NUR 684 Women's Health
A 22-year-old woman presents with c/o a non-tender mass in her left breast that does not change with
her menstrual cycle. On examination, you note a freely movable, 0.5 cm x 1 cm firm, rubbery non-tender
mass. The most likely diagnosis is: - (correct Answer) - Fibroadenoma
Potential causes for galactorrhea include all of the following EXCEPT: - (correct Answer) - Heavy tobacco
use
A 50-year-old woman presents with complaint of a burning sensation behind both nipples and a
spontaneous greenish brown nipple discharge. On examination you note bilateral multiduct sticky green
nipple discharge with no masses or breast skin changes. The most likely diagnosis is: - (correct Answer) -
Mammary duct ectasia
Differential diagnoses for a woman who presents with red moist patches or one or both breasts include
eczema and Paget's disease of the nipple. Findings that fit with Paget's disease of the nipple include
which of the following: - (correct Answer) - Nipple always involved, itching common
Rapid onset of diffuse erythema of the breast with fine dimpling (peau d'orange) of the skin is indicative
of: - (correct Answer) - Inflammatory breast cancer
A 54-year-old woman has a mammogram that is negative but shows that she has dense breasts.
Appropriate information for this woman would include: - (correct Answer) - Additional surveillance may
be recommended depending on other breast cancer risk factors.
Each offspring of an individual found to carry a BRCA mutation has a 50% chance of inheriting the same
mutation. - (correct Answer) - True
In a review of vaccinations at an initial prenatal visit at 12 weeks gestation the patient tells you she had
the Tdap vaccination with her last pregnancy which was 2 years ago. You would advise her she needs a: -
(correct Answer) - Tdap vaccination in her third trimester
The screening test for group B streptococcus requires that a specimen be obtained from the: - (correct
Answer) - Vaginal introitus and rectum
Routine gestational diabetes screening is recommended at: - (correct Answer) - Between 24 and 28
weeks gestation
Expected findings during examination of the pregnant woman who is 10 weeks gestation would include:
- (correct Answer) - Softening of the cervix
Folic acid supplementation prior to conception has been shown to decrease the incidence of: - (correct
Answer) - Neural tube defects
Advise for the postpartum woman who had gestational diabetes should include: - (correct Answer) - She
should have regular screening for type 2 diabetes
, A client presents with complaint of increased vaginal discharge with bad odor and itching. On
examination a yellow, frothy discharge is noted. Findings on further evaluation of the vaginal discharge
will likely include - (correct Answer) - Motile trichomonads
A 22-year-old female has a pap test report of ASC-H. The H indicates "cannot rule out HSIL"
Recommended first steps in follow-up would include: - (correct Answer) - Colposcopy
A post-menopausal woman has a Pap test report of HSIL. Recommended initial management is: - (correct
Answer) - Colposcopy
Which of the following would be an expected finding with adenomyosis? - (correct Answer) - Boggy,
tender, enlarged uterus
Which of the following conditions places a woman at increased risk for endometrial cancer? - (correct
Answer) - Polycystic ovarian syndrome
Of the following, which would be the best choice for a 55-year-old menopausal woman without a uterus
who is having severe hot flashes and dyspareunia related to vulvovaginal atrophy? She has no
contraindications to any of these medications. - (correct Answer) - Transdermal estrogen patch
In the PLISSIT model, explaining the possible effect of an illness on sexual functioning is considered: -
(correct Answer) - Limited information
The terms gender identity and sexual orientation have similar meanings. - (correct Answer) - False
Which of the following statements about women who have sex with women (WSW) is correct? - (correct
Answer) - WSW tend to obtain routine gynecologic care less frequently than women who are
heterosexual.
Which of the following is part of the diagnostic criteria for female sexual interest/arousal disorder? -
(correct Answer) - Causes marked distress or interpersonal difficulty
Erectile dysfunction has been linked to which of the following components of metabolic syndrome? -
(correct Answer) - Abdominal obesity
Hypertension
Hyperlipidemia
All of the above
Specific gynecologic cancer screening recommendations have been established based on gender identity.
