NSG6020 Week 7 Quiz QUESTIONS
& ACTUAL ANSWERS
Bartholin's gland infection - correct answer ✔✔A 24-year-old travel agent comes to your clinic,
complaining of pain and swelling in her vulvar area. She states that 2 days earlier she could feel
a small tender spot on the left side of her vagina but now it is larger and extremely tender. Her
last period was 1 year ago and she is sexually active. She uses the Depo-Provera shot for
contraception. She denies any nausea, vomiting, constipation, diarrhea, pain with urination, or
fever. Her past medical history is
significant for ankle surgery. Her mother is healthy and her father has type 2 diabetes. On
examination she appears her stated age and is standing up. She states she cannot sit down
without excruciating pain. Her blood pressure, temperature, and pulse are unremarkable. On
visualization of her perineum, a large, red, tense swelling is seen to the left of her introitus.
Palpation of the mass causes a great deal of pain. What disorder of the vulva is most likely
Candida vaginitis - correct answer ✔✔A 48-year-old high school librarian comes to your clinic,
complaining of 1 week of heavy discharge causing severe itching. She is not presently sexually
active and has had no burning
with urination. The symptoms started several days after her last period. She just finished a
course of antibiotics for a sinus infection. Her past medical history consists of type 2 diabetes
and high
blood pressure. She is widowed and has three children. She denies tobacco, alcohol, or drug
use. Her mother has high blood pressure and her father died of diabetes complications. On
examination you see a healthy-appearing woman. Her blood pressure is 130/80 and her pulse is
70. Her head, eyes, ears, nose, throat, cardiac, lung, and abdominal examinations are
unremarkable. Palpation of the inguinal lymph nodes is unremarkable. On visualization of the
vulva, a thick, white, curdy discharge is seen at the introitus. On speculum examination ther
bleeding between periods - correct answer ✔✔Which of the following represents
metrorrhagia?
, epidermoid cyst - correct answer ✔✔A 42-year-old realtor comes to your clinic, complaining of
"growths" in her vulvar area. She is currently undergoing a divorce and is convinced she has a
sexually transmitted disease. She denies any vaginal discharge or pain with urination. She has
had no fever, malaise, or night sweats. Her past medical history consists of depression and
hypothyroidism. She has had two spontaneous vaginal deliveries and one cesarean section. She
has had no other surgeries. She denies smoking or drug use. She has two to three drinks weekly.
Her mother also has hypothyroidism and her father has high blood pressure and
hypercholesterolemia. On examination you see a woman who is anxious but appears otherwise
healthy. Her blood pressure, pulse, and temperature are unremarkable. On visualization of the
perineum you see two 2- to 3-mm, round, yellow nodules on the left labia. On palpation they
are nontender and quite firm. What diagnosis b
breast cancer - correct answer ✔✔examination of a female patients right breast reveals a
retraction of the nipple and areola. This finding is consistent with? (nipple discharge is usually
unilateral and can be clear or bloody) can have fixed lump and present as chronic rash on the
breast
benign breast abnormality - correct answer ✔✔Patient needs to be told to stop compressing
her nipple.
nipple retraction - correct answer ✔✔fixed flattening of the nipple suggest (recent or fixed
flattening or depression of the nipple) may also be broadened and thickened
acanthosis nigricans - correct answer ✔✔internal malignancy associated with polycystic ovarian
syndrome, consisting of acne, hirstism, obesity, irregular periods, infertility, ovarian cys, and
eterm-6arly onset type II diabetes
hormonal imbalances - correct answer ✔✔a 17 year old female patient complains of
amenorrhea for the last 8 months, weight gain, excessive hair growth on the arms and chest,
and development of acne. Pelvic examination is normal. The clinician should recognize these are
signs of
& ACTUAL ANSWERS
Bartholin's gland infection - correct answer ✔✔A 24-year-old travel agent comes to your clinic,
complaining of pain and swelling in her vulvar area. She states that 2 days earlier she could feel
a small tender spot on the left side of her vagina but now it is larger and extremely tender. Her
last period was 1 year ago and she is sexually active. She uses the Depo-Provera shot for
contraception. She denies any nausea, vomiting, constipation, diarrhea, pain with urination, or
fever. Her past medical history is
significant for ankle surgery. Her mother is healthy and her father has type 2 diabetes. On
examination she appears her stated age and is standing up. She states she cannot sit down
without excruciating pain. Her blood pressure, temperature, and pulse are unremarkable. On
visualization of her perineum, a large, red, tense swelling is seen to the left of her introitus.
Palpation of the mass causes a great deal of pain. What disorder of the vulva is most likely
Candida vaginitis - correct answer ✔✔A 48-year-old high school librarian comes to your clinic,
complaining of 1 week of heavy discharge causing severe itching. She is not presently sexually
active and has had no burning
with urination. The symptoms started several days after her last period. She just finished a
course of antibiotics for a sinus infection. Her past medical history consists of type 2 diabetes
and high
blood pressure. She is widowed and has three children. She denies tobacco, alcohol, or drug
use. Her mother has high blood pressure and her father died of diabetes complications. On
examination you see a healthy-appearing woman. Her blood pressure is 130/80 and her pulse is
70. Her head, eyes, ears, nose, throat, cardiac, lung, and abdominal examinations are
unremarkable. Palpation of the inguinal lymph nodes is unremarkable. On visualization of the
vulva, a thick, white, curdy discharge is seen at the introitus. On speculum examination ther
bleeding between periods - correct answer ✔✔Which of the following represents
metrorrhagia?
, epidermoid cyst - correct answer ✔✔A 42-year-old realtor comes to your clinic, complaining of
"growths" in her vulvar area. She is currently undergoing a divorce and is convinced she has a
sexually transmitted disease. She denies any vaginal discharge or pain with urination. She has
had no fever, malaise, or night sweats. Her past medical history consists of depression and
hypothyroidism. She has had two spontaneous vaginal deliveries and one cesarean section. She
has had no other surgeries. She denies smoking or drug use. She has two to three drinks weekly.
Her mother also has hypothyroidism and her father has high blood pressure and
hypercholesterolemia. On examination you see a woman who is anxious but appears otherwise
healthy. Her blood pressure, pulse, and temperature are unremarkable. On visualization of the
perineum you see two 2- to 3-mm, round, yellow nodules on the left labia. On palpation they
are nontender and quite firm. What diagnosis b
breast cancer - correct answer ✔✔examination of a female patients right breast reveals a
retraction of the nipple and areola. This finding is consistent with? (nipple discharge is usually
unilateral and can be clear or bloody) can have fixed lump and present as chronic rash on the
breast
benign breast abnormality - correct answer ✔✔Patient needs to be told to stop compressing
her nipple.
nipple retraction - correct answer ✔✔fixed flattening of the nipple suggest (recent or fixed
flattening or depression of the nipple) may also be broadened and thickened
acanthosis nigricans - correct answer ✔✔internal malignancy associated with polycystic ovarian
syndrome, consisting of acne, hirstism, obesity, irregular periods, infertility, ovarian cys, and
eterm-6arly onset type II diabetes
hormonal imbalances - correct answer ✔✔a 17 year old female patient complains of
amenorrhea for the last 8 months, weight gain, excessive hair growth on the arms and chest,
and development of acne. Pelvic examination is normal. The clinician should recognize these are
signs of
