NR 546 FINAL EXAM WEEK 7
REPRODUCTIVE QUESTIONS AND
ANSWERS
What are the five 5 P's - ANSWER: partners, practices, past history of STI, protection,
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prevention of pregnancy (and pleasure)
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hypospadias - ANSWER: abnormal congenital opening of the male urethra on the
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undersurface of the penis
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epispadias - ANSWER: congenital defect in which the urinary meatus is located on
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the upper surface of the penis or on the side
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nagele's rule - ANSWER: identify LMP, subtract 3 months, add 7 days and one year
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difference between presumptive and positive s/s - ANSWER: presumptive (probable
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and noted on exam)
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positive- directly linked to fetus
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GTPAL - ANSWER: Gravida, Term, Preterm, Abortions, Living
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diffrence between gravida and para - ANSWER: gravida- number of pregancies the
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woman has had
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para- number of births the woman has had
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What does the T in GTPAL stand for? - ANSWER: term births- 37-42 weeks gestation
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what does the P stand for in GTPAL - ANSWER: preterm- 20-37
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what does the A in GTPAL stand for - ANSWER: spontaneous and/or elective
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abortions
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what does the L in GTPAL stand for? - ANSWER: living children
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what is quickening? - ANSWER: maternal sensation of fetal movement
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when can provider feel movements versus when mother can - ANSWER: provider-
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after 24 weeks
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, mom- 18-24 weeks bg bg
When should fundal height be measured? - ANSWER: is gestational age is > 20
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weeks= at this point fundus reaches umbilicus
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1. A 44-year-old female mathematician presents to clinic with a complaint of a mass in
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the right breast.Her partner noticed this mass 2 days ago, and the patient feels guilty
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because she has only had onemammogram and does not engage in breast self-
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examination (BSE) on any regular basis. She has nofamily history of breast cancer,
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and her prior mammogram was ordered as a routine screening test atage 43 years
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after a brief discussion with her primary care provider. After a thorough
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investigationreveals a benign cyst, what advice should be given to this patient about
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screening for breast cancer inher age group? - ANSWER: This patient was in
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compliance with the U.S. Preventive Services Task Force
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(USPSTF)recommendations for her age group and risk factors prior to her current
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complaint
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A 42-year-old female website developer presents for an annual preventive
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examination withquestions about breast cancer screening. She is concerned about
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the radiation exposure associated withmammography and is interested in magnetic
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resonance imaging (MRI) as a possible alternative forroutine screening. She is
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otherwise healthy with no family history of breast, ovarian, or colon cancer.Which of
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the following is true about MRI as a screening modality for breast cancer in the
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generalpopulation? - ANSWER: Sensitivity of screening for breast cancer increases
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with breast MRI at the expense of specificity.
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A 35-year-old G0P0 woman presents to clinic with a complaint of bilateral nipple
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discharge. Thisdischarge started several weeks ago and has occurred at irregular
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intervals since that time. She does notcomplain of local tenderness, redness, fever,
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or any other systemic symptoms aside from slightlyirregular periods over the last few
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months. On examination, she is able to express a small amount ofdischarge, which is
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sent to the laboratory and found to be consistent with breast milk but without
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anysigns of blood or pus. Screening laboratories are also sent, which reveal a normal
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blood count, metabolicpanel, thyroid-stimulating hormone, and human chorionic
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gonadotropin (HCG) level. Furtherlaboratories are still pending. Which of the following
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is the most likely diagnosis? - ANSWER: Prolactinoma
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A 22-year-old G0P0 undergraduate student presents to clinic after finding a breast
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mass on breastself-examination (BSE) at home. The mass is nontender without skin
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changes, erythema, or overlyingswelling. She has heard that most breast cancers are
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found by patients themselves, and she is veryconcerned that she may have breast
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cancer. Which of the following is true about BSE and self-detectionof breast cancer -
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ANSWER: This patient is more likely to find a fibroadenoma than a cancer on self-
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examination
REPRODUCTIVE QUESTIONS AND
ANSWERS
What are the five 5 P's - ANSWER: partners, practices, past history of STI, protection,
bg bg bg bg bg bg bg bg bg bg bg bg bg bg
prevention of pregnancy (and pleasure)
bg bg bg bg bg
hypospadias - ANSWER: abnormal congenital opening of the male urethra on the
bg bg bg bg bg bg bg bg bg bg bg
undersurface of the penis
bg bg bg bg
epispadias - ANSWER: congenital defect in which the urinary meatus is located on
bg bg bg bg bg bg bg bg bg bg bg bg
the upper surface of the penis or on the side
bg bg bg bg bg bg bg bg bg bg
nagele's rule - ANSWER: identify LMP, subtract 3 months, add 7 days and one year
bg bg bg bg bg bg bg bg bg bg bg bg bg bg
difference between presumptive and positive s/s - ANSWER: presumptive (probable
bg bg bg bg bg bg bg bg bg
and noted on exam)
bg bg bg bg
positive- directly linked to fetus
bg bg bg bg
GTPAL - ANSWER: Gravida, Term, Preterm, Abortions, Living
bg bg bg bg bg bg bg
diffrence between gravida and para - ANSWER: gravida- number of pregancies the
bg bg bg bg bg bg bg bg bg bg bg
woman has had
bg bg bg bg
para- number of births the woman has had
bg bg bg bg bg bg bg
What does the T in GTPAL stand for? - ANSWER: term births- 37-42 weeks gestation
bg bg bg bg bg bg bg bg bg bg bg bg bg bg
what does the P stand for in GTPAL - ANSWER: preterm- 20-37
bg bg bg bg bg bg bg bg bg bg bg
what does the A in GTPAL stand for - ANSWER: spontaneous and/or elective
bg bg bg bg bg bg bg bg bg bg bg bg
abortions
bg
what does the L in GTPAL stand for? - ANSWER: living children
bg bg bg bg bg bg bg bg bg bg bg
what is quickening? - ANSWER: maternal sensation of fetal movement
bg bg bg bg bg bg bg bg bg
when can provider feel movements versus when mother can - ANSWER: provider-
bg bg bg bg bg bg bg bg bg bg bg
after 24 weeks
bg bg bg
, mom- 18-24 weeks bg bg
When should fundal height be measured? - ANSWER: is gestational age is > 20
bg bg bg bg bg bg bg bg bg bg bg bg bg
weeks= at this point fundus reaches umbilicus
bg bg bg bg bg bg bg
1. A 44-year-old female mathematician presents to clinic with a complaint of a mass in
bg bg bg bg bg bg bg bg bg bg bg bg bg bg
the right breast.Her partner noticed this mass 2 days ago, and the patient feels guilty
bg bg bg bg bg bg bg bg bg bg bg bg bg bg bg
because she has only had onemammogram and does not engage in breast self-
bg bg bg bg bg bg bg bg bg bg bg bg bg
examination (BSE) on any regular basis. She has nofamily history of breast cancer,
bg bg bg bg bg bg bg bg bg bg bg bg
and her prior mammogram was ordered as a routine screening test atage 43 years
bg bg bg bg bg bg bg bg bg bg bg bg bg bg
after a brief discussion with her primary care provider. After a thorough
bg bg bg bg bg bg bg bg bg bg bg bg
investigationreveals a benign cyst, what advice should be given to this patient about
bg bg bg bg bg bg bg bg bg bg bg bg bg
screening for breast cancer inher age group? - ANSWER: This patient was in
bg bg bg bg bg bg bg bg bg bg bg bg bg
compliance with the U.S. Preventive Services Task Force
bg bg bg bg bg bg bg bg
(USPSTF)recommendations for her age group and risk factors prior to her current
bg bg bg bg bg bg bg bg bg bg bg bg
complaint
bg
A 42-year-old female website developer presents for an annual preventive
bg bg bg bg bg bg bg bg bg
examination withquestions about breast cancer screening. She is concerned about
bg bg bg bg bg bg bg bg bg bg
the radiation exposure associated withmammography and is interested in magnetic
bg bg bg bg bg bg bg bg bg bg
resonance imaging (MRI) as a possible alternative forroutine screening. She is
bg bg bg bg bg bg bg bg bg bg bg
otherwise healthy with no family history of breast, ovarian, or colon cancer.Which of
bg bg bg bg bg bg bg bg bg bg bg bg bg
the following is true about MRI as a screening modality for breast cancer in the
bg bg bg bg bg bg bg bg bg bg bg bg bg bg bg
generalpopulation? - ANSWER: Sensitivity of screening for breast cancer increases
bg bg bg bg bg bg bg bg bg bg
with breast MRI at the expense of specificity.
bg bg bg bg bg bg bg bg
A 35-year-old G0P0 woman presents to clinic with a complaint of bilateral nipple
bg bg bg bg bg bg bg bg bg bg bg bg
discharge. Thisdischarge started several weeks ago and has occurred at irregular
bg bg bg bg bg bg bg bg bg bg bg
intervals since that time. She does notcomplain of local tenderness, redness, fever,
bg bg bg bg bg bg bg bg bg bg bg bg
or any other systemic symptoms aside from slightlyirregular periods over the last few
bg bg bg bg bg bg bg bg bg bg bg bg bg
months. On examination, she is able to express a small amount ofdischarge, which is
bg bg bg bg bg bg bg bg bg bg bg bg bg bg
sent to the laboratory and found to be consistent with breast milk but without
bg bg bg bg bg bg bg bg bg bg bg bg bg bg
anysigns of blood or pus. Screening laboratories are also sent, which reveal a normal
bg bg bg bg bg bg bg bg bg bg bg bg bg bg
blood count, metabolicpanel, thyroid-stimulating hormone, and human chorionic
bg bg bg bg bg bg bg bg
gonadotropin (HCG) level. Furtherlaboratories are still pending. Which of the following
bg bg bg bg bg bg bg bg bg bg bg
is the most likely diagnosis? - ANSWER: Prolactinoma
bg bg bg bg bg bg bg bg
A 22-year-old G0P0 undergraduate student presents to clinic after finding a breast
bg bg bg bg bg bg bg bg bg bg bg
mass on breastself-examination (BSE) at home. The mass is nontender without skin
bg bg bg bg bg bg bg bg bg bg bg bg
changes, erythema, or overlyingswelling. She has heard that most breast cancers are
bg bg bg bg bg bg bg bg bg bg bg bg
found by patients themselves, and she is veryconcerned that she may have breast
bg bg bg bg bg bg bg bg bg bg bg bg bg
cancer. Which of the following is true about BSE and self-detectionof breast cancer -
bg bg bg bg bg bg bg bg bg bg bg bg bg bg
ANSWER: This patient is more likely to find a fibroadenoma than a cancer on self-
bg bg bg bg bg bg bg bg bg bg bg bg bg bg bg
examination
