NR 602 FINAL EXAMNR 602 WEEK 8 FINAL EXAM

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NR 602 FINAL EXAM/NR 602 WEEK 8 FINAL EXAM

NEWEST ACTUAL EXAM| 2 VERSIONS ( VERSION

A & B) WITH 300 QUESTIONS AND CORRECT

DETAILED ANSWERS (VERIFIED ANSWERS)

|ALREADY GRADED A+

Treatment options for condyloma acuminatum include:

• Imiquimod (Aldera)
• Azithromycin
• Acyclovir
• Metronidazole - Correct Answer - a

25yo postmenopausal female c/o pain in upper outer quadrant of L breast x1mo.

Best course of action would be:

• Reassure pt that pain is often not presenting symptom of breast cancer.
• Teach pt breast self-exam.
• Order labs as most likely this is secondary to hormonal fluctuation
• Perform breast exam and order mamo - Correct Answer - d

PID typically presents with all of the following except:

• Dysuria
• Leukopenia
• Cervical motion tenderness
• Abd pain - Correct Answer - b
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pg. 2 Which of the following are of a reproductive and pelvic origin?

• Salpingo-oophoritis (fallopian tube/ovary) secondary to PID
• Gynecologic malignancy
• Adhesions
• Myomata uteri - 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
• 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 2 / 4

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• 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

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

• Small, yellow, raised around area on cervix 3 / 4

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• 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
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