Download NRNP 6552 Midterm Exam 2022 Week 6 Q&A and more Exams Nursing in PDF only on Docsity!
NRNP 6552 Midterm Exam 2022 Week 6 Q&A
Question 1 1 out of 1 points The is a sensitive organ that is typically described as the female homologue of the penis. Ans: Clitoris Question 2 1 out of 1 points Normal vaginal discharge has a pH of: Ans: 3.8 and 4. Question 3 1 out of 1 points On physical examination, pale atrophic depigmented tissue that has a “cigarette paper” appearance is consistent with: Ans: Lichen Sclerosus Question 4 1 out of 1 points Criteria for clinical diagnosis of bacterial vaginosis include the presence of three out of four of the following Amsel criteria: answer: C (white, thin adherent vaginal discharge, pH equal or greater than 4.5; positive whiff/KOH test; presence of WBC on microscopic examination) Question 5 1 out of 1 points The most common STI in the United States is: Answer: Chlamydia Question 6 1 out of 1 points Ovarian failure is diagnosed when estrogen production is identified while the serum FSH is.
Answer: B (Low Estrogen, High) Question 7 1 out of 1 points Approximately of infertility cases are due to female factors and are due to male factors. Answer: D - 55%. 35% Question 8 1 out of 1 points In women with PCOS, polycystic ovaries are due to: Answer: B (Chronic Anovulation) characterized by hyperandrogenaemia and hyperinsulinemia, which play a role in anovulation (Excess adipose tissues may lead to polycystic ovarian syndrom Question 9 1 out of 1 points The most common symptoms of uterine cancer are: Answer B. Abnormal uterine bleeding and postmenopausal bleeding. Question 10 1 out of 1 points Neisseria gonorrhea is a bacteria Answer: Gram-negative diplococci bacteria Question 11 0 out of 1 points
Question 17 1 out of 1 points First line pharmacologic treatment for women with PCOS is/are: Answer: COCs (Ethinyl estradiol + levonorgestrel, norgestimate – vienva, aviane, marzia, levein, amethyst) Question 18 1 out of 1 points Clinicians are required to report certain STIs to their state public health officials. These include: answer: Nationally notifiable STIs include chancroid, chlamydia, gonorrhea, hepatitis, HIV, and syphilis Question 19 1 out of 1 points Symptoms of Polycystic Ovary Syndrome (PCOS) include all of the following except: Answer: D – Hypopigmentation of the extremities
**- irregular periods or no periods at all.
- difficulty getting pregnant (because of irregular ovulation or failure to** **ovulate)
- excessive hair growth (hirsutism) – usually on the face, chest, back or** **buttocks.
- weight gain.
- thinning hair and hair loss from the head.
- oily skin or acne. Question 20** 0 out of 1 points Josefina is a 47-year-old patient with family history of diabetes. Her BMI is 30. She has been healthy except for medication-controlled hypertension. She has been very compliant with her appointments. Today, you tell her you need to check her blood sugar. She says “I just read an article that said I only need to have that checked every three years. You just checked it last year.” You tell her:
answer: A I will advice Josefina that, the test determines your typical blood sugar levels and their proximity to normal. When you're first diagnosed, you get these checkups every three months, then every six months until you're stable. This can be done by your primary care physician or a diabetic nurse. Every diabetic should see a doctor at least every three months. Routine visits enable your doctor to monitor your status and if required, modify your treatment strategy. weight, feet, heart , diet, Eyes , neuropathy, circulation ,blood , thyroid, electrolytes, cholesterol, blood pressure and other tests should be performed on an annual basis. For patients with diabetes, one reason for hospitalization and unplanned hospital readmission is severe dysglycemia (uncontrolled hyperglycemia -- high blood sugar, or hypoglycemia -- low blood sugar), says new research published in the Journal of General Internal Medic Question 21 1 out of 1 points The test for the fishy odor that occurs in bacterial vaginosis is called the: Answer: Whiff Test Question 22 0 out of 1 points Evidence from randomized trials on intimate partner violence screening support the following intervention(s) for women of childbearing age: Answer: E (A, B, and C) Evidence from randomized trials support a variety of interventions for women of childbearing age which includes counseling, home visits, and mentoring support Question 23 1 out of 1 points The act that was established that mandated every American to carry health insurance is called:
Strong evidence shows that first trimester abortions, whenever performed safely, increases a women’s risks of: Answer: D (none of the above) Question 29 0 out of 1 points The American Cancer Society (ACS) has recently updated its colorectal cancer screening guidelines. The new guidelines recommend screening average-risk patients for that disease at age Answer: 45 years Question 30 1 out of 1 points An endometrial biopsy can be done in the office setting. It has a over all accuracy in diagnosing endometrial cancer. Answer: C - HIGH Question 31 0 out of 1 points The following are the four basic Caldwell-Moloy pelvic types. Answer: Gynecoi d Android Anthrop oid Platypel loid Question 32 1 out of 1 points The following is/are types of sexual violence.
