NR 602 MIDTERM QUESTIONS WITH ANSWERS POINTS 2020/2021

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: NR 602 MIDTERM QUESTIONS WITH ANSWERS POINTS 2020/2021 a. Trichomonas Treatment options for condyloma acuminatum include: a. Imiquimod (Aldera) 49yo female c/o dark, watery brown vaginal discharge. Which best describes what might be seen on physical exam in pt's with cervical cancer? a. Ulcerated firm cervix 22yo female c/o pelvic pain. Exam reveals cervical motion and uterine tenderness. Which supports PID dx? a. Temp 100F b. Absence of WBCs in vag fluid c. Mucopurulent vag discharge When a patin is diagnosed with PMS, which intervention would be recommended to help alleviate the symptoms? B. Eating a diet low in simple sugars and high in proteins. (Decrease caffeine, take diuretics but continue to consume fluids, regular exercise, and analgesics). ______ is the condition in which functional endometrial tissue is found in ectopic sites outside the uterus. Endometriosis _______ is the condition in which endometrial glands and stoma are found within the myometrium, interspersed between the smooth muscle fibers. Adenomyosis Uterine ______ are benign neoplasms of smooth muscle origin. Leiomyomas ________ are firm, rubbery, sharply defined round masses in breast tissue. Fibroadenomas Endometriosis is the condition where endometrial tissue is found growing outside of the uterus in the pelvic cavity. What are risk factors for endometriosis? D. Periods longer than 7 days and increased menstrual pain. An 18 yr old woman presents at the clinic complaining new-onset breakthrough bleeding, even though she is on contraceptive. What contraceptive use, along with new onset-onset breakthrough bleeding, has been associated with pelvic inflammatory disease? B. Depo-Provera A woman with lobular carcinoma in situ has a relative risk of developing invasive breast cancer of 8.0 Pap smear results of atypical squamous cells of undetermined significance require which procedure next Follow-up Pap smear A 23-year-old woman comes to the clinic for a Pap smear. After the examination, the client confides that her mother had died of endometrial cancer one year ago and says that she is afraid that she would die of the same cancer. Which risk factor stated by the client after an education session on wrist factors indicate that brother teaching is needed Late onset menarche The frequency for cervical screening depends on the patient and her age. What is the longest recommended time interval between cervical screens for patients who are 65 years old or younger Five years Jenna was evaluated and diagnosed with condyloma acuminatum. Treatment options for Jenna will include all of the following except Topical acyclovir I can roll over grasp a rattly, and reach for things and have begun feeding myself finger foods, but i can't wave bye-bye yet. How old am I? 6 months I can walk well on tiptoes, my speech is 50% understandable, I know six body parts, but can't balance on one foot for 2 seconds. I am: 2 1/2 years old Most children can independently dress themselves by age 4 years A 35-year-old smoker is being evaluated for birth control choices. Patient has a history of pelvic inflammatory disease along with an embolic episode after her last pregnancy. Which of the following methods of birth control would you recommend Condoms and the vaginal sponge A 20-year-old woman visiting the clinic says that she wishes to begin using Depot Medroxyprogesterone acetate (Depo-Provera) as a form of birth control what important information said the nurse include when teaching the client about Depo-Provera Calcium intake and exercise should be increased because of the possible loss of bone mineral density with increasing duration of use A client seeking advice about contraception asked the nurse about how an Intrauterine device prevent pregnancy how should the nurse respond It produces a spermicidal intrauterine environment A nurse is teaching a group of women about the side effects of different types of contraceptiv