A fifty-two-year-old female patient comes in for her annual well-woman
examination. Her LMP was fourteen months ago without any breakthrough
bleeding. She has also developed some hirsutism. You would document this
as
...
A fifty-two-year-old female patient comes in for her annual well-woman
examination. Her LMP was fourteen months ago without any breakthrough
bleeding. She has also developed some hirsutism. You would document this
as _____.
Question 1 options:
secondary amenorrhea
menopause
perimenopause
polycystic ovary syndrome (PCOS)
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Question 2 (2 points)
A 24 year-old female presents to the office with a complaint of vaginal
itching in addition to thick mucoid discharge. She also has some mild urinary
discomfort. A wet mount preparation using potassium hydroxide (KOH)
reveals a negative whiff test and no clue cells. There were no trichomonads
visualized but the WBCs were too numerous to count. Which of the
following would be the most likely diagnosis in this patient?
Question 2 options:
Bacterial vaginosis
Trichomoniasis
2
Chlamydia
Cystitis
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Question 3 (2 points)
Nakia is a 65 year-old obese female with type II diabetes mellitus. She
presents to your office with a complaint of vaginal itching and burning for
two weeks now. She has not been sexually active for five years since her
partner died of heart failure. She has tried douching and OTC Vagisil cream
with no relief. On physical examination, the vulva is deep red with some
thick white discharge. Which of the following conditions would be the most
likely cause of her symptoms?
Question 3 options:
Trichomoniasis
Lichen simplex
Atrophic vaginitis
Candidiasis
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Question 4 (2 points)
3
4
The nurse practitioner is caring for a 42 year-old patient who had a total
hysterectomy due to multiple uterine fibroids and is now experiencing severe
vasomotor symptoms. Which of the following hormone replacement options
should be considered for this patient?
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