D115 - OA readiness
x x x
Whatxisxthexmostxcommonxindicationxforxgeneticxcounseling?
A)xmaternalxage
B)xdrugxexposurexduringxthexfirstxtrimester?
C)xIncreasedxmaternalxalpha-fetoprotein
D)xhistoryxofxpreviousxstillxbirthx-xanswera)xmaternalxage
Thexlargestxgroupxofxwomenxwhoxbenefitxfromxgeneticxcounselingxarexthosexoverxth
exagexofx35
ThexFNPxschedulesxax38-year-
oldxprimigravidax(firstxtimexpregnancy)xforxanxamniocentesisxatx16xweeksxgestation.xThexF
NPxwouldxexplainxthatxthexpurposexofxthisxprocedurexisxto:
A)xAssessxforxthexpossibilityxofxtwins
B)xDeterimexthexbilirubenxlevel
C)xPerformxgeneticxstudies
D)xAssessxL/Sxratiox-xanswerc)xPerformxgeneticxstudies
ThisxwomansxagexputsxherxatxriskxforxDownxSyndrome
InxthexmostxcommonlyxseenxformxofxTurnerxSyndrome,xhowxisxthexXxchromosomexaffected
?
A)xEachxcellxhasxonlyxonexXxchromosome?
B)xSomexcellsxhavextwoxXxchromsomes,xwhilexthexotherxcellsxhavexonlyxone.
C)xEachxcellxhasxtwoxXxchromsomes,xbutxpartxofxthexchromosomexisxmissing.
D)xEachxcellxhasxanxextraxXxchromosomex-
xanswera)xEachxcellxhasxonlyxonexXxchromsome
45%xofxpersonsxwithxTurnerxSyndromexhavexmonosomyxXxmeaningxtherexisxonlyxon
excopyxofxthexXxchromosomexinxeachxcell.
ThexFNPxisxassessingxaxnewbornxwhoxisxdemonstratingxaxhigh-
pitchedxcry,xmicrocephaly,xhypertelorism,xhypotonia,xandxaxlowxbirthxweight.xThexFNPxwou
ldxsuspectxwhichxofxthexfollowingxgeneticxconditions?
A)xDownxSyndrome
B)xCrixduxchat
C)xChargexsyndrome
D)xDuncanxdiseasex-xanswerb)xCrixduxchat
Thexclinicalxsymptomsxofxcrixduxchatxsyndromexusuallyxincludexaxhigh-pitchedxcat-
likexcry,xmentalxretardation,xdelayedxdevelopment,xdistinctivexfacialxfeatures,xsmallxheadxsi
zex(microcephaly),xwidely-
spacedxeyesx(hypertelorism),xlowxbirthxweightxandxweakxmusclextonex(hypotonia)xinxinfanc
y.
Whenxexplainingxthextypesxofxadaptiveximmunity,xthexFNPxstudentxisxawarexthat:
A)xAdaptiveximmunityxisxaxcell-mediatedximmunexresponsexwhichxisx
B)xAdaptiveximmunityxisxthexlevelxofximmunityxthatxallxpersonsxarexbornxwith.
,C)xAdaptiveximmunityxoccursxwhenxantibodiesxarexpassedxfromxthexmotherxtoxthexfetus.
D)xAdaptiveximmunityxoccursxthroughximmunization.x-
xanswera)xAdaptiveximmunityxisxaxcell-
mediatedximmunexresponsexwhichxisxcarriedxoutxbyxTxcellsxandxBxcells.
Therexarextwoxtypesxofxadaptiveximmunityxresponses:xthexcell-
mediatedximmunexresponse,xwhichxisxcarriedxoutxbyxTxcells,xandxthexhumoralximmunexresp
onse,xwhichxisxcontrolledxbyxactivatedxBxcellsxandxantibodies.
Axwomanxhasxsustainedxaxtraumaticxbrainxinjury.xShexisxablextoxfollowxsimplexcommandsxa
ndxcanxmanipulatexobjects.xWhichxtermxdescribesxthisxstate?
A)xComa
B)xPersistentxvegetativexstate
C)xMinimallyxconscious
D)xLocked-inxsyndromex-xanswerc)xMinimallyxconscious
Whenxresponsesxtoxthexenvironmentxarexseen,xthexpatientxisxsaidxtoxbexinxaxminimallyxcons
ciousxstate
AgexandxthexadmissionxofxthexGlasgowxComaxScalex(GCS)xareximportantxdiagnosticxfactor
sxinxTBI.xWhichxGCSxscorexdescribesxaxseverexTBI?
