Which one of the following statements regarding the treatment of endometriosis is false?
Which one of the following statements regarding endometriosis is false?
Women who have an adverse pregnancy outcome (preterm delivery, small for gestational age, preeclampsia, other hypertensive disorders, and gestational diabetes) need early prevention and long-term clinical care to reduce their lifelong risk of stroke.
Use of depot medroxyprogesterone acetate is associated with a greater relative risk of meningioma diagnosis.
Elinzanetant treatment significantly lowers the frequency of vasomotor symptoms associated with endocrine therapy for breast cancer than placebo.
The FDA has approved an at-home test for detection of Chlamydia trachomatis, Neisseria gonorrhea, and Trichomonas vaginalis for women.
The risk of perinatal HIV transmission from breast- or chestfeeding is very low when a parent with HIV is on antiretroviral therapy and virally suppressed.
Ulipristal acetate 30mg is effective emergency contraception in women with BMI greater than 30 and weight greater than 80 kg.
The use of oral and topical antimicrobial therapy for male partners, when their female partner is treated for bacterial vaginosis, results in a significantly lower recurrence rate of bacterial vaginosis over a period of 12 weeks than the recommended practice of treating women only.
Which one of the following statements about genitourinary syndrome of menopause (GSM) is false?
An elevated follicle-stimulating hormone (FSH) level is required in order to make the diagnosis of perimenopause.
Zoledronate reduces the incidence of vertebral fractures in early postmenopausal women (50-60 years of age) when administered every five years, during a ten-year period.
In individuals aged 40-65 years with moderate-to-severe vasomotor symptoms associated with menopause, treatment with fezolinetant results in each of the following except:
Postmenopausal women without bleeding or risk factors do not require further investigations if they are found to have endometrial thickness < 11 mm on ultrasound.
A 33-year-old mother has an erythematous, focally tender, and indurated segment in her left breast. She is breastfeeding her newborn infant and is also experiencing fatigue, fever, body aches, and headache. You suspect that she has lactational mastitis.
A 30-year-old female patient presents to your office with complaints that “I have BV again.” She is requesting treatment for bacterial vaginosis (BV) and expresses her frustration at how frequently this occurs. She would like to know if there is anything that could be done to prevent infection.
A 33-year-old mother has an erythematous, focally tender, and indurated segment in her left breast. She is breastfeeding her newborn infant and is also experiencing fatigue, fever, body aches, and headache. You suspect that she has lactational mastitis.
In postmenopausal women, calcium supplementation may be associated with a significant increase in the risk of cardiovascular disease.
In postmenopausal women, calcium supplementation may be associated with a significant increase in the risk of cardiovascular disease.
For type 2 diabetic women on metformin prior to pregnancy, continuing metformin and adding insulin does not increase risk of congenital malformations.
Prenatal cannabis use is associated with a greater risk of all the following except:
Oral methotrexate added to usual care significantly reduces knee osteoarthritis pain and function at 6 months.
Which one of the following statements about sexual dysfunction in women is false?
Which one of the following statements about Listeriosis in pregnancy is false?
For uncomplicated urinary tract infections (UTIs) in cognitively intact, nonpregnant women, the patient’s perception that they have a UTI warrants treatment with antibiotics.
The prolonged use of injectable medroxyprogesterone acetate is associated with an increase in the risk of intracranial meningioma.
Calcium and vitamin D supplements had no effect on all-cause mortality, after more than 20 years of follow-up among postmenopausal women.
In postmenopausal women, estrogen replacement therapy reduces admission to hospital for heart failure.
In breast cancer survivors with refractory genitourinary symptoms, switching from an aromatase inhibitor to tamoxifen should be discussed as a risk-mitigation measure for women wishing to commence vaginal estrogens
There is a dose-response relationship between the number of pelvic inflammatory disease episodes and the risk of epithelial ovarian cancer.
In women between ages 12-22 who use the etonogestrel contraceptive implant, obesity is associated with amenorrhea at 12 months after placement.
Immunization with tetanus, diphtheria, and acellular pertussis (Tdap) vaccine early in the third trimester is associated with the highest neonatal concentrations of pertussis toxin antibodies.
Which one of the following statements about missing intrauterine device (IUD) strings is false?
Which one of the following statements about difficult intrauterine device (IUD) insertion is false?
In iron-depleted young women, alternate-day dosing of 60 mg iron as FeSO4 significantly increases iron absorption compared with dosing iron every day.
In a woman with symptoms of a urinary tract infection, a negative urine culture rules out infection.
Semaglutide treatment is associated with the normalization of menstrual cycles in polycystic ovary syndrome patients.
Your next patient is a 26-year-old female patient. She gave birth to a healthy baby 4 months ago. She has an older 4-year-old son. The patient says that, for the past two months, she has been feeling sad, cries daily, has no energy and feels inadequate as a mother. She feels guilty that she is not as present for her older child and not as invested as her friends with their newborn children.
For postmenopausal women who are distressed by decreased sexual desire, which of the following is not recommended for the treatment of arousal disorders?
Which one of the following statements about adenomyosis is false?
Which one of the following statements about endometriosis is false?
Which one of the following statements about breast density is false?
Rh testing and provision of Rh immune globulin should be provided for induced abortion care at less than 12 weeks’ gestation.
A 49-year-old woman comes to see you concerning dyspareunia.
A 28 year-old female presents to your office with complaints of pelvic pain. She is a G1P1 who had onset of menarche at 10 years old. She is sexually active, with regular menstrual cycles.
The Levonorgestrel IUD is noninferior to the copper IUD for emergency contraception.
A 35-year-old female in your practice comes to see you for her routine pap test. While discussing her menstrual cycle she tells you with some embarrassment that she occasionally experiences painful lumps in the groin area that seem worse just before her period. This has been going on for a few years and seems worse since she had children as she wasn’t able to lose the baby weight. She is a smoker with a BMI of 30. You suspect hidradenitis suppurativa.
For those with office systolic blood pressures of 130-139mm Hg and diastolic blood pressures of 85-89mm Hg, more than half will develop hypertension within four years.
Which one of the following alternative therapies has the best evidence to support its use in treatment of postpartum depression?
Which one of the following statements about trichomoniasis is false?
Among women with venous thromboembolism associated with estrogen-containing contraceptives, the risk of recurrence after stopping anticoagulation is low.
Hormone therapy can relieve the symptoms of dry eye disease in postmenopausal women.
The use of conjugated equine estrogen (CEE) for the treatment of menopause in women with prior hysterectomy is associated with a statistically significantly lower incidence of breast cancer.
The use of Lactin-V (Lactobacillus crispatus CTV-05) after treatment of bacterial vaginosis with vaginal metronidazole resulted in a significantly lower incidence of recurrence of bacterial vaginosis at 12 weeks.
Which one of the following statements about the treatment of vasomotor menopausal symptoms is false?
Which one of the following statements about prenatal diet is false?
A 36-year-old female presents to your family practice clinic with a one-year history of suprapubic bloating. Her last normal menstrual period began four weeks ago; she denies menstrual irregularities. She also denies gastrointestinal and urinary dysfunction. She has a BMI of 30. Her abdominal and pelvic exams are positive for a non-tender, firm, 8cm left adnexal mass. Given these findings, you are concerned of an adnexal neoplasm. You question her about her personal history of cancer.
Which one of the following statements about menopausal treatment is false?
Caffeine consumption during pregnancy even at levels much lower than the recommended 200 mg per day of caffeine are associated with decreased fetal growth.
Which one of the following statements about menopausal hormone replacement therapy (MHT) and breast cancer is false?
Which one of the following statements about postpartum thyroiditis is false?
Menopausal hormone therapy can be safely initiated in women without contraindications who are less than 10 years post-menopause or younger than 60 years of age.
The use of conjugated equine estrogen (CEE) for the treatment of menopause in women with prior hysterectomy is associated with a statistically significantly lower incidence of breast cancer.
Which one of the following statements about bariatric surgery and pregnancy is false?
Pasteurization of donated human milk is effective in inactivating SARS-CoV-2.
Which one of the following statements about non-hormonal treatment for vasomotor menopausal symptoms is false?
Unpasteurized foods should be avoided in pregnancy.
Unpasteurized foods should be avoided in pregnancy.
Which one of the statements about activity level in pregnancy is false?
You are working today at a Community Public Health Clinic and seeing various patients with different contraceptive concerns. Your first patient, an 18 year-old female, is at your office today because she is interested in emergency contraception. She had unprotected intercourse last night.
