NR 602 Final Exam Study Questions

NR 602 Final Exam Study Questions NR 602 Final Study Questions Final Study Questions 1. A sexually active 18-years old presents with postcoital spotting, dysuria and a yellow discharge. On exam you find her cervix is ...

NR 602 Final Exam Study Questions NR 602 Final Study Questions Final Study Questions 1. A sexually active 18-years old presents with postcoital spotting, dysuria and a yellow discharge. On exam you find her cervix is erythematous and bleeds with contact. The most likely diagnosis is a. Cervical cancer b. Chlamydia c. Primary syphilis d. Tampon injury 2. One of the leading causes of female infertility, Stein-Leventhal syndrome is a. Pelvic inflammatory disease b. Polycystic ovary disease c. Multiple sex partners d. Ectopic pregnancy syndrome 3. HIV test is indicated for a (n) a. 18-year-old female whose sex partner has a history of genital warts b. 24-year-old female with current genital warts as adjunct to routine pap test c. 30-year-old female with no history of genital warts as adjunct to routine pap test d. 67-year old female with new sex partner in past year who has history of genital warts 4. Which of the following contraceptive methods would be best for a woman with sickle cell anemia? a. Combination oral contraceptives b. Transdermal contraceptive patch c. Progestin-only contraceptives d. Female condom 5. A Patient taking metronidazole and cimetidine at the same time is at risk for: a. Bothersome side effect from the metronidazole b. Decreased effectiveness of cimetidine c. Renal impairment d. Severe disulfiram type reaction 6. A 58-year old woman complain of severe vulvular pruritis. On examination of the vulva, you note thinning of the epidermis and loss of pigmentation, as well as maculopapular lesions. You suspect the diagnosis may be a. Lichen sclerosus b. Local allergic reaction c. Lichen simplex chonicus d. Vulvodynia7. Measuring waist circumference is most appropriate when the client’s BMI place her in which of the following categories? a. Underweight b. Normal weight c. Overweight d. Extreme obesity 8. The levonogestrel releasing IUC may be a better choice then the copper releasing IUC for a woman who: a. Has never been pregnant b. Has dysmenorrhea c. Is currently breastfeeding d. Is sure she does not want more children 9. A 30-year old is seen in your office on day 18 of her cycle for her routine annual examination. She has no complaints. Pelvic exam reveals a 9-cm firm, pelvic mass anterior to the uterus. The most likely diagnosis is a. Benign cystic teratoma b. Ectopic pregnancy c. Endometrioma d. Follicular cyst 10. First line treatment for polycystic ovary syndrome is Bilateral oophorectomy Beginning androgen therapies A combination of diet modification, weight loss, and stress management A laparotomy with a bilateral wedge resection 11. A 45-year old female presents with complaint of lower abdominal pain with urinary urgency and frequency for the past three months. The pain is worse during sexual intercourse and relieved somewhat when she urinates. Physical exam reveals suprapubic tenderness as well as tenderness along the anterior vaginal wall and urethra. The remainder of her exam is normal. What diagnosis best fits these findings? Chronic urinary tract infection Interstitial cystitis/ painful bladder syndrome Pelvic inflammatory disease Pyelonephritis 12. If you diagnose a cervical gonococcal infection, which other infection is probably present? CandidiasisSyphilis Trichomoniasis Chlamydia 13. A 24-year old female presents to your office with a request for combination contraceptives. Her current medications include a bronchodilator for asthma. Management for this client should include advising her that: Combination oral contraceptives are not recommended for women with asthma Combination oral contraceptives may potentiate the action of her bronchodilator She should use a backup method if using the bronchodilator several days in a row Progestin-only contraceptive injections may reduce her asthma attacks 14. The CDC recommendation for follow-up of a female treated for PID with a recommended outpatient regimen is: Advise patient to return if pain and/or fever persists more than five days Re-examine patient within 72 hours after initiation of treatment Retest for chlamydia and gonorrhea in two weeks See patient in one week for second dose ceftriaxone IM 15. A 16-year old woman has not yet begun