NU665 WEEK 1 COMPREHENSIVE TEST
PAPER 2026 COMPLETE ANSWERS
ACCURATE
⫸ pt c/o abdominal pain... what questions should we ask for gyn
differentials Answer: LMP?
urinary sxs?
new sexual partners?
vaginal discharge?
foul odor?
bleeding?
pain with intercourse?
when is the pain (menstrual)?
is there an IUD in place?
⫸ pt c/o abdominal pain... diagnostic tests for gyn differentials?
Answer: U/S
sti testing
UC
hcg
wet prep
⫸ pt c/o abdominal pain... PE elements for gyn differentials? Answer:
abdominal exam w/ palpation
, speculum exam
bimanual exam
⫸ appendicitis sxs: subjective and PE findings Answer: SUBJECTIVE:
-initially vague stomach upset
-then mild periumbilical/epigastric pain
-then severe RLQ pain worse with movement
-then N/V/D, fever
PE:
+ mcburney's
+ guarding
+ obturator
+ psoas
+ rovsing's
⫸ appendicitis diagnostics Answer: cervical motion tenderness to r/o
PID
UA to r/o cystitis
hcg to r/o pregnancy
CBC diff may show leukocytosis
US
PAPER 2026 COMPLETE ANSWERS
ACCURATE
⫸ pt c/o abdominal pain... what questions should we ask for gyn
differentials Answer: LMP?
urinary sxs?
new sexual partners?
vaginal discharge?
foul odor?
bleeding?
pain with intercourse?
when is the pain (menstrual)?
is there an IUD in place?
⫸ pt c/o abdominal pain... diagnostic tests for gyn differentials?
Answer: U/S
sti testing
UC
hcg
wet prep
⫸ pt c/o abdominal pain... PE elements for gyn differentials? Answer:
abdominal exam w/ palpation
, speculum exam
bimanual exam
⫸ appendicitis sxs: subjective and PE findings Answer: SUBJECTIVE:
-initially vague stomach upset
-then mild periumbilical/epigastric pain
-then severe RLQ pain worse with movement
-then N/V/D, fever
PE:
+ mcburney's
+ guarding
+ obturator
+ psoas
+ rovsing's
⫸ appendicitis diagnostics Answer: cervical motion tenderness to r/o
PID
UA to r/o cystitis
hcg to r/o pregnancy
CBC diff may show leukocytosis
US
