TEST 1 MATERIALS NURS 5432 EXAM
QUESTIONS WITH CORRECT EXPLAINED
ANSWERS || 100% GUARANTEED PASS!!
<RECENT VERSION>
1. PAP smear - ANSWER ✔ start at 25year per ACS, HPV every 5
years , cotesting every 5 years, cytology every 3 years
2. Breast Cancer - ANSWER ✔ 2nd most cause of CA death in USA
women
Malignant neoplasm of cells native to breast epithelial, glandular,
or stoma
3. Hormone replacement therapy is a RISK FACTOR for Breast CA -
ANSWER ✔ (combination estrogen-progestrone and estrogen only
agent)
during perimenopause increases breast cancer risk for 10 years
after medication discontinued
4. Treatment for breast CA - ANSWER ✔ Hormonal therapy
-SERMS
Tamoxifen (20-40mg daily; if more than 20 use twice daily dose)
Raloxifene (60mg daily)
Calcium and vitamin D supplement is recommended
- non-steroidal aromatase inhibitors {lowers estrogen
production}
, Anastrozole 1mg daily
Letrozole 2.5mg daily
-chemotherapy
-radiation therapy
5. Benign Ovarian Tumors - ANSWER ✔ Non-malignant tumor of
the ovary may be solid or cystic
6. Leopold's Maneuvers - ANSWER ✔ Palpation to determine
presentation and position of the fetus and aid in location of fetal
heart sounds.
Head=hard, round, movable object
Buttocks=soft and irregular shape
Back=smooth, hard surface felt on one side of the abdomen
Irregular knobs and lumps on opposite side of abdomen may be
hands, feet, elbows, and knees
7. Expected weight gain during pregnancy - ANSWER ✔ -
Underweight - 28-40 lbs
-Normal - 25-35 lbs.
-Overweight - 15-25 lbs.
-Obese 11-20 lbs
8. Nutrition for pregnant women - ANSWER ✔ Calories: increase of
300 kcal/day
folic acid: 0.4mg/day
Elemental iron: 30mg/day
Calcium: 1200mg/day
9. Common Pregnancy issues - ANSWER ✔ Always refer to PLLR
when recommending pharmacologic managements.
,10. Ankle edema: keep legs elevated, warm compress.
Acetaminophen is okay, NO ASPIRIN OR NSAIDS. Be cautious
with muscle relaxants.
Constipation: d/t increased progestrone level and comrpession of
the lower bowel d/t uterus enlargement.
Reduce iron supplement as indicated, mild laxatives (prune juice,
milk of Mg, Psyllium, docusate sodium, docusate calcium,
senokot) are okay. DON'T DO Harsh laxatives or enema for it can
induce labor. NO mineral oil it reduce nutrition absorption.
11. Gerd: d/t increased progestrone.
Histamine 2 blockers, tums and maalox, Lansoprazole (PPI) are all
safe. Famotidine NOT safe for It can pass through placenta
diagnostic test; pregnancy test, urine analysis, tumor marker test
that is CA125 <35 MCG/ML, transvaginal ultrasound or MRI.
Treatments:
non-pharmacological- laparoscopic surgery.
Pharmacologic - oral contraceptives or estrogen therapy
12. Ovarian Cancer - ANSWER ✔ Malignancy of ovaries
surface epithelium, germ or stromal cells. Epitherlial ovarian
cancer (EOC) is 90%
Prevention: use of oral contraceptives {5years decrease risk by
20%, 15 years decrease risk by 50%}, multiparity, breastfeeding,
tubal ligation or hysterectomy, salpingo-oopherectomy, check
CA125, transvaginal ultrasound q6-12 month at age 3- or 10 years
prior to earliest age of family cancer diagnosis
Diagnostic:
CBC, LFT's to rule out hepatic disease, urinalysis, serum albumin,
Tumor markers {If epithelial tumor: CA-125, CA19-9, CEA, but
CA125 might not be the best accurate one. If nonepithelial tumors:
inhibin A/B, HCG, AFP, LDH}, pelvic (transvaginal) US, CT
, abdomen and pelvis with contrast, CXR or CT chest for pleural
effusion or lung nodules
Treatment:
Surgical and chemotherapy
13. BRCA1 and BRCA2 - ANSWER ✔ tumor suppressor gene
14. Missed Pill situation - ANSWER ✔ -If you miss one pill
within 12 hours of time that you should have taken: take todays pill
immediately
-If you miss one pill more than 12 hours of time that you should
have taken: take todays pill immediately
- If more than one pill missed: take todays pill and forgotten
pill today (two tablets in 1 day)
If she has at least seven active pills in the pack, she has two
options:
Take the rest of the active pills, skip the placebo pills and start the
next pack of pills without interruption and use condom or
abstinence for seven days.
OR
take the pills as in the pack and use condom or abstinence until she
has taken seven of the pills in the pack
15. Prenatal Visits - ANSWER ✔ every 4 weeks until 28 weeks
every 2 weeks until 36 weeks
every week until born
16. First trimerster - ANSWER ✔ 0-12week
S/S: urinary frequency, breast tenderness, nausea, vomiting,
fatigue, amenorrhea
Physical Exam findings:
- softening of cervix (Goodwell's sign)
-Cervical cyanosis (chadwicks sign)
QUESTIONS WITH CORRECT EXPLAINED
ANSWERS || 100% GUARANTEED PASS!!
