NUR 684 Women's Health final 2025
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: - answer
Fibroadenoma
Potential causes for galactorrhea include all of the following EXCEPT: - 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: - 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: - answerNipple always involved,
itching common
Rapid onset of diffuse erythema of the breast with fine dimpling (peau d'orange) of the
skin is indicative of: - 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: - answerAdditional
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. - answerTrue
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: - answerTdap vaccination in her third trimester
The screening test for group B streptococcus requires that a specimen be obtained from
the: - answerVaginal introitus and rectum
Routine gestational diabetes screening is recommended at: - answerBetween 24 and
28 weeks gestation
Expected findings during examination of the pregnant woman who is 10 weeks
gestation would include: - answerSoftening of the cervix
, Folic acid supplementation prior to conception has been shown to decrease the
incidence of: - answerNeural tube defects
Advise for the postpartum woman who had gestational diabetes should include: -
answerShe 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 - answerMotile 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: - answerColposcopy
A post-menopausal woman has a Pap test report of HSIL. Recommended initial
management is: - answerColposcopy
Which of the following would be an expected finding with adenomyosis? - answerBoggy,
tender, enlarged uterus
Which of the following conditions places a woman at increased risk for endometrial
cancer? - answerPolycystic 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. -
answerTransdermal estrogen patch
In the PLISSIT model, explaining the possible effect of an illness on sexual functioning
is considered: - answerLimited information
The terms gender identity and sexual orientation have similar meanings. - answerFalse
Which of the following statements about women who have sex with women (WSW) is
correct? - answerWSW 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? - answerCauses marked distress or interpersonal difficulty
Erectile dysfunction has been linked to which of the following components of metabolic
syndrome? - answerAbdominal obesity
Hypertension
Hyperlipidemia
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: - answer
Fibroadenoma
Potential causes for galactorrhea include all of the following EXCEPT: - 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: - 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: - answerNipple always involved,
itching common
Rapid onset of diffuse erythema of the breast with fine dimpling (peau d'orange) of the
skin is indicative of: - 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: - answerAdditional
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. - answerTrue
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: - answerTdap vaccination in her third trimester
The screening test for group B streptococcus requires that a specimen be obtained from
the: - answerVaginal introitus and rectum
Routine gestational diabetes screening is recommended at: - answerBetween 24 and
28 weeks gestation
Expected findings during examination of the pregnant woman who is 10 weeks
gestation would include: - answerSoftening of the cervix
, Folic acid supplementation prior to conception has been shown to decrease the
incidence of: - answerNeural tube defects
Advise for the postpartum woman who had gestational diabetes should include: -
answerShe 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 - answerMotile 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: - answerColposcopy
A post-menopausal woman has a Pap test report of HSIL. Recommended initial
management is: - answerColposcopy
Which of the following would be an expected finding with adenomyosis? - answerBoggy,
tender, enlarged uterus
Which of the following conditions places a woman at increased risk for endometrial
cancer? - answerPolycystic 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. -
answerTransdermal estrogen patch
In the PLISSIT model, explaining the possible effect of an illness on sexual functioning
is considered: - answerLimited information
The terms gender identity and sexual orientation have similar meanings. - answerFalse
Which of the following statements about women who have sex with women (WSW) is
correct? - answerWSW 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? - answerCauses marked distress or interpersonal difficulty
Erectile dysfunction has been linked to which of the following components of metabolic
syndrome? - answerAbdominal obesity
Hypertension
Hyperlipidemia
