NR 509 /NR509 FINAL EXAM NEWEST 20
n n n n n n
24 TEST BANK AND STUDY GUIDE COM
n n n n n n
PLETE 250 QUESTIONS AND CORRECT n n n n n
DETAILED ASNWERS WITHRATIONAL n n n
ES (VERIFIED ANSWERS) n n
|ALREADY GRADED A+ n n
A 20-year- n
old college student presents for his annual physicalexamination.
n n n n n n n n
He recently became sexually active and is inquiring about the b
n n n n n n n n n n n
est means of preventing sexually transmitted infections (STIs).
n n n n n n n n
Of the following, which would be the most effective means of pr
n n n n n n n n n n n
evention?
a. Early withdrawal
n n n
b. Male condoms c
n n n
. Spermicides
n
d. Diaphragms
n
e. Cervical caps - ....ANSWER...b. Male condoms
n n n n n n
A 21-year- n
old college student presents to the student health clinic for a full
n n n n n n n n n n n n
physical examination. He is generally healthy;however, he repo
n n n n n n n n
rts that he has had sexual intercourse with multiple partners in th
n n n n n n n n n n n
e past couple of months. He noticed a small lesion on the shaft of
n n n n n n n n n n n n n
his penis a few days ago. While performing the examination, he
n n n n n n n n n n n n
unwillingly achieves an erection. How should the clinician proc n n n n n n n n
eed at this point? n n n
a. Stop the examination immediately.n n n
,b. Have him return to see another provider. n n n n n n
c. Explain this is a normal response and finish thee n n n n n n n n n
xamination.
d. Tell him the examination cannot proceed until the erectionsu
n n n n n n n n n
bsides.
e. Assume that he is malingering. - n n n n n
....ANSWER...c. Explainthis is a normal response and finish t
n n n n n n n n n n
he examination.
n
A 45-year-
n
old driver's education instructor presents to the clinic for heavy
n n n n n n n n n n
periods and pelvic pain during her menses. She reached menarc
n n n n n n n n n
he at age 13 years and has had regular periods except during her
n n n n n n n n n n n n n
pregnancies. She is a G4P3013 anddoes not use birth control as n n n n n n n n n n n n
her husband has had a vasectomy. She states this has been going
n n n n n n n n n n n
non for about a yearbut seems to be getting worse. Her last perio
n n n n n n n n n n n n n
d was 1 week ago. On bimanual exam, a large midline mass half
n n n n n n n n n n n n
way to the umbilicus is palpated. Each adnexal area is nonpalpa
n n n n n n n n n n
ble. Herrectal exam is normal. Her body mass index (BMI) is 27
n n n n n n n n n n n n
.
What is the best explanation for her physical finding?
n n n n n n n n
a. Large colonic stool
n n n n
b. Ovarian mass
n n
c. Fibroids
d. 4-Month pregnancy n
e. Bartholin gland enlargement - ....ANSWER...c. Fibroids n n n n n
A 32-year-
n
old G0 woman comes for evaluation on why she and her husba
n n n n n n n n n n n
nd have been unable to get pregnant. Her husband has been mar
n n n n n n n n n n n
ried before and has two other children,ages 7 and 4 years. The p
n n n n n n n n n n n n n
atient relates she began her periodsat age 12 and has been fairly
n n n n n n n n n n n n n
regular ever since. She began oral contraceptive pills from whe
n n n n n n n n n
n she got married until last year, when she began to try for a pre
n n n n n n n n n n n n n n
gnancy.
,Before this she had regular cycles for 10 years. She has had ahist
n n n n n n n n n n n n n
ory of five prior partners. She relates she was once treatedfor a s
n n n n n n n n n n n n n
evere genital infection when she was in college. Based on this p
n n n n n n n n n n n
atient's history, what is the best explanation for her infertility?
n n n n n n n n n
a. Prior pelvic inflammatory disease (PID)b
n n n n n n
. Prior Bartholin gland infection
n n n n
c. Prior herpes infection n n
d. Metabolic disorder with subsequent hormonal irregularitiesl n n n n n n
eading to anovulation n n
e. Secondary amenorrhea - n n
n....ANSWER...a. Prior pelvicinflammatory disease (PID) n n n n n
A 24-year- n
old retail clerk presents to the clinic for an annual exam. Her last
n n n n n n n n n n n n
Pap was 3 years ago and was normal. She is a G0 and is currentl
n n n n n n n n n n n n n n n
y not sexually active although she has had two lifetime partners.
n n n n n n n n n n
She is on oral contraceptive pills for cycle control and has no m
n n n n n n n n n n n n n
edical problems. Based on guidelines, the clinician proceeds to
n n n n n n n n n
perform a Pap smear andplaces the speculum. There are two lay
n n n n n n n n n n n
ers of cells, squamousand columnar. Where is the most importa
n n n n n n n n n n
nt area to obtain cells for a Pap smear?
