NRNP 6552 Women’s Health Midterm Exam; 100 Verified Q & A

Question 1 0/1 Serum FSH indirectly measures ovarian function, with normally functioning ovaries. levels of FSH indicating A Lower . B Media n . C Highe r . D Absen t . Question 2 1/1 Endometrial polyps are most commonly identified by: A A speculum exam . B A bimanual exam . C A pap smear . D A transvaginal ultrasound . Question 3 1/1 Clinicians can participate in primary sexual violence prevention by applying individual prevention skills, such as: A Challenging behaviors in violence . B Engaging in healthy relationships . C Learning to identify risk f behaviors . D B and C . E A, B, and C . Question 4 1/1 others that promote professional and personal actors for sexually abusive A waiting period of between bariatric surgery and pregnancy is recommended. A 6-12 months . B 6-18 months . C 12-24 months . D 3-5 years . Question 5 1/1 Barriers for providers related to intimate partner violence screening include: A Discomfort with the topic . B Having too much power that might be intimidating . C Time constraints . D A and C . E A, B, and C . Question 6 1/1 Hirsutism is defined as: A Excessive terminal hair loss in women . B Excessive nail growth in women . C Brittle nail growth in women . D Excessive terminal hair growth in women . Question 7 0/1 A pharmacologic treatment for patients with Hydradenitis Suppurativa (HI) may include A Clindamycin . B Minocycline . C Metformin . D All of the above . Question 8 1/1 When looking from a feminist perspective at research studies, one of the great concerns is that: A There are too many studies involving women . B Most of the research is qualitative, which limits the applicability . C For many years, studies were done primarily on men with the findings being generalized to women . D None of the above . Question 9 1/1 Most malignancies in breast tissue occur in: A The areolar area . B The upper outer quadrant . C The lower outer quadrant . D None of the above . Question 10 0/1 On vaginal exam you find that Polly’s cervix is in the most common position, which is: A Anterior . B Midline . C Posterior . D Retroflex ed . Question 11 0/1 All organizations recommend beginning screening mammograms in average-risk women at age A 4 0 . B 4 5 . C 5 0 . D 5 5 . Question 12 1/1 Jenna comes in complaining of intense itching in the vaginal area. She also has some itching in the vulvar area. It is really bad after she has intercourse. In gathering her history, she tells you she had an ear infection a few weeks ago and took amoxicillin for it but otherwise, has been healthy. On exam, you note a thick, white, lumpy discharge with the consistency of cottage cheese. The vulva is red and swollen as are the labial folds. There is no strong odor. The most likely diagnosis is: A Bacterial vaginosis . B Trichomoniasis . C Urinary tract infection . D Vulvovaginal candidiasis . Question 13 1/1 The most common pathogen leading to urinary tract infection is: A Escherichia coli . B Enterobacter . C Pseudomonas . D Proteus mirabilis . Question 14 1/1 In women, fertility declines gradually beginning at age age . and more rapidly after A 25; 30 . B 32; 37 . C 35; 40 . D 45; 52 . Question 15 1/1 The test for the fishy odor that occurs in bacterial vaginosis is called the: A Smell test . B Odor test . C Sniff test . D Whiff test . Question 16 1/1 A person whose gender identity is the same as their sex when he or she was born is: A Bisexual . B Pansexua l . C Intersexu al . D Cisgende r . Question 17 0/1 A progesterone challenge test that produces withdrawal bleeding is indicative of: A No ovarian . function B Infertility . C Functioning ovaries . D Uterine cancer . Question 18 1/1 When conducting qualitative research, data can be derived from: A Fieldwor k . B Media . C Intervie ws . D A and C . E A, B, and C . Question 19 1/1 For women at high risk for breast cancer, ACS recommends annual screening with mammography and beginning at age 30. A Ultrasound . B CT scan . C MRI . D Nuclear medicine testing . Question 20 1/1 The frontline analgesics for painful menstrual cramps are: A Opioids . B Corticosteroids . C NSAIDs . D Hormone therapy . Question 21 0/1 Emergency contraception therapy may be given to a woman who seeks treatment immediately following sexual assault. It may be given within hours of the assault. A 36 . B 60 . C 72 . D 12 0 . Question 22 0/1 Reproductive coercion includes behaviors: A Related to pressuring or coercing a person to have sex without using physical force . B Related to pressuring or coercing a person to have sex using physical force . C That interfere with contraception use and/or pregnancy . D Any of the above . Question 23 1/1 The least invasive way to assess bladder capacity is through: A Filling cystometrogram . B 3-day voiding diary . C Quantified standing stress test . D Urethral pressure profile . Question 24 1/1 Clinicians are required to report certain STIs to their state public health officials. These include: A Chlamyd ia . B Gonorrh ea . C Syphilis . D A and B . E A, B, and C . Question 25 1/1 Approximately to male factors. of infertility cases are due to female factors and are due A 50%; 50% . B 10%; 90% . C 90%; 10% . D 55%; 35% . Question 26 1/1 The majority of female infertility is due to: A Ovulatory dysfunction and tubal and peritoneal pathology . B Uterine pathology . C Low sperm count . D None of the above . Question 27 0/1 The contraceptive implant that is currently available in the U.S. is: A Norplant . B Implano n . C Nexplant . D Nexplan on . Question 28 1/1 When concerned about ectopic pregnancy in a patient with abdominal pain, two diagnostic aids include: A CT scan and HCG . B HCG and ultrasound . C HCG and MRI . D HCG and pelvic exam . Question 29 1/1 Infertility related to is a common problem among women who are obese. A Depression and anxiety . B Ovarian dysfunction and anovulation . C Irregular menstrual bleeding . D Dyspareunia . Question 30 1/1 The penis. is a sensitive organ that is typically described as the female homologue of the A Vulva . B Clitoris . C Skene’s gland . D Bartholin’s gland . Question 31 1/1 Women in the following profession have a higher rate of UTI A Nursing . B Housecleaning . C Secretarial . D Those who do not work outside the home . Question 32 1/1 The use of a pain rating scale may assist the clinician to comprehend the intensity of a woman’s pain. Example(s) of pain rating scale(s) include: A Numeric ranking scale . B Visual analog scale . C Verbal descriptive scale . D All of the above . Question 33 1/1 An endometrial biopsy can be done in the office setting. It has a diagnosing endometrial cancer. overall accuracy in A Low . B Average . C High . D None of the above; it is not a good test for diagnosis of endometrial cancer . Question 34 1/1 Margaret has several risk factors for osteoporosis. She is 72 years old, is a 30-pack year smoker, and has never had children. Which one of these risk factors was nonmodifiable? A Advanced age . B Cigarette smoking . C Nulliparity . D All of the above . Question 35 1/1 Uterine fibroids are also known as: A Myomas . B Leiomyomatas . C Cancerous tumors . D A and B . E A, B, anc C . Question 36 0/1 Just prior to ovulation, rising levels of estradiol increases the amount of cervical mucus, making it: A Thick and sticky . B Absent . C Thin and watery . D Yellowish and thicker . Question 37 1/1 The glands are oil-producing glands on the areola that protect and lubricate the nipple during lactation. A Montgome ry . B Skenes . C Lactogenic . D Sebum . Question 38 1/1 Nearly pregnant women have been abused by the partner. A 1 in 20 . B 1 in 15 . C 1 in 6 . D 1 in 2 . Question 39 1/1 Female orgasmic disorder is present when there is a marked delay in, marked infrequency of, or absence of orgasm or reduced intensity of orgasm sensations that last more than . A 1 month . B 6 months . C 1 year . D 5 years . Question 40 1/1 The most common symptoms of uterine cancer are: A Amenorrhea and cramping . B Abnormal uterine bleeding and postmenopausal bleeding . C Sudden expulsion of blood clots from the vagina with pain . D Abnormal pap results . Question 42 1/1 A type of contraceptive that does not contain hormones is: A Paragard IUD . B Mirena IUD . C Nuvaring . D Evra patch . Question 43 1/1 Approximately 50% to 70% of women with PCOS are insulin resistant. Insulin resistance often results in: A Compensatory hyperinsulinemia . B Compensatory hypoinsulinemia . C Excessively low blood sugars . D Weight loss . Question 44 1/1 The endometrial cycle has three phases, which are: A Proliferative, luteal, menstrual . B Luteal, menstrual, post-menstrual . C Proliferative, secretory, menstrual * (pg. 91) . D Secretory, luteal, menstrual . Question 45 1/1 The following symptoms are consistent with PMS except: A Depression . B Confusion . C Breast tenderness . D Uncontrollable fits of laughter . Question 46 1/1 Ovarian failure is diagnosed when FSH is . estrogen production is identified while the serum A Low; Low . B Low; High . C High; Low . D High; High . Question 47 1/1 The term used to describe painful cramps that occur with menstruation is: A Amenorrhea . B Menorrhagia . C Uterine atony . D Dysmenorrh ea . Question 48 1/1 Pelvic support structures include: A Muscles and connective tissue of the pelvic floor . B Fibromuscular tissue of the vaginal wall . C Endopelvic connective tissue . D All of the above . Question 49 0/1 All of the following are risk factors for UTI, except: A Previous UTI . B Infrequent sexual activity . C Incomplete bladder emptying . D Obesity . Question 50 1/1 The is often considered the most important muscle of the pelvic floor. A Anococcygeal rapine . B Urethrovaginal sphincter muscle . C Urogenital diaphragm . D Levator ani . Question 51 1/1 Symptoms of Polycystic Ovary Syndrome (PCOS) include all of the following except: A Acne . B Menstrual irregularity . C Hirsutism . D Hypopigmentation of the extremities . Question 