NR 602 Week 8 Final Exam (Real Eam)

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Institution	NR 602 Primary Care of the Childbearing and Childrearing Family
Contributor	Lydia

Description

Question: A sexually active 18-years old presents with postcoital spotting, dysuria and a yellow discharge. On exam you find her cervix is erythematous and bleeds with contact. The most likely diagnosis is
Question: One of the leading causes of female infertility, Stein-Leventhal syndrome is
Question: HIV test is indicated for a (n)
Question: Which of the following contraceptive methods would be best for a woman with sickle cell anemia?
Question: A Patient taking metronidazole and cimetidine at the same time is at risk for:
Question: A 58-year old woman complain of severe vulvular pruritis. On examination of the vulva, you note thinning of the epidermis and loss of pigmentation, as well as maculopapular lesions. You suspect the diagnosis may be
Question: Measuring waist circumference is most appropriate when the client’s BMI place her in which of the following categories?
Question: The levonogestrel releasing IUC may be a better choice then the copper releasing IUC for a woman who:
Question: A 30-year old is seen in your office on day 18 of her cycle for her routine annual examination. She has no complaints. Pelvic exam reveals a 9-cm firm, pelvic mass anterior to the uterus. The most likely diagnosis is
Question: First line treatment for polycystic ovary syndrome is
Question: A 45-year old female presents with complaint of lower abdominal pain with urinary urgency and frequency for the past three months. The pain is worse during sexual intercourse and relieved somewhat when she urinates. Physical exam reveals suprapubic tenderness as well as tenderness along the anterior vaginal wall and urethra. The remainder of her exam is normal. What diagnosis best fits these findings?
Question: If you diagnose a cervical gonococcal infection, which other infection is probably present?
Question: A 24-year old female presents to your office with a request for combination contraceptives. Her current medications include a bronchodilator for asthma. Management for this client should include advising her that:
Question: The CDC recommendation for follow-up of a female treated for PID with a recommended outpatient regimen is:
Question: A 16-year old woman has not yet begun menstruating but does have secondary sexual characteristics. She is best described as having:
Question: The glands located posteriorly on each side of the vaginal orifice are the:
Question: Typical characteristics of vulvodynia include:
Question: The most common type of invasive breast carcinoma is:
Question: A dancer from an adult club down the street comes in for a renewal of her birth control pill prescription. She says everything is fine. On exam, you find grayish-white vaginal discharge, greenish cervical discharge, and cervical motion tenderness. All of the following are differential diagnoses except?
Question: A 26-year old woman presents with multiple painless, umbilicated papules on her mons pubis. The most likely diagnosis is:
Question: A 26- year old female has a Pap test report of ASC-US. This is her first abnormal Pap test. Recommended first steps in follow- up would include:
Question: USPSTF recommendations for routine breast cancer screening include:
Question: A 22- year old female presents with complaint of malodorous vaginal discharge and vulvar itching. On examination, a watery, yellowish-green vaginal discharge is noted, along with vulvar and vaginal erythema. The most likely findings on a wet mount examination will be:
Question: The American cancer society recommends yearly mammogram screening beginning at age:
Question: According to USPSTF recommendations, an 80 year old female should get
Question: A 22 year old female has a Pap test report of HSIL. Recommended first stems in follow up would include:
Question: Characteristics of polycystic ovary syndrome include:
Question: A 22 year old experiences six months of amenorrhea. Laboratory test results include normal prolactin and thyroid stimulating hormone and negative pregnancy test. The next action will be to:
Question: A 66 year old woman with a history of pruritis presents with an ulceration of the vulva. The most likely diagnosis is:
Question: A 17 year old client presents at the clinic with the following reason for seeking care: “I have been sick for three days. I feel sick to my stomach and have diarrhea”. Which of the following would be the most appropriate to document as her reason for visit/ chief complaint?
Question: A 16 year old patient comes to the office because she has never had a menstrual period. She has normal breast development, scant pubic hair, and blind vaginal pouch with no palpable uterus or ovaries. The most likely diagnosis is:
Question: Characteristic “strawberry spots” on the cervix may be seen with:
Question: When examining the cervix of a 20 year old female, you note that most of the cervix is pink, but there is a small ring of dark-red tissue surrounding the os. This is most likely:
Question: A twenty-one year old woman comes to your practice seeking birth control. She has only recently become sexually active and has consistently used condoms for safe sex. Your history reveals that she does not use tampons during her menses and has very little knowledge about female reproductive anatomy. Based on this information, which of the following birth control methods would be least likely to meet her needs for contraception management?
Question: Dysfunctional uterine bleeding is usually associated with
Question: Pelvic findings on examination of a 22- year old nulliparous woman is uterus 7cm in length and ovaries 3cm x 2cm x 1cm. These findings are consistent with
Question: In a premenopausal woman, the biggest heart attack risk factor is
Question: Iris is a 32 y/o married woman with three children. She comes in for information on using copper T IUD for contraception. Which of the following would be a contraindication to using this appliance?
Question: A nurse practitioner is screening a female for prescribing contraception fir the first time. Which of the following is an absolute contraindication for estrogen-containing contraception?
Question: Mrs. Jackson, age 37, has been on birth control pills for approximately 15 years. She is a smoker, has a blood pressure of 110/70mmHg and has lipid levels within normal limits. You advise that she should
Question: A 24 year old woman presents with complaint of nontender mass in her breast that does not change with the menstrual cycle. On examination, you notice a freely movable, 0.5cm x 1cm, rubbery nontender mass. The most likely diagnosis is
Question: Turner’s syndrome can be suspected when the patient has primary amenorrhea and
Question: Primary dysmenorrhea can best be treated with
Question: What is the position of the uterus when the cervix is on the anterior vaginal wall?
Question: According to ACOG guidelines, which of the following examination and screening tests should be a part of the routing well-woman visit every year for the females age 30 to 39 years?
Question: A woman who is currently pregnant, has has two full-term deliveries, and has had one first trimester abortion would be considered
Question: Aa vaginal pH less than 4.5 is expected finding in a
Question: A 68 year old had her last cervical cancer screening fone at age 65 and results were normal. She has no history of abnormal screenings. She has recently started having sexual intercourse with a new male partner and asks if she should start having cervical cancer screening again. An appropriate answer would be that she
Question: The new ACOG Pap smear guidelines reflect a change in all of the following except
Question: During a vaginal examination, you observe bulging of the anterior wall when you ask the patient to bear down. This is most likely a