A)x13-15
B)x12-13
C)x9-12
D)x3-8x-xanswerd)x3-8
ThexGCSxisxscoredxbetweenx3xandx15,x3xbeingxthexworstxandx15xthexbest.
Whichxtermxdescribesxrecurrent,xintrusivexthoughtsxorximpulses?
A)xHallucinations
B)xCompulsions
C)xObsessions
Obsessionsxarexrecurrentxandxpersistentxthoughts,ximpulses,xorximagesxthatxcausexdistres
singxemotionsxsuchxasxanxietyxorxdisgust.
D)xDelusionsx-xanswerc)xObsessions
Obsessionsxarexrecurrentxandxpersistentxthoughts,ximpulses,xorximagesxthatxcausexdistres
singxemotionsxsuchxasxanxietyxorxdisgust.
Duringxanxintakexinterviewxwithxax26-year-
oldxmanxdiagnosedxwithxgeneralizedxanxietyxdisorder,xthexFNPxmightxobservexwhatxtypexof
xbehavior?
A)xAnxinflatedxsensexofxself
B)xConstantxrelationxtoxfuturexevents
C)xInabilityxtoxconcentratexandxirritabilityxwhenxquestioned
ImpairedxconcentrationxandxirritabilityxarexmajorxcharacteristicsxofxGAD.
D)xNervousnessxandxfearxofxthexFNPxduringxthexinterviewx-
xanswerc)xInabilityxtoxconcentratexandxirritabilityxwhenxquestioned
ImpairedxconcentrationxandxirritabilityxarexmajorxcharacteristicsxofxGAD.
,ThexFNPxwouldxexpectxwhichxsymptomsxinxaxpatientxwithxaxdiagnosisxofxschizophrenia?
A)xHighxenergyxwithxvaryingxsleepxpatternsxandxnonxstopxconversation.
B)xExtremexandxfrequentxmoodxswingsxwithxhyperactivityxandxdifficultyxconcentrating.
C)xParanoia,xdelusions,xhallucinations,xandxdiminishedxself-care.
D)xAnti-socialxbehavior,xmanipulativexbehavior,xcharisma,xandxabilityxtoxliexconvincingly.x-
xanswerc)xParanoia,xdelusions,xhallucinations,xandxdiminishedxself-care.
Thexcharacteristicsxofxschizophreniaxarexparanoia,xdelusions,xtangentialxthoughts,xsuspici
ousness,xdisorganizedxbehavior,xandxhallucinations.
ThexFNPxisxseeingxax10xyearxoldxchildxwithxcomplaintsxofxotalgiaxandxmuffledxhearing.xThex
motherxstatesxthexchildxrecentlyxrecoveredxfromxanxupperxrespiratoryxinfection.xThexFNPxs
uspectsxthatxthisxchildxhas:
A)xAcutexotitisxmedia
B)xAcutexotitisxexterna
C)xCholesteatoma
D)xChronicxotitisxmediax-xanswera)xAcutexotitisxmedia
Thexclassicxpresentationxofxotitisxmediaxisxotalgia,xmuffledxhearing,xpoppingxsensation,xand
xaxrecentxhistoryxofxaxcoldxorxflarexupxofxallergicxrhinitis.
ThexFNPxunderstandsxthatxaxpotentialxcomplicationxofxtonsillarxinfections,xwhichxisxcharact
erizedxbyxseverexsorexthroat,xdifficultyxswallowing,xodynophagia,xtrismus,xandxax"hotxpotat
o"xvoice;xaccompaniedxbyxfever,xchillsxandxmalaisexisxindicativexof:
A)xRetropharyngealxabscess
B)xEpiglotitis
C)xPeritonsillarxcellulitis
D)xPeritonsillarxabscessx-xanswerd)xPeritonsillarxabscess
Peritonsillarxabscessxisxcharacterizedxbyxseverexsorexthroat,xpainxorxdifficultyxswallowing,xj
awxmusclexspasms,xandxaxhotxpotatoxvoice.
Axyoungxadultxfemalexpatientxpresentsxtoxthexclinicxwithxcomplaintsxofxnervousness,xtremul
ousness,xpalpitations,xheatxintolerance,xfatigue,xweightxloss,xandxpolyphagia.xAfterxaxcomp
letexhistoryxandxphysical,xalongxwithxthyroidxfunctionxtests,xthexFNPxmakesxthexdiagnosisxof
xhyperthyroidism,xrecognizingxthatxthexmostxcommonxcausexofxthisxconditionxis:
A)xThyroidxcancer
B)xGraves'xdisease
C)xPituitaryxadenoma
D)xPostpartumxthyroiditisx-xanswerb)xGraves'xdisease
Graves'xdisease,xanxautoimmunexconditionxalsoxknownxasx"diffusextoxicxgoiter"xisxthexmostx
commonxcausexofxhyperthyroidismxinxthisxagexgroup.
Duringxanxevaluationxofxaxpatientxwithxprediabetes,xthexFNPxidentifiesxwhichxfindingxinxthexp
atient'sxobjectivexdataxthatxisxassociatedxwithxthexincreasingxinsulinxresistance?
A)xTriglyceridesx>x150mg/dl
B)xHDLx>x40xmg/dlxinxmenxandx>50xmg/dlxinxwomen
C)xBPx<x130/85xmmxHg
D)xFBSx<x110xmg/dlx-xanswera)xTriglyceridesx>x150mg/dl
, Improperxusexofxglucosexincreasesxthexreleasexofxfreexfattyxacidsxwhichxelevatesxtriglycerid
es.
Whenxprescribingxaxmealxplanxforxthexpatientxwithxtypex2xdiabetes,xthexFNPxtellsxthexpatient
xthatxthexmacronutrientxwithxthexmostxinfluencexonxthexpostprandialxglucosexlevelxis:
A)xFiber
B)xFat
C)xProtein
D)xCarbohydratex-xanswerd)xCarbohydrate
Carbohydratexisxaxmacronutrientxwithxthexgreatestximpactxonxthexpostprandialxglucosexleve
ls.
Whichxofxthexfollowingxcharacteristicsxappliesxtoxtypex1xdiabetesxmellitus?
A)xSignificantxhyperglycemiaxandxketoacidosisxresultxfromxaxlackxofxinsulin.
B)xThisxconditionxisxcommonlyxdiagnosesxonxroutinexexaminationxorxwork-
upxforxotherxhealthxproblems.
C)xInitialxresponsextoxoralxsulfonylureasxisxusuallyxfavorable.
D)xInsulinxresistancexisxaxsignificantxpartxofxthexdiease.x-
xanswera)xSignificantxhyperglycemiaxandxketoacidosisxresultxfromxaxlackxofxinsulin.
Typex1xDMxisxassociatedxwithxbetaxcellxdestructionxleadingxtoxabsolutexinsulinxdeficiencyxre
sultingxinxsignificantxhyperglycemiaxandxpotentialxforxketoacidosis.
Whichxofxthexfollowingxcharacteristicsxappliesxtoxtypex2xdiabetesxmellitus?
A)xMajorxriskxfactorsxarexheredityxandxobesity
B)xPear-shapedxbodyxtypexisxcommonlyxfound
C)xExogenousxinsulinxisxneededxforxcontrolxofxthexdisease
D)xPhysicalxactivityxincreasesxinsulinxresistancex-
xanswera)xMajorxriskxfactorsxarexheredityxandxobesity
Riskxfactorsxofxtypex2xDMxincludexincreasingxage,xobesity,xrace,xandxgenetics.
WhichxofxthexfollowingxisxNOTxaxriskxfactorxforxendometrialxcancer?
A)xObesity
B)xOralxcontraceptivexuse
C)xUnopposedxestrogenxuse
D)xAdvancingxage,xgreaterxthanx50xyearsx-xanswerb)xOralxcontraceptivexuse
Oralxcontraceptivesxhavexbeenxshownxtoxreducexthexincidencexofxendometrialxcancer.
ThexFNPxunderstandsxthexthexmostxaccuratexexplanationxforxthexdiagnosisxofxmixedxpreco
ciousxpubertyxis:x
A)xWhenxaxchildxdevelopsxsomexsecondaryxsexxcharacteristicsxofxthexoppositexsex.
B)xWhenxaxchildxdoesxnotxdevelopxanyxidentifiablexexternalxsexxorgans.
C)xWhenxearlyxpubertyxoccursxduextoxmultiple,xintegratedxcausativexeffects.
D)xWhenxearlyxpubertyxhasxsignsxofxphysicalxandxhormonalxabnormalities.x-
xanswera)xWhenxaxchildxdevelopsxsomexsecondaryxsexxcharacteristicsxofxthexoppos
itexsex.
x x x
Whatxisxthexmostxcommonxindicationxforxgeneticxcounseling?
