOT a cervical cancer screening option for patients aged 30-65?
• Which of the following best defines parity in obstetric history?
• Chlamydia and gonorrhea screening is recommended for which group?
• During breast examination, what is specifically looked for when the arms are raised over the head?
• Breastfeeding for at least how long is listed as a risk-reduction strategy?
• In obstetric history, what does the notation G5P1215 indicate about term, preterm, abortions, and living children?
• What elements should be explained and explicit consent obtained before performing a pelvic exam?
• HIV testing is recommended at least once between ages 13-64.
• Which practice regarding hormone therapy is recommended to reduce breast cancer risk?
• Is clear, serous, green, non-bloody nipple discharge that is uni-ductal concerning?
• Which characteristic best helps distinguish a cyst from cancer on exam?
• What is a key goal of evaluating hereditary cancer risk in gynecologic practice?
• Multiple births are a single parous experience.
• What historical features differentiate primary from secondary dysmenorrhea?
• Clinical breast examination is offered to women aged 25-39 years every 1-3 years, and starting at age 40 it may be offered annually.
• Which elements constitute a comprehensive breast history relevant to gynecologic care?
• Which factor should prompt checking CA-125 when evaluating a pelvic mass?
• What are the 3 purposes of doing a rectovaginal exam?
• Which obstetric risk factors should be captured in the H&P?
• What benign breast tumor is common in puberty to young adults and is well-defined, mobile, and tender?
• What elements are typically documented in a comprehensive gynecologic H&P?
• At what age may annual mammography screening be offered?
• If self-exams are recommended, when should they start?
• What are the 2 primary types of cervical cancer?
• Which test measures bone density for osteoporosis screening?
• Which three nodes should you assess if your initial nodal exam suggests malignancy?
• What is the clinical significance of postcoital bleeding and what historical details help evaluate it?
• A fixed retroverted uterus on examination most often suggests which conditions?
• Which elements are typically included in a gynecologic H&P regarding examination and screening history?
• Which statement best defines multigravida?
• How often is hrHPV testing alone recommended for women aged 30-65?
• Postmenopausal bleeding is urgent because it can signal endometrial cancer or other pathology. Which initial workup is typical?
• How do social determinants of health affect access to comprehensive gynecologic care?
• Gardasil protects against which HPV types?
• What is the cervical cancer screening guideline for women under 21?
• Which option is NOT among the three primary purposes of performing a rectovaginal exam?
• When a pelvic mass is palpated, which steps help distinguish ovarian cysts from other masses?
• What is the clinical significance of cervical motion tenderness?
• What imaging modality is the recommended screening for breast cancer?
• Which option is a major risk factor for developing breast cancer?
• What does gravid mean in obstetric history?
• Perimenopause is described as which of the following?
• Consistent condom use reduces STI risk; what counseling should accompany it?
• A uni-ductal, clear discharge is concerning because it may indicate which condition?
• Which age group is fibroadenoma most commonly seen?
• In the gynecologic exam, when is a bimanual pelvic exam performed?
• Which is listed as a major risk factor for breast cancer?
• True or false: women with an increased risk of developing cervical cancer should undergo more frequent screening.
• Which breast mass is most common in patients 50 and older and is firm/hard, not clearly delineated, irregular, and non-tender?
• Which of the following are risk factors that would prompt a DEXA scan for someone aged 50-64?
• How should cervical cancer screening be adjusted if a patient is pregnant or immunosuppressed?
• Oligomenorrhea is defined as what pattern?
• Which speculum exam findings are most consistent with infection or cervical pathology?
• What is a typical next step after removing a cervical polyp in the office?
• After hysterectomy, which statement best reflects cervical cancer screening guidelines?
• Which of the following is a risk factor for non-HPV related cervical cancer?
• How should you address patient discomfort during a pelvic exam and what strategies can improve tolerance?
• Which axillary lymph nodes should be palpated during a breast exam?
• Which of the following is a recommended technique for breast palpation?
• Which statement best describes a benign lesion in puberty?
• Which statement about pelvic examinations is true?
• Why is asking about hereditary cancer syndromes relevant in gynecology visits?
• When obtaining an obstetric history, is it important to ask about details of each pregnancy, childbirth, and postpartum period?
• At what age can women who are at average risk for breast cancer stop undergoing screening mammograms?
• Which family history factors increase risk for gynecologic cancers?
• Which of the following describes the inspect positions used when examining the breasts?
• If peau d'orange is observed, should cancer be suspected?
• How would a visible cervical polyp present and what is the typical management?
• Which statement best describes average risk for developing cervical cancer?
• Which term describes a woman who has given birth to exactly one child?
• In the long-hand obstetric history notation, what does L stand for?
• What is the typical HPV vaccination schedule and purpose?
• Which statement best defines multiparous?
• Which statement best defines grand multipara?
• Which finding supports menopausal status in a patient with possible menopause?
• Which region is associated with the tail of Spence?
• Average-risk status requires not being exposed to which compound in utero?
• Which statement best defines nulliparous?
• Which statement about normal menstrual flow is true?
• What is the goal of osteoporosis screening?
• Which clavicular lymph nodes are important to palpate during a breast exam?