NURS 5432 MODULE 2 & 3 WOMEN'S
HEALTH EXAM WITH CORRECT
QUESTIONS AND ANSWERS 2025
Primary Amenorrhea –
CORRECT-ANSWERSThe failure of any menses to appear is termed "primary amenorrhea,"
and evaluation is commenced either (1) at age 14 years if neither menarche nor any breast
development has occurred or if height is in the lowest 3% for ethnicity, or (2) at age 16 years if
menarche has not occurred
Secondary Amenorrhea –
CORRECT-ANSWERSSecondary amenorrhea is defined as the absence of menses for 3
consecutive months in women who have passed menarche.
Primary Amenorrhea symptoms and physical exam –
CORRECT-ANSWERSPatients with primary amenorrhea require a thorough history and
physical examination to look for signs of the conditions noted above. Headaches or visual field
abnormalities implicate a hypothalamic or pituitary tumor. Signs of pregnancy may be present.
Blood pressure elevation, acne, and hirsutism should be noted. Short stature may be seen with an
associated GH or thyroid hormone deficiency. Short stature with manifestations of gonadal
dysgenesis indicates Turner syndrome. Olfactory deficits are seen in Kallmann syndrome.
Obesity and short stature may be signs of Cushing syndrome. Tall stature may be due to
eunuchoidism or acromegaly. Hirsutism or virilization suggests excessive testosterone.
An external pelvic examination plus a rectal examination should be performed to assess hymen
patency and the presence of a uterus.
,Primary Amenorrhea labs - CORRECT-ANSWERSThe initial endocrine evaluation should
include serum FSH, LH, PRL, total and free testosterone, TSH, FT4, and beta-hCG (pregnancy
test).
Girls who have a normal uterus and high FSH without the classic features of Turner syndrome
may require a karyotype to diagnose X chromosome mosaicism
Secondary Amenorrhea labs - CORRECT-ANSWERSthyroid function tests, prolactin,
FSH, LH, total testosterone, serum estradiol, Pregnancy test
ACS and ACOG guidelines 21-29 years - CORRECT-ANSWERSACS start at 25:
Primary HPV alone q 5 years or
co-testing q 5 years or
cytology alone q 3 years
ACOG start at 21:
cytology alone q 3 years
ACS and ACOG guidelines 30-65 years - CORRECT-ANSWERSACS:
Primary HPV testing alone q 5 years or
co-testing q 5 years or
cytology alone q 3 years
ACOG:
co-testing q 5 years or
cytology alone q 3 years or
primary HPV testing alone q 5 years
, Pap and HPV testing over 65 years - CORRECT-ANSWERSnot recommended and not
recommended if hysterectomy
Bethesda Classification - CORRECT-ANSWERSSquamous cell abnormalities
ASCUS - CORRECT-ANSWERS· ASCUS - atypical squamous cells of undetermined
significance
· LSIL OR LGSIL - CORRECT-ANSWERS· LSIL OR LGSIL - low grade squamous
intraepithelial lesion
o CIN 1: HPV or mild dysplasia
· HSIL or HGSIL - CORRECT-ANSWERS· HSIL or HGSIL - high grade squamous
intraepithelial lesion
o CIN 2: moderate dysplasia
o CIN 3: severe dysplasia
Changes in glandular cells (AGCUS), presence of endometrial cells,
adenocarcinoma, etc. recommends? - CORRECT-ANSWERS· Need endometrial bx
Pap Infection treatment? - CORRECT-ANSWERSInfection: treatment based on causative
agent; repeat PSP 3-4 months after treatment
· For specific abnormal findings such as ASCUS - CORRECT-ANSWERS· For
specific abnormal findings such as ASCUS
o HPV testing
o Repeat PSP smear
o Colposcopy
If CIN 2, 3, or CIS? - CORRECT-ANSWERSRefer out
HEALTH EXAM WITH CORRECT
QUESTIONS AND ANSWERS 2025
Primary Amenorrhea –
CORRECT-ANSWERSThe failure of any menses to appear is termed "primary amenorrhea,"
and evaluation is commenced either (1) at age 14 years if neither menarche nor any breast
development has occurred or if height is in the lowest 3% for ethnicity, or (2) at age 16 years if
menarche has not occurred
Secondary Amenorrhea –
CORRECT-ANSWERSSecondary amenorrhea is defined as the absence of menses for 3
consecutive months in women who have passed menarche.
Primary Amenorrhea symptoms and physical exam –
CORRECT-ANSWERSPatients with primary amenorrhea require a thorough history and
physical examination to look for signs of the conditions noted above. Headaches or visual field
abnormalities implicate a hypothalamic or pituitary tumor. Signs of pregnancy may be present.
Blood pressure elevation, acne, and hirsutism should be noted. Short stature may be seen with an
associated GH or thyroid hormone deficiency. Short stature with manifestations of gonadal
dysgenesis indicates Turner syndrome. Olfactory deficits are seen in Kallmann syndrome.
Obesity and short stature may be signs of Cushing syndrome. Tall stature may be due to
eunuchoidism or acromegaly. Hirsutism or virilization suggests excessive testosterone.
An external pelvic examination plus a rectal examination should be performed to assess hymen
patency and the presence of a uterus.
,Primary Amenorrhea labs - CORRECT-ANSWERSThe initial endocrine evaluation should
include serum FSH, LH, PRL, total and free testosterone, TSH, FT4, and beta-hCG (pregnancy
test).
Girls who have a normal uterus and high FSH without the classic features of Turner syndrome
may require a karyotype to diagnose X chromosome mosaicism
Secondary Amenorrhea labs - CORRECT-ANSWERSthyroid function tests, prolactin,
FSH, LH, total testosterone, serum estradiol, Pregnancy test
ACS and ACOG guidelines 21-29 years - CORRECT-ANSWERSACS start at 25:
Primary HPV alone q 5 years or
co-testing q 5 years or
cytology alone q 3 years
ACOG start at 21:
cytology alone q 3 years
ACS and ACOG guidelines 30-65 years - CORRECT-ANSWERSACS:
Primary HPV testing alone q 5 years or
co-testing q 5 years or
cytology alone q 3 years
ACOG:
co-testing q 5 years or
cytology alone q 3 years or
primary HPV testing alone q 5 years
, Pap and HPV testing over 65 years - CORRECT-ANSWERSnot recommended and not
recommended if hysterectomy
Bethesda Classification - CORRECT-ANSWERSSquamous cell abnormalities
ASCUS - CORRECT-ANSWERS· ASCUS - atypical squamous cells of undetermined
significance
· LSIL OR LGSIL - CORRECT-ANSWERS· LSIL OR LGSIL - low grade squamous
intraepithelial lesion
o CIN 1: HPV or mild dysplasia
· HSIL or HGSIL - CORRECT-ANSWERS· HSIL or HGSIL - high grade squamous
intraepithelial lesion
o CIN 2: moderate dysplasia
o CIN 3: severe dysplasia
Changes in glandular cells (AGCUS), presence of endometrial cells,
adenocarcinoma, etc. recommends? - CORRECT-ANSWERS· Need endometrial bx
Pap Infection treatment? - CORRECT-ANSWERSInfection: treatment based on causative
agent; repeat PSP 3-4 months after treatment
· For specific abnormal findings such as ASCUS - CORRECT-ANSWERS· For
specific abnormal findings such as ASCUS
o HPV testing
o Repeat PSP smear
o Colposcopy
If CIN 2, 3, or CIS? - CORRECT-ANSWERSRefer out
