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MN 569 Final Exam

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MN 569 Final Exam 1. You see a 48-year-old woman who underwent an abdominal hysterectomy for uterine fibroids 6 months ago. She last had a normal Pap test 1 ½ years ago. You recommend her next Pap test. 2. When charting on a patient whom you have noted a breast lump it is important to document (select all that apply) 3. When performing a bimanual exam all of the following are noted as normal findings except: 4. You see a 33-year-old woman whose Pap smear result reveals atypical cells of undetermined significance (ASC-US). She is also positive for HPV with genotype testing revealing the presence of HPV type 16. You recommend: 5. You see a 24-year-old woman who received the HPV vaccine (three doses) as a teenager. She had a normal Pap test 3 years ago. You recommend: 6. A 45-year-old woman just had a normal Pap test result and has an absence of high-risk HPV. You recommend her next Pap test in: 7. You see a 16-year-old woman with a history of C. trachomatis infection and a total of ten lifetime partners. You recommend: 8. Which of the following is not part of the criteria for an older woman to cease having any future Pap tests performed? 9. During well-women visits for 21- to 29-year-old sexually-active women who report more than 1 sex partner within the past 6 months, all of the following are appropriate screening tests except: 10. You see a 24-year-old woman who received the HPV vaccine (three doses) as a teenager. She had a normal Pap test 3 years ago. You recommend:

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1) You see a 48-year-old woman who underwent an abdominal hysterectomy with cervical
removal for uterine fibroids 6 months ago. She last had a normal Pap test 1½ years ago. You
recommend her next Pap test:
A. immediately.
B. in 1½ years.
C. in 3½ years.
D. neither now nor in the future.
2) When performing a bimanual exam all of the following are noted as normal findings except
A. Retroverted uterus
B. Anteflexed uterus
C. Fixed immobile uterus
D. Smooth firm ovary
3) During a breast you note all of the findings below as normal except:
A. Asymmetrical size
B. Supernumerary nipple
C. Hyperpigmentation
D. Breasts that move up symmetrically with raising the arms
4) A 45-year-old woman just had a normal Pap test result and has an absence of high-risk HPV.
You recommend her next Pap test in:
A. 1 year.
B. 3 years.
C. 5 years.
D. 7 years.
5) You see a 33-year-old woman whose Pap smear result reveals atypical cells of undetermined
significance (ASC-US). She is also positive for HPV, with genotype testing revealing the
presence of high-risk HPV. You recommend:
A. repeating the Pap test immediately.
B. repeating the Pap test in 3 to 4 months.
C. referral for colposcopy.
D. administering the HPV-9 vaccine.




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