Blog

You are a nurse practitioner providing contraceptive counseling to Sarah, a 25-year-old woman who is in a monogamous relationship and is considering her contraception options. She has a history of irregular menstrual cycles and is concerned about potential side effects birth control. Which contraceptive method would you recommend for Sarah, considering her medical history and concerns?

A 51-year-old woman presents to her provider because of intolerable hot flashes and irritability. She has not had a period in over a year. The remainder of the review of systems is negative. Her past medical history is significant for depression and anxiety, but she is not currently on any medication, and her mood is stable. The physical examination is unremarkable. She requests menopausal hormonal therapy (MHT) for symptoms. What additional piece of her medical history would make MHT with estrogen contraindicated?

A 28-year-old sexually active female presents to your clinic with complaints of vaginal itching, burning, and a frothy, yellow-green discharge. On examination, you observe vulvar erythema and confirm the diagnosis of trichomoniasis through microscopy. What is the most appropriate initial treatment for this patient?

What is the first-line treatment recommendation for female patients experiencing isolated genitourinary symptoms of menopause (GSM), such as vaginal dryness and dyspareunia?

Which of the following is inappropriate when conducting a screening for intimate partner violence?

What is the primary purpose of gender-affirming medications in transgender individuals?

A 45-year-old patient presents with complaints of itchy, flat-topped, purple or reddish-brown bumps on their wrists and ankles. On examination, you observe white, lacy lines on the inside of their cheeks and a few similar lesions on the genitals. What clinical features are most indicative of the patient’s condition?

In the context of the POP-Q (Pelvic Organ Prolapse Quantification) system, which of the following best describes the clinical presentation of a stage 2 pelvic organ prolapse?

Susan, a 58-year-old African American woman, suddenly experiences intense chest pain, radiating down her left arm, accompanied by nausea and shortness of breath. She breaks into a cold sweat and feels lightheaded. What is the most likely explanation for Susan’s symptoms?

Susan, a 47-year-old woman, presents to her healthcare provider with complaints of unusual symptoms. She reports experiencing postmenopausal vaginal bleeding, vaginal discharge, and pelvic pain. These symptoms have been persistent for several weeks. Given Susan’s presentation, which of the following signs and symptoms is most commonly associated with vaginal cancer?