NURS 5432 {UTA} Midterm Verified Multiple
Choice and Conceptual Actual Frequently
Tested Exam Questions With Reviewed 100%
Correct Detailed Answers
Guaranteed Pass!!Current Update!!
1. What is endometriosis? - ANSWER growth of tissue outside the uterus that
causes chronic pain and infertility.
ETIO: retrograde menstruation (backflow of endometrial cells), genetics
2. Symptoms of endometriosis - ANSWER painful menses, pelvic pain,
dyspareunia (painful intercourse), tender nodules at rectovaginal septum
3. How is endometriosis diagnosed? - ANSWER Transvaginal u/s then
histology of lesions when removed
4. How is endometriosis treated? - ANSWER hormone therapy
1. combo contraceptives are 1st line to suppress ovulation which will inhibit
stimulation of the endometrium.
2. Progestins - oral or IUD
3. Etonogestrel implant
,5. What is a cystocele? - ANSWER ETIO: bladder drops into the vagina due to
weak pelvic floor from age, obesity or childbirth
S/S: retention, discomfort
TX: lifestyle changes and pelvic floor exercises
6. What is a rectocele? - ANSWER ETIO: rectum prolapses into vagina due to
weakened tissue wall caused by multiple pregnancies/vaginal deliveries, aging,
obesity or chronic constipation.
S/S: fecal incontinence, bulge of tissue in back wall of vagina, loose vaginal muscle
tone, dyspareunia.
DX: Pelvic exam, transvaginal u/s, defecography
TX: bowel regimen, pelvic floor exercises or vaginal pessary (removable support
device)
7. What is a enterocele? - ANSWER ETIO: smal intestine descends into top
part of vagina (prolapse) due to aging, weak walls
S/S: pelvic fullness, low back pain in supine, bulge in vagina, dyspareunia
TX: bowel regimen, Ab scan, possible surg repair
8. Menstrual cycle phases - ANSWER Follicular: Day 1-14; estrogen & FSH
levels rising - follicles mature in ovaries
Ovulation (approx day 14): Egg is released (LH surges; at end, estradiol decreases)
Luteal: Day 15-28; LH stimulates progesterone to initiate endometrial maturation
(cervical mucus thickens, increase in basal temps)
,*No fertilize = LH negative feedback to pituitary gland to decrease progesterone &
estradiol.
Menstruation: Day 28-33; low progesterone & estradiol = initiates endometrial
shedding
9. Pre-menstrual Syndrome (PMS) - ANSWER Symptoms that occur up to 5
days prior to menses and subside within 4 days after menses begins.
10. PMS symptoms - ANSWER breast pain, headache, irritable, aggressive,
depressed, bloating, poor concentration, libido changes, food cravings
11. PMDD (Pre-menstrual dysphoric disorder) - ANSWER Symptoms occurring
during the luteal phase that cause life-disrupting symptoms.
12. PMDD symptoms - ANSWER 1-2 weeks prior to menses:
bloating
appetite changes
mood swings
depression/SI
13. Treatment for PMDD - ANSWER decrease caffeine/ETOH/Na+
Exercise
1st line antidepressants: 'prams, prozac, zoloft
, 14. PCOS (polycystic ovarian syndrome) - ANSWER Endocrine disorder that
results in little or no ovulation due to genetics.
S/S: hirsutism, irregular menses, acne
TX: underlying conditions, exercise, metformin
15. Differential DX for PCOS - ANSWER Premature ovarian insuffiency (high
FSH low estradiol)
hypothalamic ammenorrhea
Pituitary adenoma with high prolactin
hyperthyroid/hypothyroid
16. What's in a thyroid panel? - ANSWER TSH
T3(triiodothyronine)-regulates body temp, metabolic activity & body functions
T4 (thyroxine) - inactive and must be converted to T3
17. What hormone does the thyroid produce? - ANSWER Calcitonin; regulates
blood calcium levels; lowers blood levels by blocking the cells that break bone
down.
18. What is the hypothalamic-pituitary-thyroid axis? - ANSWER Thyroid
secretes TRH (thryrotropin-releasing hormone)> which signals Pituitary gland to
release TSH (anterior pit) > TSH tells thyroid to produce & release T3/T4.
