NURS 6551 MIDTERM EXAM 4 – QUESTION AND ANSWERS

NURS 6551 MIDTERM EXAM 4 – QUESTION AND
ANSWERS
QUESTION 1 How can liver and renal diseases result in abnormal uterine bleeding (AUB)? a. They cause
an imbalance in platelet aggregation. b. They result in an inability to adequately clear estrogen from the
body. c. They cause thyroid dysfunction, which leads to bleeding abnormalities. d. They result in
elevated prolactin levels, which lead to bleeding abnormalities.

QUESTION 2 What is now thought to be the most important causative agent in cervical cancer? a. PCOS
b. Vulvar cancer c. Herpes simplex d. HPV

QUESTION 3 An initial or primary genital herpes infection characteristically lasts about: a. 1 week b. 3
weeks c. 1 month d. 6 weeks

QUESTION 4 Which contraceptive methods have inherent failure rates? a. None b. Some c. All d. All
except sterilization

QUESTION 5 Why do adolescents have the highest risk of developing pelvic inflammatory disease (PID)?
a. They have the highest risk for bacterial vaginosis. b. They are the least at risk for developing other
STIs. c. They are the most sexually active. d. They have decreased immunity to infectious organisms.

QUESTION 6 Exercise-induced amenorrhea is probably due to the combination of low body fat and
decreased secretion of: a. Estrogen b. Prolactin c. Progesterone d. GnRH

QUESTION 7 What can result from an imbalance in the vaginal flora? a. Herpes simplex virus b. Human
papillomavirus c. Chlamydia d. Bacterial vaginosis

QUESTION 8 The most effective means of obtaining the history of abuse is to use a communication
model that: a. Avoids having the patient’s children present during the discussion b. Signals someone is
interested and that the woman is not alone c. Emphasizes the belief that violence is not acceptable, no
matter what the batterer might have said to the patient d. Allows the patient to talk without
interruption and with time to relate, emphasize, and repeat her full story

QUESTION 9 What is the most common STI in the United States? a. Gonorrhea b. Chlamydia c. Syphilis
d. Herpes simplex virus

QUESTION 10 Progestin-only pills (POPs): a. Have no possible side effects b. Suppress ovulation as
reliably as COCs c. May be taken earlier or later than prescribed d. In combination with lactation are
nearly 100% effective

QUESTION 11 According to the World Health Organization (WHO), the presence of a disease state: a.
Necessitates prompt medical attention b. Excludes a person from being considered healthy c. Does not
exclude a person from being considered healthy d. Classifies a person as in poor health

QUESTION 12 Which of the following might be a sign of hyperandrogenism? a. Irritable bowel syndrome
b. Decreased sebum secretion in the skin c. Decreased muscle mass d. Acne associated with menstrual
dysfunction

, QUESTION 13 Surgical abortion represents an option for women who desire termination of pregnancy
beyond: a. 8 weeks’ gestation b. 12 weeks’ gestation c. 4 weeks’ gestation d. 15 weeks’ gestation

QUESTION 14 How can weight loss specifically control symptoms of polycystic ovary syndrome (PCOS)?
a. It decreases SHBG. b. It increases insulin resistance. c. It decreases androgen levels. d. It increases
estrogen levels.

QUESTION 15 Why is acknowledging the oppression of women more difficult within Western societies?
a. The multiplicity of minority groups complicates the issue. b. The availability of health care makes
acknowledgment more difficult. c. The diversity of the news media clouds the issue. d. Affluence and
increased opportunities mask oppression.

QUESTION 16 How does vaginosis differ from vaginitis? a. It must be treated with metronidazole. b. The
discharge does not contain white blood cells. c. The discharge does not have an odor. d. It causes itching
and/or burning.

QUESTION 17 What area of injury prevention is a focus of the USPSTF’s guidelines for counseling all
healthy, asymptomatic women? a. Motor vehicle accidents b. Falls c. Domestic violence d. All of the
above

QUESTION 18 What approach does Healthy People 2020 use to achieve its goals and objectives? a. Social
determinants of health b. Evidence-based determinants of health c. Quality-of-life determinants of
health d. Longevity promotion determinants of health

QUESTION 19 Approximately what percentage of women with bacterial vaginosis are asymptomatic? a.
25% b. 40% c. 75% d. 50%

QUESTION 20 The genetic counselor has a significant role in the care of women because BRCA1 and
BRCA2 genetic mutations account for 5 to 10 percent of all _______ cancer cases. a. Breast b. Ovarian c.
Uterine d. Pancreatic

QUESTION 21 Which organism causes 90% of vulvovaginal candidiasis episodes in women? a. Candida
tropicalis b. Candida albicans c. Candida glabrata d. Candida krusei

QUESTION 22 What term refers to the period from about 7 to 10 days before menstrual flow begins
until the first or second day of menstrual flow? a. Amenorrhea b. Premenstrual c. Dysmenorrhea d.
Perimenstrual

QUESTION 23 The ParaGard IUD is impregnated with copper and is effective for: a. 15 years b. 3 years c.
5 years d. 10 years

QUESTION 24 What is the danger of giving estrogen replacement therapy (ERT) to menopausal women
with an intact uterus? a. A higher risk of heart disease b. An increased likelihood of blood clots c. An
increased likelihood of osteoporosis d. A higher risk of endometrial cancer

QUESTION 25 Although barrier contraception methods are less effective in preventing pregnancy than
more modern methods, interest in them is on the rise because they: a. Can help protect against STIs,
including HIV b. Are coitus dependent and require planning c. Are nonallergenic and male controlled d.
Involve the use of hormones