n n n n n n n n
a. Zona reticularis n
b. Transformation zone n n
c. Squamous zone
n n
d. Columnar zone
n n
e. Linea nigra - ....ANSWER...b. Transformation zone
n n n n n n
A 35-year- n
old grade school teacher presents for her annual exam. Her last
n n n n n n n n n n n
Pap smear was 4 years ago and normal. She isa G1P1 with a 6-
n n n n n n n n n n n n n n
year-old child. She has had four lifetime n n n n n n
, partners but only one partner in the last 12 years. Otherwise she
n n n n n n n n n n n n
has no complaints. A speculum exam is done followed bya bima
n n n n n n n n n n n
nual examination during which a rectovaginal mass is palpated.
n n n n n n n n n
Which of the following exam findings would be most reassuring
n n n n n n n n n
that this is not a colonic mass?
n n n n n n n
a. No cervical motion tendernessb
n n n n n
. No pus from the os
n n n n n
c. The mass dents with digital pressured.
n n n n n n n n
Both adnexa are nontender n n n
e. The perineum has no lesions -
n n n n n n
n....ANSWER...c. The massdents with digital pressure n n n n n n
A 21-year-
n
old college student presents for her first annual exam. She has be
n n n n n n n n n n n
en sexually active for 1 year and has had twopartners. She is not a
n n n n n n n n n n n n n n
ware of having had any sexually transmitted diseases (STIs).
n n n n n n n n
She is using condoms for birth control and STI prevention butad
n n n n n n n n n n n
mits to not always using them regularly. Her last menses was 2 w
n n n n n n n n n n n n
eeks ago. On speculum exam, an unusual appearance is noted, w
n n n n n n n n n n
hich is diagnosed as warts. What is the best description for these
n n n n n n n n n n n n
lesions?
a. Several shallow ulcers with a red baseb.
n n n n n n n n
nTranslucent nodules n
c. Raised friable or lobed lesions n n n n
d. Bright red, soft lesion arising from the cervical canal n n n n n n n n
e. Strawberry cervix (small red granular spots or petechiae) - n n n n n n n n
....ANSWER...c. Raised friable or lobed lesions n n n n n
A 23-year-
n
old female comes to the clinic to discuss her birthcontrol optio
n n n n n n n n n n n
ns. Although she has been sexually active sinceage 16 years, s
n n n n n n n n n n n
he has been with one partner for the last year.
n n n n n n n n n
n n n n n n
24 TEST BANK AND STUDY GUIDE COM
n n n n n n
PLETE 250 QUESTIONS AND CORRECT n n n n n
DETAILED ASNWERS WITHRATIONAL n n n
ES (VERIFIED ANSWERS) n n
|ALREADY GRADED A+ n n
A 20-year- n
old college student presents for his annual physicalexamination.
n n n n n n n n
He recently became sexually active and is inquiring about the b
n n n n n n n n n n n
est means of preventing sexually transmitted infections (STIs).
n n n n n n n n
Of the following, which would be the most effective means of pr
n n n n n n n n n n n
evention?
a. Early withdrawal
n n n
b. Male condoms c
n n n
. Spermicides
n
d. Diaphragms
n
e. Cervical caps - ....ANSWER...b. Male condoms
n n n n n n
A 21-year- n
old college student presents to the student health clinic for a full
n n n n n n n n n n n n
physical examination. He is generally healthy;however, he repo
n n n n n n n n
rts that he has had sexual intercourse with multiple partners in th
n n n n n n n n n n n
e past couple of months. He noticed a small lesion on the shaft of
n n n n n n n n n n n n n
his penis a few days ago. While performing the examination, he
n n n n n n n n n n n n
unwillingly achieves an erection. How should the clinician proc n n n n n n n n
eed at this point? n n n
a. Stop the examination immediately.n n n
,b. Have him return to see another provider. n n n n n n
c. Explain this is a normal response and finish thee n n n n n n n n n
xamination.
d. Tell him the examination cannot proceed until the erectionsu
n n n n n n n n n
bsides.
e. Assume that he is malingering. - n n n n n
....ANSWER...c. Explainthis is a normal response and finish t
n n n n n n n n n n
he examination.
n
A 45-year-
n
old driver's education instructor presents to the clinic for heavy
n n n n n n n n n n
periods and pelvic pain during her menses. She reached menarc
n n n n n n n n n
he at age 13 years and has had regular periods except during her
n n n n n n n n n n n n n
pregnancies. She is a G4P3013 anddoes not use birth control as n n n n n n n n n n n n
her husband has had a vasectomy. She states this has been going
n n n n n n n n n n n
non for about a yearbut seems to be getting worse. Her last perio
n n n n n n n n n n n n n
d was 1 week ago. On bimanual exam, a large midline mass half
n n n n n n n n n n n n
way to the umbilicus is palpated. Each adnexal area is nonpalpa
n n n n n n n n n n
ble. Herrectal exam is normal. Her body mass index (BMI) is 27
n n n n n n n n n n n n
.
