FNP-654 Midterm Exam Questions
With Correct Answers
/. Medical term for transgender - Answer-✅Sexual and gender minorities (SGM)
/.Transgender refers to - Answer-✅individuals who identify as the opposite of their birth
/ bio gender or for those whose gender is not evident
/.Symptoms pf pituitary adenoma - Answer-✅visual disturbances, gynomastia,
hypogonadism
/.Evaluation of a pituitary adenoma - Answer-✅ACTH, TSH, 24 hr urine for cortisol
levels, FSH, LH or MRI
/.management of a pituitary adenoma - Answer-✅medical, somatotrpioma,
ketoconazole OR (symptomatic) requires neuro surgery
/.Care of a Bartolin cyst - Answer-✅Sitz bath, good peri hygiene, I/D, antibiotics, OR
resection if recurrent
/.Inflammatory breast cancer (presentation) - Answer-✅breat pain, rapidly growing,
often self diagnosed, tender, itching, lymph involvement +, Peau de Orange
/.Treatment of Inflammatory breast cancer - Answer-✅Imaging, biopsy, chemo, tumor
removal
/.Benign Breast Pain (cyclic) - Answer-✅Luteal phase
/.Breast pain (non-cyclic) - Answer-✅pregnancy, mastitis, thrombophlebitis, tumor
fibrosis
/.Management of Patient with BRCA to reduce risks - Answer-✅Tamoxifen or
Raloxifene, Yearly mammogram
/.Chronic Pelvic Pain (evaluation) - Answer-✅pelvic exam, PAP, UA, pregnancy test,
TVUS or MRI if spinal
/.Treatment of chronic pelvic pain - Answer-✅NSAIDs, TCAs, Gabapentin
, /.Dysmenorrhea in older women - Answer-✅requires further work up
/.When is dysmenorrhea normal? - Answer-✅Upon onset of mensus and menopause
/.Dyspareunia causes (premenopausal) - Answer-✅endometriosis, trauma
/.Dyspareunia causes (post menopausal) - Answer-✅decreased estrogen and after
breast cancer due to meds
/.Abnormal PAP management - Answer-✅Bethesda System
CIN 1: conservative, surveillance
CIN 2 - 3: treatment
Hx of CIN 2-3: continue screening after age 65
/.PAP recommendations based on age - Answer-✅< 21 No PAP
21-29 every 3 years
30-65 PAP with HPV
> 65 No PAP if no risk
/.Pelvic Inflammatory Disease (presentation) - Answer-✅May be symptomatic , may
not. Depending on pathogen
/.Common symptoms of PID - Answer-✅lower abdominal pain (dull / constant), T >
38.3, discharge, elevated WBC, ESR and CRP
/.Treatment for PID - Answer-✅Treat STD if no pregnancy, or diverticulitis. Cervical
motion tenderness +
/.Bacterial Vaginosis: symptoms / treatment - Answer-✅Fishy odor, KOH test /
metronidazole
/.Candida: symptoms / treatment - Answer-✅R/O BV, manage as yeast: metronidazole
/.Erectile dysfunction causes - Answer-✅endocrine, vascular or neurological
/.Pyronine plaques cause - Answer-✅Penile "bend"
/.Meds that treat ED - Answer-✅PDE5 inhibitors to increase nitrous Oxide and increase
arterial flow
/.Non medication treatment for ED - Answer-✅Counseling and anxiety reduction
/.Prophylactic partner treatment for STDs - Answer-✅Important for reduction of
community spread
With Correct Answers
/. Medical term for transgender - Answer-✅Sexual and gender minorities (SGM)
/.Transgender refers to - Answer-✅individuals who identify as the opposite of their birth
/ bio gender or for those whose gender is not evident
/.Symptoms pf pituitary adenoma - Answer-✅visual disturbances, gynomastia,
hypogonadism
/.Evaluation of a pituitary adenoma - Answer-✅ACTH, TSH, 24 hr urine for cortisol
levels, FSH, LH or MRI
/.management of a pituitary adenoma - Answer-✅medical, somatotrpioma,
ketoconazole OR (symptomatic) requires neuro surgery
/.Care of a Bartolin cyst - Answer-✅Sitz bath, good peri hygiene, I/D, antibiotics, OR
resection if recurrent
/.Inflammatory breast cancer (presentation) - Answer-✅breat pain, rapidly growing,
often self diagnosed, tender, itching, lymph involvement +, Peau de Orange
/.Treatment of Inflammatory breast cancer - Answer-✅Imaging, biopsy, chemo, tumor
removal
/.Benign Breast Pain (cyclic) - Answer-✅Luteal phase
/.Breast pain (non-cyclic) - Answer-✅pregnancy, mastitis, thrombophlebitis, tumor
fibrosis
/.Management of Patient with BRCA to reduce risks - Answer-✅Tamoxifen or
Raloxifene, Yearly mammogram
/.Chronic Pelvic Pain (evaluation) - Answer-✅pelvic exam, PAP, UA, pregnancy test,
TVUS or MRI if spinal
/.Treatment of chronic pelvic pain - Answer-✅NSAIDs, TCAs, Gabapentin
, /.Dysmenorrhea in older women - Answer-✅requires further work up
/.When is dysmenorrhea normal? - Answer-✅Upon onset of mensus and menopause
/.Dyspareunia causes (premenopausal) - Answer-✅endometriosis, trauma
/.Dyspareunia causes (post menopausal) - Answer-✅decreased estrogen and after
breast cancer due to meds
/.Abnormal PAP management - Answer-✅Bethesda System
CIN 1: conservative, surveillance
CIN 2 - 3: treatment
Hx of CIN 2-3: continue screening after age 65
/.PAP recommendations based on age - Answer-✅< 21 No PAP
21-29 every 3 years
30-65 PAP with HPV
> 65 No PAP if no risk
/.Pelvic Inflammatory Disease (presentation) - Answer-✅May be symptomatic , may
not. Depending on pathogen
/.Common symptoms of PID - Answer-✅lower abdominal pain (dull / constant), T >
38.3, discharge, elevated WBC, ESR and CRP
/.Treatment for PID - Answer-✅Treat STD if no pregnancy, or diverticulitis. Cervical
motion tenderness +
/.Bacterial Vaginosis: symptoms / treatment - Answer-✅Fishy odor, KOH test /
metronidazole
/.Candida: symptoms / treatment - Answer-✅R/O BV, manage as yeast: metronidazole
/.Erectile dysfunction causes - Answer-✅endocrine, vascular or neurological
/.Pyronine plaques cause - Answer-✅Penile "bend"
/.Meds that treat ED - Answer-✅PDE5 inhibitors to increase nitrous Oxide and increase
arterial flow
/.Non medication treatment for ED - Answer-✅Counseling and anxiety reduction
/.Prophylactic partner treatment for STDs - Answer-✅Important for reduction of
community spread
