NR 620 ADULT NEURO SYSTEM ADULT
GERONTOLOGY AND FNP CERTIFICATION EXAM
4TH ED. WINLAND-BROWN AND DUNPHY
A sexually active woman should be aware that genital herpes simplex virus:
a. may be transmitted to a partner or newborn even in the absence of lesions
because of viral shedding
b. is suppressed during menstruation, physical or emotional stress,
immunosuppression, sexual intercourse, and pregnancy
c. recurrences usually last the same length of time as the initial outbreak
d. requires the use of condoms only during outbreaks - Answer a. may be
transmitted to a partner or newborn even in the absence of lesions because of viral
shedding
A 17 y/o female pat requests to start Depo-provera injections as her method of birth
control. She discloses that she has had four sexual partners in the past year. Her
LMP was 12 days ago and she had unprotected intercourse 3 days ago. The
appropriate management for this pt would be to:
a. administer the injection today
b. advise her to use another method for now and return with her next menses
c. give the injection after a negative pregnancy test and tell her to use condoms for
the next 7 days
d. give the injection and tell her to use a barrier method for 7 days - Answer b. advise
her to use another method for now and return with her next menses
In a premenopausal woman, the biggest heart attack risk factor is:
a. cigarette smoking
b. family hx
c. sedentary lifestyle
d. obesity - Answer a. cigarette smoking
First line tx for polycystic ovary syndrome is:
a. a bilateral oophorectomy
b. oral testosterone therapy
c. a combination of diet modification, wt loss, and stress management
d. a laparoscopy with a bilateral wedge resection - Answer c. a combination of diet
modification, wt loss, and stress management
If a woman is using the basal body temperature (BBT) method of birth control and
does not want to become pregnant, when would you tell her to avoid unprotected
intercourse?
a. from the beginning of the menstrual cycle until the BBT has been elevated for 3
days
b. whenever the BBT is elevated
c. whenever the BBT is lowered
d. fromt he end of the menstrual cycle until the BBT has been low for 5 days -
Answer a. from the beginning of the menstrual cycle until the BBT has been elevated
for 3 days
Which of the following is a sexually transmitted infection?
, NR 620 ADULT NEURO SYSTEM ADULT
GERONTOLOGY AND FNP CERTIFICATION EXAM
4TH ED. WINLAND-BROWN AND DUNPHY
a. candida vaginitis
b. trichomonal vaginitis
c. atrophic vaginitis
d. lactobacilli vaginitis - Answer b. trichomonal vaginitis
In a pt dx with cervical gonococcal infection, you would also suspect a co-infection
with:
a. candidiasis
b. syphilis
c. trichomoniasis
d. chlamydia - Answer d. chlamydia
Jane, age 27, is c/o of lower abdominal pain. After doing some lab studies, you find
leukocytosis, an elevated erythrocyte sed rate and an elevated C-reactive protein
level. Which is the most appropriate dx?
a. ovarian cyst
b. PID
c. tubal pregnancy
d. diverticulitis - Answer b. PID
Human papillomavirus may lead to:
a. pelvic inflammatory disease
b. molluscum contagiosum
c. cervical dysplasia
d. genital herpes - Answer c. cervical dysplasia
Gean, a 33 y/o female pt, c/o external vaginal irritation after adding new fabric
softener to her laundry. You have dx her with reactive vaginitis. The tx of choice for
this condition includes:
a. metronidazole (flagyl) 500mg BID x 7 days
b. conjugated vaginal estrogen cream externally every day for 1 wk
c. rewashing undergarments without fabric softener and applying petroleum jelly to
the affected area
d. rewashing undergarments without fabric softener and applying corticosteroids to
the affected area - Answer d. rewashing undergarments without fabric softener and
applying corticosteroids to the affected area
A dancer from an adult club down the street comes in for a renewal of ther birth
control pill prescription. She says that everything is fine. On exam, you find grayish-
white vaginal discharge, greenish cervical discharge, and cervical motion
tenderness. Which of the following differential dx is most UNlikely?
a. gonorrhea
b. interstitial cystitis
c. bacterial vaginosis
d. chlamydia - Answer b. interstitial cystitis
, NR 620 ADULT NEURO SYSTEM ADULT
GERONTOLOGY AND FNP CERTIFICATION EXAM
4TH ED. WINLAND-BROWN AND DUNPHY
leiomyomas are found:
a. within the uterine wall
b. on the vaginal wall
c. within the cervix
d. on the fallopian tube - Answer a. within the uterine wall
When a woman complains of dyspareunia in the lower back during orgasm, you
should consider:
a. endometriosis
b. cystitis
c. vaginitis
d. causes r/t pelvic inflammatory disease - Answer a. endometriosis
A 27 y/o female presents to your office for a Mirena (levonorgestrel intrauterine
system) insertion. She reports that her menses started 3 days ago and is normal.