A)xmaternalxage
B)xdrugxexposurexduringxthexfirstxtrimester?
C)xIncreasedxmaternalxalpha-fetoprotein
D)xhistoryxofxpreviousxstillxbirthx-xanswera)xmaternalxage
Thexlargestxgroupxofxwomenxwhoxbenefitxfromxgeneticxcounselingxarexthosexoverxth
exagexofx35
ThexFNPxschedulesxax38-year-
oldxprimigravidax(firstxtimexpregnancy)xforxanxamniocentesisxatx16xweeksxgestation.xThexF
NPxwouldxexplainxthatxthexpurposexofxthisxprocedurexisxto:
A)xAssessxforxthexpossibilityxofxtwins
B)xDeterimexthexbilirubenxlevel
C)xPerformxgeneticxstudies
D)xAssessxL/Sxratiox-xanswerc)xPerformxgeneticxstudies
ThisxwomansxagexputsxherxatxriskxforxDownxSyndrome
InxthexmostxcommonlyxseenxformxofxTurnerxSyndrome,xhowxisxthexXxchromosomexaffected
?
A)xEachxcellxhasxonlyxonexXxchromosome?
B)xSomexcellsxhavextwoxXxchromsomes,xwhilexthexotherxcellsxhavexonlyxone.
C)xEachxcellxhasxtwoxXxchromsomes,xbutxpartxofxthexchromosomexisxmissing.
D)xEachxcellxhasxanxextraxXxchromosomex-
xanswera)xEachxcellxhasxonlyxonexXxchromsome
45%xofxpersonsxwithxTurnerxSyndromexhavexmonosomyxXxmeaningxtherexisxonlyxon
excopyxofxthexXxchromosomexinxeachxcell.
ThexFNPxisxassessingxaxnewbornxwhoxisxdemonstratingxaxhigh-
pitchedxcry,xmicrocephaly,xhypertelorism,xhypotonia,xandxaxlowxbirthxweight.xThexFNPxwou
ldxsuspectxwhichxofxthexfollowingxgeneticxconditions?
A)xDownxSyndrome
B)xCrixduxchat
C)xChargexsyndrome
D)xDuncanxdiseasex-xanswerb)xCrixduxchat
Thexclinicalxsymptomsxofxcrixduxchatxsyndromexusuallyxincludexaxhigh-pitchedxcat-
likexcry,xmentalxretardation,xdelayedxdevelopment,xdistinctivexfacialxfeatures,xsmallxheadxsi
zex(microcephaly),xwidely-
spacedxeyesx(hypertelorism),xlowxbirthxweightxandxweakxmusclextonex(hypotonia)xinxinfanc
y.
Whenxexplainingxthextypesxofxadaptiveximmunity,xthexFNPxstudentxisxawarexthat:
A)xAdaptiveximmunityxisxaxcell-mediatedximmunexresponsexwhichxisx
B)xAdaptiveximmunityxisxthexlevelxofximmunityxthatxallxpersonsxarexbornxwith.
,C)xAdaptiveximmunityxoccursxwhenxantibodiesxarexpassedxfromxthexmotherxtoxthexfetus.
D)xAdaptiveximmunityxoccursxthroughximmunization.x-
xanswera)xAdaptiveximmunityxisxaxcell-
mediatedximmunexresponsexwhichxisxcarriedxoutxbyxTxcellsxandxBxcells.
Therexarextwoxtypesxofxadaptiveximmunityxresponses:xthexcell-
mediatedximmunexresponse,xwhichxisxcarriedxoutxbyxTxcells,xandxthexhumoralximmunexresp
onse,xwhichxisxcontrolledxbyxactivatedxBxcellsxandxantibodies.
Axwomanxhasxsustainedxaxtraumaticxbrainxinjury.xShexisxablextoxfollowxsimplexcommandsxa
ndxcanxmanipulatexobjects.xWhichxtermxdescribesxthisxstate?
A)xComa
B)xPersistentxvegetativexstate
C)xMinimallyxconscious
D)xLocked-inxsyndromex-xanswerc)xMinimallyxconscious
Whenxresponsesxtoxthexenvironmentxarexseen,xthexpatientxisxsaidxtoxbexinxaxminimallyxcons
ciousxstate
AgexandxthexadmissionxofxthexGlasgowxComaxScalex(GCS)xareximportantxdiagnosticxfactor
sxinxTBI.xWhichxGCSxscorexdescribesxaxseverexTBI?
