CORRECT ANSWERS 2026.
A twenty-five-year-old presents with a report of a very tender area just
near her introitus and to the left of her perineum. Very painful sex is how
she knew "something wasn't right." She showered and when washing, she
felt a "pea-sized" painful lump on the left side of her "bottom." She tells
you she looked at it with a mirror and it was very small, but now it is the
size of a ping-pong ball and getting worse.
When you inspect her external genitalia, you are amazed at the size and
appearance of the "lump."
You note what appears to be an abscess on the left medial side of the labia
minora, and there is some edema extending into the perineum. Your
diagnosis for this presentation is:
Bartholin's cyst
You explain to this young woman what this "lump" is and let her know you
will be referring her to a gynecologist you consult with regularly. You
explain to her the likely treatment as follows:
,She will need to take sitz baths three times per day and a broad-spectrum
antibiotic.
This is likely a fatty tumor and will need to be surgically removed.
A possible incision might be necessary and a catheter placed for two to
four weeks to allow for drainage and appropriate healing.
This is a folliculitis that has become infected and needs a needle aspiration
and broad-spectrum antibiotic treatment.
A possible incision might be necessary and a catheter placed for two
to four weeks to allow for drainage and appropriate healing.
Bartholin's Cyst
If a Bartholin duct gets blocked, fluid builds up in the gland. The
blocked gland is called a Bartholin gland cyst
You are at the office and a thirty-year-old woman presents with an abrupt
onset of pain when attempting to urinate. She is also complaining of
frequency and urgency and thinks she may have seen some blood as
well.You take her history and she tells you she had sex three days ago with
,her long-term significant other, but she realized she left her diaphragm in
until today when these symptoms occurred.
Her BP is unremarkable, pulse is 90, temperature is 99, no costovertebral
angle tenderness (CVAT), and is experiencing slight suprapubic discomfort.
You review her urine dip and you note 2+ blood, +nitrates, +leukocyte
esterase. You send the urine for a microscopic and culture and sensitivity
but your management plan is:
Provide broad spectrum antibiotic while waiting for culture and
sensitivity lab to return for specific microbe.
The diagnosis of stress incontinence can be confirmed by .
the woman's symptom history to date
Anticholinergic medications are a type of treatment for which type of
incontinence?
Urge incontinence
Treatment for stress incontinence can include:
All of the above
A well-woman visit for an adolescent should include which of the
following?
, Both b and c
(A general health history focusing on reproductive and sexual health
concerns (menses, gynecologic, and pregnancy related) and
psychosocial (family related, peer related, emotional, and physical as
well as related to abuse, drug use, and alcohol use) concerns
Physical exam, screening tests, and immunizations as indicated by
the health history and gynecologic considerations for an external-
only inspection of the genitalia)
A myriad of influencing factors can affect adolescent women in a positive
or negative way. As an advanced practice nurse, you will need to be
cognizant of such influences and address them from a health
promotion/prevention lens.
Today, Marie, a sixteen-year-old woman, arrives for a well-woman visit,
hoping to begin birth control since "all her friends are using it."
After a thorough history, you note that Marie resides in a community with
very high risk factors. These include poverty, violence, and lack of
recreational facilities. She tells you that she "hangs out" at a convenience
store near the apartment complex she lives at with her mother. "All the