NR602 FINAL EXAM QUESTIONS AND
ANSWERS 2026\2027
ASCCP recommended management for an ASCUS pap result
with high risk hpv 16 cotest in 26 year old no abnormal paps -
CORRECT ANSWER - colposcopy
What is included in the well women of an adolescent? -
CORRECT ANSWER - health history menses
gynecologic and pregnancy issues
psychosocial abuse drugs alcohol
use physical exam screening tests
immunizations
When does ACOG pap smear start - CORRECT ANSWER - 21
years old done every three years
ACOG pap for over 30 yrs old - CORRECT ANSWER - every
five years with HPV test completed
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ACOG when can you stop pap smear - CORRECT ANSWER -
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? -
CORRECT ANSWER - CIN 1
A single Pap smear reading of ASCUS in a patient negative for
HPV infection should have what as follow-up? - CORRECT
ANSWER - routine screening
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? -
CORRECT ANSWER - 5 years
A young sexually active is having her first pap smear what
would you explain? - CORRECT ANSWER - pap smear detects
cervical cancer
26 year old pap smear shows negative and positive HPV what
do you do? - CORRECT ANSWER - repeat HPV and pap
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what is not part of criteria for older women to cease pap
smears? - CORRECT ANSWER - over 55 year old
no menarche in a 15 year old with no medical problems and
Tanner stage 1 with a uterus - CORRECT ANSWER - primary
amenorrhea
No menses for at least 6 months - CORRECT ANSWER -
secondary amenorrhea
female athlete triad - CORRECT ANSWER - disordered eating,
amenorrhea, osteoporosis
labs for female athlete triad - CORRECT
ANSWER - HCG serum prolactin serum
TSH,FSH, LH
if amenorhea lasts longer than 6 months do what? - CORRECT
ANSWER - bone density test
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treatment plan for female athlete triad - CORRECT ANSWER -
increase caloric intake, decrease exercise
prescribe ca and vit d 1200/1500 daily and vitamin e 400 iu
daily
complications of female athlete triad - CORRECT
ANSWER - osteopenia/osteoporosis (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 - CORRECT ANSWER -
endogenous estrogen
primary and secondary amenorrhea originates in hypothalamus
- CORRECT ANSWER - sheehans syndrome
symptoms of breast cancer ( early) - CORRECT ANSWER -
None Non-painful mass (occasionally pain)