menstruating but does have secondary sexual characteristics. She is best described as having: Asherman’s syndrome Oligomenorrhea Primary amenorrhea Secondary amenorrhea 16. The glands located posteriorly on each side of the vaginal orifice are the: Bartholin’s glands Bulbar glands Natorian glands Skene’s glands 17. Typical characteristics of vulvodynia include: Constant vulvar burning and discomfort Inflammation of the vestibular glandsThickened plaques on the vulva Valvovaginal edema and erythema 18. The most common type of invasive breast carcinoma is: Infiltrating ductal Medullary Lobular Infiltrating papillary 19. A dancer from an adult club down the street comes in for a renewal of her birth control pill prescription. She says everything is fine. On exam, you find grayish-white vaginal discharge, greenish cervical discharge, and cervical motion tenderness. All of the following are differential diagnoses except? Gonorrhea Interstitial cystitis Bacterial vaginosis Chlamydia 20. A 26-year old woman presents with multiple painless, umbilicated papules on her mons pubis. The most likely diagnosis is: Condyloma acuminate Condyloma lata Lumphogranuloma venereum Molluscum contagiosum 21. A 26- year old female has a Pap test report of ASC-US. This is her first abnormal Pap test. Recommended first steps in follow- up would include: Colposcopy within the next six months Co-testing with Pap and HPV tests in one year Reflex HPV now Repeat Pap test alone in three years 22. USPSTF recommendations for routine breast cancer screening include: Biennial mammograms starting at age 50 Breast self-examination starting at age 21Clinical breast examination annually starting at age 30 Discontinue mammograms at age 65 23. A 22- year old female presents with complaint of malodorous vaginal discharge and vulvar itching. On examination, a watery, yellowish-green vaginal discharge is noted, along with vulvar and vaginal erythema. The most likely findings on a wet mount examination will be: Clue cells Lactobacilli Pseudohyphae Trichomonads 24. The American cancer society recommends yearly mammogram screening beginning at age: 40 45 50 55 25. According to USPSTF recommendations, an 80 year old female should get A clinical breast examination and screening mammogram annually A clinical breast examination annually but no screening mammogram Neither a clinical breast examination nor a screening mammogram A screening mammogram biennially but no cervical breast examination 26. A 22 year old female has a Pap test report of HSIL. Recommended first stems in follow up would include: Colposcopy Co-test with Pap and HPV tests in one year Reflex HPV test now Repeat Pap test alone in six months 27. Characteristics of polycystic ovary syndrome include: Hirsutism, thinness, hypoinsulinemia Menopausal onset, vitiligo Alopecia, thinness, abdominal crampingPremenarchial onset, obesity, hyperinsulinemia 28. A 22 year old experiences six months of amenorrhea. Laboratory test results include normal prolactin and thyroid stimulating hormone and negative pregnancy test. The next action will be to: Administer a progestin challenge test Measure testosterone Order a hysterosalpingogram Order an MRI or CT scan of pituitary gland 29. A 66 year old woman with a history of pruritis presents with an ulceration of the vulva. The most likely diagnosis is: Chancroid Secondary trauma Syphilis Vulvar carcinoma 30. A 17 year old client presents at the clinic with the following reason for seeking care: “I have been sick for three days. I feel sick to my stomach and have diarrhea”. Which of the following would be the most appropriate to document as her reason for visit/ chief complaint? Flulike symptoms Gastrointestinal distress “I feel sick to my stomach and have diarrhea” Possible pregnancy, needs further evaluation 31. A 16 year old patient comes to the office because she has never had a menstrual period. She has normal breast development, scant pubic hair, and blind vaginal pouch with no palpable uterus or ovaries. The most likely diagnosis is: Androgen insensitivity/resistance syndrome Muscarian agenesis Sheehan’s syndrome Turner’s syndrome 32. Characteristic “strawberry spots” on the cervix may be seen with: Bacterial vaginosis ChlamydiaHerpes genitalis Trichomoniasis 33. When examining the cervix of a 20 year old female, you note that most of the cervix is pink, but there is a small ring of dark-red tissue surrounding the