NR602 Final Study Questions

Final Study Questions 1. A sexually active 18-years old presents with postcoital spotting, dysuria and a yellow discharge. On exam you find her cervix is erythematous and bleeds with contact. The most likely diagnosis ...

Final Study Questions 1. A sexually active 18-years old presents with postcoital spotting, dysuria and a yellow discharge. On exam you find her cervix is erythematous and bleeds with contact. The most likely diagnosis is a. Cervical cancer b. Chlamydia c. Primary syphilis d. Tampon injury 2. One of the leading causes of female infertility, Stein-Leventhal syndrome is a. Pelvic inflammatory disease b. Polycystic ovary disease c. Multiple sex partners d. Ectopic pregnancy syndrome 3. HIV test is indicated for a (n) a. 18-year-old female whose sex partner has a history of genital warts b. 24-year-old female with current genital warts as adjunct to routine pap test c. 30-year-old female with no history of genital warts as adjunct to routine pap test d. 67-year old female with new sex partner in past year who has history of genital warts 4. Which of the following contraceptive methods would be best for a woman with sickle cell anemia? a. Combination oral contraceptives b. Transdermal contraceptive patch c. Progestin-only contraceptives d. Female condom 5. A Patient taking metronidazole and cimetidine at the same time is at risk for: a. Bothersome side effect from the metronidazole b. Decreased effectiveness of cimetidine c. Renal impairment d. Severe disulfiram type reaction 6. A 58-year old woman complain of severe vulvular pruritis. On examination of the vulva, you note thinning of the epidermis and loss of pigmentation, as well as maculopapular lesions. You suspect the diagnosis may be a. Lichen sclerosus b. Local allergic reaction c. Lichen simplex chonicus d. Vulvodynia 7. Measuring waist circumference is most appropriate when the client’s BMI place her in which of the following categories? a. Underweight b. Normal weight c. Overweight d. Extreme obesity 8. The levonogestrel releasing IUC may be a better choice then the copper releasing IUC for a woman who: a. Has never been pregnant b. Has dysmenorrhea c. Is currently breastfeeding d. Is sure she does not want more children 9. A 30-year old is seen in your office on day 18 of her cycle for her routine annual examination. She has no complaints. Pelvic exam reveals a 9-cm firm, pelvic mass anterior to the uterus. The most likely diagnosis is a. Benign cystic teratoma b. Ectopic pregnancy c. Endometrioma d. Follicular cyst 10. First line treatment for polycystic ovary syndrome is Bilateral oophorectomy Beginning androgen therapies A combination of diet modification, weight loss, and stress management A laparotomy with a bilateral wedge resection 11. A 45-year old female presents with complaint of lower abdominal pain with urinary urgency and frequency for the past three months. The pain is worse during sexual intercourse and relieved somewhat when she urinates. Physical exam reveals suprapubic tenderness as well as tenderness along the anterior vaginal wall and urethra. The remainder of her exam is normal. What diagnosis best fits these findings? Chronic urinary tract infection Interstitial cystitis/ painful bladder syndrome Pelvic inflammatory disease Pyelonephritis 12. If you diagnose a cervical gonococcal infection, which other infection is probably present? Candidiasis Syphilis Trichomoniasis Chlamydia 13. A 24-year old female presents to your office with a request for combination contraceptives. Her current medications include a bronchodilator for asthma. Management for this client should include advising her that: Combination oral contraceptives are not recommended for women with asthma Combination oral contraceptives may potentiate the action of her bronchodilator She should use a backup method if using the bronchodilator several days in a row Progestin-only contraceptive injections may reduce her asthma attacks 14. The CDC recommendation for follow-up of a female treated for PID with a recommended outpatient regimen is: Advise patient to return if pain and/or fever persists more than five days Re-examine patient within 72 hours after initiation of treatment Retest for chlamydia and gonorrhea in two weeks See patient in one week for second dose ceftriaxone IM 15. A 16-year old woman has not yet begun menstruating but does have secondary sexual characteristics. She is best described as having: Asherman’s syndrome Oligomenorrhea Primary amenorrhea Secondary amenorrhea 16. The glands located posteriorly on each side of the vaginal orifice are the: Bartholin’s glands Bulbar glands Natorian glands Skene’s glands