NURS 611 PHARM EXAM 4 2026 LATEST
UPDATE QUESTIONS AND CORRECT VERIFIED
ANSWERS ALREADY GRADED A+
When do we start performing pap smears - ANS-Cervical cancer screening is not recommended
prior to 21yrs because Previous attempts at early screening led to unnecessary treatments
that destroyed/removed cervical
cells that altered the structural integrity of the cervix resulting in premature births without
substantially
decreasing risk of cervical cancer
STIs - ANS-(Sexually Transmitted Infections) any of a number of diseases that can spread
through sexual contact, most notably caused by gonorrhea and chlamydia. Many individuals
do not seek treatment due to accessibility, affordability, and cultural reasons
Cystocele - ANS-hernia of the bladder, happens to post childbearing women when the
posterior bladder wall drops down into the trigone of the vaginal canal. Caused by trauma
from childbirth
What are signs and symptoms of cystocele? - ANS-Pain, frequency, infection, and
UTI/symptoms
Rectocele - ANS-Rectum is pushed into the vaginal canal and is caused from childbirth process
or chronic constipation over a long period of time throughout life.
What are signs and symptoms of rectocele - ANS-Most are asymptomatic, large rectoceles
cause vaginal pressure, rectal fullness, and inability to
completely evacuate the bowels
,Spermatocele (Epididymal cyst) - ANS-Fluid builds, so benign cystic collections of fluid, and it is
located between the head of the epididymis and the testes. Usually benign cystic collections.
What will be noticed on exam with Spermatocele? - ANS-Testicles will have a nodule, so will
have to differentiate if it is a tumor or just a Spermatocele.
prostatitis - ANS-inflammation of the prostate, will note an enlarged prostate on exam
What are the signs and symptoms of acute prostatitis? - ANS-Painful ejaculations, fever (as high
as 104), increased WBCs, altered sexual functioning, sudden onset of malaise**, low back
pain, perianal pain, chills, dysuria, nocturia, and inability to empty the bladder, prostate is
enlarged, tender, firm or boggy.
What does acute bacterial prostatitis mimic? - ANS-UTI/pyelonephritis manifestations
Endometriosis - ANS-functioning endometrial tissue located outside the uterus, Like normal
endometrial tissue, the ectopic endometrium responds to the hormonal fluctuations of the
menstrual cycle, cause is unknown, increases risk of ovarian cancer
endometriosis clinical manifestations - ANS--pelvic pain- so painful it can interfere with ADL's
-infertility
-dyspareunia (painful sex)
-irregular bleeding
-backache
-painful bowel movements
-dysuria
-constipation
, Highly contagious pulmonary disease transmitted from person to person by airborne droplets. -
ANS-TB
How is TB diagnosed? - ANS-*Sputum microscopy, culture, and indirect drug susceptibility test
(DST) gold standard for dx, PPD is only a screening tool. If its positive then do an CXR
What is important during the treatment of TB? - ANS-Get them on proper medications to treat
it, make sure they have not had any previous resistance issues to past treatments, and make
sure they understand that they must complete the treatment.
Normal physiologic changes with aging - ANS-Causes loss of elastic recoil, stiffening of chest
wall, changes in gas exchange, and increases in flow resistance of the pulmonary system.
What are normal physiologic changes of aging of the pulmonary system influenced by? - ANS-
Environmental and sociocultural factors, nutritional status, respiratory disease, body size,
gender, and race
restrictive pulmonary disorders - ANS-characterized by decreased lung compliance, pt will
need to increase effort to expand the lungs.
common restrictive pulmonary disorders - ANS-atelectasis, pumonary fibrosis, ARDS,
pulmonary edema.
ARDS (acute respiratory distress syndrome) - ANS-respiratory insufficiency marked by
progressive hypoxia, massive inflammatory response
obstructive pulmonary disorders - ANS-Airway obstruction that is worse on expiration,
emptying of the lungs is slowed.
