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,What is the ASCCP recommended management for an ASCUS (atypical squamous cells of undetermined
significance) pap result with a positive high-risk HPV 16 co-test in a 26-year-old woman without a history
of abnormal Pap smears? - correct ans:Colposcopy
A well woman visit for an adolescent should include which of the following - correct ans:A general health
history focusing on reproductive and sexual health concerns (mentors, gynecologic, and pregnancy
related) and psychosocial (Family related, peer related, emotional, and physical as well as related to
abuse, drug use and alcohol use) concerns
Physical exam, screening test, and immunizations as indicated by the health history and gynecologic
considerations for an extern only inspection of the genitalia
A Bethesda System Pap smear report that reads LSIL is most consistent with which classification - correct
ans:CIN 1
A single Pap smear reading of ASCUS in a patient negative for HPV infection should have what as follow-
up? - correct ans:Routine screening
A female patient is 35 years old. She has never had an abnormal Pap smear and has had regular
screening since age 18. If she has a normal Pap smear with HPV testing today, when should she have the
next cervical cancer screening - correct ans:Five years
A young sexually active client of the family planning clinic is advised to have a Pap smear. She has never
had a Pap smear before. What should the nurse include in the explanation of this procedure - correct
ans:The Pap smear can detect cancer of the cervix
Lab results on your 26-year-old patient show a negative Pap smear with a positive HPV screen. Which
procedure will be required next - correct ans:Repeat Pap and HPV screen
Which of the following is not part of the criteria for an older woman to see if having any future Pap test
performed - correct ans:Over 55 years of age
, You are evaluating a 17-year-old Emily who presented with amenorrhea and normal secondary sex
characteristics. The purpose of the progesterone challenge is to a certain the presence of - correct
ans:Endogenous estrogen
A 17-year-old female patient presents with amenorrhea for four months she did experience menarche
at age 15 but had not had a menstrual cycle since. On physical examination, it is noted that she has
normal secondary sexual characteristics. The nurse practitioner will consider progesterone challenge to
determine the presence of adequate - correct ans:Endogenous estrogen
A teenage patient presents with amenorrhea and moral secondary sex characteristics. The progesterone
challenge is ordered. the purpose is to determine the presence of - correct ans:Endogenous estrogen
18-year-old female complaining of secondary amenorrhea. On exam, there is a normal secondary sex
characteristics and normal genitalia. Pregnancy is ruled out what would necessitate further evaluation -
correct ans:Galactorrhea
Primary amenorrhea is best described as - correct ans:Failure to menstrate by 13 years old
A nurse practitioner is participating in a woman's health fair. When educating the woman about risk
factors for breast cancer which of the following statements is incorrect? - correct ans:Fibrocystic breast
disease
When educating women about breast cancer risk factors which statement is incorrect - correct
ans:Fibrocystic breast disease
A woman with lobular carcinoma in situ has a relative risk of developing invasive breast cancer of -
correct ans:8.0
Changes and hormonal regulation during menopause result in the gradual cessation of menstruation.
From which gland is Androstenedione secreted - correct ans:Adrenals
A Pap smear results of atypical squamous cells of undetermined significance rule out high-grade
squamous intraepithelial lesion will require which procedure - correct ans:Colposcopy