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CMN 572 FINAL EXAM
ACTUAL EXAM WITH CORRECT
SOLUTIONS.
It is at this location, where squamous cells meet glandular cells, that cancer is more likely to develop. - correct answer- Transformation zone
Pap Screening starts at what age? - correct answer- 21
Routine HPV screening starts at what age? - correct answer- 30
A patient is founds to have ASC-H? What is the next step? - correct answer- Colposcopy
Cervical Cancer is typically slow growing and occurs predominantly in women of what age? - correct answer- 40-44
Most SE's of COC's resolve over the first ____ months. - correct answer- 6 1 / 4
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Common side effects of COC's include: - correct answer-
Breast tenderness, nausea, headache, breakthrough bleeding (BTB)
Theresa is a 33 y.o smoker with no health history. Can she be prescribed a COC pill? - correct answer- yes- Would be contraindicated in a smoker age >/= 35.
Linda is a 35 y.o smoker with a history of undiagnosed vaginal bleeding, triglyceride level of 269, and a history of DVT. Can she be prescribed a COC pill? - correct answer- No.
Contraindications to COC pill include: Smoker, aged >/=35, hx
of thrombolytic event (MI, DVT, Stroke), hx or current breast cancer, uncontrolled HTN or DM, prolonged immobilization, triglycerides > 250, active liver disease, women at increased risk of cardiac dse, Active SLE, and undiagnosed vaginal bleeding
Danielle is a 29 y.o. She is in grad school and admits to having acne, having heavy cycles, and never being in the sunlight. She wants to start on a BC pill and is interested in COC's. What could you tell her might be advantages to using COC's? - correct answer- Decreased menorrhagia, acne, PCOS, ovarian cysts, PID, ovarian/endometrial cancer, benign breast disease, ectopic pregnancy. Increased bone density. 2 / 4
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What kind of hormone(s) does the NuvaRing contain? - correct answer- Estrogen and Progestin
How long can the NuvaRing be removed without losing efficacy? - correct answer- 3 hours
What hormone(s) does the transdermal patch contain (orthevra or xulane)? - correct answer- Estrogen and Progestin
Is the patch effective for all shapes and sizes of women? - correct answer- Less effective in obese women
What are the contraindications to the transdermal patch for
BC? - correct answer- Same as COC's: Smoker >/= age 35,
history of thrombolytic events (MI, DVT, stroke), history or current breast cancer, uncontrolled HTN or DM, Prolonged immobilization, Triglycerides > 250, active liver disease, women at increased risk of cardiac disease, active SLE, undiagnosed vaginal bleeding
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What are some extended use combination contraceptives?How do they work? - correct answer- Seasonale, Seasonique, Lybrel- the lining of the uterus doesn't build up, so menses is not needed. The pills delay or eliminate menstruation
What are the benefits of extended use contraceptives? - correct answer- Decreased anemia, dysmenorrhea, or pre-menstrual depression
What is common during the first several months of use in extended use combination contraceptives? - correct answer- Breakthrough bleeding (BTB)
Hillary is a 38 y.o smoker with SLE. She wants to use a BC pill, but does not know what kind. As her NP, what would you suggest? - correct answer- A progestin only BC option. Due to her SLE, a progestin only option is preferred to a COC, but must still be used in caution.
Laura has been prescribed a POP. She reports working 12 hour shifts and getting home at irregular hours each night. What is appropriate education for Laura, concerning her POP? - correct answer- MUST be taken at the SAME time each day. A delay of even a couple of hours can result in contraceptive failure. And you don't want that, Laura!
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