NR 602 MIDTERM EXAM, Chamberlain College of Nursing
Course Code: NR602
Course Title: Primary Care of the Childbearing and Childrearing
Family
,A Bethesda System Pap smear report that reads LSIL is most consistent
with which classification
CIN 1
A single Pap smear reading of ASCUS in a patient negative for HPV
infection should have what as follow-up?
Routine screening
A female patient is 35 years old. She has never had an abnormal Pap smear and has had regular
screening since age 18. If she has a normal Pap smear with HPV testing today, when should she have
the next cervical cancer screening 5 years
Lab results on your 26-year-old patient show a negative Pap smear with a
positive HPV screen. Which procedure will be required next
Repeat Pap and HPV screen
9yo female has completed course of amox for strep throat. LMP was 2wks
ago, says it was normal. On exam, there's erythema of extern. genitalia
w/small amount of white discharge. Micro wet prep reveals few clue cells,
but many budding hyphae. No WBCs. Which one would be the most
appropriate treatment?
a. Metronidazole 500mg BID x7 days
b. OTC hydrocortisone 1%
cream TID c. Fluconazole tabs
150mg x1 dose
d. Erythromycin 500mg TID x10 days
Woman c/o vaginal itching, white discharge. She is in good health except for recent abx for strep
throat. Pelvic reveals tender vulvovaginal area w/edema and nonmalodorous white patches. Which is
the most likely cause?
a. Bacterial vaginosis
b. Trichomonas
c. Lactobacillus overgrowth
d. Candidiasis
18yo female c/o secondary amenorrhea. On exam, there is normal secondary sex characteristics and
normal genitalia. Pregnancy is ruled out. What would necessitate further eval?
a. Elevated blood cholesterol levels
b. Androgen deficiency
c. Galactorrhea
d. Hirsutism
Primary amenorrhea is best described as:
, a. Cessation of menstruation x6mo
b. Failure of menstruation to occur by
17ho c. Failure of menstruation to occur
by 13yo
25yo female c/o vaginal irritation and discharge. On exam, cervix is easily friable and erythematous.
No adnexal tenderness. Wet prep reveals mobile protozoa on NS slide. This most likely represents:
Course Code: NR602
Course Title: Primary Care of the Childbearing and Childrearing
Family
,A Bethesda System Pap smear report that reads LSIL is most consistent
with which classification
CIN 1
A single Pap smear reading of ASCUS in a patient negative for HPV
infection should have what as follow-up?
Routine screening
A female patient is 35 years old. She has never had an abnormal Pap smear and has had regular
screening since age 18. If she has a normal Pap smear with HPV testing today, when should she have
the next cervical cancer screening 5 years
Lab results on your 26-year-old patient show a negative Pap smear with a
positive HPV screen. Which procedure will be required next
Repeat Pap and HPV screen
9yo female has completed course of amox for strep throat. LMP was 2wks
ago, says it was normal. On exam, there's erythema of extern. genitalia
w/small amount of white discharge. Micro wet prep reveals few clue cells,
but many budding hyphae. No WBCs. Which one would be the most
appropriate treatment?
a. Metronidazole 500mg BID x7 days
b. OTC hydrocortisone 1%
cream TID c. Fluconazole tabs
150mg x1 dose
d. Erythromycin 500mg TID x10 days
Woman c/o vaginal itching, white discharge. She is in good health except for recent abx for strep
throat. Pelvic reveals tender vulvovaginal area w/edema and nonmalodorous white patches. Which is
the most likely cause?
a. Bacterial vaginosis
b. Trichomonas
c. Lactobacillus overgrowth
d. Candidiasis
18yo female c/o secondary amenorrhea. On exam, there is normal secondary sex characteristics and
normal genitalia. Pregnancy is ruled out. What would necessitate further eval?
a. Elevated blood cholesterol levels
b. Androgen deficiency
c. Galactorrhea
d. Hirsutism
Primary amenorrhea is best described as:
, a. Cessation of menstruation x6mo
b. Failure of menstruation to occur by
17ho c. Failure of menstruation to occur
by 13yo
25yo female c/o vaginal irritation and discharge. On exam, cervix is easily friable and erythematous.
No adnexal tenderness. Wet prep reveals mobile protozoa on NS slide. This most likely represents:
