FNP: Women's Health (All questions solved)

Breast Cancer correct answers Annual breast exam: age 40 years Risks: menarche 12 years, menopause 55 yrs Estrogen supplementation Dx: Mammography for 30 with breast complaint. If suspicious, make sure to order b/l diagnostic mammogram US differentiates fluid-filled cyst from solid mass. Used in pregnancy and age 30 Fibroadenoma correct answers Most common in 25 years Order US to dx Normal vaginal pH correct answers 4.0 (acidic) Contraception correct answers Combined OCs: Absolute contraindications include hx of DVT, CVA, CAD, DM, pregnancy, gyn bleeding, age 35 with HTN or DM, LDL 160, trigs 250. Remember ACHES (abd pain, chest pain, HA, eye problems, or severe leg pain) Progestin only: good choice for lactating women, women with CV risks. If pill is 3h late, r/o pregnancy rises Depo-provera: no effect on milk production, long return to ovulation Contraindication for COC (Combined OC) use? correct answers factor V Leiden mutation Noncontraceptive benefits of OC increase a decrease in all of the following: correct answers IDA, PID, ovarian cancer All of the following are relative contraindication in copper-containing IUD: correct answers valvular heart dx, multiple sexual encounters, lack of follow-up care COC correct answers -noncontraceptive benefits include lower rates of benign breast tumors, dysmenorrhea, decreased IDA, endometrial, ovarian and breast cancers. -BTB can be minimized by taking within same 4-hr period every day. Not harmful and doesn't indicate lesser contraceptive benefit. -Nausea common in first few months. -Causes reduction in therapeutic levels of antiepileptics such as phenytoin, carbamazepine, phenobarbital, primidone. -Depo-provera works and may cause reduction in seizures. Yasmin correct answers -Drospirenone found in Yaz, is an analog of aldosterone antagonist and has potassium-sparing qualities. Use with caution in hepatic/renal dysfunction or with concomitant use of ACE, ARB, salt substitute, or K sparing diuretic. POP correct answers -Does not consistently suppress ovulation. It does thicken endocervical mucus. Advantages include failure 1-4% (less effective than COC), but nausea rate lower (d/t lack of estrogen), ok for lactating women and does not alter quality of quant of breast milk. -Disadvantage: bleeding irregularity.