NR 602 FINAL COMPREHENSIVE EXAMINATION
TEST 2026 COMPLETE QUESTIONS AND
SOLUTIONS
● 39yo female has completed course of amox for strep throat. LMP was
2wks ago, says it was normal. On exam, there's erythema of extern.
genitalia w/small amount of white discharge. Micro wet prep reveals few
clue cells, but many budding hyphae. No WBCs. Which one would be
the most appropriate treatment?
a. Metronidazole 500mg BID x7 days
b. OTC hydrocortisone 1% cream TID
c. Fluconazole tabs 150mg x1 dose
d. Erythromycin 500mg TID x10 days. Answer: c
● Woman c/o vaginal itching, white discharge. She is in good health
except for recent abx for strep throat. Pelvic reveals tender vulvovaginal
area w/edema and nonmalodorous white patches. Which is the most
likely cause?
a. Bacterial vaginosis
b. Trichomonas
,c. Lactobacillus overgrowth
d. Candidiasis. Answer: d
● 18yo female c/o secondary amenorrhea. On exam, there is normal
secondary sex characteristics and normal genitalia. Pregnancy is ruled
out. What would necessitate further eval?
a. Elevated blood cholesterol levels
b. Androgen deficiency
c. Galactorrhea
d. Hirsutism. Answer: c
● 24yo female is dx'd w/primary dysmenorrhea. Which med would be
used as first-line to help control symptoms?
a. Antianxiety meds
b. Progesterone-only contraception
c. Oral steroids
d. NSAIDs. Answer: d
● Primary amenorrhea is best described as:
a. Cessation of menstruation x6mo
,b. Failure of menstruation to occur by 17ho
c. Failure of menstruation to occur by 13yo
d. Cessation of menstruation x6mo after menarche. Answer: c
● 25yo female c/o vaginal irritation and discharge. On exam, cervix is
easily friable and erythematous. No adnexal tenderness. Wet prep
reveals mobile protozoa on NS slide. This most likely represents:
a. Trichomonas
b. Mucopurulent cervicitis
c. Bacterial vaginosis
d. Gonorrhea. Answer: a
● 16yo female has h/o secondary amenorrhea. Menarche at 10yo,
regular cycles x2yrs, has not menstruated x4yrs. What is most frequent
etiology of this problem?
a. Eating disorder
b. Pregnancy
c. Anovulatory cycles
d. Stress. Answer: a
, ● Woman is experiencing vaginal discharge. Wet mount with KOH
would be used to confirm:
a. Herpes simplex
b. Gonorrhea
c. Candidiasis
d. Chlamydia. Answer: c
● Treatment options for condyloma acuminatum include:
a. Imiquimod (Aldera)
b. Azithromycin
c. Acyclovir
d. Metronidazole. Answer: a
● 25yo postmenopausal female c/o pain in upper outer quadrant of L
breast x1mo. Best course of action would be:
a. Reassure pt that pain is often not presenting symptom of breast cancer.
b. Teach pt breast self-exam.
c. Order labs as most likely this is secondary to hormonal fluctuation
d. Perform breast exam and order mammo. Answer: d
TEST 2026 COMPLETE QUESTIONS AND
SOLUTIONS
● 39yo female has completed course of amox for strep throat. LMP was
2wks ago, says it was normal. On exam, there's erythema of extern.
genitalia w/small amount of white discharge. Micro wet prep reveals few
clue cells, but many budding hyphae. No WBCs. Which one would be
the most appropriate treatment?
a. Metronidazole 500mg BID x7 days
b. OTC hydrocortisone 1% cream TID
c. Fluconazole tabs 150mg x1 dose
d. Erythromycin 500mg TID x10 days. Answer: c
● Woman c/o vaginal itching, white discharge. She is in good health
except for recent abx for strep throat. Pelvic reveals tender vulvovaginal
area w/edema and nonmalodorous white patches. Which is the most
likely cause?
a. Bacterial vaginosis
b. Trichomonas
,c. Lactobacillus overgrowth
d. Candidiasis. Answer: d
● 18yo female c/o secondary amenorrhea. On exam, there is normal
secondary sex characteristics and normal genitalia. Pregnancy is ruled
out. What would necessitate further eval?
a. Elevated blood cholesterol levels
b. Androgen deficiency
c. Galactorrhea
d. Hirsutism. Answer: c
● 24yo female is dx'd w/primary dysmenorrhea. Which med would be
used as first-line to help control symptoms?
a. Antianxiety meds
b. Progesterone-only contraception
c. Oral steroids
d. NSAIDs. Answer: d
● Primary amenorrhea is best described as:
a. Cessation of menstruation x6mo
,b. Failure of menstruation to occur by 17ho
c. Failure of menstruation to occur by 13yo
d. Cessation of menstruation x6mo after menarche. Answer: c
● 25yo female c/o vaginal irritation and discharge. On exam, cervix is
easily friable and erythematous. No adnexal tenderness. Wet prep
reveals mobile protozoa on NS slide. This most likely represents:
a. Trichomonas
b. Mucopurulent cervicitis
c. Bacterial vaginosis
d. Gonorrhea. Answer: a
● 16yo female has h/o secondary amenorrhea. Menarche at 10yo,
regular cycles x2yrs, has not menstruated x4yrs. What is most frequent
etiology of this problem?
a. Eating disorder
b. Pregnancy
c. Anovulatory cycles
d. Stress. Answer: a
, ● Woman is experiencing vaginal discharge. Wet mount with KOH
would be used to confirm:
a. Herpes simplex
b. Gonorrhea
c. Candidiasis
d. Chlamydia. Answer: c
● Treatment options for condyloma acuminatum include:
a. Imiquimod (Aldera)
b. Azithromycin
c. Acyclovir
d. Metronidazole. Answer: a
● 25yo postmenopausal female c/o pain in upper outer quadrant of L
breast x1mo. Best course of action would be:
a. Reassure pt that pain is often not presenting symptom of breast cancer.
b. Teach pt breast self-exam.
c. Order labs as most likely this is secondary to hormonal fluctuation
d. Perform breast exam and order mammo. Answer: d
