NR 602 MIDTERM EXAMS. LATEST 2024 ACTUAL EXAM QUESTIONS
WITH 100% VERIFIED ANSWERS. ALREADY GRADED A+
1.What are presumptive signs of pregnancy?:
-amenorrhea
-nausea vomiting
-breast engorgement and darkening of the Ariola's
-breast tenderness
-fatigue
-urinary frequency
2.What are probable signs of pregnancy?:
-goodwill sign (cervical softening)
-Chadwick sign (Bluish coloration of cervix)
-Enlarged uterus
-Positive UPT
3.What is Goodells sign?: Cervical softening that happens around four
weeks of pregnancy
4. What are the indications for prescribing combined hormonal
contracep- tives (COC)?:
-decreases pain and frequency of sickle cell crisis
-May treat or improve anemia
-effective to treat acne hirsutism and other Androgen excessive states
- decreases menstrual cramps and pain with more predictable menses
- Effective treatment for dysmenorrhea endometriosis or pre-menstrual
symptoms
5. What are contraindications for COC's:
-patients with history of VTE
-patients with history of hypertension
-patients with history of breast cancer
-breast feeding
-Prego
-smokers (soft contra)
- >35 (soft contraindication)
,6. A 23-year-old female presents to the clinic on a combined hormonal
con- traceptive, she complains of nausea and breast tenderness. What
would you tell this patient?: This is a normal side effect of COC's and
should resolve in the first few cycles.
7. What are examples of progestin only contraceptives?: IUD, mini pills,
depo Provera injection, implanon implant
8. Disadvantage of progestin only versus COC?:
- Progestin only do not provide the same cycle control as COC's.
-Patient may have unscheduled bleeding during the first six months.
-mini pills can have a high failure rate due to timing of administration.
9. What is the difference between PMS and PMDD?: Both have similar
symp- toms but PMDD requires more symptoms to be present.
10.Structural abnormalities associated with abnormal uterine bleeding
(AUB)?: PALM
-Polyps
-Adenomyosis
-Leiomyoma
-Malignancy
11.Non-structural abnormalities which causes abnormal uterine bleeding?: -
COEIN
-coags
-ovulatory dysfunction
-endometrial
-Iatrogenic (medications or implants)
-not yet classified
12.Signs and symptoms of ectopic pregnancy?:
Unilateral lower abdominal pain or tenderness gradually becoming rigid
Amenorrhea
, Followed by heavy vaginal bleeding Pelvic symptoms:
Enlarged uterus, uterine or cervical motion tenderness, adnexal mass
palpated but difficulty determining if ipsilateral ovary
13.What are the risk factors for breast cancer?:
- family history
- Genetics (BRCA1 or BRCA2 mutations)
- Early menarche <12 years
- Late menopause (which increase lifetime exposure to estrogen) > 55
- Late pregnancy > 30 years old
- Nulliparity (no pregnancy)
- Smoking , obesity and lack of exercise
.
14.When should a practitioner start screening patients for breast cancer?: -
Age of 40-74
15.What are risk factors for bacterial vaginosis?:
~African American
~Two or more sex partners in previous six months/new sex partner
~Douching
~Absence of or decrease in lactobacilli
~Lack of H2O2-producing lactobacilli
~Decreased levels of Vitamin D
16.What are symptoms of bacterial vaginosis?: If
symptomatic... fishy odor
Clear, white, or gray Vaginal discharge- mostly after sexual intercourse
and comple- tion of menses.
Labial and or vulvar swelling
17.Diagnostics for bacterial vaginosis?: Vaginal pH
>4.5 Presence of "clue cells"
Amine whiff test
WITH 100% VERIFIED ANSWERS. ALREADY GRADED A+
1.What are presumptive signs of pregnancy?:
-amenorrhea
-nausea vomiting
-breast engorgement and darkening of the Ariola's
-breast tenderness
-fatigue
-urinary frequency
2.What are probable signs of pregnancy?:
-goodwill sign (cervical softening)
-Chadwick sign (Bluish coloration of cervix)
-Enlarged uterus
-Positive UPT
3.What is Goodells sign?: Cervical softening that happens around four
weeks of pregnancy
4. What are the indications for prescribing combined hormonal
contracep- tives (COC)?:
-decreases pain and frequency of sickle cell crisis
-May treat or improve anemia
-effective to treat acne hirsutism and other Androgen excessive states
- decreases menstrual cramps and pain with more predictable menses
- Effective treatment for dysmenorrhea endometriosis or pre-menstrual
symptoms
5. What are contraindications for COC's:
-patients with history of VTE
-patients with history of hypertension
-patients with history of breast cancer
-breast feeding
-Prego
-smokers (soft contra)
- >35 (soft contraindication)
,6. A 23-year-old female presents to the clinic on a combined hormonal
con- traceptive, she complains of nausea and breast tenderness. What
would you tell this patient?: This is a normal side effect of COC's and
should resolve in the first few cycles.
7. What are examples of progestin only contraceptives?: IUD, mini pills,
depo Provera injection, implanon implant
8. Disadvantage of progestin only versus COC?:
- Progestin only do not provide the same cycle control as COC's.
-Patient may have unscheduled bleeding during the first six months.
-mini pills can have a high failure rate due to timing of administration.
9. What is the difference between PMS and PMDD?: Both have similar
symp- toms but PMDD requires more symptoms to be present.
10.Structural abnormalities associated with abnormal uterine bleeding
(AUB)?: PALM
-Polyps
-Adenomyosis
-Leiomyoma
-Malignancy
11.Non-structural abnormalities which causes abnormal uterine bleeding?: -
COEIN
-coags
-ovulatory dysfunction
-endometrial
-Iatrogenic (medications or implants)
-not yet classified
12.Signs and symptoms of ectopic pregnancy?:
Unilateral lower abdominal pain or tenderness gradually becoming rigid
Amenorrhea
, Followed by heavy vaginal bleeding Pelvic symptoms:
Enlarged uterus, uterine or cervical motion tenderness, adnexal mass
palpated but difficulty determining if ipsilateral ovary
13.What are the risk factors for breast cancer?:
- family history
- Genetics (BRCA1 or BRCA2 mutations)
- Early menarche <12 years
- Late menopause (which increase lifetime exposure to estrogen) > 55
- Late pregnancy > 30 years old
- Nulliparity (no pregnancy)
- Smoking , obesity and lack of exercise
.
14.When should a practitioner start screening patients for breast cancer?: -
Age of 40-74
15.What are risk factors for bacterial vaginosis?:
~African American
~Two or more sex partners in previous six months/new sex partner
~Douching
~Absence of or decrease in lactobacilli
~Lack of H2O2-producing lactobacilli
~Decreased levels of Vitamin D
16.What are symptoms of bacterial vaginosis?: If
symptomatic... fishy odor
Clear, white, or gray Vaginal discharge- mostly after sexual intercourse
and comple- tion of menses.
Labial and or vulvar swelling
17.Diagnostics for bacterial vaginosis?: Vaginal pH
>4.5 Presence of "clue cells"
Amine whiff test
