NU664 EXAM 2 STUDY GUIDE EXAM QUESTIONS WITH
VERIFIED CORRECT ANSWERS | LATEST UPDATE 2026/2027 |
100% PASS| RATED A+
what is the provera challange - Answer -5-10mg of oral medroxyprogesterone given for 7-10
days
Provera challenge: what indicates estrogen is produced, functional endometrium and patent
cervix - Answer -menses occurring within 2-7 days after completing the medication regimen
Provera challenge: no bleeding occurs, what do you do - Answer -oral-conjugated estrogen for
35 days in combination with a progestin
Provera challenge: continued failure - Answer -endometrial scarring is likely -
hysterosalpingogram can confirm
Provera challenge: why is it used - Answer -to confirm presence of estrogen and intactness of
the outflow tract (uterus, vagina)
ordered prior to additional hormone testing
1|Page
,Dysmenorrhea: subjective (primary) - Answer -crampy, achy, dill, midline pain, radiation to
back/legs/abdomen
pain beginning hours-days before menses and persist for 24-48 hours
PMS symptoms - Answer -n/v, fatigue, dizziness, diarrhea, nervousness, and HA
Secondary Dysmenorrhea: definition - Answer -changes to timing or intensity of pain plus
prescence of pelvic pathology
Secondary Dysmenorrhea: SXS - Answer -dyspareunia, HMB, IMB, postcoital bleeding, irregular
cycles, urinary complaints, diarrhea, vaginal discharge
Secondary Dysmenorrhea: key differentiating factor - Answer -presence of symptoms of pain
and bleeding that persist beyond the normal menstrual cycle
primary dysmenorrhea: exam findings - Answer -normal, mild tender uterus
Secondary dysmenorrhea: exam findings - Answer -depends on etiology
2|Page
, Secondary dysmenorrhea: exam findings - endometriosis - Answer -normal exam with
nodularity, thickening, or focal tenderness on uterosacral ligament, cervical stenosis, fixed
ovaries or uterus, adnexal fullness
Secondary dysmenorrhea: exam findings - adenmyosis - Answer -enlarged uterus, soft and
tender with normal mobility
Secondary dysmenorrhea: exam findings - leiomyomas - Answer -uterus enlarged, firm, irregular
shape
Secondary dysmenorrhea: exam findings - infection - Answer -discharge, cervical motion
tenderness, adnexal tenderness, fever, and uterine tenderness
how to dx endometriosis - Answer -laparoscopy is gold standard
lifestyle changes for dysmenorrhea - Answer -exercise - increase endorphins and suppress
prostaglandin release which leads to decreased endometrial proliferation and shunts blood
away from the uterus which reduces pelvic congestion and pain
diet - reduce salty foods, increase fiber and fresh fruits/vegetables and water
heating pads to decrease muscle spasms
3|Page
VERIFIED CORRECT ANSWERS | LATEST UPDATE 2026/2027 |
100% PASS| RATED A+
what is the provera challange - Answer -5-10mg of oral medroxyprogesterone given for 7-10
days
Provera challenge: what indicates estrogen is produced, functional endometrium and patent
cervix - Answer -menses occurring within 2-7 days after completing the medication regimen
Provera challenge: no bleeding occurs, what do you do - Answer -oral-conjugated estrogen for
35 days in combination with a progestin
Provera challenge: continued failure - Answer -endometrial scarring is likely -
hysterosalpingogram can confirm
Provera challenge: why is it used - Answer -to confirm presence of estrogen and intactness of
the outflow tract (uterus, vagina)
ordered prior to additional hormone testing
1|Page
,Dysmenorrhea: subjective (primary) - Answer -crampy, achy, dill, midline pain, radiation to
back/legs/abdomen
pain beginning hours-days before menses and persist for 24-48 hours
PMS symptoms - Answer -n/v, fatigue, dizziness, diarrhea, nervousness, and HA
Secondary Dysmenorrhea: definition - Answer -changes to timing or intensity of pain plus
prescence of pelvic pathology
Secondary Dysmenorrhea: SXS - Answer -dyspareunia, HMB, IMB, postcoital bleeding, irregular
cycles, urinary complaints, diarrhea, vaginal discharge
Secondary Dysmenorrhea: key differentiating factor - Answer -presence of symptoms of pain
and bleeding that persist beyond the normal menstrual cycle
primary dysmenorrhea: exam findings - Answer -normal, mild tender uterus
Secondary dysmenorrhea: exam findings - Answer -depends on etiology
2|Page
, Secondary dysmenorrhea: exam findings - endometriosis - Answer -normal exam with
nodularity, thickening, or focal tenderness on uterosacral ligament, cervical stenosis, fixed
ovaries or uterus, adnexal fullness
Secondary dysmenorrhea: exam findings - adenmyosis - Answer -enlarged uterus, soft and
tender with normal mobility
Secondary dysmenorrhea: exam findings - leiomyomas - Answer -uterus enlarged, firm, irregular
shape
Secondary dysmenorrhea: exam findings - infection - Answer -discharge, cervical motion
tenderness, adnexal tenderness, fever, and uterine tenderness
how to dx endometriosis - Answer -laparoscopy is gold standard
lifestyle changes for dysmenorrhea - Answer -exercise - increase endorphins and suppress
prostaglandin release which leads to decreased endometrial proliferation and shunts blood
away from the uterus which reduces pelvic congestion and pain
diet - reduce salty foods, increase fiber and fresh fruits/vegetables and water
heating pads to decrease muscle spasms
3|Page
