AANP - Walden (Women's Health & Pregnancy)/
AANP - Walden (Women's Health & Pregnancy),
Walden University. Questions and Correct Answers.
Updated 2024.
For post menopausal bleeding:
DO ULTRASOUND FIRST OR REFER FOR ENDOMETREAL BIOPSY
Dominant breast/breast cancer: characteristics and diagnostics
mass one side feels hard, irregular, immobile, located tail of spence, skin color peu d
orange (resembles orange peel), dimpling retraction, painless, bloody nipple discharge
DX: order mammogram, refer to breast surgeon
Paget's disease of the breast characteristics:
chronic red scaly rash resembling eczema starts on nipple and spreads to areola,
itching, pain, burning sensation, skin lesion enlarges includes crusting, ulceration and
bleeding at the nipple
Inflammatory breast cancer characteristics:
recent or acute onset red swollen warm area in breast of younger woman, mimics
mastitis, no lump, may pit, turn orange, appear bruised, rare but aggressive breast
cancer
Fibrocystic breast: characteristics, diagnostics & treatment
engorged and painful breasts symptoms 2 weeks before menses and at worst before
cycle, resolves after menses
DX: multiple, mobile rubbery cystic masses on both breasts
TX: stop caffeine, take vitamin E, IS IT "NORMAL IN AGING/ELDERLY
BRCA1/2 associated hereditary breast/ovarian Cancer: define & treatment
family history is high risk, Men are higher risk
TX: patient positive with BRCA mutation should be referred to breast specialist, MRI
and mammogram, high risk in Jews, refer to counseling and mutation testing
Ovarian cancer: define, risk factors, diagnostics & treatment
palpate ovary in 1-year post-menopausal woman,
risk factors: include family history, Jewish descent, BRCA1/2 mutation, lynch syndrome,
breast cancer, >55 age, endometriosis, first child at age 30, nulliparity(never completed
pregnancy past 20 weeks)
DX: pelvic exam, transvaginal US, biopsy, intravaginal US, CA124
TX: chemotherapy, referral surgical oncology eval and treatmen
, Pap testing
begins at 21 and every three years til 30 then every 5 years if co-testing for HPV.
UPSTF recommends:
recommends at age 30 with HPV testing to every 5 years, HIV positive women can
screen before 21 years of age, stop PAP screening at 65
Loop electrosurgical excision procedure (LEEP):
gynecologic procedure that uses a thin, low-voltage electrified wire loop to cut out
abnormal tissue in the cervix
is a device used like a scalpel cut thru cervix to treat cervical cancer
Potassium hydroxide slide:
KOH aids in diagnosing fungal infections hair, nails and skin
KOH works by causing lysis of the squamous cell which makes it easier to see the
hyphae and spores, vaginal specimens do not require KOH
The whiff test can be used to detect _____.
BV
test for BV, fish odor is released after dropping KOH on slide
Polycystic ovarian syndrome
endocrine disorder associated with chronic anovulation
hormone abnormality marked by anovulation, infertility excessive androgen production
and insulin resistance, high risk for type 2 diabetes, dyslipidemia, metabolic syndrome,
endometrial hyperplasia, obesity and cancer, infertility, sleep apnea, hirsutism, acne,
amenorrhea, Post menopause with bleed/PCOS- high risk for endometrial cance
Polycystic ovarian syndrome diagnostics & treatment:
DX: transvaginal US, testosterone, FSH, fasting glucose
TX: low dose contraceptives, spiraladactone for hirsutism, metformin
Osteoporosis
A condition in which the body's bones become weak and break easily.
>-2.5
Osteopenia
thinner than average bone density; decreased calcification
-1.5 to -2.4
Persistent vaginal or urinary tract infection should be screen for ________.
diabetes
Prostaglandins are responsible for
inflammation
dysmenorrhea
Immunizations in pregnancy
AANP - Walden (Women's Health & Pregnancy),
Walden University. Questions and Correct Answers.
Updated 2024.
For post menopausal bleeding:
DO ULTRASOUND FIRST OR REFER FOR ENDOMETREAL BIOPSY
Dominant breast/breast cancer: characteristics and diagnostics
mass one side feels hard, irregular, immobile, located tail of spence, skin color peu d
orange (resembles orange peel), dimpling retraction, painless, bloody nipple discharge
DX: order mammogram, refer to breast surgeon
Paget's disease of the breast characteristics:
chronic red scaly rash resembling eczema starts on nipple and spreads to areola,
itching, pain, burning sensation, skin lesion enlarges includes crusting, ulceration and
bleeding at the nipple
Inflammatory breast cancer characteristics:
recent or acute onset red swollen warm area in breast of younger woman, mimics
mastitis, no lump, may pit, turn orange, appear bruised, rare but aggressive breast
cancer
Fibrocystic breast: characteristics, diagnostics & treatment
engorged and painful breasts symptoms 2 weeks before menses and at worst before
cycle, resolves after menses
DX: multiple, mobile rubbery cystic masses on both breasts
TX: stop caffeine, take vitamin E, IS IT "NORMAL IN AGING/ELDERLY
BRCA1/2 associated hereditary breast/ovarian Cancer: define & treatment
family history is high risk, Men are higher risk
TX: patient positive with BRCA mutation should be referred to breast specialist, MRI
and mammogram, high risk in Jews, refer to counseling and mutation testing
Ovarian cancer: define, risk factors, diagnostics & treatment
palpate ovary in 1-year post-menopausal woman,
risk factors: include family history, Jewish descent, BRCA1/2 mutation, lynch syndrome,
breast cancer, >55 age, endometriosis, first child at age 30, nulliparity(never completed
pregnancy past 20 weeks)
DX: pelvic exam, transvaginal US, biopsy, intravaginal US, CA124
TX: chemotherapy, referral surgical oncology eval and treatmen
, Pap testing
begins at 21 and every three years til 30 then every 5 years if co-testing for HPV.
UPSTF recommends:
recommends at age 30 with HPV testing to every 5 years, HIV positive women can
screen before 21 years of age, stop PAP screening at 65
Loop electrosurgical excision procedure (LEEP):
gynecologic procedure that uses a thin, low-voltage electrified wire loop to cut out
abnormal tissue in the cervix
is a device used like a scalpel cut thru cervix to treat cervical cancer
Potassium hydroxide slide:
KOH aids in diagnosing fungal infections hair, nails and skin
KOH works by causing lysis of the squamous cell which makes it easier to see the
hyphae and spores, vaginal specimens do not require KOH
The whiff test can be used to detect _____.
BV
test for BV, fish odor is released after dropping KOH on slide
Polycystic ovarian syndrome
endocrine disorder associated with chronic anovulation
hormone abnormality marked by anovulation, infertility excessive androgen production
and insulin resistance, high risk for type 2 diabetes, dyslipidemia, metabolic syndrome,
endometrial hyperplasia, obesity and cancer, infertility, sleep apnea, hirsutism, acne,
amenorrhea, Post menopause with bleed/PCOS- high risk for endometrial cance
Polycystic ovarian syndrome diagnostics & treatment:
DX: transvaginal US, testosterone, FSH, fasting glucose
TX: low dose contraceptives, spiraladactone for hirsutism, metformin
Osteoporosis
A condition in which the body's bones become weak and break easily.
>-2.5
Osteopenia
thinner than average bone density; decreased calcification
-1.5 to -2.4
Persistent vaginal or urinary tract infection should be screen for ________.
diabetes
Prostaglandins are responsible for
inflammation
dysmenorrhea
Immunizations in pregnancy
