FNP654/ FNP 654 MIDTERM EXAM |
FAMILY PRIMARY CARE II EXAM |
QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT| GRADE A – GCU |
LATEST 2026/ 2027
35F presents without hx of dysmenorrhea reports lower pelvic pain and
irregular bleeding between periods. What is initial managament for this
patient?
- Correct Answer - Performing an abdominal, pelvic, and rerovaginal
exam
Middle aged child skipping school frequently and getting poor grades
since father passed away.
- Correct Answer - Refer to mental health specialist for eval and tx
40 patient with primary hyperparathyroidism has increased ca 0.5 above
normal without s/s of nephrolithiasis. Recommended tx?
- Correct Answer - Annual monitoring of calcium, creatinine and bone
density
Risk factors for PID
- Correct Answer - Vaginal douche
,Asymptomatic female learns boyfriend has gonorrhea and asks about
abx
- Correct Answer - Empiric ceftriaxone and azithromyin
16F primary dysmenorrhea has taken NSAIDs and COX-2 inhibitors
without getting relief from symptoms.
- Correct Answer - Combined oral contraceptive
Possible cause of decreased arousal, libido and orgasm
- Correct Answer - Diminished testosterone
Previously healthy 22F reports pain in rectovaginal area that occurs with
sexual intercourse. What is the most likely cause of discomfort?
- Correct Answer - Endometriosis
17yo undergoes bartholin cyst surgical incision with insertion and
drainage with insertion of drain. What is an important aspect of care?
- Correct Answer - Education about long-term dyspareunia.
18 yo sexually active female reports vaginal discharge and moderate
vulvovaginal irritation. Exam shows white, non-imflammatory discharge
,adhering to vaginal walls, clue cells on microscope and postive whiff
test.
- Correct Answer - Prescribe metronidazole 500mg for 7 days
Underlying cause to pelvic pain in women?
- Correct Answer - Intersticial cystitis
17y has undergone surgical incision and drainage of barth cyst with
insertion of drain. What is an importat aspect of care for this patient?
- Correct Answer - Weekly follow-up monitoring
A woman who has stopped having menstrual periods have vasomotor
symptoms but does not want to use hormonal replacement.
- Correct Answer - Engage in regular exercise, keep house cool, avoid
caffeine. DO NOT TRY herbal remedies or have wine in the evening.
Well-baby exam, 9-month old, parent reports the baby only uses L hand.
- Correct Answer - Perform a careful assessment of fine and gross motor
skills
An adolescent takes ibuprofen, acetaminophen and TCA to tx phantom
limb pain and reports that the medications are no longer effective.
- Correct Answer - Refer to adolescent pain management specialist
, Post-menopausal woman reports unilateral breast pain and pain is sharp
and burning. No dimpling, discharge, or masses.
- Correct Answer - Bilateral mammo
Hypoactive sexual desire in older men?
- Correct Answer - Men with hypoactive sexual desire may have normal
excitement and orgasm
Female patient with BRCA mutation asks about cancer prevention
Prophylactic mastectomy and oopherectomy
30 year old male positive for leukocyte eresterase and nitrates on
random dipstick. What type of UTI?
Complictated
Benefit of using a liquid medium when performing a pap.
HPV, gonorrehea and chlamydia in the same specimen
16yo SA s/s PID and fever. Cultures are pending.
Rocephin, doxycycline and metronidazole
Pt with MS begins disease modulating drugs, this regime will:
Reduce the exacerbation rate
Underlying causes related to chronic pelvic pain in women
FAMILY PRIMARY CARE II EXAM |
QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT| GRADE A – GCU |
LATEST 2026/ 2027
35F presents without hx of dysmenorrhea reports lower pelvic pain and
irregular bleeding between periods. What is initial managament for this
patient?
- Correct Answer - Performing an abdominal, pelvic, and rerovaginal
exam
Middle aged child skipping school frequently and getting poor grades
since father passed away.
- Correct Answer - Refer to mental health specialist for eval and tx
40 patient with primary hyperparathyroidism has increased ca 0.5 above
normal without s/s of nephrolithiasis. Recommended tx?
- Correct Answer - Annual monitoring of calcium, creatinine and bone
density
Risk factors for PID
- Correct Answer - Vaginal douche
,Asymptomatic female learns boyfriend has gonorrhea and asks about
abx
- Correct Answer - Empiric ceftriaxone and azithromyin
16F primary dysmenorrhea has taken NSAIDs and COX-2 inhibitors
without getting relief from symptoms.
- Correct Answer - Combined oral contraceptive
Possible cause of decreased arousal, libido and orgasm
- Correct Answer - Diminished testosterone
Previously healthy 22F reports pain in rectovaginal area that occurs with
sexual intercourse. What is the most likely cause of discomfort?
- Correct Answer - Endometriosis
17yo undergoes bartholin cyst surgical incision with insertion and
drainage with insertion of drain. What is an important aspect of care?
- Correct Answer - Education about long-term dyspareunia.
18 yo sexually active female reports vaginal discharge and moderate
vulvovaginal irritation. Exam shows white, non-imflammatory discharge
,adhering to vaginal walls, clue cells on microscope and postive whiff
test.
- Correct Answer - Prescribe metronidazole 500mg for 7 days
Underlying cause to pelvic pain in women?
- Correct Answer - Intersticial cystitis
17y has undergone surgical incision and drainage of barth cyst with
insertion of drain. What is an importat aspect of care for this patient?
- Correct Answer - Weekly follow-up monitoring
A woman who has stopped having menstrual periods have vasomotor
symptoms but does not want to use hormonal replacement.
- Correct Answer - Engage in regular exercise, keep house cool, avoid
caffeine. DO NOT TRY herbal remedies or have wine in the evening.
Well-baby exam, 9-month old, parent reports the baby only uses L hand.
- Correct Answer - Perform a careful assessment of fine and gross motor
skills
An adolescent takes ibuprofen, acetaminophen and TCA to tx phantom
limb pain and reports that the medications are no longer effective.
- Correct Answer - Refer to adolescent pain management specialist
, Post-menopausal woman reports unilateral breast pain and pain is sharp
and burning. No dimpling, discharge, or masses.
- Correct Answer - Bilateral mammo
Hypoactive sexual desire in older men?
- Correct Answer - Men with hypoactive sexual desire may have normal
excitement and orgasm
Female patient with BRCA mutation asks about cancer prevention
Prophylactic mastectomy and oopherectomy
30 year old male positive for leukocyte eresterase and nitrates on
random dipstick. What type of UTI?
Complictated
Benefit of using a liquid medium when performing a pap.
HPV, gonorrehea and chlamydia in the same specimen
16yo SA s/s PID and fever. Cultures are pending.
Rocephin, doxycycline and metronidazole
Pt with MS begins disease modulating drugs, this regime will:
Reduce the exacerbation rate
Underlying causes related to chronic pelvic pain in women