52 0/1 Criteria for clinical diagnosis of bacterial vaginosis include the presence of three out of four of the following Amsel criteria: A Yellowish thick vaginal discharge, pH equal or greater than 4.5; positive whiff/KOH test; presence of WBCs on microscopic examination . B Yellowish thick vaginal discharge, pH equal or greater than 4.5; positive whiff/KOH test; presence of clue cells on microscopic examination . C White, thin adherent vaginal discharge, pH equal or greater than 4.5; positive whiff/KOH test; presence of WBCs on microscopic examination . D Yellowish thick vaginal discharge, pH equal or less than 4.5; positive whiff/KOH test; presence of WBCs on microscopic examination . Question 53 1/1 First line pharmacologic treatment for women with PCOS is/are: A Progestin-only birth control pills . B Combined oral contraceptives . C Lasix . D Multivitamins with folic acid . Question 54 1/1 The American Cancer Society (ACS) has recently updated its colorectal cancer screening guidelines. The new guidelines recommend screening average-risk patients for that disease at age A 4 B 4 C 5 0 . D 5 0 . 5 . 5 . Question 55 1/1 Metabolic syndrome typically includes the following except: A Sudden weight loss . B Obesity . C Insulin resistance . D Dyslipidemia . E All of the above . Question 56 1/1 Martha is a 65-year-old woman who is a new patient to you. In telling you her history, she states that she has a history of a rare type of breast cancer. She cannot remember the name of it but tells you that it also involved itchy eczema-like nipple changes. With this info and your knowledge of breast cancer, you surmise that she may be referring to: A Bowen’s disease . B Lobular neoplasia . C Paget’s disease . D Wernicke’s disease . Question 100 1/1 One of the reasons that substance use is a concern in LBQ and TGNC communities is: A It has been shown to be a confirmed genetic risk . B Bars and club scenes have long been safe spaces for gay, LBQ, ad TGNC people . C A and B . None of the above D . • Question 1 0 out of 1 points Serum FSH indirectly measures ovarian function, with levels of FSH indicating normally functioning ovaries. • Question 2 1 out of 1 points Endometrial polyps are most commonly identified by: • Question 3 1 out of 1 points Clinicians can participate in individual prevention skills, such primary sexual violence prevention by applying as: • Question 4 1 out of 1 points A waiting period of between bariatric surgery and pregnancy is recommended. • Question 5 1 out of 1 points Barriers for providers related to intimate partner violence screening include: • Question 6 1 out of 1 points Hirsutism is defined as: • Question 7 0 out of 1 points A pharmacologic treatment for patients with Hydradenitis Suppurativa (HI) may include • Question 8 1 out of 1 points When looking from a feminist perspective at research studies, one of the great concerns is that: • Question 9 1 out of 1 points Most malignancies in breast tissue occur in: • Question 10 0 out of 1 points On vaginal exam you find that Polly’s cervix is in the most common position, which is: • Question 11 0 out of 1 points All organizations recommend beginning screening mammograms in average-risk women at age • Question 12 1 out of 1 points Jenna comes in complaining of intense itching in the vaginal area. She also has some itching in the vulvar area. It is really bad after she has intercourse. In gathering her history, she tells you she had an ear infection a few weeks ago and took amoxicillin for it but otherwise, has been healthy. On exam, you note a thick, white, lumpy discharge with the consistency of cottage cheese. The vulva is red and swollen as are the labial folds. There is no strong odor. The most likely diagnosis is: • Question 13 1 out of 1 points The most common pathogen leading to urinary tract infection is: • Question 14 1 out of 1 points In women, fertility declines gradually beginning at age and more rapidly after age . • Question 15 1 out of 1 points The test for the fishy odor that occurs in bacterial vaginosis is called the: • Question 16 1 out of 1 points A person whose gender identity is the same as their sex when he or she was born is: • Question 17 0 out of 1 points A progesterone challenge test that produces withdrawal bleeding is indicative of: • Question 18 1 out of 1 points When conducting qualitative research, data can be derived from: • Question 19 1 out of 1 points For women at high risk for breast cancer, ACS recommends annual screening with mammography and beginning at age 30. • Question 20 1 out of 1 points The frontline analgesics for painful menstrual cramps are: • Question 21 0 out of 1 points Emergency contraception therapy may be given to a woman who seeks treatment immediately following sexual assault. It may be given within hours of the assault. • Question 22 0 out of 1 points Reproductive coercion includes behaviors: • Question 23 1 out of 1 points The least invasive way to assess bladder capacity is