os. This is most likely: An endocervical polyp Due to cervical dysplasia Due to cervical infection The squamoculomnar junction 34. A twenty-one year old woman comes to your practice seeking birth control. She has only recently become sexually active and has consistently used condoms for safe sex. Your history reveals that she does not use tampons during her menses and has very little knowledge about female reproductive anatomy. Based on this information, which of the following birth control methods would be least likely to meet her needs for contraception management? Combined oral contraceptive pill Depo-provera Ortho eva patch Nuva ring 35. Dysfunctional uterine bleeding is usually associated with Pregnancy Anovulation Genital tumor Inflammation 36. Pelvic findings on examination of a 22- year old nulliparous woman is uterus 7cm in length and ovaries 3cm x 2cm x 1cm. These findings are consistent with Enlarged uterus and enlarged ovaries Normal size uterus and enlarged ovaries Enlarged uterus and normal size ovaries Normal size uterus and normal size uterus 37. In a premenopausal woman, the biggest heart attack risk factor is Cigarette smokingFamily History Sedentary lifestyle Obesity 38. Iris is a 32 y/o married woman with three children. She comes in for information on using copper T IUD for contraception. Which of the following would be a contraindication to using this appliance? Nulliparity Heart disease Prior ectopic pregnancy history of multiple births 39. A nurse practitioner is screening a female for prescribing contraception fir the first time. Which of the following is an absolute contraindication for estrogen-containing contraception? Migraine headaches Hypertension Theomboembolisms Seizure disorder 40. Mrs. Jackson, age 37, has been on birth control pills for approximately 15 years. She is a smoker, has a blood pressure of 110/70mmHg and has lipid levels within normal limits. You advise that she should Discontinue the birth control pills because of smoking 41. A 24 year old woman presents with complaint of nontender mass in her breast that does not change with the menstrual cycle. On examination, you notice a freely movable, 0.5cm x 1cm, rubbery nontender mass. The most likely diagnosis is Fibroadenoma Fibrocystic breast changes Intraductal papilloma Cystosarcoma phyllodes 42. Turner’s syndrome can be suspected when the patient has primary amenorrhea and Blind vaginal pouch with imperforate hymen Low IQ and visual disturbancesNormal breast development but lack of pubic and axillary hair growth Short stature and webbed neck 43. Primary dysmenorrhea can best be treated with Dopamine agonists GnRh agonists Prostaglandin inhibitors Tricyclic antidepressants 44. What is the position of the uterus when the cervix is on the anterior vaginal wall? Midposition Retroverted Retroflexed Anteverted 45. According to ACOG guidelines, which of the following examination and screening tests should be a part of the routing well-woman visit every year for the females age 30 to 39 years? Chlamydia test Clinical breast examination Mammogram Pap test 46. A woman who is currently pregnant, has has two full-term deliveries, and has had one first trimester abortion would be considered Gravida 2 Para 2 Gravida 3 para 2 Gravida 3 para 3 Gravida 4 para 2 47. a vaginal pH less than 4.5 is expected finding in a Healthy reproductive age woman Menopausal woman with atropic vaginitis Reproductive age woman with trichomoniasis Healthy prepubertal age girl48. a 68 year old had her last cervical cancer screening fone at age 65 and results were normal. She has no history of abnormal screenings. She has recently started having sexual intercourse with a new male partner and asks if she should start having cervical cancer screening again. An appropriate answer would be that she Does not need pap tests but should have HPV testing every five years Does not need to resume either pap tests or HPV testing Should resume pap test with HPV co-testing every five years 49. the new ACOG Pap smear guidelines reflect a change in all of the following except The age at which pap smears are initiated The frequency of pap smear screenings The follow-up to abnormal pap smear results The endpoint for pap smear tastings 50. During a vaginal examination, you observe bulging of the anterior wall when you ask the patient to bear down. This is most likely a Congenital abnormality Cystocele Rectocele Uterine prolapse