Answer: C (Threats of sexual violence) Question 33 1 out of 1 points Jenna comes in complaining of intense itching in the vaginal area. She also has some itching in the vulvar area. It is really bad after she has intercourse. In gathering her history, she tells you she had an ear infection a few weeks ago and took amoxicillin for it but otherwise, has been healthy. On exam, you note a thick, white, lumpy discharge with the consistency of cottage cheese. The vulva is red and swollen as are the labial folds. There is no strong odor. The most likely diagnosis is: Answer: Vulvovaginal candidiasis (Yeast Infection) Question 34 1 out of 1 points A pharmacologic treatment for patients with Hydradenitis Suppurativa (HI) may include D. All of the above Answer: Metformin, oral contraceptives, and spironolactone Answer: tetracycline 500 mg, doxycycline 100 mg, minocycline100 mg orally, or amoxicillin 500 mg Question 35 1 out of 1 points EBP stands for: Answer: Evidence Based Practice Question 36 1 out of 1 points Women in the following profession have a higher rate of UTI Answer: A (Nursing) Question 37 1 out of 1 points
Answer: 6 months (75-100% of situations of sexual intercourse) Question 42 0 out of 1 points Abnormal uterine bleeding can sometimes be caused by Answer: None of the above hormone changes, cancer, fibroids, polyps or early pregnancy People with menstrual-related problems are more likely to report anxiety, depression, insomnia, excessive sleepiness, and pain than people without menstrual-related problems Question 43 1 out of 1 points Margaret has several risk factors for osteoporosis. She is 72 years old, is a 30-pack year smoker, and has never had children. Which one of these risk factors was nonmodifiable? Answer: D – all of the above (age, smoking and nulliparity) Question 44 1 out of 1 points A person whose gender identity is the same as their sex when he or she was born is: Answer: Cisgender Question 45 0 out of 1 points Trichomonas vaginalis can be asymptomatic, but when symptomatic, the vaginal discharge tends to be: Answer: Yellow to green frothy Question 46 1 out of 1 points When performing a pain history, the term OLD CAARTS is an aid. This stands for: Answer: A (onset, location, duration, characteristics, alleviating..)
Question 47 1 out of 1 points When conducting qualitative research, data can be derived from: Answer: E. (A,B and C) Question 48 1 out of 1 points The only antimicrobial medications that are effective against Trichomoniasis vaginalis are: answer: A (Tinidazole or metronidazole) Question 49 1 out of 1 points Most malignancies in breast tissue occur in: Answer: Upper Outer quadrant Question 50 1 out of 1 points Gale is 36 weeks pregnant. She calls the office to report that she has noticed a sticky fluid coming from her breasts. You let her know that this is most likely: Answer: C (Colostrum, which is commonly noted toward the end of the pregnancy) Question 51 1 out of 1 points The contraceptive implant that is currently available in the U.S. is: Answer: D - Nexplanon Question 52 1 out of 1 points The is often considered the most important muscle of the pelvic floor. ANSWER: D – Levator Ani Question 53 1 out of 1 points The following symptoms are consistent with PMS except:
which is: Answer: A ( Antiflexion) Question 60 0 out of 1 points Emergency contraception therapy may be given to a woman who seeks treatment immediately following sexual assault. It may be given within hours of the assault. ANSWER: C (72 Hours) it should be 120 hours Question 61 1 out of 1 points For women at high risk for breast cancer, ACS recommends annual screening with mammography and beginning at age 30. Answer: C (MRI) Question 62 1 out of 1 points A cluster of mild to moderate physical and psychological symptoms that occur during the late luteal phase of menses and resolve with menstruation is the definition of answer: A (Premenstrual dysphoric disorder ) Question 63 0 out of 1 points Olivia presents with a complaint of “bumps” around her vagina. They are nonpainful and nonpruritic. Upon inspection, you note several flesh colored and pearly white papules with depressed centers. This appearance is characteristic of: Answer: D (Molluscum contagiosum) Question 64 1 out of 1 points
