AND CORRECT ANSWERS -

NR602 Final ACTUAL EXAM 200 QUESTIONS

AND CORRECT ANSWERS -

ALREADY GRADED A+

Which one best describes lesions associated with condyloma acuminatum?

• Verruciform
• Plaque-like
• Vesicular
• Bullous - CORRECT 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?

• Metronidazole 500mg BID x7 days
• OTC hydrocortisone 1% cream TID
• Fluconazole tabs 150mg x1 dose
• Erythromycin 500mg TID x10 days - CORRECT 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?

• Bacterial vaginosis
• Trichomonas
• Lactobacillus overgrowth
• Candidiasis - CORRECT 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?

• Elevated blood cholesterol levels
• Androgen deficiency
• Galactorrhea
• Hirsutism - CORRECT ANSWER-c 1 / 4

24yo female is dx'd w/primary dysmenorrhea. Which med would be used as first-line to help control symptoms?. Antianxiety meds

• Progesterone-only contraception
• Oral steroids
• NSAIDs - CORRECT ANSWER-d

Primary amenorrhea is best described as:

• Cessation of menstruation x6mo
• Failure of menstruation to occur by 17ho
• Failure of menstruation to occur by 13yo
• Cessation of menstruation x6mo after menarche - CORRECT 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:

• Trichomonas
• Mucopurulent cervicitis
• Bacterial vaginosis
• Gonorrhea - CORRECT ANSWER-a

25yo female c/o tender area near her introitus and to the L of her perineum. Very painful sex was first sign. Initially bump was very small, but now is ping-pong ball size. On exam, abscess is present on L medial side of labia minora and there's edema extending into perineum. What is dx?

• Lipoma
• Dermoid cyst
• Bartholin's cyst
• Skene's duct cyst - CORRECT ANSWER-c

49yo female c/o dark, watery brown vaginal discharge. Which best describes what might be seen on physical exam in pt's with cervical cancer?

• Ulcerated firm cervix 2 / 4

• Vague lower abd pain
• Enlarged tender femoral lymph nodes
• Soft, still shaped cervix - CORRECT ANSWER-a

22yo female c/o pelvic pain. Exam reveals cervical motion and uterine tenderness. Which supports PID dx?

• Temp <100F
• Absence of WBCs in vag fluid
• Mucopurulent vag discharge
• Lab documentation of cervical infection w/E. coli - CORRECT ANSWER-c

When educating pt about rationale for getting mammo, which statement is false?

• Mammo is cost-effective method to screen for breast cancer
• Mammo detects all breast cancers
• Mammo should be accompanied by breast exam
• Negative mammo should not delay biopsy of clinically suspicious mass - CORRECT ANSWER-b

When educating women about breast cancer risk factors, which statement is incorrect?

• Pregnancy after 35yo
• Late menopause after 57yo
• Fibrocystic breast dz
• H/o maternal breast cancer - CORRECT ANSWER-c

Which of the following statements is accurate regarding the usefulness of mammo in screening and detection of breast cancer?

• Mammo shouldn't be done if there is any breast pain or nipple retraction
• All women >40yo should have mammo on annual basis
• Mammo should be done annually for all women of child-bearing age
• Mammos should be performed annually after initial pregnancy, especially if women doesn't

breastfeed - CORRECT ANSWER-b

• / 4

Which would be considered normal surface characteristic of the cervix during a speculum exam?

• Small, yellow, raised around area on cervix
• Friable, bleeding tissue opening of the cervical os
• Red patch areas w/occasional white spots
• Irregular, granular surface w/red patches - CORRECT ANSWER-a

What is the most common cause of dysfunctional uterine bleeding?

• Endocrine disorders
• Stress
• Anovulation
• Anatomical abnormality - CORRECT ANSWER-c

PMS occurs with greatest frequency and severity in the:

• Late luteal phase
• Midfollicular phase
• Proliferative phase
• Early luteal phase - CORRECT ANSWER-a

Which is not a common cause of irregular menstrual bleeding?

• Endocrine disorders
• Stress
• Anovulation
• Anatomical abnormality - CORRECT ANSWER-c

What is considered the primary etiology of primary dysmenorrhea?

• Ovarian cysts
• Prostaglandin production
• Endometriosis
• Adenomyosis - CORRECT ANSWER-b
• / 4