NSG 6665 TEST 2: GU QUESTIONS WITH VERIFIED ANSWERS 100% SOLVED| LATEST UPDATE
GUARANTEED PASS
vulvovaginitis/vaginitis dx UA, URINE CULTURE, BACTERIAL CULTURE OF DISCHARGE, WET
MOUNT, CULTURES IF SUSPECT ABUSE!!!!! • DD - ATOPIC/CONTACT DERMATITIS, LABIAL
ADHESIONS, SEXUAL ABUSE, YEAST VAGINITIS BACTERIAL VAGINOSIS, TRICHOMONIASIS,
STISYMPTOMATIC RELIEF OF PAIN • NSAIDS IBUPROFEN 400-800MG EVERY 8H AND NAPROXEN
550MG EVERY 12H & HEATING PAD • REFERRAL GYNECOLOGIST • OCPS IN SOME CASES
vulvovaginitis/vaginitis plan DEPENDS ON CAUSE • INFECTION, CONTACT DERMATITIS
Mittelschmerz abdominal pain that occurs midway between the menstrual periods at
ovulation
Mittelschmerz objective ABDOMINAL, INGUINAL, GU EXAMS • PAIN WITH PALPATION OF
ABDOMEN & OVARIES
Mittelschmerz dx • NO DIAGNOSTIC EXAMS • DD - APPENDICITIS, OVARIAN CYST, ECTOPIC
PREGNANCY
Mittelschmerz plan SYMPTOMATIC RELIEF OF PAIN • NSAIDS IBUPROFEN 400-800MG EVERY
8H AND NAPROXEN 550MG EVERY 12H & HEATING PAD • REFERRAL GYNECOLOGIST • OCPS IN
SOME CASES
dysmenorrhea painful menstruation
dysmenorrhea subjective HISTORY OF MENSTRUAL CYCLE, 7 VARIABLES,
NAUSEA/VOMITING, MEDICATIONS, FAMILY HISTORY, SCHOOL MISSED
-usually with period but may be 1-2 days before
,dysmenorrhea objective COMPLETE PHYSICAL EXAM • PELVIC EXAM
dysmenorrhea dx UA, CBC, SED RATE, PREGNANCY TEST • PELVIC ULTRASOUND • DD -
ENDOMETRIOSIS, PID
dysmenorrhea plan • SYMPTOMATIC RELIEF OF PAIN • NSAIDS SUCH AS IBUPROFEN 400-
800MG Q8H OR NAPROXEN 550MG EVERY 12H & HEATING PAD • REFERRAL GYNECOLOGIST •
OCPS
Mittleschmerz drug of choice ibuprofen
dysmenorrhea cause release of prostaglandins
dysmenorrhea primary no pelvic animalities
mastalgia pain in the breast
mastalgia subjective LAST MENSTRUAL CYCLE, PAIN RELATED TO CYCLE, MASSES, REDNESS,
DISCHARGE, MEDICATIONS, FAMILY HISTORY
mastalgia objective VITAL SIGNS • BREAST EXAM • SYMMETRY (A LITTLE ASYMMETRY IS
NORMAL IN ADOLESCENCE), MASSES, TENDERNESS, HEAT, NIPPLE DISCHARGE
mastalgia dx PREGNANCY TEST, CBC IF INFECTED • ULTRASOUND IF CYST • DD - INFECTION,
FIBROCYSTIC BREAST DISEASE, MASS, BREAST CANCER (ALTHOUGH ADOLESCENT BREAST
CANCER IS RARE*)
, mastalgia plan • SYMPTOMATIC FOR PAIN - NSAIDS • REFERRAL DEPENDING ON FINDINGS
OF ULTRASOUND
amenorrhea absence of menstruation
amenorrhea subjective • FAMILY HISTORY, AGE OF MOM & SIBLINGS, • DETAILED GROWTH,
SYSTEMIC ILLNESS, NUTRITION, MEDICATIONS, STRESS • TABLE-"PATIENT HISTORY FOR
EVALUATING THE CAUSE OF AMENORRHEA"
amenorrhea objective VITAL SIGNS, GROWTH CHARTS, TANNER STAGE, NEURO,
RESPIRATORY, BREAST, THYROID, CARDIAC, ABDOMINAL, GU
amenorrhea dx UA, TSH, FSH, PROLACTIN, PREGNANCY TEST • DD - TURNER SYNDROME,
EATING DISORDERS • BOX 42.5 TESTS FOR EVALUATING AMENORRHEA
amenorrhea plan REAT CAUSE • PEDIATRIC GYNECOLOGIST IF NEEDED
primary amenorrhea no period at all by age 16 yo
secondary amenorrhea no period for at least 3 cycles or 6 months no period
Abnormal Uterine Bleeding (AUB) irregular bleeding in the absence of pregnancy
Abnormal Uterine Bleeding (AUB) subjective • FAMILY HISTORY, MENSTRUAL HISTORY,
PREMENSTRUAL SYNDROME, SEXUAL ACTIVITY, MEDICATIONS, STI, DISCHARGE, PAIN, STRESS,
