NR602 Final Exam Latest Update -

NR602 Final Exam Latest Update - Actual Exam from Credible Sources with 400+ Questions and Verified Correct Answers Golden Ticket to Guaranteed A+ Verified by Professor

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?

• Eating disorder
• Pregnancy
• Anovulatory cycles

d. Stress - CORRECT ANSWER: a

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

d. Hirsutism - CORRECT ANSWER: c

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 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

d. NSAIDs - CORRECT ANSWER: d

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

d. Skene's duct cyst - 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

d. Gonorrhea - CORRECT ANSWER: a

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

course of action would be:

• / 4

• 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

d. Perform breast exam and order mammo - CORRECT ANSWER: d

28yo female c/o breast tenderness, fatigue, abd bloating, fluid retention, irritability 1wk before her menses onset. What is most important info to obtain from this pt to determine if the pt has PMS?

• Severity of symptoms
• Occurrence of symptoms in menstrual cycle

c. Frequency and number of symptoms over past 4mo - CORRECT ANSWER: b

32yo woman c/o postcoital bleeding. Which would not be included in the initial assessment?

• Pap smear
• Uterine biopsy
• Pelvic ultrasound

d. CBC w/diff - CORRECT ANSWER: b

35yo woman c/o 6mo h/o hypermenorrhea, backache, pelvic pressure. On exam, you discover 12wk size uterus w/irregular contour. What does this represent?

• Uterine cancer
• Dysfunctional uterine bleeding
• Uterine fibroid

d. Fecal impaction - CORRECT ANSWER: c

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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

d. Erythromycin 500mg TID x10 days - CORRECT ANSWER: c

• phenotypes of PCOD/S: - CORRECT ANSWER: -Hyperandrogenism/chronic

anovulation -Hyperandrogenism/polycystic ovaries on US but w/ovulatory cycles -Chronic anovulation/polycystic ovaries w/out hyperandrogenism -Hyperandrogenism, chronic anovulation, polycystic ovaries

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

d. Soft, still shaped cervix - CORRECT ANSWER: a

Absolute contraind. for estrog. replacement therapy - CORRECT ANSWER: -h/o breast ca -Undx vag bleeding -Carcinoma -Active liver dz

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