A)x13-15
B)x12-13
C)x9-12
D)x3-8x-xanswerd)x3-8
ThexGCSxisxscoredxbetweenx3xandx15,x3xbeingxthexworstxandx15xthexbest.
Whichxtermxdescribesxrecurrent,xintrusivexthoughtsxorximpulses?
A)xHallucinations
B)xCompulsions
C)xObsessions
Obsessionsxarexrecurrentxandxpersistentxthoughts,ximpulses,xorximagesxthatxcausexdistres
singxemotionsxsuchxasxanxietyxorxdisgust.
D)xDelusionsx-xanswerc)xObsessions
Obsessionsxarexrecurrentxandxpersistentxthoughts,ximpulses,xorximagesxthatxcausexdistres
singxemotionsxsuchxasxanxietyxorxdisgust.
Duringxanxintakexinterviewxwithxax26-year-
oldxmanxdiagnosedxwithxgeneralizedxanxietyxdisorder,xthexFNPxmightxobservexwhatxtypexof
xbehavior?
A)xAnxinflatedxsensexofxself
B)xConstantxrelationxtoxfuturexevents
C)xInabilityxtoxconcentratexandxirritabilityxwhenxquestioned
ImpairedxconcentrationxandxirritabilityxarexmajorxcharacteristicsxofxGAD.
D)xNervousnessxandxfearxofxthexFNPxduringxthexinterviewx-
xanswerc)xInabilityxtoxconcentratexandxirritabilityxwhenxquestioned
ImpairedxconcentrationxandxirritabilityxarexmajorxcharacteristicsxofxGAD.
,ThexFNPxwouldxexpectxwhichxsymptomsxinxaxpatientxwithxaxdiagnosisxofxschizophrenia?
A)xHighxenergyxwithxvaryingxsleepxpatternsxandxnonxstopxconversation.
B)xExtremexandxfrequentxmoodxswingsxwithxhyperactivityxandxdifficultyxconcentrating.
C)xParanoia,xdelusions,xhallucinations,xandxdiminishedxself-care.
D)xAnti-socialxbehavior,xmanipulativexbehavior,xcharisma,xandxabilityxtoxliexconvincingly.x-
xanswerc)xParanoia,xdelusions,xhallucinations,xandxdiminishedxself-care.
Thexcharacteristicsxofxschizophreniaxarexparanoia,xdelusions,xtangentialxthoughts,xsuspici
ousness,xdisorganizedxbehavior,xandxhallucinations.
ThexFNPxisxseeingxax10xyearxoldxchildxwithxcomplaintsxofxotalgiaxandxmuffledxhearing.xThex
motherxstatesxthexchildxrecentlyxrecoveredxfromxanxupperxrespiratoryxinfection.xThexFNPxs
uspectsxthatxthisxchildxhas:
A)xAcutexotitisxmedia
B)xAcutexotitisxexterna
C)xCholesteatoma
D)xChronicxotitisxmediax-xanswera)xAcutexotitisxmedia
Thexclassicxpresentationxofxotitisxmediaxisxotalgia,xmuffledxhearing,xpoppingxsensation,xand
xaxrecentxhistoryxofxaxcoldxorxflarexupxofxallergicxrhinitis.
ThexFNPxunderstandsxthatxaxpotentialxcomplicationxofxtonsillarxinfections,xwhichxisxcharact
erizedxbyxseverexsorexthroat,xdifficultyxswallowing,xodynophagia,xtrismus,xandxax"hotxpotat
o"xvoice;xaccompaniedxbyxfever,xchillsxandxmalaisexisxindicativexof:
A)xRetropharyngealxabscess
B)xEpiglotitis
C)xPeritonsillarxcellulitis
D)xPeritonsillarxabscessx-xanswerd)xPeritonsillarxabscess
Peritonsillarxabscessxisxcharacterizedxbyxseverexsorexthroat,xpainxorxdifficultyxswallowing,xj
awxmusclexspasms,xandxaxhotxpotatoxvoice.