WEIGHT LOSS, TRAUMA, ABUSE
GUARANTEED PASS
vulvovaginitis/vaginitis dx UA, URINE CULTURE, BACTERIAL CULTURE OF DISCHARGE, WET
MOUNT, CULTURES IF SUSPECT ABUSE!!!!! • DD - ATOPIC/CONTACT DERMATITIS, LABIAL
ADHESIONS, SEXUAL ABUSE, YEAST VAGINITIS BACTERIAL VAGINOSIS, TRICHOMONIASIS,
STISYMPTOMATIC RELIEF OF PAIN • NSAIDS IBUPROFEN 400-800MG EVERY 8H AND NAPROXEN
550MG EVERY 12H & HEATING PAD • REFERRAL GYNECOLOGIST • OCPS IN SOME CASES
vulvovaginitis/vaginitis plan DEPENDS ON CAUSE • INFECTION, CONTACT DERMATITIS
Mittelschmerz abdominal pain that occurs midway between the menstrual periods at
ovulation
Mittelschmerz objective ABDOMINAL, INGUINAL, GU EXAMS • PAIN WITH PALPATION OF
ABDOMEN & OVARIES
Mittelschmerz dx • NO DIAGNOSTIC EXAMS • DD - APPENDICITIS, OVARIAN CYST, ECTOPIC
PREGNANCY
Mittelschmerz plan SYMPTOMATIC RELIEF OF PAIN • NSAIDS IBUPROFEN 400-800MG EVERY
8H AND NAPROXEN 550MG EVERY 12H & HEATING PAD • REFERRAL GYNECOLOGIST • OCPS IN
SOME CASES
dysmenorrhea painful menstruation
dysmenorrhea subjective HISTORY OF MENSTRUAL CYCLE, 7 VARIABLES,
NAUSEA/VOMITING, MEDICATIONS, FAMILY HISTORY, SCHOOL MISSED
-usually with period but may be 1-2 days before
,dysmenorrhea objective COMPLETE PHYSICAL EXAM • PELVIC EXAM
dysmenorrhea dx UA, CBC, SED RATE, PREGNANCY TEST • PELVIC ULTRASOUND • DD -
ENDOMETRIOSIS, PID
dysmenorrhea plan • SYMPTOMATIC RELIEF OF PAIN • NSAIDS SUCH AS IBUPROFEN 400-
800MG Q8H OR NAPROXEN 550MG EVERY 12H & HEATING PAD • REFERRAL GYNECOLOGIST •
OCPS
Mittleschmerz drug of choice ibuprofen
dysmenorrhea cause release of prostaglandins
dysmenorrhea primary no pelvic animalities
mastalgia pain in the breast
mastalgia subjective LAST MENSTRUAL CYCLE, PAIN RELATED TO CYCLE, MASSES, REDNESS,
DISCHARGE, MEDICATIONS, FAMILY HISTORY
mastalgia objective VITAL SIGNS • BREAST EXAM • SYMMETRY (A LITTLE ASYMMETRY IS
NORMAL IN ADOLESCENCE), MASSES, TENDERNESS, HEAT, NIPPLE DISCHARGE
mastalgia dx PREGNANCY TEST, CBC IF INFECTED • ULTRASOUND IF CYST • DD - INFECTION,
FIBROCYSTIC BREAST DISEASE, MASS, BREAST CANCER (ALTHOUGH ADOLESCENT BREAST
CANCER IS RARE*)
, mastalgia plan • SYMPTOMATIC FOR PAIN - NSAIDS • REFERRAL DEPENDING ON FINDINGS
OF ULTRASOUND
amenorrhea absence of menstruation
amenorrhea subjective • FAMILY HISTORY, AGE OF MOM & SIBLINGS, • DETAILED GROWTH,
SYSTEMIC ILLNESS, NUTRITION, MEDICATIONS, STRESS • TABLE-"PATIENT HISTORY FOR
EVALUATING THE CAUSE OF AMENORRHEA"
amenorrhea objective VITAL SIGNS, GROWTH CHARTS, TANNER STAGE, NEURO,
RESPIRATORY, BREAST, THYROID, CARDIAC, ABDOMINAL, GU
amenorrhea dx UA, TSH, FSH, PROLACTIN, PREGNANCY TEST • DD - TURNER SYNDROME,
EATING DISORDERS • BOX 42.5 TESTS FOR EVALUATING AMENORRHEA
amenorrhea plan REAT CAUSE • PEDIATRIC GYNECOLOGIST IF NEEDED
primary amenorrhea no period at all by age 16 yo
secondary amenorrhea no period for at least 3 cycles or 6 months no period
Abnormal Uterine Bleeding (AUB) irregular bleeding in the absence of pregnancy
Abnormal Uterine Bleeding (AUB) subjective • FAMILY HISTORY, MENSTRUAL HISTORY,
PREMENSTRUAL SYNDROME, SEXUAL ACTIVITY, MEDICATIONS, STI, DISCHARGE, PAIN, STRESS,
WEIGHT LOSS, TRAUMA, ABUSE
