NR602 WEEK 8 FINAL EXAM POSSIBLE QUESTIONS
ACOG guidelines regarding well women exams
What is the ASCCP recommended management for an ASCUS (atypical squamous cells of undetermined
significance) pap result with a positive high-risk HPV 16 cotest in a 26-year-old woman without a history of
abnormal pap smears?
Colposcopy
A well-woman visit for an adolescent should include which of the following?
A general health history focusing on reproductive and sexual health concerns (menses, gynecologic,
and pregnancy related) and psychosocial (family related, peer related, emotional, and physical as
well as related to abuse, drug use, and alcohol use) concerns
Physical exam, screening tests, and immunizations as indicated by the health history and gynecologic
considerations for an external-only inspection of the genitalia
ACOG Pap smear guidelines
A Bethesda system Pap smear report that reads LSIL is most consistent with which classification?
CIN 1
A single Pap smear reading of ASCUS in a patient negative for HPV infection should have what as follow-up?
Routine screening
A female patient is 35 years old. She has never had an abnormal PAP smear and has had regular screening since age
18. If she has a normal PAP smear with HPV testing today, when should she have the next cervical cancer
screening?
5 years
A young sexually active client at the family planning clinic is advised to have a Papanicolaou (Pap) smear. She has
never had a Pap smear before. What should the nurse include in the explanation of this procedure?
The Pap smear can detect cancer of the cervix
Lab results on your 26-year-old patient show a negative Pap smear with a positive human papillomavirus (HPV)
screen. Which procedure will be required next?
Repeat Pap and HPV screen
Which of the following is not part of the criteria for an older woman to cease having any future Pap tests performed?
Over 55 years of age
Amenorrhea (Primary and Secondary)
You are evaluating a 17-year-old Emily who presented with amenorrhea and normal secondary sex characteristics.
The purpose of the progesterone challenge is to ascertain the presence of?
Endogenous estrogen
, A 17-year-old female patient presents with amenorrhea for 4 months she did experience menarche at age 15 but had
not had a menstrual cycle since. On physical examination, it is noticed that she has normal secondary sexual
characteristics. The nurse practitioner will consider a progesterone challenge to determine the presence of adequate
Endogenous estrogen
A teenage patient presents with amenorrhea and moral secondary sex characteristics. A progesterone challenge is
ordered. The purpose is to determine the presence of ____________?
Endogenous estrogen
A 16year old girl who comes to your office with a history of secondary amenorrhea. She experienced menarche at
age 10, regular cycles for 2 years. She has not menstruated now for 4 years. In your initial consideration of
differential diagnoses, what is the most frequent etiology of this problem:
Eating disorder
18yo female c/o secondary amenorrhea. On exam, there is normal secondary sex characteristics and normal
genitalia. Pregnancy is ruled out. What would necessitate further eval?
Galactorrhea
Primary amenorrhea is best described as:
Failure to menstruation to occur by 13 yr
A nurse practitioner is caring for a woman with primary and secondary amenorrhea. The pelvic exam was normal.
Which of the following may be the cause if etiology originates in the hypothalamus?
Sheehan’s syndrome
American Cancer Society recommendations
A nurse practitioner is participating in a women’s health fair. When educating the women about risk factors for
breast cancer, which of the following statements is incorrect?
Fibrocystic breast disease
When educating women about breast cancer risk factors, which statement is incorrect?
Fibrocystic breast disease
A woman with lobular carcinoma in situ has a relative risk of developing invasive breast cancer of
8.0
Androgen insensitivity/resistance syndrome
Changes in hormonal regulation during menopause result in the gradual cessation of menstruation. From which
gland is Androstenedione secreted?
Adrenals
ASCUS/HSIL results from Paper Test Report
A Pap smear result of atypical squamous cells of undetermined significance—rule out high-grade squamous
intraepithelial lesion (ASCUS r/o HGSIL) will require which procedure next?
Colposcopy
A Pap smear result of atypical squamous cells of undetermined significance (ASCUS) will require which procedure
next?