through: • Question 24 1 out of 1 points Clinicians are required to report certain STIs to their state public health officials. These include: • Question 25 1 out of 1 points Approximately of infertility cases are due to female factors and are due to male factors. • Question 26 1 out of 1 points The majority of female infertility is due to: • Question 27 0 out of 1 points The contraceptive implant that is currently available in the U.S. is: • Question 28 1 out of 1 points When concerned about ectopic diagnostic aids include: pregnancy in a patient with abdominal pain, two • Question 29 1 out of 1 points Infertility related to obese. is a common problem among women who are • Question 30 1 out of 1 points The is a sensitive organ that is typically described as the female homologue of the penis. • Question 31 1 out of 1 points Women in the following profession have a higher rate of UTI • Question 32 1 out of 1 points The use of a pain rating scale may assist the clinician to comprehend the intensity of a woman’s pain. Example(s) of pain rating scale(s) include: • Question 33 1 out of 1 points An endometrial biopsy can be done in the office setting. It has a overall accuracy in diagnosing endometrial cancer. • Question 34 1 out of 1 points Margaret has several risk factors for osteoporosis. She is 72 years old, is a 30-pack year smoker, and has never had children. Which one of these risk factors was nonmodifiable? • Question 35 1 out of 1 points Uterine fibroids are also known as: • Question 36 0 out of 1 points Just prior to ovulation, rising levels of estradiol increases the amount of cervical mucus, making it: • Question 37 1 out of 1 points The glands are oil-producing glands on the areola that protect and lubricate the nipple during lactation. • Question 38 1 out of 1 points Nearly pregnant women have been abused by the partner. • Question 39 1 out of 1 points Female orgasmic disorder is present when there is a marked delay in, marked infrequency of, or absence of orgasm or reduced intensity of orgasm sensations that last more than . • Question 40 1 out of 1 points The most common symptoms of uterine cancer are: • Question 41 1 out of 1 points When completing this exam, did you comply with Walden University's Code of Conduct including the expectations for academic integrity? • Question 42 1 out of 1 points A type of contraceptive that does not contain hormones is: • Question 43 1 out of 1 points Approximately 50% to 70% of women with PCOS are insulin resistant. Insulin resistance often results in: • Question 44 1 out of 1 points The endometrial cycle has three phases, which are: • Question 45 1 out of 1 points The following symptoms are consistent with PMS except: • Question 46 1 out of 1 points Ovarian failure is diagnosed when estrogen production is identified while the serum FSH is . • Question 47 1 out of 1 points The term used to describe painful cramps that occur with menstruation is: • Question 48 1 out of 1 points Pelvic support structures include: • Question 49 0 out of 1 points All of the following are risk factors for UTI, except: • Question 50 1 out of 1 points The is often considered the most important muscle of the pelvic floor. • Question 51 1 out of 1 points Symptoms of Polycystic Ovary Syndrome (PCOS) include all of the following except: • Question 52 0 out of 1 points Criteria for clinical diagnosis of bacterial vaginosis include the presence of three out of four of the following Amsel criteria: • Question 53 1 out of 1 points First line pharmacologic treatment for women with PCOS is/are: • Question 54 1 out of 1 points The American Cancer Society (ACS) has recently updated its colorectal cancer screening guidelines. The new guidelines recommend screening average-risk patients for that disease at age • Question 55 1 out of 1 points Metabolic syndrome typically includes the following except: • Question 56 1 out of 1 points Martha is a 65-year-old woman who is a new patient to you. In telling you her history, she states that she has a history of a rare type of breast cancer. She cannot remember the name of it but tells you that it also involved itchy eczema- like nipple changes. With this info and your knowledge of breast cancer, you surmise that she may be referring to: • Question 57 0 out of 1 points When females go through puberty, the changes that occur are initiated by the production of: • Question 58 1 out of 1 points The following symptoms are associated with peri-menopause and menopause. • Question 59 0 out of 1 points The following is/are risk factor(s) for bacterial vaginosis. • Question 60 1 out of 1 points In women with PCOS, polycystic ovaries are due to: • Question 61 1 out of 1 points Strong evidence shows that first trimester abortions, whenever performed safely, increases a women’s risks of: • Question 62 1 out of 1 points Endometriosis is: • Question 63 1 out of 1 points An appropriate medication for Herpes Simplex virus is: • Question 64 1 out of 1 points The new guideline