NURS 546 MIDTERM EXAM/ NURS 546
PSYCHOPHARMACOLOGY FOR THE PSYCHIATRIC
MENTAL HEALTH NURSE PRACTITIONER ACTUAL
MIDTERM EXAM REAL QUESTIONS AND CORRECT
DETAILED ANSWERS (CORRECT VERIFIED ANSWERS)
LATEST UPDATED VERSION |RATED A+ GUARANTEED
PASS.
efficacy of contraception - ANSWER: The likelihood of pregnancy if used as
prescribed
Only contraceptive to protect against STIs - ANSWER: Condoms
When is the highest risk of pregnancy - ANSWER: 48 hours immediately preceding
ovulation
Typical fertile window - ANSWER: 5 days before and the day of ovulation
Absolute contraindication of COCs - ANSWER: Migraine with aura
Studies of COCs show - ANSWER: Decreased ovarian and endometrial cancers
Non hormonal IUD - ANSWER: Paragard
Hormonal IUDs - ANSWER: Mirena, Skyla, Liletta, Kyleena
Paragard as emergency contraceptive - ANSWER: Can be placed within 5 days, the
most effective EC
Plan B - ANSWER: Progestin only EC, use within 3 days of unprotected sex
Ella emergency contraceptive - ANSWER: Can be used up to 5 days post unprotected
sex, more effective than plan b
What condition to avoid using depo - ANSWER: Depression
What are women with pcos at increased risk for endometrial cancer - ANSWER:
Unopposed estrogen and buildup of endometrial lining
Why would you recommend weight loss in pcos - ANSWER: Weight loss can help
reduce androgen levels
, S/S of PCOS (Polycystic ovarian syndrome) - ANSWER: Cystic acne, hirsuitism, ovarian
dysfunction, insulin resistance
Average age of onset of menopause - ANSWER: 46; 95% between 39-51
Duration of menopause for 95% of women - ANSWER: 2-8 years
What hormone is typically elevated in menopause - ANSWER: FSH
What is menopause? - ANSWER: Absence of menses for 12 consecutive months
Black women have higher rates of what in menopause - ANSWER: High rates of hot
flashes, longer duration of symptoms
When is it not appropriate to start HRT? - ANSWER: Menopause > 10 years ago, over
age 60
What is the best therapy for vasomotor symptoms? - ANSWER: Estrogen
What percentage of vulvar cancers occur in women over 50? - ANSWER: 85% of
vulvar cancers occur in women over 50
What is the definitive diagnostic tool for vulvar dermatitis? - ANSWER: Vulvar biopsy
(punch biopsy)
What should you do for a women with new vaginal bleeding after menopause? -
ANSWER: Endometrial biopsy to rule out malignancy
What is the most common complaint in patients with vulvar cancer? - ANSWER:
Vulvar itching
Where do most breast cancers develop? - ANSWER: The upper/outer quadrant of
the breast
What is the most common type of breast cancer? - ANSWER: Invasive/infiltrating
ductal carcinoma
What percentage of breast cancers are related to gene mutations ? - ANSWER: 5-
10% of breast cancers are related to gene mutations
How can you prevent breast cancer in high risk individuals? - ANSWER: SERMs
(tamoxifen), elective surgery (mastectomy, hysterectomy, salpingectomy,
oophorectomy)
What type of breast pain should you consider malignancy with? - ANSWER: Pain is
unilateral, focal, non-cyclic, had associated skin changes and presents with palpable
abnormality
PSYCHOPHARMACOLOGY FOR THE PSYCHIATRIC
MENTAL HEALTH NURSE PRACTITIONER ACTUAL
MIDTERM EXAM REAL QUESTIONS AND CORRECT
DETAILED ANSWERS (CORRECT VERIFIED ANSWERS)
LATEST UPDATED VERSION |RATED A+ GUARANTEED
PASS.
efficacy of contraception - ANSWER: The likelihood of pregnancy if used as
prescribed
Only contraceptive to protect against STIs - ANSWER: Condoms
When is the highest risk of pregnancy - ANSWER: 48 hours immediately preceding
ovulation
Typical fertile window - ANSWER: 5 days before and the day of ovulation
Absolute contraindication of COCs - ANSWER: Migraine with aura
Studies of COCs show - ANSWER: Decreased ovarian and endometrial cancers
Non hormonal IUD - ANSWER: Paragard
Hormonal IUDs - ANSWER: Mirena, Skyla, Liletta, Kyleena
Paragard as emergency contraceptive - ANSWER: Can be placed within 5 days, the
most effective EC
Plan B - ANSWER: Progestin only EC, use within 3 days of unprotected sex
Ella emergency contraceptive - ANSWER: Can be used up to 5 days post unprotected
sex, more effective than plan b
What condition to avoid using depo - ANSWER: Depression
What are women with pcos at increased risk for endometrial cancer - ANSWER:
Unopposed estrogen and buildup of endometrial lining
Why would you recommend weight loss in pcos - ANSWER: Weight loss can help
reduce androgen levels
, S/S of PCOS (Polycystic ovarian syndrome) - ANSWER: Cystic acne, hirsuitism, ovarian
dysfunction, insulin resistance
Average age of onset of menopause - ANSWER: 46; 95% between 39-51
Duration of menopause for 95% of women - ANSWER: 2-8 years
What hormone is typically elevated in menopause - ANSWER: FSH
What is menopause? - ANSWER: Absence of menses for 12 consecutive months
Black women have higher rates of what in menopause - ANSWER: High rates of hot
flashes, longer duration of symptoms
When is it not appropriate to start HRT? - ANSWER: Menopause > 10 years ago, over
age 60
What is the best therapy for vasomotor symptoms? - ANSWER: Estrogen
What percentage of vulvar cancers occur in women over 50? - ANSWER: 85% of
vulvar cancers occur in women over 50
What is the definitive diagnostic tool for vulvar dermatitis? - ANSWER: Vulvar biopsy
(punch biopsy)
What should you do for a women with new vaginal bleeding after menopause? -
ANSWER: Endometrial biopsy to rule out malignancy
What is the most common complaint in patients with vulvar cancer? - ANSWER:
Vulvar itching
Where do most breast cancers develop? - ANSWER: The upper/outer quadrant of
the breast
What is the most common type of breast cancer? - ANSWER: Invasive/infiltrating
ductal carcinoma
What percentage of breast cancers are related to gene mutations ? - ANSWER: 5-
10% of breast cancers are related to gene mutations
How can you prevent breast cancer in high risk individuals? - ANSWER: SERMs
(tamoxifen), elective surgery (mastectomy, hysterectomy, salpingectomy,
oophorectomy)
What type of breast pain should you consider malignancy with? - ANSWER: Pain is
unilateral, focal, non-cyclic, had associated skin changes and presents with palpable
abnormality
