NR 602 Week 4 Midterm Exam Questions
and Answers (2026) | Updated Real Exam
Questions | Accurate Solutions Guide |
A+
• menorrhagia -✓✓heavy or prolonged menstrual bleeding
• metorrhagia -✓✓"irregular" intermenstrual bleeding or bleeding between menstrural
periods.
• menometorrhagia -✓✓"irregular" and heavy menstrural bleeding
• Post-coidal -✓✓bleeding that occurs after intercourse
• post-menopausal -✓✓bleeding that occurs after a menopausal woman has not had a
period at least 12 months
• PALM -✓✓Structural abnormalitiies
• Polyp -✓✓endocervical: bright red growth n cervix bleed easily on exam
endometrial: benign growths of endometrium, asymptomatic
• Adenomyosis -✓✓Women >40
Risks: hx of miscarrige
currettage
endometrial recsection,
cesarean section or tamoxifen use
• IAUB- Leiomyoma -✓✓"Fibroids"
Benign pelvic tumors * leading cause of hysterectomy
No symptoms
may cause AUB
• AUB M Malignancy and Hyperplasia -✓✓rare in woman at reproductive age, normal
BMI, no PCOS,
MC symptoms of endometrial cancer = postmenopausal bleeding
• COIEN -✓✓Non structural abnormalities
• AUB C Coagulopathy -✓✓clotting disorders ie von willerbrans
hx of easy bruising, prolonged bleeding
, Anticoagulants
• AUB O Ovulatory dysfunction -✓✓Amenorrhea, light/ heavy menses
Thyroid disorders, PCOS, excessive exercise, extreme mental distress,
anovulatory uterine bleeding
• AUB E Endometrial -✓✓Heavy menstrual bleeding
chlamydia trachomatis, gonorrhea endometitis
• AUB I Iatrogenic -✓✓IUDS
resolves 3-6 mo
tricyclics and phenothiazines
• AUB N not yet classified -✓✓atrial venous malformations
• Evaluation and management of abnormal uterine bleeding -✓✓MC: polys/ fibroids
R/O: galactorrhea c/ breast exam- pituitary tumor
Excess androgens: acne, hirsutism, alopecia
Anemia
Bimanual examination- tumors cysts adnexal pain
• AUB tests -✓✓HCG, CBC, TSH, Prolactin, PT or aPTT, Serum iron ferriting, FSH,
progesterone, pap test, cultures, NAAT,
ferritin test for heavy menses
• AUB: Management -✓✓o Normalize bleeding,
-correct any anemia,
-prevent cancer and restore quality of life
• AUB treatment -✓✓Heavy Bleeding: COC progesterone and levongesteral IUD
Denuded endometrium: High dose estrogen therapy
GNRH: can be used why women is awaiting surgery
NSAID: 3 days before menses
• Etiology, treatment, diagnosis, amenorrhea
primary amenorrhea -✓✓MC: ovarian function abnormalities * test for estrogen
other causes: pregnancy, hypothalamic amenorrhea, PCOS,
* women who have not had a period by age 14 in absence of growth and development
*women who have not stated their period at age 16 with normal growth and
development
• secondary amenorrhea -✓✓the absence of menstruation after a period of normal
menses for 6 months
• amenorrhea diagnosis -✓✓FSH, LH, prolactin levels,
and Answers (2026) | Updated Real Exam
Questions | Accurate Solutions Guide |
A+
• menorrhagia -✓✓heavy or prolonged menstrual bleeding
• metorrhagia -✓✓"irregular" intermenstrual bleeding or bleeding between menstrural
periods.
• menometorrhagia -✓✓"irregular" and heavy menstrural bleeding
• Post-coidal -✓✓bleeding that occurs after intercourse
• post-menopausal -✓✓bleeding that occurs after a menopausal woman has not had a
period at least 12 months
• PALM -✓✓Structural abnormalitiies
• Polyp -✓✓endocervical: bright red growth n cervix bleed easily on exam
endometrial: benign growths of endometrium, asymptomatic
• Adenomyosis -✓✓Women >40
Risks: hx of miscarrige
currettage
endometrial recsection,
cesarean section or tamoxifen use
• IAUB- Leiomyoma -✓✓"Fibroids"
Benign pelvic tumors * leading cause of hysterectomy
No symptoms
may cause AUB
• AUB M Malignancy and Hyperplasia -✓✓rare in woman at reproductive age, normal
BMI, no PCOS,
MC symptoms of endometrial cancer = postmenopausal bleeding
• COIEN -✓✓Non structural abnormalities
• AUB C Coagulopathy -✓✓clotting disorders ie von willerbrans
hx of easy bruising, prolonged bleeding
, Anticoagulants
• AUB O Ovulatory dysfunction -✓✓Amenorrhea, light/ heavy menses
Thyroid disorders, PCOS, excessive exercise, extreme mental distress,
anovulatory uterine bleeding
• AUB E Endometrial -✓✓Heavy menstrual bleeding
chlamydia trachomatis, gonorrhea endometitis
• AUB I Iatrogenic -✓✓IUDS
resolves 3-6 mo
tricyclics and phenothiazines
• AUB N not yet classified -✓✓atrial venous malformations
• Evaluation and management of abnormal uterine bleeding -✓✓MC: polys/ fibroids
R/O: galactorrhea c/ breast exam- pituitary tumor
Excess androgens: acne, hirsutism, alopecia
Anemia
Bimanual examination- tumors cysts adnexal pain
• AUB tests -✓✓HCG, CBC, TSH, Prolactin, PT or aPTT, Serum iron ferriting, FSH,
progesterone, pap test, cultures, NAAT,
ferritin test for heavy menses
• AUB: Management -✓✓o Normalize bleeding,
-correct any anemia,
-prevent cancer and restore quality of life
• AUB treatment -✓✓Heavy Bleeding: COC progesterone and levongesteral IUD
Denuded endometrium: High dose estrogen therapy
GNRH: can be used why women is awaiting surgery
NSAID: 3 days before menses
• Etiology, treatment, diagnosis, amenorrhea
primary amenorrhea -✓✓MC: ovarian function abnormalities * test for estrogen
other causes: pregnancy, hypothalamic amenorrhea, PCOS,
* women who have not had a period by age 14 in absence of growth and development
*women who have not stated their period at age 16 with normal growth and
development
• secondary amenorrhea -✓✓the absence of menstruation after a period of normal
menses for 6 months
• amenorrhea diagnosis -✓✓FSH, LH, prolactin levels,