ACOG guidelines regarding well women exams
What is the ASCCP recommended management for an ASCUS (atypical squamous cells of undetermined
significance) pap result with a positive high-risk HPV 16 cotest in a 26-year-old woman without a history of
abnormal pap smears?
Colposcopy
A well-woman visit for an adolescent should include which of the following?
A general health history focusing on reproductive and sexual health concerns (menses, gynecologic,
and pregnancy related) and psychosocial (family related, peer related, emotional, and physical as
well as related to abuse, drug use, and alcohol use) concerns
Physical exam, screening tests, and immunizations as indicated by the health history and gynecologic
considerations for an external-only inspection of the genitalia
ACOG Pap smear guidelines
A Bethesda system Pap smear report that reads LSIL is most consistent with which classification?
CIN 1
A single Pap smear reading of ASCUS in a patient negative for HPV infection should have what as follow-up?
Routine screening
A female patient is 35 years old. She has never had an abnormal PAP smear and has had regular screening since age
18. If she has a normal PAP smear with HPV testing today, when should she have the next cervical cancer
screening?
5 years
A young sexually active client at the family planning clinic is advised to have a Papanicolaou (Pap) smear. She has
never had a Pap smear before. What should the nurse include in the explanation of this procedure?
The Pap smear can detect cancer of the cervix
Lab results on your 26-year-old patient show a negative Pap smear with a positive human papillomavirus (HPV)
screen. Which procedure will be required next?
Repeat Pap and HPV screen
Which of the following is not part of the criteria for an older woman to cease having any future Pap tests performed?
Over 55 years of age
Amenorrhea (Primary and Secondary)
You are evaluating a 17-year-old Emily who presented with amenorrhea and normal secondary sex characteristics.
The purpose of the progesterone challenge is to ascertain the presence of?
Endogenous estrogen
, A 17-year-old female patient presents with amenorrhea for 4 months she did experience menarche at age 15 but had
not had a menstrual cycle since. On physical examination, it is noticed that she has normal secondary sexual
characteristics. The nurse practitioner will consider a progesterone challenge to determine the presence of adequate
Endogenous estrogen
A teenage patient presents with amenorrhea and moral secondary sex characteristics. A progesterone challenge is
ordered. The purpose is to determine the presence of ____________?
Endogenous estrogen
A 16year old girl who comes to your office with a history of secondary amenorrhea. She experienced menarche at
age 10, regular cycles for 2 years. She has not menstruated now for 4 years. In your initial consideration of
differential diagnoses, what is the most frequent etiology of this problem:
Eating disorder
18yo female c/o secondary amenorrhea. On exam, there is normal secondary sex characteristics and normal
genitalia. Pregnancy is ruled out. What would necessitate further eval?
Galactorrhea
Primary amenorrhea is best described as:
Failure to menstruation to occur by 13 yr
A nurse practitioner is caring for a woman with primary and secondary amenorrhea. The pelvic exam was normal.
Which of the following may be the cause if etiology originates in the hypothalamus?
Sheehan’s syndrome
American Cancer Society recommendations
A nurse practitioner is participating in a women’s health fair. When educating the women about risk factors for
breast cancer, which of the following statements is incorrect?
Fibrocystic breast disease
When educating women about breast cancer risk factors, which statement is incorrect?
Fibrocystic breast disease
A woman with lobular carcinoma in situ has a relative risk of developing invasive breast cancer of
8.0
Androgen insensitivity/resistance syndrome
Changes in hormonal regulation during menopause result in the gradual cessation of menstruation. From which
gland is Androstenedione secreted?
Adrenals
ASCUS/HSIL results from Paper Test Report
A Pap smear result of atypical squamous cells of undetermined significance—rule out high-grade squamous
intraepithelial lesion (ASCUS r/o HGSIL) will require which procedure next?
Colposcopy
A Pap smear result of atypical squamous cells of undetermined significance (ASCUS) will require which procedure
next?
