Gynecology, Part I (2012/035)

Receive a continuing education certificate immediately by visiting to take the test, complete the evaluation, and pay processing fees online.


This continuing education issue has been approved by the American College of Nurse-Midwives (ACNM) for 2.0 continuing education units (CEUs) inclusive of 2.0 pharmacology CEUs (20 contact hours inclusive of 20 pharmacology contact hours). All continuing education forms must be received by June 30, 2014.

ACNM is an approved provider of CEUs for certified nurse-midwives/certified midwives (CNMs/CMs). ACNM CEUs are accepted for the American Midwifery Certification Board (AMCB) Certificate Maintenance Program (CMP) and for National Certification Corporation (NCC) certification maintenance. Other professional groups may recognize ACNM CEUs as well. Health care providers who are not CNMs/CMs should check with their certifying and licensing agencies.


  • 1Complete this form.
  • 2Enclose a check or money order made payable to ACNM or Visa or MasterCard information and mail or fax to:American College of Nurse-MidwivesP.O. Box 759147Baltimore, MD 21275-9147Fax: 240-485-1818
  • 3Participants will receive a CEU certificate in the mail. Please allow 4 weeks for processing. The date on the CEU certificate will be the day remuneration and the completed form are received.
  • 4There is a rush fee of $20.00 for immediate processing. All rush orders must be faxed with Visa or MasterCard information to 240-485-1818. Rush orders will be processed within 3 business days after credit card has been charged.

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After reading the articles, fill in the answers to the test questions on the reverse side of this page in the space provided below.

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The evaluation questions must be answered to receive CEUs.

  • 1Accuracy of content:  Poor______     Fair______     Good______     Excellent______
  • 2Currency of content:  Poor______     Fair______     Good______     Excellent______
  • 3Relevancy of topics:   Poor______     Fair______     Good______     Excellent______
  • 4Were the learning objectives for this CEU issue met by the material you read? Yes______     No______If your answer is no, what suggestions do you have? ________________________
  • 5Was this CEU issue an effective method of acquiring CEUs for you? Yes______     No______If your answer is no, what suggestions do you have? ________________________


After completion of this continuing education issue, the participant will be able to:

  • 1Evaluate women who present with vulvar conditions.
  • 2Describe the role of physical therapy evaluation and treatment in the care of women with vulvodynia.
  • 3Provide management options for women with polycystic ovary syndrome, abnormal uterine bleeding, adenomyosis, and leiomyomas.
  • 4Identify recent changes in recommendations for sexually transmitted infection treatment.


Select the one best answer for each of the multiple choice questions below.

  • 1Which of the following vulvar examination findings is consistent with lichen planus? (Thorstensen & Birnenbaum)
    • a. Bright red, denuded vulvar tissue that is tender to touch
    • b. Multiple patches of white epithelium on the vulva
    • c. Thickened vulvar skin that appears leathery
  • 2Allodynia is: (Cox & Neville)
    • a. continuous pain that is exacerbated by a stimulus.
    • b. hypersensitivity to a stimulus that is not intended to be painful.
    • c. pain that occurs spontaneously without a trigger.
  • 3The American College of Nurse-Midwives position statement on reproductive health choices: (Levi et al)
    • a. emphasizes women's right to accurate reproductive information.
    • b. identifies abortion as a core competency for midwifery practice.
    • c. prohibits midwives from performing abortions.
  • 4Which of the following is a diagnostic criterion for polycystic ovary syndrome? (Shannon & Wang)
    • a. Bilateral ovarian enlargement
    • b. Hyperandrogenism
    • c. Ovulatory menstrual cycles
  • 5Which of the following etiologies of abnormal uterine bleeding should be suspected in a woman who reports easy bruising? (Neal et al)
    • a. Cervical polyp
    • b. Coagulopathy
    • c. Endometrial polyp
  • 6Which of the following physical examination findings is most likely with adenomyosis? (Cockerham)
    • a. Fixed, retroverted uterus
    • b. Tender, slightly enlarged uterus
    • c. Uterus palpable at umbilicus
  • 7Uterine leiomyomas that are contained in or enter into the uterine cavity are: (Neal et al)
    • a. intramural.
    • b. serosal.
    • c. submucosal.
  • 8Changes in the Centers for Disease Control and Prevention (CDC) 2010 guidelines for gonorrhea treatment include: (Mark et al)
    • a. increasing the recommended ceftriaxone dose to 250 mg.
    • b. only prescribing azithromycin for patients with a positive chlamydia test.
    • c. using quinolones as first-line therapy.
  • 9Women with molar pregnancy have human chorionic gonadotropin levels that are: (Wiedaseck & Monchek)
    • a. higher than normal.
    • b. normal.
    • c. lower than normal.
  • 10Which of the following antiepileptic drugs increases the risk of failure of a combined estrogen and progestin contraceptive method? (Yount & Guillemette)
    • a. Gabapentin
    • b. Pregabalin
    • c. Topiramate

Receive a continuing education certificate immediately by visiting to take the test, complete the evaluation, and pay processing fees online.