NR 602 Week 8 Final Exam Answers
NR 602 Week 8 Final Exam Answers
1. Turner’s syndrome might be suspected when the affected person has major amenorrhea and
2. A 21-year-old girl comes into your apply searching for contraception. She has solely lately change into sexually lively and has persistently used condoms for protected intercourse. Your historical past reveals that she doesn’t use tampons throughout her menses and has little or no data about feminine reproductive anatomy. Primarily based on this info, which of the next contraception decisions could be least more likely to meet her wants for contraceptive administration?
three. The commonest kind of invasive breast carcinoma is
four. Measuring waist circumference is most acceptable when the consumer’s BMI locations her during which of the next classes?
5. The American Most cancers Society recommends yearly mammogram screening starting at age:45
6. A dancer from an grownup membership down the road is available in for a renewal of her contraception tablet prescription. She says that every thing is ok. On examination, you discover grayish-white vaginal discharge, greenish cervical discharge and cervical movement tenderness. All the following differential diagnoses besides?
7. Which of the next contraception could be greatest for a girl with sickle cell anemia?
8. Throughout a vaginal examination, you observe bulging of the anterior wall if you ask the affected person to bear down. That is probably a
9. When inspecting the cervix of a 20-year-old-female, you word that a lot of the cervix is pink however there’s a small ring of dark-red tissue surrounding the os. That is probably?
10. A sexually lively 18-year-old presents with postcoital recognizing, dysuria, and a yellow discharge. On examination you discover her cervix is erythematous and bleeds with contact. The probably analysis is
11. A 68-year-old feminine had her final cervical most cancers screening accomplished at age 65 and outcomes have been regular. She has no historical past of irregular screenings. She has lately began having sexual activity with a brand new male associate and asks if she ought to begin having cervical most cancers screening once more. An acceptable reply could be that she:
Doesn’t must resume both Pap assessments or HPV testing
12. A 22-year-old experiences six months of amenorrhea. Laboratory take a look at outcomes embody regular prolactin and thyroid-stimulating hormone and unfavourable being pregnant take a look at. The following motion will to: (Reply)Administer a progestin problem take a look at
13. A nurse practitioner is screening a feminine for prescribing contraception for the primary time. Which of the next circumstances is an absolute contraindication to estrogen-containing contraception?
14. Traits of polycystic ovary syndrome embody:
15. In accordance with USPSTF suggestions, an 80-year-old feminine ought to have:
16. A 36-year-old- is seen in your workplace on day 18 of her cycle for her routine annual examination. She has no complaints. Pelvic examination reveals a 9-cm- agency pelvic mass anterior to the uterus. The probably analysis is:
17. Typical traits of vulvodynia embody:
18. Should you diagnose a cervical gonoccocal an infection, which different an infection might be current?
19. HPV testing is indicated for a (n)
20. A vaginal pH lower than four.5 is an anticipating discovering in a:
21. USPSTF suggestions for routine breast most cancers screening embody:
22. The brand new ACOG pap smear pointers mirror a change in all the following besides:
23. A 16-year-old- girl has not but begun menstruating however does have pubic hair. She is greatest described as having:
24. Dysfunctional uterine bleeding is often related to
25. A 17-year-old consumer presents on the clinic with the next motive for searching for care. “I’ve been sick for 3 days. I really feel sick to my abdomen and I’ve diarrhea”. Which of the next could be most acceptable to doc as her motive for her go to/chief grievance?
26. First line therapy for polycystic ovary syndrome is:
27. A 24-year-old girl presents with complaints of nontender mass in her left breast that doesn’t change with the menstrual cycle. On examination, you word a freely movable, zero.5 cm x 1 cm, agency, rubbery nontender mass. The probably analysis is:
28. In accordance with ACOG pointers, which of the next bodily examination and screening assessments must be a part of the routine well-woman go to yearly for females ages 30 to 39 years?
29. In a premenopausal girl, the largest coronary heart assault danger issue is:
30. A 16-year-old affected person comes the workplace as a result of she has by no means had a menstrual interval. She has regular breast growth, scant pubic hair, and a blind vaginal pouch with no palpable uterus or ovaries. The probably analysis:
31. What’s the place of the uterus when the cervix is on the anterior vaginal wall?
32. A 26-year-old girl presents with a number of, painless, umbilicated papules on her mons pubis. The probably analysis is:
33. A girl who’s at present pregnant, has had two full-term deliveries, and had one first-trimester abortion could be thought of.
34. Pelvic findings on examination of a 22-year-old nulliparous girl are uterus 7 cm in size and ovaries 3cmx2x1cm. These findings are in step with:
35. A 66-year-old- girl with a historical past of pruritus presents with an ulceration of the vulva. The probably analysis is:
36. Attribute “strawberry spots” on the cervix could also be seen with
37. A 45 year-old-female presents with grievance of decrease stomach ache with urinary urgency and frequency for the previous three months. The ache is worse throughout sexual activity and relieved considerably when she urinates. Bodily examination reveals suprapubic tenderness in addition to tenderness alongside the anterior vaginal wall and urethra. The rest of her examination is regular. What most closely fits these findings?
38. Major dysmenorrhea can greatest be handled with:
39. MRS. Jackson, age, 37 has been on contraception tablets for about 15 years. She is a smoker, has a blood stress of 110/70mmHg, and has lipid ranges with regular limits. You advise that she ought to:
40. The CDC suggestion for follow-up of a feminine handled for PID with a advisable outpatient routine is:
41. One of many main causes of feminine infertility Stein-Leventhal syndrome is
42. Iris is a thirty-two-year-old married ladies with three kids. She is available in for info on utilizing the copper T intrauterine machine (IUD) for contraception. Which of the next could be a contraindication to utilizing this equipment?
43. A 26-year-old feminine has a Pap take a look at report of ASC-US. That is her first irregular Pap take a look at. Really helpful first steps in follow-up would come with:
44. A 22-year-old feminine presents with grievance of malodorous vaginal discharge and vulvar itching. On examination, a watery, yellowish-green vaginal discharge is famous together with vulvar and vaginal erythema. The probably findings on a moist mount examination can be:
45. A affected person taking metronidazole and cimetidine on the identical time is at elevated danger for:
46. A 22-year-old-female has a Pap take a look at report of HSIL. Really helpful first steps in follow-up would come with
47. The glands situated posteriorly on either side of the vaginal orifice are the:
48. The levonorgestrel-releasing IUD could also be a more sensible choice than the cooper-releasing IUD for a girl who has
49. 58-year-old girl complaints of extreme vulvar pruritus. On examination of the vulva, you word thinning of the dermis and lack of pigmentation, in addition to maculopapular lesions. You believe you studied the analysis could also be:
50. A 24-year-old feminine presents to your workplace with a request for mixture oral contraceptives. Her present drugs embody a bronchodilator for bronchial asthma. Administration for this consumer ought to embody advising her that
