CMN 572 FINAL EXAM with correct answers 100%

CMN 572 FINAL EXAM with correct answers 100% It is at this location, where squamous cells meet glandular cells, that cancer is more likely to develop. - Correct Answer Transformation zone Pap Screening starts at what age? - Correct Answer 21 Routine HPV screening starts at what age? - Correct Answer 30 A patient is founds to have ASC-H? What is the next step? - Correct Answer Colposcopy Cervical Cancer is typically slow growing and occurs predominantly in women of what age? - Correct Answer 40-44 Most SE's of COC's resolve over the first ____ months. - Correct Answer 6 Common side effects of COC's include: - Correct Answer Breast tenderness, nausea, headache, breakthrough bleeding (BTB) Theresa is a 33 y.o smoker with no health history. Can she be prescribed a COC pill? - Correct Answer yes- Would be contraindicated in a smoker age /= 35. Linda is a 35 y.o smoker with a history of undiagnosed vaginal bleeding, triglyceride level of 269, and a history of DVT. Can she be prescribed a COC pill? - Correct Answer No. Contraindications to COC pill include: Smoker, aged /=35, hx of thrombolytic event (MI, DVT, Stroke), hx or current breast cancer, uncontrolled HTN or DM, prolonged immobilization, triglycerides 250, active liver disease, women at increased risk of cardiac dse, Active SLE, and undiagnosed vaginal bleeding Danielle is a 29 y.o. She is in grad school and admits to having acne, having heavy cycles, and never being in the sunlight. She wants to start on a BC pill and is interested in COC's. What could you tell her might be advantages to using COC's? - Correct Answer Decreased menorrhagia, acne, PCOS, ovarian cysts, PID, ovarian/endometrial cancer, benign breast disease, ectopic pregnancy. Increased bone density. What kind of hormone(s) does the NuvaRing contain? - Correct Answer Estrogen and Progestin How long can the NuvaRing be removed without losing efficacy? - Correct Answer 3 hours What hormone(s) does the transdermal patch contain (orthevra or xulane)? - Correct Answer Estrogen and Progestin Is the patch effective for all shapes and sizes of women? - Correct Answer Less effective in obese women What are the contraindications to the transdermal patch for BC? - Correct Answer Same as COC's: Smoker /= age 35, history of thrombolytic events (MI, DVT, stroke), history or current breast cancer, uncontrolled HTN or DM, Prolonged immobilization, Triglycerides 250, active liver disease, women at increased risk of cardiac disease, active SLE, undiagnosed vaginal bleeding What are some extended use combination contraceptives? How do they work? - Correct Answer Seasonale, Seasonique, Lybrel- the lining of the uterus doesn't build up, so menses is not needed. The pills delay or eliminate menstruation What are the benefits of extended use contraceptives? - Correct Answer Decreased anemia, dysmenorrhea, or pre-menstrual depression What is common during the first several months of use in extended use combination contraceptives? - Correct Answer Breakthrough bleeding (BTB) Hillary is a 38 y.o smoker with SLE. She wants to use a BC pill, but does not know what kind. As her NP, what would you suggest? - Correct Answer A progestin only BC option. Due to her SLE, a progestin only option is preferred to a COC, but must still be used in caution. Laura has been prescribed a POP. She reports working 12 hour shifts and getting home at irregular hours each night. What is appropriate education for Laura, concerning her POP? - Correct Answer MUST be taken at the SAME time each day. A delay of even a couple of hours can result in contraceptive failure. And you don't want that, Laura! Erin had her baby 4 months ago. She is still breastfeeding, but wants to start on contraception. What is a safe contraceptive to start her on? - Correct Answer Progestin only methods- Safe to use while breastfeeding Allison is very concerned b/c she was started on a progestin only contraceptive device two months ago and has had irregular bleeding. What should you tell her? - Correct Answer Irregular bleeding is very common with all progestin only methods of BC. Maria has heard about IUD's from her friend and comes to your clinic today wanting to discuss advantages, SE's, and contraindications of IUD's. What should you tell her? - Correct Answer Advantages: Decreased menorrhagia, dysmenorrhea, and anemia, can be used by lactating women and in those w/ contraindications to estrogen. May be used as treatment for menorrhagia. SE's: Irregular bleeding (may be heavy), worse the first few months. Headache, mastalgia, acne, expulsion (more common in first few cycles), uterine perforation at time of insertion CONTRAINDICATIONS: Pregnancy!!, uterine abnormalities causing distortion, Acute PID, or high risk for PID, endometrial infection in past 3 months. Uterine, cervical, breast cancer. undiagnosed vaginal bleeding, acute mucopurulent cervicitis.