NR602 Final ACTUAL EXAM LATEST
EXAMS 2023-2024 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
Colposcopy exam- - CORRECT ANSWER procedure that visualizes vaginal, vulvar,
or cervical epithelium w/ magnification to id abnormal area to be bx
painful menstruation that prevents normal activity and requires medication
3 types: primary (no organic cause), secondary (pathologic cause) and
membranous - causes intense cramping pain due to passage of a cast of
endometrium through undilated cervix - CORRECT ANSWER Dysmenorrhea
Dysmenorrhea treatment - CORRECT ANSWER Tx- NSAIDs/tyelnol, heat,
antiprostaglandins, OCP w/ increased estrogen- pain relief r/t absence of
ovulation, decreased prostaglandin production; surgery
Dysmenorrhea mechanism - CORRECT ANSWER prostaglandin activity
-vaginal wall weakens and stretches and allows the bladder to bulge into the
vagina - CORRECT ANSWER Cystocele
,Sx-felling of fullness or pressure in vagina, increased discomfort when you
strain/cough/bear down, feeling of incomplete empty, repeated bladder infection,
pain or urinary leak during sex, bulge of tissue into vaginal opening - CORRECT
ANSWER Cystocele
Cystocele prevention - CORRECT ANSWER kegels, prevent constipation, avoid
heavy lifting, avoid wt gain
Rectocele - CORRECT ANSWER -When thin tissue of vagina separates the vaginal
and rectum allowing vaginal wall to bulge
Sx- soft bulge of tissue in vaginal, difficult BM, sensation of rectal pressure,
incomplete emptying after BM, sexual concerns - CORRECT ANSWER Rectocele
Causes of rectocele - CORRECT ANSWER Causes- constipation/strain, chronic
cough, heavy lifting, overweight, childbirth, age
Retocele prevention - CORRECT ANSWER Prevention- kegels, prevent
constipation, avoid heavy lifting, cough, avoid wt gain
-pelvic floor muscles and ligaments stretch and weaken and no longer provide
support for uterus and protrude into vagina. - CORRECT ANSWER Uterine
Prolapse
Uterine Prolapse causes - CORRECT ANSWER Causes- pregnancy, large baby
delivery, lower estrogen level after menopause, obesity Common in
postmenopausal and one or more childbirth
, Uterine Prolapse symptom - CORRECT ANSWER Sx- heaviness or pulling into
pelvis, tissue protruding from vagina, urinary probs (leakage, retention), trouble
having BM, feeling of sitting on small ball, sexual concerns
Uterine Prolapse prevention - CORRECT ANSWER Prevention- kegels, treat
constipation, correct lifting, avoid wt gain
uterine prolapse treatment - CORRECT ANSWER Tx- pessary
chronic viral infection caused by HSV1 or HSV2, relapsing - CORRECT ANSWER
Herpes Simplex
Herpes Simplex prevention - CORRECT ANSWER Prevention: consistent condom
use b/c viral shedding can occur in asymptomatic periods and can lead to
transmission. W/ symptoms- Valacyclovir 500 mg daily
Herpes Simplex sign and symptoms - CORRECT ANSWER Sx-multiple painful
vesicular or ulcerative lesion on genitals, can be absent. Virus lays dormant and
can be reactivated
Herpes Simplex diagnosis - CORRECT ANSWER lays dormant and can be
reactivated
Dx-cell culture and PCR
Herpes Simplex treatment - CORRECT ANSWER Tx- systemic antiviral. Acyclovir 7-
10 days for 1st episode, suppressive 200 mg daily BID
EXAMS 2023-2024 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
Colposcopy exam- - CORRECT ANSWER procedure that visualizes vaginal, vulvar,
or cervical epithelium w/ magnification to id abnormal area to be bx
painful menstruation that prevents normal activity and requires medication
3 types: primary (no organic cause), secondary (pathologic cause) and
membranous - causes intense cramping pain due to passage of a cast of
endometrium through undilated cervix - CORRECT ANSWER Dysmenorrhea
Dysmenorrhea treatment - CORRECT ANSWER Tx- NSAIDs/tyelnol, heat,
antiprostaglandins, OCP w/ increased estrogen- pain relief r/t absence of
ovulation, decreased prostaglandin production; surgery
Dysmenorrhea mechanism - CORRECT ANSWER prostaglandin activity
-vaginal wall weakens and stretches and allows the bladder to bulge into the
vagina - CORRECT ANSWER Cystocele
,Sx-felling of fullness or pressure in vagina, increased discomfort when you
strain/cough/bear down, feeling of incomplete empty, repeated bladder infection,
pain or urinary leak during sex, bulge of tissue into vaginal opening - CORRECT
ANSWER Cystocele
Cystocele prevention - CORRECT ANSWER kegels, prevent constipation, avoid
heavy lifting, avoid wt gain
Rectocele - CORRECT ANSWER -When thin tissue of vagina separates the vaginal
and rectum allowing vaginal wall to bulge
Sx- soft bulge of tissue in vaginal, difficult BM, sensation of rectal pressure,
incomplete emptying after BM, sexual concerns - CORRECT ANSWER Rectocele
Causes of rectocele - CORRECT ANSWER Causes- constipation/strain, chronic
cough, heavy lifting, overweight, childbirth, age
Retocele prevention - CORRECT ANSWER Prevention- kegels, prevent
constipation, avoid heavy lifting, cough, avoid wt gain
-pelvic floor muscles and ligaments stretch and weaken and no longer provide
support for uterus and protrude into vagina. - CORRECT ANSWER Uterine
Prolapse
Uterine Prolapse causes - CORRECT ANSWER Causes- pregnancy, large baby
delivery, lower estrogen level after menopause, obesity Common in
postmenopausal and one or more childbirth
, Uterine Prolapse symptom - CORRECT ANSWER Sx- heaviness or pulling into
pelvis, tissue protruding from vagina, urinary probs (leakage, retention), trouble
having BM, feeling of sitting on small ball, sexual concerns
Uterine Prolapse prevention - CORRECT ANSWER Prevention- kegels, treat
constipation, correct lifting, avoid wt gain
uterine prolapse treatment - CORRECT ANSWER Tx- pessary
chronic viral infection caused by HSV1 or HSV2, relapsing - CORRECT ANSWER
Herpes Simplex
Herpes Simplex prevention - CORRECT ANSWER Prevention: consistent condom
use b/c viral shedding can occur in asymptomatic periods and can lead to
transmission. W/ symptoms- Valacyclovir 500 mg daily
Herpes Simplex sign and symptoms - CORRECT ANSWER Sx-multiple painful
vesicular or ulcerative lesion on genitals, can be absent. Virus lays dormant and
can be reactivated
Herpes Simplex diagnosis - CORRECT ANSWER lays dormant and can be
reactivated
Dx-cell culture and PCR
Herpes Simplex treatment - CORRECT ANSWER Tx- systemic antiviral. Acyclovir 7-
10 days for 1st episode, suppressive 200 mg daily BID
