NRl 602/l NR602l Midterml Exam:l Primaryl
Carel ofl thel Childbearingl andl
Childrearingl Familyl Practicuml Guidel
(Latestl 2026/l 2027l Update)l |l Qsl &l As|l
Gradel A|l 100%l Correctl (Verifiedl
Answers)-l Chamberlain
QUESTION
Differentiall dxl forl pelvicl pain:l Gynecologicall origin
Answer:
Endometriosis
Chronicl pelvicl inflammatoryl diseasel (PID)
Dysmenorrhea,l primaryl andl secondary
Pelvicl adhesions
Pelvicl congestion
Mittelschmerz
Vulvodynia
Uterinel prolapse
Ovarianl cyst
Ovarianl remnantl syndrome
Adenomyosis
Fibroids
Ovarianl cancer
Cervicall cancer
Torsionl ofl adnexa
Tubo-ovarianl abscess
Uterinel fibroids
Ectopicl pregnancy
Abortion,l threatenedl orl incomplete
,QUESTION
Differentiall dxl forl pelvicl pain:l Gastrointestinall origin
Answer:
Irritablel bowell syndromel (IBS)
Diverticulitis
Constipation
Bowell obstruction
Appendicitis
Colonl cancer
Gastroenteritis
QUESTION
Differentiall dxl forl pelvicl pain:l Genitourinaryl origin
Answer:
Interstitiall cystitis
Urinaryl tractl infection
Urinaryl retention
Renall calculi
Pyelonephritis
Ureterall lithiasis
Bladderl neoplasm
QUESTION
Differentiall dxl forl pelvicl pain:l Musculoskeletall origin
Answer:
Scoliosis
Radiculopathy
Arthritis
Herniatedl disk
Hernia
Abdominall walll hematoma
,QUESTION
Differentiall dxl forl pelvicl pain:l Otherl origin
Answer:
Aorticl aneurysm
Pelvicl thrombophlebitis
Acutel porphyria
Abdominall angina
Psychiatric,l depression
Somatizationl disorder
Priorl orl currentl physicall orl sexuall abuse
Substancel abuse
QUESTION
Commonl breastl disorders:l Breastl pain
Answer:
-Cyclicall (coincidesl withl menstruall cycle)
-Non-cyclicall (unrelatedl tol menstruall cycle,l nol hormonall influence)
-Extramammaryl (chestl wall)l painl (referredl froml anotherl source-torn/strainedl muscles,l
inflammationl ofl thel costall cartilage,l ribl injuries,l etc.)
-Thel majorityl ofl casesl arel benign,l rarelyl al primaryl symptoml ofl developingl cancer
-Thel likelihoodl ofl mastalgial asl al symptoml ofl cancerl increasesl whenl al womanl reachesl
menopausel duel tol lackl ofl hormonall influence
QUESTION
Commonl breastl disorders:l Nipplel discharge
Answer:
·l Normall lactation,l benignl physiologicl nipplel dischargel (galactorrhea),l pathologicl nipplel
discharge
QUESTION
Physiologicl nipplel discharge
, Answer:
-Frequentlyl thel resultsl ofl excessl prolactinl froml thel pituitaryl glandl thatl stimulatesl milkl
production
-Usuallyl bilateral
-Canl occurl inl malesl andl females
-Inl females,l absentl orl irregularl periodsl arel likely
QUESTION
Pathologicl nipplel discharge
Answer:
-Non-milky,l spontaneous,l unilaterall andl uniductal
-Dischargel withl bloodyl appearancel isl morel suggestivel ofl malignancyl orl benignl
intraductall papilloma
-Ectasial (anotherl cause)l isl thel resultl ofl mammaryl ductl dilationl withl surroundingl
inflammationl andl fibrosis
-Canl presentl asl green,l brown,l orl black
QUESTION
Diagnosticl mammograml (vsl screening)
Answer:
-Performedl tol evaluatel al palpablel mass
-Offersl severall viewsl whichl arel bestl inl detectingl calcificationsl andl anatomicall distortions
-Mustl bel orderedl ifl al massl isl present
QUESTION
Clinicall s/sl ofl ectopicl pregnancy
Answer:
-Implantationl ofl al fertilizedl ovuml inl locationsl otherl thanl thel uterinel cavity
-Slowlyl risingl hCGl levelsl thatl increasel butl dol notl doublel withinl 48l hours
-Pelvicl andl abdominall painl andl unexplainedl vaginall bleeding
-Suddenl onsetl ofl vaginall bleedingl andl sharp,l severe,l unilaterall abdominall pain
-Followingl rupture,l symptomsl ofl significantl bloodl lossl andl resultingl shockl mayl includel
hypotension,l shoulderl pain,l andl breastl tenderness