- (correct Answer) - False
Known teratogens include all of the following EXCEPT: - (correct Answer) - Insulin
A 22-year-old woman presents with c/o a non-tender mass in her left breast that does not change with
her menstrual cycle. On examination, you note a freely movable, 0.5 cm x 1 cm firm, rubbery non-tender
mass. The most likely diagnosis is: - (correct Answer) - Fibroadenoma
Potential causes for galactorrhea include all of the following EXCEPT: - (correct Answer) - Heavy tobacco
use
A 50-year-old woman presents with complaint of a burning sensation behind both nipples and a
spontaneous greenish brown nipple discharge. On examination you note bilateral multiduct sticky green
nipple discharge with no masses or breast skin changes. The most likely diagnosis is: - (correct Answer) -
Mammary duct ectasia
Differential diagnoses for a woman who presents with red moist patches or one or both breasts include
eczema and Paget's disease of the nipple. Findings that fit with Paget's disease of the nipple include
which of the following: - (correct Answer) - Nipple always involved, itching common
Rapid onset of diffuse erythema of the breast with fine dimpling (peau d'orange) of the skin is indicative
of: - (correct Answer) - Inflammatory breast cancer
A 54-year-old woman has a mammogram that is negative but shows that she has dense breasts.
Appropriate information for this woman would include: - (correct Answer) - Additional surveillance may
be recommended depending on other breast cancer risk factors.
Each offspring of an individual found to carry a BRCA mutation has a 50% chance of inheriting the same
mutation. - (correct Answer) - True
In a review of vaccinations at an initial prenatal visit at 12 weeks gestation the patient tells you she had
the Tdap vaccination with her last pregnancy which was 2 years ago. You would advise her she needs a: -
(correct Answer) - Tdap vaccination in her third trimester
The screening test for group B streptococcus requires that a specimen be obtained from the: - (correct
Answer) - Vaginal introitus and rectum
Routine gestational diabetes screening is recommended at: - (correct Answer) - Between 24 and 28
weeks gestation
Expected findings during examination of the pregnant woman who is 10 weeks gestation would include:
- (correct Answer) - Softening of the cervix
Folic acid supplementation prior to conception has been shown to decrease the incidence of: - (correct
Answer) - Neural tube defects
Advise for the postpartum woman who had gestational diabetes should include: - (correct Answer) - She
should have regular screening for type 2 diabetes
, A client presents with complaint of increased vaginal discharge with bad odor and itching. On
examination a yellow, frothy discharge is noted. Findings on further evaluation of the vaginal discharge
will likely include - (correct Answer) - Motile trichomonads
A 22-year-old female has a pap test report of ASC-H. The H indicates "cannot rule out HSIL"
Recommended first steps in follow-up would include: - (correct Answer) - Colposcopy
A post-menopausal woman has a Pap test report of HSIL. Recommended initial management is: - (correct
Answer) - Colposcopy
Which of the following would be an expected finding with adenomyosis? - (correct Answer) - Boggy,
tender, enlarged uterus
Which of the following conditions places a woman at increased risk for endometrial cancer? - (correct
Answer) - Polycystic ovarian syndrome
Of the following, which would be the best choice for a 55-year-old menopausal woman without a uterus
who is having severe hot flashes and dyspareunia related to vulvovaginal atrophy? She has no
contraindications to any of these medications. - (correct Answer) - Transdermal estrogen patch
In the PLISSIT model, explaining the possible effect of an illness on sexual functioning is considered: -
(correct Answer) - Limited information
The terms gender identity and sexual orientation have similar meanings. - (correct Answer) - False
Which of the following statements about women who have sex with women (WSW) is correct? - (correct
Answer) - WSW tend to obtain routine gynecologic care less frequently than women who are
heterosexual.
Which of the following is part of the diagnostic criteria for female sexual interest/arousal disorder? -
(correct Answer) - Causes marked distress or interpersonal difficulty
Erectile dysfunction has been linked to which of the following components of metabolic syndrome? -
(correct Answer) - Abdominal obesity
Hypertension
Hyperlipidemia
All of the above
Specific gynecologic cancer screening recommendations have been established based on gender identity.
- (correct Answer) - False
Known teratogens include all of the following EXCEPT: - (correct Answer) - Insulin