How soon after insertion will she be able to safely rely on it for contraception?
a. immediately
b. after 48 hrs
c. in one wk
d. in one month - Answer a. immediately
Melody, age 50, desires hormone replacement therapy (HRT) for her hot flashes,
which she can't stand. You have discussed the pros and cons and given her some
alternative suggestions. Her mother had a hx of osteoporosis. You have decided to
initiate therapy for one year. She asks you if she also needs to take calcium or
vitamin D for prevention of osteoporosis. How do you respond?
a. research has shown that HRT alone is sufficient to protect against osteoporosis
b. yes, calcium intake should be increased to 1200mg/day along with 600mg of
vitamin D to decrease bone turnover and increase intestinal absorption
c. if you decide to take calcium and vitamin D, you can stop the HRT
d. if you are getting sufficient exercise, you don't need to take calcium and vitamin D
- Answer b. yes, calcium intake should be increased to 1200mg/day along with
600mg of vitamin D to decrease bone turnover and increase intestinal absorption
Jane, age 60 asks, you about taking alendronate (Fosamax). What do you tell her
about using the medication?
a. if you decide to take it, stick with a lower dose of 5mg because the side effects are
much worse with a 10mg dose
b. fosamax works better in younger women, so you should start this now rather than
wait until you're 70
c. you should take a daily dose because the wkly dose is not as effective
d. in addition to its efficacy in the tx of osteoporosis in postmenopausal women, it is
also useful for the prevention of osteoporosis - Answer d. in addition to its efficacy in
the tx of osteoporosis in postmenopausal women, it is also useful for the prevention
of osteoporosis
GERONTOLOGY AND FNP CERTIFICATION EXAM
4TH ED. WINLAND-BROWN AND DUNPHY
A sexually active woman should be aware that genital herpes simplex virus:
a. may be transmitted to a partner or newborn even in the absence of lesions
because of viral shedding
b. is suppressed during menstruation, physical or emotional stress,
immunosuppression, sexual intercourse, and pregnancy
c. recurrences usually last the same length of time as the initial outbreak
d. requires the use of condoms only during outbreaks - Answer a. may be
transmitted to a partner or newborn even in the absence of lesions because of viral
shedding
A 17 y/o female pat requests to start Depo-provera injections as her method of birth
control. She discloses that she has had four sexual partners in the past year. Her
LMP was 12 days ago and she had unprotected intercourse 3 days ago. The
appropriate management for this pt would be to:
a. administer the injection today
b. advise her to use another method for now and return with her next menses
c. give the injection after a negative pregnancy test and tell her to use condoms for
the next 7 days
d. give the injection and tell her to use a barrier method for 7 days - Answer b. advise
her to use another method for now and return with her next menses
In a premenopausal woman, the biggest heart attack risk factor is:
a. cigarette smoking
b. family hx
c. sedentary lifestyle
d. obesity - Answer a. cigarette smoking
First line tx for polycystic ovary syndrome is:
a. a bilateral oophorectomy
b. oral testosterone therapy
c. a combination of diet modification, wt loss, and stress management
d. a laparoscopy with a bilateral wedge resection - Answer c. a combination of diet
modification, wt loss, and stress management
If a woman is using the basal body temperature (BBT) method of birth control and
does not want to become pregnant, when would you tell her to avoid unprotected
intercourse?
a. from the beginning of the menstrual cycle until the BBT has been elevated for 3
days
b. whenever the BBT is elevated
c. whenever the BBT is lowered
d. fromt he end of the menstrual cycle until the BBT has been low for 5 days -
Answer a. from the beginning of the menstrual cycle until the BBT has been elevated
for 3 days
Which of the following is a sexually transmitted infection?
