MVU NURS 620 Exam 4

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MVU NURS 620 Exam 4 Marsha, age 40, has been given a diagnosis of rheumatoid arthritis. She asks you whether she should continue taking her birth control pills. You tell her: A. To check with ... her Rheumatologist B. To Stop C. To Continue D. The dose will have to be altered - ANSWER -C Which of the following is a sexually transmitted infection? A. Candida vaginitis B. Trichomonal vaginitis C. Atrophic vaginitis D. Lactobacilli vaginitis - ANSWER -B Emergency contraception refers to: A. An induced abortion in an emergency room (ER) B. Quickly starting on birth control pills in anticipation of sexual intercourse C. Having a medroxyprogesterone (Depo Provera) in the ER every 12 weeks D. Taking emergency contraceptive pills - ANSWER -D Sydney, age 21, is taking an oral contraceptive (OC). She complains of acne. How should you adjust the estrogen in the OC? A. Increase the estrogen content B. Decrease the estrogen content C. Delete the estrogen content D. No adjustment should be made to the estrogen content - ANSWER -A Joanne wants to use some form of birth control, but because she is getting married next year, she wants to be able to stop the birth control method after the wedding and have her fertility restored almost immediately. Which method do you recommend for her? A. Birth control B. Vaginal Ring C. Depot medroxyprogesterone acetate injections D. Lea's shield - ANSWER -D First line treatment of Polycystic Ovary syndrome A. A Bilateral Oophorectomy B. Oral Testosterone therapy C. A combination of diet modification, weight loss, and stress management D. A laparoscopy with a bilateral wedge resection - ANSWER -C Jennifer, age 27, is complaining of lower abdominal pain. After doing some laboratory studies, you find leukocytosis, an elevated erythrocyte sedimentation rate, and an elevated C-reactive protein level. Which is the most appropriate diagnosis A. Ovarian cyst B. Pelvic inflammatory disease C. Tubal pregnancy D. Diverticulitis - ANSWER -B Endometrial cancer, hirsutism, acne, breast cancer, increased risk of diabetes, infertility, menstrual bleeding problems, and an increased risk of cardiovascular disease are clinical consequences of: A. Mastalgia B. Menorrhagia C. Endometriosis D. Persistent anovulation - ANSWER -D A sexually active woman should be aware that genital herpes simplex virus A. May be transmitted to a partner or newborn even in the absence of lesions because of viral shedding B. Is suppressed during menstruation, physical or emotional stress, immunosuppression, sexual intercourse, and pregnancy C. Included recurring outbreaks that last the same length of time as the initial outbreak D. Requires the use of condoms only during outbreaks - ANSWER -A A 27-year-old presents to your office for a Mirena (levonorgestrel intrauterine system) insertion. She reports that her menses started 3 days ago and is normal. How soon after the insertion will she be able to safely rely on Mirena for contraception? A. Immediately B. After 48 hours C. In 1 week D. In 1 month - ANSWER -A A 26 year comes to your office to discuss birth control options. Her history includes migraine headaches with aura while on combination oral contraceptives in the past. She does not want to become pregnant. Which of the following birth control options would be the best choice for her? A. Combined hormonal contraceptive pills B. Ortho Evra Patch C. Mirena Intrauterine device (IUD) D. Vaginal Nuva Ring - ANSWER -C In a patient diagnosed with cervical gonococcal infection, you would also suspect a co-infection with: A. Candidiasis B. Syphilis C. Trichomoniasis D. Chlamydia - ANSWER -D Darcy it to undergo a cone-needle biopsy for a suspicious breast mass. This procedure includes: A. A 21- or 22- guage needle that is used to aspirate cells from the lesion for analysis B. Removal of a large core of tissue from the lesion for histological evaluation usually a large guage cutting needle C. Removal of a wedge of tissue for examination D. Removal of the entire lesion - ANSWER -B A 17 year old female asks to start Depo-Provera injections as her method of birth control. She discloses she has had four sexual partners in the past year. Her last menstrual period was 12 days ago, and she had unprotected sex 3 days ago. The appropriate management for this patient would be to: A. Administer the injection today B. Advise her to use another method for now and return with her next menses C. Give the injection after a negative pregnancy test and tell her to use a condom for the next 7 days D. Give her injection and tell her to use a barrier method for 7 days - ANSWER -B Mrs. Williams would like to schedule an appointment to bring her 18-year-old daughter in for her first gynecological exam and Pap smear. The most appropriate reply would include: A. "I would be happy to see your daughter and complete her gynecological exam and Pap smear" B. "Your daughter does not need gynecological exam and Pap at this time" C. "Your daughter only needs a gynecological exam and Pap smear when she becomes sexually active" D. "I would be happy to see your daughter and complete her gynecological exam; however, she does not need a Pap smear until the age of 21" - ANSWER -D Candidiasis is more common in: A. Teenage girls B. Women on low-fat diets C. Women with diabetes D. Women with frequent urinary tract infections - ANSWER -C Characteristics of polycystic ovarian syndrome include: A. Hirsutism, thinness, hypoinsulinema B. Menopause onset, vitilago, hyperinsulinemia C. Alopecia, thinness, abdominal cramping D. Premenarcheal onset, obesity, hyperinsulinemia - ANSWER -D A treatment us [Show More]

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