age 1 of 64
NR 602 FINAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH (VERIFIED ANSWERS)
ALREADY GRADED A+
ASCCP recommended management for an ASCUS pap result
with high risk hpv 16 cotest in 26 year old no abnormal paps
......ANSWER........colposcopy
What is included in the well women of an adolescent?
......ANSWER........health history
menses
gynecologic and pregnancy issues
psychosocial
abuse drugs alcohol use
physical exam
screening tests
immunizations
When does ACOG pap smear start ......ANSWER........21 years
old done every three years
ACOG pap for over 30 yrs old ......ANSWER........every five
years with HPV test completed
,age 2 of 64
ACOG when can you stop pap smear ......ANSWER........can stop
at 65 if negative history for 10 years or if they had a
hysterectomy with no history of cervical cancer
Bethesda pap smear report reads LSIL is what classification?
......ANSWER........CIN 1
A single Pap smear reading of ASCUS in a patient negative for
HPV infection should have what as follow-up?
......ANSWER........routine screening
a female patient is 35 years old. she has never had an
abnormal PAP smear has 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? ......ANSWER........5
years
A young sexually active is having her first pap smear what
would you explain? ......ANSWER........pap smear detects cervical
cancer
26 year old pap smear shows negative and positive HPV what
do you do? ......ANSWER........repeat HPV and pap
what is not part of criteria for older women to cease pap
smears? ......ANSWER........over 55 year old
no menarche in a 15 year old with no medical problems and
Tanner stage 1 with a uterus ......ANSWER........primary
amenorrhea
,age 3 of 64
No menses for at least 6 months ......ANSWER........secondary
amenorrhea
female athlete triad ......ANSWER........disordered eating,
amenorrhea, osteoporosis
labs for female athlete triad ......ANSWER........HCG
serum prolactin
serum TSH,FSH, LH
if amenorhea lasts longer than 6 months do what?
......ANSWER........bone density test
treatment plan for female athlete triad
......ANSWER........increase caloric intake, decrease exercise
prescribe ca and vit d 1200/1500 daily and vitamin e 400 iu
daily
complications of female athlete triad
......ANSWER........osteopenia/osteoporosis (stress fracture)
myocardial atrophy, arrhythmia, hypotension, brady
hypoglycemia, dehydration, electrolytes
lanugo, telogen effluvium hair loss zerosis dry skin, infertility, low
body mass, cachexia, respiratory failure
, age 4 of 64
purpose of progesterone challenge ......ANSWER........endogenous
estrogen
primary and secondary amenorrhea originates in hypothalamus
......ANSWER........sheehans syndrome
symptoms of breast cancer ( early) ......ANSWER........None
Non-painful mass (occasionally pain)
Eczematous nipple (Paget's)
Serosanguinous (bloody) nipple discharge
late symptoms of breast cancer ......ANSWER........skin or nipple
retraction
axilary lymhadenpathy
breast enlargement
redness, edema, brawny induration
peau d' orange
pain
fixation of the mass to the skin or chest wall
very late findings of breast cancer ......ANSWER........ulceration
NR 602 FINAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH (VERIFIED ANSWERS)
ALREADY GRADED A+
ASCCP recommended management for an ASCUS pap result
with high risk hpv 16 cotest in 26 year old no abnormal paps
......ANSWER........colposcopy
What is included in the well women of an adolescent?
......ANSWER........health history
menses
gynecologic and pregnancy issues
psychosocial
abuse drugs alcohol use
physical exam
screening tests
immunizations
When does ACOG pap smear start ......ANSWER........21 years
old done every three years
ACOG pap for over 30 yrs old ......ANSWER........every five
years with HPV test completed
,age 2 of 64
ACOG when can you stop pap smear ......ANSWER........can stop
at 65 if negative history for 10 years or if they had a
hysterectomy with no history of cervical cancer
Bethesda pap smear report reads LSIL is what classification?
......ANSWER........CIN 1
A single Pap smear reading of ASCUS in a patient negative for
HPV infection should have what as follow-up?
......ANSWER........routine screening
a female patient is 35 years old. she has never had an
abnormal PAP smear has 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? ......ANSWER........5
years
A young sexually active is having her first pap smear what
would you explain? ......ANSWER........pap smear detects cervical
cancer
26 year old pap smear shows negative and positive HPV what
do you do? ......ANSWER........repeat HPV and pap
what is not part of criteria for older women to cease pap
smears? ......ANSWER........over 55 year old
no menarche in a 15 year old with no medical problems and
Tanner stage 1 with a uterus ......ANSWER........primary
amenorrhea
,age 3 of 64
No menses for at least 6 months ......ANSWER........secondary
amenorrhea
female athlete triad ......ANSWER........disordered eating,
amenorrhea, osteoporosis
labs for female athlete triad ......ANSWER........HCG
serum prolactin
serum TSH,FSH, LH
if amenorhea lasts longer than 6 months do what?
......ANSWER........bone density test
treatment plan for female athlete triad
......ANSWER........increase caloric intake, decrease exercise
prescribe ca and vit d 1200/1500 daily and vitamin e 400 iu
daily
complications of female athlete triad
......ANSWER........osteopenia/osteoporosis (stress fracture)
myocardial atrophy, arrhythmia, hypotension, brady
hypoglycemia, dehydration, electrolytes
lanugo, telogen effluvium hair loss zerosis dry skin, infertility, low
body mass, cachexia, respiratory failure
, age 4 of 64
purpose of progesterone challenge ......ANSWER........endogenous
estrogen
primary and secondary amenorrhea originates in hypothalamus
......ANSWER........sheehans syndrome
symptoms of breast cancer ( early) ......ANSWER........None
Non-painful mass (occasionally pain)
Eczematous nipple (Paget's)
Serosanguinous (bloody) nipple discharge
late symptoms of breast cancer ......ANSWER........skin or nipple
retraction
axilary lymhadenpathy
breast enlargement
redness, edema, brawny induration
peau d' orange
pain
fixation of the mass to the skin or chest wall
very late findings of breast cancer ......ANSWER........ulceration