, NR 620 ADULT NEURO SYSTEM ADULT
GERONTOLOGY AND FNP CERTIFICATION EXAM
4TH ED. WINLAND-BROWN AND DUNPHY
a. candida vaginitis
b. trichomonal vaginitis
c. atrophic vaginitis
d. lactobacilli vaginitis - Answer b. trichomonal vaginitis
In a pt dx with cervical gonococcal infection, you would also suspect a co-infection
with:
a. candidiasis
b. syphilis
c. trichomoniasis
d. chlamydia - Answer d. chlamydia
Jane, age 27, is c/o of lower abdominal pain. After doing some lab studies, you find
leukocytosis, an elevated erythrocyte sed rate and an elevated C-reactive protein
level. Which is the most appropriate dx?
a. ovarian cyst
b. PID
c. tubal pregnancy
d. diverticulitis - Answer b. PID
Human papillomavirus may lead to:
a. pelvic inflammatory disease
b. molluscum contagiosum
c. cervical dysplasia
d. genital herpes - Answer c. cervical dysplasia
Gean, a 33 y/o female pt, c/o external vaginal irritation after adding new fabric
softener to her laundry. You have dx her with reactive vaginitis. The tx of choice for
this condition includes:
a. metronidazole (flagyl) 500mg BID x 7 days
b. conjugated vaginal estrogen cream externally every day for 1 wk
c. rewashing undergarments without fabric softener and applying petroleum jelly to
the affected area
d. rewashing undergarments without fabric softener and applying corticosteroids to
the affected area - Answer d. rewashing undergarments without fabric softener and
applying corticosteroids to the affected area
A dancer from an adult club down the street comes in for a renewal of ther birth
control pill prescription. She says that everything is fine. On exam, you find grayish-
white vaginal discharge, greenish cervical discharge, and cervical motion
tenderness. Which of the following differential dx is most UNlikely?
a. gonorrhea
b. interstitial cystitis
c. bacterial vaginosis
d. chlamydia - Answer b. interstitial cystitis
, NR 620 ADULT NEURO SYSTEM ADULT
GERONTOLOGY AND FNP CERTIFICATION EXAM
4TH ED. WINLAND-BROWN AND DUNPHY
leiomyomas are found:
a. within the uterine wall
b. on the vaginal wall
c. within the cervix
d. on the fallopian tube - Answer a. within the uterine wall
When a woman complains of dyspareunia in the lower back during orgasm, you
should consider:
a. endometriosis
b. cystitis
c. vaginitis
d. causes r/t pelvic inflammatory disease - Answer a. endometriosis
A 27 y/o female presents to your office for a Mirena (levonorgestrel intrauterine
system) insertion. She reports that her menses started 3 days ago and is normal.
How soon after insertion will she be able to safely rely on it for contraception?
a. immediately
b. after 48 hrs
c. in one wk
d. in one month - Answer a. immediately
Melody, age 50, desires hormone replacement therapy (HRT) for her hot flashes,
which she can't stand. You have discussed the pros and cons and given her some
alternative suggestions. Her mother had a hx of osteoporosis. You have decided to
initiate therapy for one year. She asks you if she also needs to take calcium or
vitamin D for prevention of osteoporosis. How do you respond?
a. research has shown that HRT alone is sufficient to protect against osteoporosis
b. yes, calcium intake should be increased to 1200mg/day along with 600mg of
vitamin D to decrease bone turnover and increase intestinal absorption
c. if you decide to take calcium and vitamin D, you can stop the HRT
d. if you are getting sufficient exercise, you don't need to take calcium and vitamin D
- Answer b. yes, calcium intake should be increased to 1200mg/day along with
600mg of vitamin D to decrease bone turnover and increase intestinal absorption
Jane, age 60 asks, you about taking alendronate (Fosamax). What do you tell her
about using the medication?
a. if you decide to take it, stick with a lower dose of 5mg because the side effects are
much worse with a 10mg dose
b. fosamax works better in younger women, so you should start this now rather than
wait until you're 70
c. you should take a daily dose because the wkly dose is not as effective
d. in addition to its efficacy in the tx of osteoporosis in postmenopausal women, it is
also useful for the prevention of osteoporosis - Answer d. in addition to its efficacy in
the tx of osteoporosis in postmenopausal women, it is also useful for the prevention
of osteoporosis