Pelvic muscle exercises, where the woman performs a repetitive pelvic floor muscle contraction regimen are known as: answer: B – Kegel Exercise 65 0 out of 1 points The USPTF, ACOG, and ACS all recommend pap tests to begin at: Answer: C – 21 YEARS Question 66 1 out of 1 points Martha is a 65 - year-old woman who is a new patient to you. In telling you her history, she states that she has a history of a rare type of breast cancer. She cannot remember the name of it but tells you that it also involved itchy eczema-like nipple changes. With this info and your knowledge of breast cancer, you surmise that she may be referring to: Answer: C Pagets disease Question 67 0 out of 1 points In women, fertility declines gradually beginning at age and more rapidly after age. Answer: B. 32; 37 Question 68 1 out of 1 points The name of the act in the U.S. that addresses domestic violence, dating violence, sexual assault, stalking, and human trafficking is: answer: A – The violence against women act (VAWA)
Question 74 1 out of 1 points Uterine fibroids are also known as: ANSWER: D (A & B) – Myomas and Leiomyomatas Question 75 1 out of 1 points A waiting period of between bariatric surgery and pregnancy is recommended. Answer: C: 12 – 24 months. Question 76 0 out of 1 points Approximately 50% to 70% of women with PCOS are insulin resistant. Insulin resistance often results in: answer: A (compensatory hyperinsulinemia) Question 77 1 out of 1 points The endometrial cycle has three phases, which are: Answer: C (Proliferative, secretory and menstrual) Question 78 1 out of 1 points The frontline analgesics for painful menstrual cramps are: Answer: C(NSAIDS) Question 79 1 out of 1 points
Angela just adopted an 11-year-old from another country. Unfortunately, there are no records of previous immunizations on this child. When discussing immunizations, you mention that the child needs several, including the MMR. Angela asks you what MMR stands for. You tell her: Answer: C (Mumps, measles and rubella) Question 80 1 out of 1 points The least invasive way to assess bladder capacity is through: Answer: A (Filling cystometrogram) Question 81 1 out of 1 points The majority of female infertility is due to: Answer: A – Ovulatory dysfunction and tubal and peritoneal pathology Question 82 Endometriosis is: Answer: B. The presence of endometrial glands and stroma outside the lining of the uterus Question 83 The timing of an adolescent growth spurt typically occurs in puberty than it does for boys. Answer: D (None of the above)
1 out of 1 points When looking from a feminist perspective at research studies, one of the great concerns is that: Answer C: For many years, studies were done primarily on men with the findings being generalized to women. Question 90 1 out of 1 points When concerned about ectopic pregnancy in a patient with abdominal pain, two diagnostic aids include: Answer: B. HCG and ultrasound Question 91 0 out of 1 points Metabolic syndrome typically includes the following except: Answer: A (Sudden weight loss) Question 92 0 out of 1 points Lichen planus is typically treated with: Answer: D - Corticosteroids Question 93 1 out of 1 points To avoid the development of Bartholin’s gland cysts, women should: Question 94 1 out of 1 points
Endometrial polyps are most commonly identified by: Answer: a transvaginal ultrasound Question 95 0 out of 1 points The are easily sensitized and become engorged with blood during sexual arousal. Answer: A (Labia Minora) Question 96 0 out of 1 points Infected hair follicles on the vulvar skin that are small and scattered often occur because of: Answer: C. Shaving the pubic hair Question 97 1 out of 1 points The glands are oil-producing glands on the areola that protect and lubricate the nipple during lactation. Answer: A - Montgomery Question 98 1 out of 1 points Nearly pregnant women have been abused by the partner. Answer: C (1 in 6) Question 99 1 out of 1 points The following are risk factors for endometrial cancer.
