FNP 654 FINAL EXAM 2024 LATEST UPDATE (315
QUESTIONS AND ANSWERS) GRADED A+|
COMPLETE| (GCU)
Medical term for transgender - ANSWER Sexual and gender minorities (SGM)
Transgender refers to - ANSWER individuals who identify as the opposite of their
birth / bio gender or for those whose gender is not evident
Symptoms pf pituitary adenoma - ANSWER visual disturbances, gynomastia,
hypogonadism
Evaluation of a pituitary adenoma - ANSWER ACTH, TSH, 24 hr urine for cortisol
levels, FSH, LH or MRI
management of a pituitary adenoma - ANSWER medical, somatotrpioma,
ketoconazole OR (symptomatic) requires neuro surgery
Care of a Bartolin cyst - ANSWER Sitz bath, good peri hygiene, I/D, antibiotics, OR
resection if recurrent
Inflammatory breast cancer (presentation) - ANSWER breat pain, rapidly growing,
often self diagnosed, tender, itching, lymph involvement +, Peau de Orange
Treatment of Inflammatory breast cancer - ANSWER Imaging, biopsy, chemo, tumor
removal
Benign Breast Pain (cyclic) - ANSWER Luteal phase
Breast pain (non-cyclic) - ANSWER pregnancy, mastitis, thrombophlebitis, tumor
fibrosis
Management of Patient with BRCA to reduce risks - ANSWER Tamoxifen or
Raloxifene, Yearly mammogram
Chronic Pelvic Pain (evaluation) - ANSWER pelvic exam, PAP, UA, pregnancy test,
TVUS or MRI if spinal
Treatment of chronic pelvic pain - ANSWER NSAIDs, TCAs, Gabapentin
Dysmenorrhea in older women - ANSWER requires further work up
When is dysmenorrhea normal? - ANSWER Upon onset of mensus and menopause
Dyspareunia causes (premenopausal) - ANSWER endometriosis, trauma
, Dyspareunia causes (post menopausal) - ANSWER decreased estrogen and after
breast cancer due to meds
Abnormal PAP management - ANSWER Bethesda System
CIN 1: conservative, surveillance
CIN 2 - 3: treatment
Hx of CIN 2-3: continue screening after age 65
PAP recommendations based on age - ANSWER < 21 No PAP
21-29 every 3 years
30-65 PAP with HPV
> 65 No PAP if no risk
Pelvic Inflammatory Disease (presentation) - ANSWER May be symptomatic , may
not. Depending on pathogen
Common symptoms of PID - ANSWER lower abdominal pain (dull / constant), T >
38.3, discharge, elevated WBC, ESR and CRP
Treatment for PID - ANSWER Treat STD if no pregnancy, or diverticulitis. Cervical
motion tenderness +
Bacterial Vaginosis: symptoms / treatment - ANSWER Fishy odor, KOH test /
metronidazole
Candida: symptoms / treatment - ANSWER R/O BV, manage as yeast:
metronidazole
Erectile dysfunction causes - ANSWER endocrine, vascular or neurological
Pyronine plaques cause - ANSWER Penile "bend"
Meds that treat ED - ANSWER PDE5 inhibitors to increase nitrous Oxide and
increase arterial flow
Non medication treatment for ED - ANSWER Counseling and anxiety reduction
Prophylactic partner treatment for STDs - ANSWER Important for reduction of
community spread
Cervical screening (Wet mount vs, liquid prep) - ANSWER Wet mount for Yeast,
Liquid prep for HPV
UTI causes (male) - ANSWER prostatitis, epididymitis, orchitis, pyelonephritis,
cystitis, urethritis
UTI risk factors (male) - ANSWER previous UTIs, instrumentation (Foley), HIC+V,
prostatitis or other tract obstruction or anal intercourse (causes prostatitis)
QUESTIONS AND ANSWERS) GRADED A+|
COMPLETE| (GCU)
Medical term for transgender - ANSWER Sexual and gender minorities (SGM)
Transgender refers to - ANSWER individuals who identify as the opposite of their
birth / bio gender or for those whose gender is not evident
Symptoms pf pituitary adenoma - ANSWER visual disturbances, gynomastia,
hypogonadism
Evaluation of a pituitary adenoma - ANSWER ACTH, TSH, 24 hr urine for cortisol
levels, FSH, LH or MRI
management of a pituitary adenoma - ANSWER medical, somatotrpioma,
ketoconazole OR (symptomatic) requires neuro surgery
Care of a Bartolin cyst - ANSWER Sitz bath, good peri hygiene, I/D, antibiotics, OR
resection if recurrent
Inflammatory breast cancer (presentation) - ANSWER breat pain, rapidly growing,
often self diagnosed, tender, itching, lymph involvement +, Peau de Orange
Treatment of Inflammatory breast cancer - ANSWER Imaging, biopsy, chemo, tumor
removal
Benign Breast Pain (cyclic) - ANSWER Luteal phase
Breast pain (non-cyclic) - ANSWER pregnancy, mastitis, thrombophlebitis, tumor
fibrosis
Management of Patient with BRCA to reduce risks - ANSWER Tamoxifen or
Raloxifene, Yearly mammogram
Chronic Pelvic Pain (evaluation) - ANSWER pelvic exam, PAP, UA, pregnancy test,
TVUS or MRI if spinal
Treatment of chronic pelvic pain - ANSWER NSAIDs, TCAs, Gabapentin
Dysmenorrhea in older women - ANSWER requires further work up
When is dysmenorrhea normal? - ANSWER Upon onset of mensus and menopause
Dyspareunia causes (premenopausal) - ANSWER endometriosis, trauma
, Dyspareunia causes (post menopausal) - ANSWER decreased estrogen and after
breast cancer due to meds
Abnormal PAP management - ANSWER Bethesda System
CIN 1: conservative, surveillance
CIN 2 - 3: treatment
Hx of CIN 2-3: continue screening after age 65
PAP recommendations based on age - ANSWER < 21 No PAP
21-29 every 3 years
30-65 PAP with HPV
> 65 No PAP if no risk
Pelvic Inflammatory Disease (presentation) - ANSWER May be symptomatic , may
not. Depending on pathogen
Common symptoms of PID - ANSWER lower abdominal pain (dull / constant), T >
38.3, discharge, elevated WBC, ESR and CRP
Treatment for PID - ANSWER Treat STD if no pregnancy, or diverticulitis. Cervical
motion tenderness +
Bacterial Vaginosis: symptoms / treatment - ANSWER Fishy odor, KOH test /
metronidazole
Candida: symptoms / treatment - ANSWER R/O BV, manage as yeast:
metronidazole
Erectile dysfunction causes - ANSWER endocrine, vascular or neurological
Pyronine plaques cause - ANSWER Penile "bend"
Meds that treat ED - ANSWER PDE5 inhibitors to increase nitrous Oxide and
increase arterial flow
Non medication treatment for ED - ANSWER Counseling and anxiety reduction
Prophylactic partner treatment for STDs - ANSWER Important for reduction of
community spread
Cervical screening (Wet mount vs, liquid prep) - ANSWER Wet mount for Yeast,
Liquid prep for HPV
UTI causes (male) - ANSWER prostatitis, epididymitis, orchitis, pyelonephritis,
cystitis, urethritis
UTI risk factors (male) - ANSWER previous UTIs, instrumentation (Foley), HIC+V,
prostatitis or other tract obstruction or anal intercourse (causes prostatitis)
