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nr 602 final exam Questions and Answers
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ASCCP recommended management for an ASCUS pap result with high
risk hpv 16 cotest in 26 year old no abnormal paps Ans: colposcopy
What is included in the well women of an adolescent? Ans: health
history
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menses
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gynecologic and pregnancy issues
psychosocial
abuse drugs alcohol use
physical exam
screening tests
immunizations
When does ACOG pap smear start Ans: 21 years old done every three
years
ACOG pap for over 30 yrs old Ans: every five years with HPV test
completed
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ACOG when can you stop pap smear Ans: can stop at 65 if negative
history for 10 years or if they had a hysterectomy with no history of
cervical cancer
Bethesda pap smear report reads LSIL is what classification? Ans: CIN 1
A single Pap smear reading of ASCUS in a patient negative for HPV
infection should have what as follow-up? Ans: routine screening
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a female patient is 35 years old. she has never had an abnormal PAP
smear has regular screening since age 18. If she has a normal PAP smear
with HPV testing today, when should she have the next cervical cancer
screening? Ans: 5 years
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A young sexually active is having her first pap smear what would you
explain? Ans: pap smear detects cervical cancer
26 year old pap smear shows negative and positive HPV what do you
do? Ans: repeat HPV and pap
what is not part of criteria for older women to cease pap smears? Ans:
over 55 year old
no menarche in a 15 year old with no medical problems and Tanner
stage 1 with a uterus Ans: primary amenorrhea
No menses for at least 6 months Ans: secondary amenorrhea
female athlete triad Ans: disordered eating, amenorrhea, osteoporosis
labs for female athlete triad Ans: HCG
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serum prolactin
serum TSH,FSH, LH
if amenorhea lasts longer than 6 months do what? Ans: bone density
test
treatment plan for female athlete triad Ans: increase caloric intake,
decrease exercise
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prescribe ca and vit d 1200/1500 daily and vitamin e 400 iu daily
complications of female athlete triad Ans: osteopenia/osteoporosis
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(stress fracture)
myocardial atrophy, arrhythmia, hypotension, brady
hypoglycemia, dehydration, electrolytes
lanugo, telogen effluvium hair loss zerosis dry skin, infertility, low body
mass, cachexia, respiratory failure
purpose of progesterone challenge Ans: endogenous estrogen
primary and secondary amenorrhea originates in hypothalamus Ans:
sheehans syndrome
symptoms of breast cancer ( early) Ans: None
Non-painful mass (occasionally pain)
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Eczematous nipple (Paget's)
Serosanguinous (bloody) nipple discharge
late symptoms of breast cancer Ans: skin or nipple retraction
axilary lymhadenpathy
breast enlargement
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redness, edema, brawny induration
peau d' orange
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pain
fixation of the mass to the skin or chest wall
very late findings of breast cancer Ans: ulceration
supraclavicular lymphadenopathy
edema of the arm, bone, lung, liver, brain or other distant metstases
Follow up for breast cancer patients Ans: 1. Bilateral mammogram 6
months after complete radiation post-lumpectomy; Mammogram yearly
after
2. Contralateral mammogram annually post-mastectomy (entire breast
+ pectoralis major fascia)