Carel ofl thel Childbearingl andl
Childrearingl Familyl Practicuml Guidel
(Latestl 2026/l 2027l Update)l |l Qsl &l As|l
Gradel A|l 100%l Correctl (Verifiedl
Answers)-l Chamberlain
QUESTION
Differentiall dxl forl pelvicl pain:l Gynecologicall origin
Answer:
Endometriosis
Chronicl pelvicl inflammatoryl diseasel (PID)
Dysmenorrhea,l primaryl andl secondary
Pelvicl adhesions
Pelvicl congestion
Mittelschmerz
Vulvodynia
Uterinel prolapse
Ovarianl cyst
Ovarianl remnantl syndrome
Adenomyosis
Fibroids
Ovarianl cancer
Cervicall cancer
Torsionl ofl adnexa
Tubo-ovarianl abscess
Uterinel fibroids
Ectopicl pregnancy
Abortion,l threatenedl orl incomplete
,QUESTION
Differentiall dxl forl pelvicl pain:l Gastrointestinall origin
Answer:
Irritablel bowell syndromel (IBS)
Diverticulitis
Constipation
Bowell obstruction
Appendicitis
Colonl cancer
Gastroenteritis
QUESTION
Differentiall dxl forl pelvicl pain:l Genitourinaryl origin
Answer:
Interstitiall cystitis
Urinaryl tractl infection
Urinaryl retention
Renall calculi
Pyelonephritis
Ureterall lithiasis
Bladderl neoplasm
QUESTION
Differentiall dxl forl pelvicl pain:l Musculoskeletall origin
Answer:
Scoliosis
Radiculopathy
Arthritis
Herniatedl disk
Hernia
Abdominall walll hematoma
,QUESTION
Differentiall dxl forl pelvicl pain:l Otherl origin
Answer:
Aorticl aneurysm
Pelvicl thrombophlebitis
Acutel porphyria
Abdominall angina
Psychiatric,l depression
Somatizationl disorder
Priorl orl currentl physicall orl sexuall abuse
Substancel abuse
QUESTION
Commonl breastl disorders:l Breastl pain
Answer:
-Cyclicall (coincidesl withl menstruall cycle)
-Non-cyclicall (unrelatedl tol menstruall cycle,l nol hormonall influence)
-Extramammaryl (chestl wall)l painl (referredl froml anotherl source-torn/strainedl muscles,l
inflammationl ofl thel costall cartilage,l ribl injuries,l etc.)
-Thel majorityl ofl casesl arel benign,l rarelyl al primaryl symptoml ofl developingl cancer
-Thel likelihoodl ofl mastalgial asl al symptoml ofl cancerl increasesl whenl al womanl reachesl
menopausel duel tol lackl ofl hormonall influence
QUESTION
Commonl breastl disorders:l Nipplel discharge
Answer:
·l Normall lactation,l benignl physiologicl nipplel dischargel (galactorrhea),l pathologicl nipplel
discharge
QUESTION
Physiologicl nipplel discharge
, Answer:
-Frequentlyl thel resultsl ofl excessl prolactinl froml thel pituitaryl glandl thatl stimulatesl milkl
production
-Usuallyl bilateral
-Canl occurl inl malesl andl females
-Inl females,l absentl orl irregularl periodsl arel likely
QUESTION
Pathologicl nipplel discharge
Answer:
-Non-milky,l spontaneous,l unilaterall andl uniductal
-Dischargel withl bloodyl appearancel isl morel suggestivel ofl malignancyl orl benignl
intraductall papilloma
-Ectasial (anotherl cause)l isl thel resultl ofl mammaryl ductl dilationl withl surroundingl
inflammationl andl fibrosis
-Canl presentl asl green,l brown,l orl black
QUESTION
Diagnosticl mammograml (vsl screening)
Answer:
-Performedl tol evaluatel al palpablel mass
-Offersl severall viewsl whichl arel bestl inl detectingl calcificationsl andl anatomicall distortions
-Mustl bel orderedl ifl al massl isl present
QUESTION
Clinicall s/sl ofl ectopicl pregnancy
Answer:
-Implantationl ofl al fertilizedl ovuml inl locationsl otherl thanl thel uterinel cavity
-Slowlyl risingl hCGl levelsl thatl increasel butl dol notl doublel withinl 48l hours
-Pelvicl andl abdominall painl andl unexplainedl vaginall bleeding
-Suddenl onsetl ofl vaginall bleedingl andl sharp,l severe,l unilaterall abdominall pain
-Followingl rupture,l symptomsl ofl significantl bloodl lossl andl resultingl shockl mayl includel
hypotension,l shoulderl pain,l andl breastl tenderness