Axyoungxadultxfemalexpatientxpresentsxtoxthexclinicxwithxcomplaintsxofxnervousness,xtremul
ousness,xpalpitations,xheatxintolerance,xfatigue,xweightxloss,xandxpolyphagia.xAfterxaxcomp
letexhistoryxandxphysical,xalongxwithxthyroidxfunctionxtests,xthexFNPxmakesxthexdiagnosisxof
xhyperthyroidism,xrecognizingxthatxthexmostxcommonxcausexofxthisxconditionxis:
A)xThyroidxcancer
B)xGraves'xdisease
C)xPituitaryxadenoma
D)xPostpartumxthyroiditisx-xanswerb)xGraves'xdisease
Graves'xdisease,xanxautoimmunexconditionxalsoxknownxasx"diffusextoxicxgoiter"xisxthexmostx
commonxcausexofxhyperthyroidismxinxthisxagexgroup.
Duringxanxevaluationxofxaxpatientxwithxprediabetes,xthexFNPxidentifiesxwhichxfindingxinxthexp
atient'sxobjectivexdataxthatxisxassociatedxwithxthexincreasingxinsulinxresistance?
A)xTriglyceridesx>x150mg/dl
B)xHDLx>x40xmg/dlxinxmenxandx>50xmg/dlxinxwomen
C)xBPx<x130/85xmmxHg
D)xFBSx<x110xmg/dlx-xanswera)xTriglyceridesx>x150mg/dl
, Improperxusexofxglucosexincreasesxthexreleasexofxfreexfattyxacidsxwhichxelevatesxtriglycerid
es.
Whenxprescribingxaxmealxplanxforxthexpatientxwithxtypex2xdiabetes,xthexFNPxtellsxthexpatient
xthatxthexmacronutrientxwithxthexmostxinfluencexonxthexpostprandialxglucosexlevelxis:
A)xFiber
B)xFat
C)xProtein
D)xCarbohydratex-xanswerd)xCarbohydrate
Carbohydratexisxaxmacronutrientxwithxthexgreatestximpactxonxthexpostprandialxglucosexleve
ls.
Whichxofxthexfollowingxcharacteristicsxappliesxtoxtypex1xdiabetesxmellitus?
A)xSignificantxhyperglycemiaxandxketoacidosisxresultxfromxaxlackxofxinsulin.
B)xThisxconditionxisxcommonlyxdiagnosesxonxroutinexexaminationxorxwork-
upxforxotherxhealthxproblems.
C)xInitialxresponsextoxoralxsulfonylureasxisxusuallyxfavorable.
D)xInsulinxresistancexisxaxsignificantxpartxofxthexdiease.x-
xanswera)xSignificantxhyperglycemiaxandxketoacidosisxresultxfromxaxlackxofxinsulin.
Typex1xDMxisxassociatedxwithxbetaxcellxdestructionxleadingxtoxabsolutexinsulinxdeficiencyxre
sultingxinxsignificantxhyperglycemiaxandxpotentialxforxketoacidosis.
Whichxofxthexfollowingxcharacteristicsxappliesxtoxtypex2xdiabetesxmellitus?
A)xMajorxriskxfactorsxarexheredityxandxobesity
B)xPear-shapedxbodyxtypexisxcommonlyxfound
C)xExogenousxinsulinxisxneededxforxcontrolxofxthexdisease
D)xPhysicalxactivityxincreasesxinsulinxresistancex-
xanswera)xMajorxriskxfactorsxarexheredityxandxobesity
Riskxfactorsxofxtypex2xDMxincludexincreasingxage,xobesity,xrace,xandxgenetics.
WhichxofxthexfollowingxisxNOTxaxriskxfactorxforxendometrialxcancer?
A)xObesity
B)xOralxcontraceptivexuse
C)xUnopposedxestrogenxuse
D)xAdvancingxage,xgreaterxthanx50xyearsx-xanswerb)xOralxcontraceptivexuse
Oralxcontraceptivesxhavexbeenxshownxtoxreducexthexincidencexofxendometrialxcancer.
ThexFNPxunderstandsxthexthexmostxaccuratexexplanationxforxthexdiagnosisxofxmixedxpreco
ciousxpubertyxis:x
A)xWhenxaxchildxdevelopsxsomexsecondaryxsexxcharacteristicsxofxthexoppositexsex.
B)xWhenxaxchildxdoesxnotxdevelopxanyxidentifiablexexternalxsexxorgans.
C)xWhenxearlyxpubertyxoccursxduextoxmultiple,xintegratedxcausativexeffects.
D)xWhenxearlyxpubertyxhasxsignsxofxphysicalxandxhormonalxabnormalities.x-
xanswera)xWhenxaxchildxdevelopsxsomexsecondaryxsexxcharacteristicsxofxthexoppos
itexsex.
