NR602 / NR 602 Primary Care of the
Childbearing and Childrearing Family
Practicum Final Exam 400+ Q/A| Highly
Rated | LATEST| Chamberlain College
Which one best describes lesions associated with condyloma acuminatum?
a. Verruciform
b. Plaque-like
c. Vesicular
d. Bullous – ANSWER a
39yo female has completed course of amox for strep throat. LMP was 2wks ago,
says it was normal. On exam, there’s erythema of extern. genitalia w/small
amount of white discharge. Micro wet prep reveals few clue cells, but many
budding hyphae. No WBCs. Which one would be the most appropriate treatment?
a. Metronidazole 500mg BID x7 days
b. OTC hydrocortisone 1% cream TID
c. Fluconazole tabs 150mg x1 dose
d. Erythromycin 500mg TID x10 days – ANSWER c
Woman c/o vaginal itching, white discharge. She is in good health except for
recent abx for strep throat. Pelvic reveals tender vulvovaginal area w/edema and
nonmalodorous white patches. Which is the most likely cause?
a. Bacterial vaginosis
b. Trichomonas
c. Lactobacillus overgrowth
d. Candidiasis – ANSWER d
18yo female c/o secondary amenorrhea. On exam, there is normal secondary sex
characteristics and normal genitalia. Pregnancy is ruled out. What would
necessitate further eval?
a. Elevated blood cholesterol levels
b. Androgen deficiency
c. Galactorrhea
d. Hirsutism – ANSWER c
24yo female is dx’d w/primary dysmenorrhea. Which med would be used as firstline to help control symptoms?
a. Antianxiety meds
b. Progesterone-only contraception
c. Oral steroids
d. NSAIDs – ANSWER d
Primary amenorrhea is best described as:
a. Cessation of menstruation x6mo
b. Failure of menstruation to occur by 17ho
c. Failure of menstruation to occur by 13yo
d. Cessation of menstruation x6mo after menarche – ANSWER
c
25yo female c/o vaginal irritation and discharge. On exam, cervix is easily friable
and erythematous. No adnexal tenderness. Wet prep reveals mobile protozoa on
NS slide. This most likely represents:
a. Trichomonas
b. Mucopurulent cervicitis
c. Bacterial vaginosis
d. Gonorrhea – ANSWER a
16yo female has h/o secondary amenorrhea. Menarche at 10yo, regular cycles
x2yrs, has not menstruated x4yrs. What is most frequent etiology of this
problem?
a. Eating disorder
b. Pregnancy
c. Anovulatory cycles
d. Stress – ANSWER a
Woman is experiencing vaginal discharge. Wet mount with KOH would be used to
confirm:
a. Herpes simplex
b. Gonorrhea
c. Candidiasis
d. Chlamydia – ANSWER c
Treatment options for condyloma acuminatum include:
a. Imiquimod (Aldera)
b. Azithromycin
c. Acyclovir
d. Metronidazole – ANSWER a
25yo postmenopausal female c/o pain in upper outer quadrant of L breast x1mo.
Best course of action would be:
a. Reassure pt that pain is often not presenting symptom of breast cancer.
b. Teach pt breast self-exam.
c. Order labs as most likely this is secondary to hormonal fluctuation
d. Perform breast exam and order mammo – ANSWER d
NR602 / NR 602 Primary Care of the
Childbearing and Childrearing Family
Practicum MIDTERM Exam | Highly Rated
| LATEST| Chamberlain College
What is a chalazion? – ANSWER Benign, chronic
lipogranulomatous inflammation of the eyelid
What causes a chalazion? – ANSWER Blockage of the
meibomian gland
What puts a person at risk for a chalazion? – ANSWER
Hordeolum or any condition which may impede flow through the meibomian
gland.
Mite species that reside in lash follicles.
What are physical exam findings for a chalazion? – ANSWER
Painless
Does NOT involve lashes
Lid edema or palpable mass
Red or grey mass on inner aspect of lid margin
What is prevention for chalazion? – ANSWER Good eye
hygiene
What is treatment for chalazion? – ANSWER Warm,
moist compresses 3x a day
If secondarily infected: sulfacetamide or erythromycin
What is the follow-up for chalazion? – ANSWER In 2-4
weeks
If still present after 6wks, follow up w/ophthalmologist
What is blepharitis? – ANSWER Inflammation/infection
of the lid margins (chronic problem)
What are the two types of blepharitis? – ANSWER
Seborrheic (non-ulcerative)
Ulcerative
What can cause seborrheic blepharitis? – ANSWER
Irritants (smoke, makeup, chemicals)
What are s/s of seborrheic blepharitis? – ANSWER
Chronic inflammation of eyelid
Erythema
Greasy scaling of anterior eyelid
Loss of eyelashes
Seborrheic dermatitis of eyebrows/scalp
What usually causes ulcerative blepharitis? – ANSWER
Infection w/staph or strep
What are s/s of ulcerative blepharitis? – ANSWER
Itching
Tearing