Choice and Conceptual Actual Frequently
Tested Exam Questions With Reviewed 100%
Correct Detailed Answers
Guaranteed Pass!!Current Update!!
1. What is endometriosis? - ANSWER growth of tissue outside the uterus that
causes chronic pain and infertility.
ETIO: retrograde menstruation (backflow of endometrial cells), genetics
2. Symptoms of endometriosis - ANSWER painful menses, pelvic pain,
dyspareunia (painful intercourse), tender nodules at rectovaginal septum
3. How is endometriosis diagnosed? - ANSWER Transvaginal u/s then
histology of lesions when removed
4. How is endometriosis treated? - ANSWER hormone therapy
1. combo contraceptives are 1st line to suppress ovulation which will inhibit
stimulation of the endometrium.
2. Progestins - oral or IUD
3. Etonogestrel implant
,5. What is a cystocele? - ANSWER ETIO: bladder drops into the vagina due to
weak pelvic floor from age, obesity or childbirth
S/S: retention, discomfort
TX: lifestyle changes and pelvic floor exercises
6. What is a rectocele? - ANSWER ETIO: rectum prolapses into vagina due to
weakened tissue wall caused by multiple pregnancies/vaginal deliveries, aging,
obesity or chronic constipation.
S/S: fecal incontinence, bulge of tissue in back wall of vagina, loose vaginal muscle
tone, dyspareunia.
DX: Pelvic exam, transvaginal u/s, defecography
TX: bowel regimen, pelvic floor exercises or vaginal pessary (removable support
device)
7. What is a enterocele? - ANSWER ETIO: smal intestine descends into top
part of vagina (prolapse) due to aging, weak walls
S/S: pelvic fullness, low back pain in supine, bulge in vagina, dyspareunia
TX: bowel regimen, Ab scan, possible surg repair
8. Menstrual cycle phases - ANSWER Follicular: Day 1-14; estrogen & FSH
levels rising - follicles mature in ovaries
Ovulation (approx day 14): Egg is released (LH surges; at end, estradiol decreases)
Luteal: Day 15-28; LH stimulates progesterone to initiate endometrial maturation
(cervical mucus thickens, increase in basal temps)
,*No fertilize = LH negative feedback to pituitary gland to decrease progesterone &
estradiol.
Menstruation: Day 28-33; low progesterone & estradiol = initiates endometrial
shedding
9. Pre-menstrual Syndrome (PMS) - ANSWER Symptoms that occur up to 5
days prior to menses and subside within 4 days after menses begins.
10. PMS symptoms - ANSWER breast pain, headache, irritable, aggressive,
depressed, bloating, poor concentration, libido changes, food cravings
11. PMDD (Pre-menstrual dysphoric disorder) - ANSWER Symptoms occurring
during the luteal phase that cause life-disrupting symptoms.
12. PMDD symptoms - ANSWER 1-2 weeks prior to menses:
bloating
appetite changes
mood swings
depression/SI
13. Treatment for PMDD - ANSWER decrease caffeine/ETOH/Na+
Exercise
1st line antidepressants: 'prams, prozac, zoloft
, 14. PCOS (polycystic ovarian syndrome) - ANSWER Endocrine disorder that
results in little or no ovulation due to genetics.
S/S: hirsutism, irregular menses, acne
TX: underlying conditions, exercise, metformin
15. Differential DX for PCOS - ANSWER Premature ovarian insuffiency (high
FSH low estradiol)
hypothalamic ammenorrhea
Pituitary adenoma with high prolactin
hyperthyroid/hypothyroid
16. What's in a thyroid panel? - ANSWER TSH
T3(triiodothyronine)-regulates body temp, metabolic activity & body functions
T4 (thyroxine) - inactive and must be converted to T3
17. What hormone does the thyroid produce? - ANSWER Calcitonin; regulates
blood calcium levels; lowers blood levels by blocking the cells that break bone
down.
18. What is the hypothalamic-pituitary-thyroid axis? - ANSWER Thyroid
secretes TRH (thryrotropin-releasing hormone)> which signals Pituitary gland to
release TSH (anterior pit) > TSH tells thyroid to produce & release T3/T4.