<RECENT VERSION>
1. PAP smear - ANSWER ✔ start at 25year per ACS, HPV every 5
years , cotesting every 5 years, cytology every 3 years
2. Breast Cancer - ANSWER ✔ 2nd most cause of CA death in USA
women
Malignant neoplasm of cells native to breast epithelial, glandular,
or stoma
3. Hormone replacement therapy is a RISK FACTOR for Breast CA -
ANSWER ✔ (combination estrogen-progestrone and estrogen only
agent)
during perimenopause increases breast cancer risk for 10 years
after medication discontinued
4. Treatment for breast CA - ANSWER ✔ Hormonal therapy
-SERMS
Tamoxifen (20-40mg daily; if more than 20 use twice daily dose)
Raloxifene (60mg daily)
Calcium and vitamin D supplement is recommended
- non-steroidal aromatase inhibitors {lowers estrogen
production}
, Anastrozole 1mg daily
Letrozole 2.5mg daily
-chemotherapy
-radiation therapy
5. Benign Ovarian Tumors - ANSWER ✔ Non-malignant tumor of
the ovary may be solid or cystic
6. Leopold's Maneuvers - ANSWER ✔ Palpation to determine
presentation and position of the fetus and aid in location of fetal
heart sounds.
Head=hard, round, movable object
Buttocks=soft and irregular shape
Back=smooth, hard surface felt on one side of the abdomen
Irregular knobs and lumps on opposite side of abdomen may be
hands, feet, elbows, and knees
7. Expected weight gain during pregnancy - ANSWER ✔ -
Underweight - 28-40 lbs
-Normal - 25-35 lbs.
-Overweight - 15-25 lbs.
-Obese 11-20 lbs
8. Nutrition for pregnant women - ANSWER ✔ Calories: increase of
300 kcal/day
folic acid: 0.4mg/day
Elemental iron: 30mg/day
Calcium: 1200mg/day
9. Common Pregnancy issues - ANSWER ✔ Always refer to PLLR
when recommending pharmacologic managements.
,10. Ankle edema: keep legs elevated, warm compress.
Acetaminophen is okay, NO ASPIRIN OR NSAIDS. Be cautious
with muscle relaxants.
Constipation: d/t increased progestrone level and comrpession of
the lower bowel d/t uterus enlargement.
Reduce iron supplement as indicated, mild laxatives (prune juice,
milk of Mg, Psyllium, docusate sodium, docusate calcium,
senokot) are okay. DON'T DO Harsh laxatives or enema for it can
induce labor. NO mineral oil it reduce nutrition absorption.
11. Gerd: d/t increased progestrone.
Histamine 2 blockers, tums and maalox, Lansoprazole (PPI) are all
safe. Famotidine NOT safe for It can pass through placenta
diagnostic test; pregnancy test, urine analysis, tumor marker test
that is CA125 <35 MCG/ML, transvaginal ultrasound or MRI.
Treatments:
non-pharmacological- laparoscopic surgery.
Pharmacologic - oral contraceptives or estrogen therapy
12. Ovarian Cancer - ANSWER ✔ Malignancy of ovaries
surface epithelium, germ or stromal cells. Epitherlial ovarian
cancer (EOC) is 90%
Prevention: use of oral contraceptives {5years decrease risk by
20%, 15 years decrease risk by 50%}, multiparity, breastfeeding,
tubal ligation or hysterectomy, salpingo-oopherectomy, check
CA125, transvaginal ultrasound q6-12 month at age 3- or 10 years
prior to earliest age of family cancer diagnosis
Diagnostic:
CBC, LFT's to rule out hepatic disease, urinalysis, serum albumin,
Tumor markers {If epithelial tumor: CA-125, CA19-9, CEA, but
CA125 might not be the best accurate one. If nonepithelial tumors:
inhibin A/B, HCG, AFP, LDH}, pelvic (transvaginal) US, CT
, abdomen and pelvis with contrast, CXR or CT chest for pleural
effusion or lung nodules
Treatment:
Surgical and chemotherapy
13. BRCA1 and BRCA2 - ANSWER ✔ tumor suppressor gene
14. Missed Pill situation - ANSWER ✔ -If you miss one pill
within 12 hours of time that you should have taken: take todays pill
immediately
-If you miss one pill more than 12 hours of time that you should
have taken: take todays pill immediately
- If more than one pill missed: take todays pill and forgotten
pill today (two tablets in 1 day)
If she has at least seven active pills in the pack, she has two
options:
Take the rest of the active pills, skip the placebo pills and start the
next pack of pills without interruption and use condom or
abstinence for seven days.
OR
take the pills as in the pack and use condom or abstinence until she
has taken seven of the pills in the pack
15. Prenatal Visits - ANSWER ✔ every 4 weeks until 28 weeks
every 2 weeks until 36 weeks
every week until born
16. First trimerster - ANSWER ✔ 0-12week
S/S: urinary frequency, breast tenderness, nausea, vomiting,
fatigue, amenorrhea
Physical Exam findings:
- softening of cervix (Goodwell's sign)
-Cervical cyanosis (chadwicks sign)