For frequent recurrences of vulvovaginal candidiasis, 3 doses of oral fluconazole followed by 6 months of weekly suppressive maintenance therapy has been recommended.
Which one of the following statements about lesions of the ovary and fallopian tube is false?
In pregnant women with mild chronic hypertension, active treatment with a blood-pressure target of less than 140/90 mm Hg was associated with better pregnancy outcomes than a strategy of no antihypertensive treatment unless the systolic blood pressure was 160 mm Hg or higher or the diastolic pressure was 105 mm Hg or higher.
Hormone Replacement Therapy (HRT) is associated with an increased risk for carpal tunnel syndrome in women over 45 years of age.
Which one of the following statements regarding Polycystic Ovary Syndrome (PCOS) is false?
Which one of the following statements about the combination oral contraceptive containing estetrol and drosipirenone is false?
Your next patient is 36 years old and new to your family practice. She has noticed a white discharge from her nipples in the last 12 months. She has 3 children: who are 8, 5 and 3 years old. She stopped breastfeeding her youngest child when he was 12 months old and stopped lactating shortly thereafter. She has been taking sertraline for two years for depression.
A 30-year-old female patient presents to your office with complaints that “I have BV again.” She is requesting treatment for bacterial vaginosis (BV) and expresses her frustration at how frequently this occurs. She would like to know if there is anything that could be done to prevent infection.
During the active management of the third stage of labour following a vaginal delivery, there is sudden brisk vaginal bleeding, a mass in the vagina, and vasovagal syncope.
Which one of the following statements about the relationship between hormonal replacement therapy and dementia is false?
Which one of the following statements about treatment of menopausal hot flashes is false?
Ureteral obstruction occurs in 3-30% of patients with severe untreated pelvic organ prolapse.
Which one of the following statements about prenatal care is false?
Which one of the following statements about medications during breastfeeding is false?
Misoprostol may be used for induction of labour in term pre-labour rupture of membranes.
Trimethoprim / Sulfamethoxazole should not be taken by the mother while breastfeeding during the first month postpartum.
Which one of the following statements about medications during breastfeeding is false?
Which one of the following statements about primary ovarian insufficiency is false?
Which one of the following statements regarding the management of epilepsy during pregnancy and lactation is false?
Which one of the following statements about pelvic inflammatory disease (PID) is false?
In women with a history of breast cancer, use of vaginal estrogen to treat genitourinary syndrome of menopause does not increase breast cancer recurrence within 5 years.
Vaginal swabs are more sensitive than urine assays in the diagnosis of both chlamydia and gonorrhea infections in women.
Which one of the following statements about patients presenting with postcoital bleeding is false?
All of the following treatments have been shown to be effective for vasomotor symptoms of menopause except:
Oral piroxicam 40 mg co-administered with levonorgestrel improved efficacy of emergency contraception.
Which one of the following statements about prenatal care is false?
In women using high or medium risk hormonal contraception, concomitant use of NSAIDs for 1 week is associated with an increase in the risk of venous thromboembolic events.
A 30-year-old female patient presents to your office with complaints that “I have BV again.” She is requesting treatment for bacterial vaginosis (BV) and expresses her frustration at how frequently this occurs. She would like to know if there is anything that could be done to prevent infection.
In patients with postcoital bleeding, transvaginal ultrasonography is indicated in the patients who have no identified cause on physical examination.
Which one of the following statements regarding oral mifepristone combined with misoprostol for first-trimester pharmaceutical induced abortion is false?
Which one of the following statements about anticholinergic drugs for overactive bladder is false?
Which one of the following statements about drugs for overactive bladder is false.
Which one of the following statements regarding menstrual cups is false?
Which one of the following statements about progestin-only oral contraceptives is false?
Which one of the following statements about combination oral contraceptives is false?
Patients with polycystic ovary syndrome have routine screening for the following comorbidities except:
Which one of the following statements about polycystic ovary syndrome is false?
Which one of the following statements regarding lactational mastitis is false?
There is no difference in complete expulsion rates of IUDs between early (2-4 weeks) and standard (6-8 weeks) postpartum timing of placement.
Which one of the following statements about intrauterine devices (IUDs) is false?
Which one of the following statements regarding adverse pregnancy outcomes and long term risk of ischemic heart disease is false?
Among resettled refugees in Canada, those in the government-assisted pathway were more likely to receive adequate prenatal care than privately sponsored refugees.