UPDATE QUESTIONS AND CORRECT VERIFIED
ANSWERS ALREADY GRADED A+
When do we start performing pap smears - ANS-Cervical cancer screening is not recommended
prior to 21yrs because Previous attempts at early screening led to unnecessary treatments
that destroyed/removed cervical
cells that altered the structural integrity of the cervix resulting in premature births without
substantially
decreasing risk of cervical cancer
STIs - ANS-(Sexually Transmitted Infections) any of a number of diseases that can spread
through sexual contact, most notably caused by gonorrhea and chlamydia. Many individuals
do not seek treatment due to accessibility, affordability, and cultural reasons
Cystocele - ANS-hernia of the bladder, happens to post childbearing women when the
posterior bladder wall drops down into the trigone of the vaginal canal. Caused by trauma
from childbirth
What are signs and symptoms of cystocele? - ANS-Pain, frequency, infection, and
UTI/symptoms
Rectocele - ANS-Rectum is pushed into the vaginal canal and is caused from childbirth process
or chronic constipation over a long period of time throughout life.
What are signs and symptoms of rectocele - ANS-Most are asymptomatic, large rectoceles
cause vaginal pressure, rectal fullness, and inability to
completely evacuate the bowels
,Spermatocele (Epididymal cyst) - ANS-Fluid builds, so benign cystic collections of fluid, and it is
located between the head of the epididymis and the testes. Usually benign cystic collections.
What will be noticed on exam with Spermatocele? - ANS-Testicles will have a nodule, so will
have to differentiate if it is a tumor or just a Spermatocele.
prostatitis - ANS-inflammation of the prostate, will note an enlarged prostate on exam
What are the signs and symptoms of acute prostatitis? - ANS-Painful ejaculations, fever (as high
as 104), increased WBCs, altered sexual functioning, sudden onset of malaise**, low back
pain, perianal pain, chills, dysuria, nocturia, and inability to empty the bladder, prostate is
enlarged, tender, firm or boggy.
What does acute bacterial prostatitis mimic? - ANS-UTI/pyelonephritis manifestations
Endometriosis - ANS-functioning endometrial tissue located outside the uterus, Like normal
endometrial tissue, the ectopic endometrium responds to the hormonal fluctuations of the
menstrual cycle, cause is unknown, increases risk of ovarian cancer
endometriosis clinical manifestations - ANS--pelvic pain- so painful it can interfere with ADL's
-infertility
-dyspareunia (painful sex)
-irregular bleeding
-backache
-painful bowel movements
-dysuria
-constipation
, Highly contagious pulmonary disease transmitted from person to person by airborne droplets. -
ANS-TB
How is TB diagnosed? - ANS-*Sputum microscopy, culture, and indirect drug susceptibility test
(DST) gold standard for dx, PPD is only a screening tool. If its positive then do an CXR
What is important during the treatment of TB? - ANS-Get them on proper medications to treat
it, make sure they have not had any previous resistance issues to past treatments, and make
sure they understand that they must complete the treatment.
Normal physiologic changes with aging - ANS-Causes loss of elastic recoil, stiffening of chest
wall, changes in gas exchange, and increases in flow resistance of the pulmonary system.
What are normal physiologic changes of aging of the pulmonary system influenced by? - ANS-
Environmental and sociocultural factors, nutritional status, respiratory disease, body size,
gender, and race
restrictive pulmonary disorders - ANS-characterized by decreased lung compliance, pt will
need to increase effort to expand the lungs.
common restrictive pulmonary disorders - ANS-atelectasis, pumonary fibrosis, ARDS,
pulmonary edema.
ARDS (acute respiratory distress syndrome) - ANS-respiratory insufficiency marked by
progressive hypoxia, massive inflammatory response
obstructive pulmonary disorders - ANS-Airway obstruction that is worse on expiration,
emptying of the lungs is slowed.