What is the best explanation for her physical finding?
n n n n n n n n
a. Large colonic stool
n n n n
b. Ovarian mass
n n
c. Fibroids
d. 4-Month pregnancy n
e. Bartholin gland enlargement - ....ANSWER...c. Fibroids n n n n n
A 32-year-
n
old G0 woman comes for evaluation on why she and her husba
n n n n n n n n n n n
nd have been unable to get pregnant. Her husband has been mar
n n n n n n n n n n n
ried before and has two other children,ages 7 and 4 years. The p
n n n n n n n n n n n n n
atient relates she began her periodsat age 12 and has been fairly
n n n n n n n n n n n n n
regular ever since. She began oral contraceptive pills from whe
n n n n n n n n n
n she got married until last year, when she began to try for a pre
n n n n n n n n n n n n n n
gnancy.
,Before this she had regular cycles for 10 years. She has had ahist
n n n n n n n n n n n n n
ory of five prior partners. She relates she was once treatedfor a s
n n n n n n n n n n n n n
evere genital infection when she was in college. Based on this p
n n n n n n n n n n n
atient's history, what is the best explanation for her infertility?
n n n n n n n n n
a. Prior pelvic inflammatory disease (PID)b
n n n n n n
. Prior Bartholin gland infection
n n n n
c. Prior herpes infection n n
d. Metabolic disorder with subsequent hormonal irregularitiesl n n n n n n
eading to anovulation n n
e. Secondary amenorrhea - n n
n....ANSWER...a. Prior pelvicinflammatory disease (PID) n n n n n
A 24-year- n
old retail clerk presents to the clinic for an annual exam. Her last
n n n n n n n n n n n n
Pap was 3 years ago and was normal. She is a G0 and is currentl
n n n n n n n n n n n n n n n
y not sexually active although she has had two lifetime partners.
n n n n n n n n n n
She is on oral contraceptive pills for cycle control and has no m
n n n n n n n n n n n n n
edical problems. Based on guidelines, the clinician proceeds to
n n n n n n n n n
perform a Pap smear andplaces the speculum. There are two lay
n n n n n n n n n n n
ers of cells, squamousand columnar. Where is the most importa
n n n n n n n n n n
nt area to obtain cells for a Pap smear?
n n n n n n n n
a. Zona reticularis n
b. Transformation zone n n
c. Squamous zone
n n
d. Columnar zone
n n
e. Linea nigra - ....ANSWER...b. Transformation zone
n n n n n n
A 35-year- n
old grade school teacher presents for her annual exam. Her last
n n n n n n n n n n n
Pap smear was 4 years ago and normal. She isa G1P1 with a 6-
n n n n n n n n n n n n n n
year-old child. She has had four lifetime n n n n n n
, partners but only one partner in the last 12 years. Otherwise she
n n n n n n n n n n n n
has no complaints. A speculum exam is done followed bya bima
n n n n n n n n n n n
nual examination during which a rectovaginal mass is palpated.
n n n n n n n n n
Which of the following exam findings would be most reassuring
n n n n n n n n n
that this is not a colonic mass?
n n n n n n n
a. No cervical motion tendernessb
n n n n n
. No pus from the os
n n n n n
c. The mass dents with digital pressured.
n n n n n n n n
Both adnexa are nontender n n n
e. The perineum has no lesions -
n n n n n n
n....ANSWER...c. The massdents with digital pressure n n n n n n
A 21-year-
n
old college student presents for her first annual exam. She has be
n n n n n n n n n n n
en sexually active for 1 year and has had twopartners. She is not a
n n n n n n n n n n n n n n
ware of having had any sexually transmitted diseases (STIs).
n n n n n n n n
She is using condoms for birth control and STI prevention butad
n n n n n n n n n n n
mits to not always using them regularly. Her last menses was 2 w
n n n n n n n n n n n n
eeks ago. On speculum exam, an unusual appearance is noted, w
n n n n n n n n n n
hich is diagnosed as warts. What is the best description for these
n n n n n n n n n n n n
lesions?
a. Several shallow ulcers with a red baseb.
n n n n n n n n
nTranslucent nodules n
c. Raised friable or lobed lesions n n n n
d. Bright red, soft lesion arising from the cervical canal n n n n n n n n
e. Strawberry cervix (small red granular spots or petechiae) - n n n n n n n n
....ANSWER...c. Raised friable or lobed lesions n n n n n
A 23-year-
n
old female comes to the clinic to discuss her birthcontrol optio
n n n n n n n n n n n
ns. Although she has been sexually active sinceage 16 years, s
n n n n n n n n n n n
he has been with one partner for the last year.
n n n n n n n n n