for systolic blood pressure cut-off for hypertension is: • Question 65 1 out of 1 points Bone density testing for osteoporosis should start at age for women and age for men. • Question 66 0 out of 1 points The most common STI in the United States is: • Question 67 1 out of 1 points “A movement to end sexism, sexist exploitation, and oppression” is a definition for: • Question 68 1 out of 1 points When performing a pain history, the term OLD CAARTS is an aid. This stands for: • Question 69 0 out of 1 points Evidence from randomized trials on intimate partner violence screening support the following intervention(s) for women of childbearing age: • Question 70 1 out of 1 points An umbrella term that describes all people with non-heterosexual gender identities is: • Question 71 1 out of 1 points When using the FIGO staging classification for cancer of the ovary, fallopian tube, and peritoneum, Stage I means: • Question 72 1 out of 1 points The are easily sensitized and become engorged with blood during sexual arousal. • Question 73 1 out of 1 points The act that was established that mandated every American to carry health insurance is called: • Question 74 1 out of 1 points The most common type of UTI affecting women is: • Question 75 1 out of 1 points Marianne presents for a well woman exam. In gathering her history, she tells you she has been pregnant 3 times. She has two children, both born at 39 weeks, and had one miscarriage. Using the GTPAL system, you note that in her chart as the following • Question 76 1 out of 1 points Josefina is a 47-year-old patient with family history of diabetes. Her BMI is 30. She has been healthy except for medication-controlled hypertension. She has been very compliant with her appointments. Today, you tell her you need to check her blood sugar. She says “I just read an article that said I only need to have that checked every three years. You just checked it last year.” You tell her: • Question 77 1 out of 1 points Olivia presents with a complaint of “bumps” around her vagina. They are nonpainful and nonpruritic. Upon inspection, you note several flesh colored and pearly white papules with depressed centers. This appearance is characteristic of: • Question 78 1 out of 1 points Gale is 36 weeks pregnant. She calls the office to report that she has noticed a sticky fluid coming from her breasts. You let her know that this is most likely: • Question 79 1 out of 1 points On physical examination, pale atrophic depigmented tissue that has a “cigarette paper” appearance is consistent with: • Question 80 1 out of 1 points The following are the four basic Caldwell-Moloy pelvic types. • Question 81 0 out of 1 points Trichomonas vaginalis can be asymptomatic, but when symptomatic, the vaginal discharge tends to be: • Question 82 1 out of 1 points EBP stands for: • Question 83 1 out of 1 points To avoid the development of Bartholin’s gland cysts, women should: • Question 84 1 out of 1 points Normal vaginal discharge has a pH of: • Question 85 1 out of 1 points The name of the act in the U.S. that addresses domestic violence, dating violence, sexual assault, stalking, and human trafficking is: • Question 86 1 out of 1 points The only antimicrobial medications that are effective against Trichomoniasis vaginalis are: • Question 87 1 out of 1 points Pelvic muscle exercises, where the woman performs a repetitive pelvic floor muscle contraction regimen are known as: • Question 88 1 out of 1 points Neisseria gonorrhea is a bacteria • Question 89 1 out of 1 points Angela just adopted an 11-year-old from another country. Unfortunately, there are no records of previous immunizations on this child. When discussing immunizations, you mention that the child needs several, including the MMR. Angela asks you what MMR stands for. You tell her: • Question 90 1 out of 1 points The following are risk factors for endometrial cancer. • Question 91 1 out of 1 points The timing of an adolescent growth spurt typically occurs in puberty than it does for boys. • Question 92 1 out of 1 points A cluster of mild to moderate physical and psychological symptoms that occur during the late luteal phase of menses and resolve with menstruation is the definition of • Question 93 1 out of 1 points The following is/are types of sexual violence. • Question 94 1 out of 1 points Abnormal uterine bleeding can sometimes be caused by • Question 95 1 out of 1 points Lichen planus is typically treated with: • Question 96 1 out of 1 points The following is an appropriate sexual health assessment question: • Question 97 1 out of 1 points Menopause is defined as: • Question 98 1 out of 1 points Infected hair follicles on the vulvar skin that are small and scattered often occur because of: • Question 99 1 out of 1 points Patients identified as being at increased risk for Sexually Transmitted Infections need to receive information about risk factors and ways to reduce the likelihood of infection. This would include: Score: 84/100