NCC WOMEN'S HEALTH CARE PRACTITIONER WHNP 5 EXAM QUESTION AND ANSWERS A+GRADED

A 24 year old woman comes in for evaluation because of darkening of her nipples and increased breast sensitivity. The NP orders what test? a) beta HCG b) serum prolactin c) testosterone level - Beta HCG NOB patient has cystic fibrosis. The fetus is at risk for... a) growth restriction b) respiratory failure c) pulmonary hypoplasia - Growth restriction (d/t lack of oxygen & poor dietary intake) Patient complains of RUQP that radiates to scapula. The NP suspects? a) cholelithiasis b) pancreatitis c) duodenal ulcer - Cholelithiasis - radiates to scapula What hormone is responsible for breast changes in pregnancy? a) estrogen b) progesterone c) HCG - Estrogen During PE, you palpate a nodule in the posterior cul-de-sac, this makes you suspicious for... a) endometriosis b) adenomyosis c) adhesion - Endometriosis- nodule, posterior cul-de-sac Spermatocele is defined as: a) painless cystic mass located superior to testes b) mass between the layers of the scrotal sac that surrounds testes c) a palpable "bag of worms" - Painless cystic mass located superior to testes Having a woman raise her arms during a breast exam will help... a) discern symmetry b) observe for retraction c) see breast lump - Observe for retraction- check for dimpling Beta HCG should approximately _____ every 48 hours? a) rise 25% b) rise 50% c) rise 75% - 50% A 6 week newly pregnant patient has an HCG of 120,000, this indicates what? a) ectopic pregnancy b) molar pregnancy c) fetal demise - Molar pregnancy It is common to order a reticulate count for... a) sickle cell b) treatment for anemia c) iron overload - Tx of anemia- 4 weeks after starting iron 1-hour GTT is 161, what's your next step? a) nothin, this is normal b) order a 3-hour GTT c) order a HgbA1C - 3-hour GTT (130-145) The most accurate tool to evaluate the endometrium is... a) EMB b) D&C c) Sonogram - D&C (gold standard to diagnose) Treatment for syphilis is... a) PCN b) Erythromycin c) Zithromax - PCN D-dimer is used to diagnose.... - DVT A firm mobile breast mass if found on exam in a 40 year old. What is the first step? a) order sonogram b) order bx c) order mammogram - Mammogram Type 2 DM is characterized by insulin resistance and... a) decreased insulin production b) defections in insulin secretion c) low pancreatic beta cell reserve - Defections in insulin secretion Epigastric pain is a hallmark for... a) GI bleed b) Peptic ulcer c) Duodenal ulcer - peptic ulcer Nasal congestion, postnasal drip, headache, fever, and yellow green nasal discharge are characteristics of... a) sinusitis b) rhinitis c) allergies - sinusitis A sign of excess insulin is.... a) Shakiness & diaphoresis b) nausea & headache c) dry mouth, fruity breath - shakiness & diaphoresis Graves disease is... a) an autoimmune disorder b) indication of hypothyroidism c) causes bradycardia - autoimmune disorder Alternating bouts of constipation and diarrhea are signs of.... a) IBS b) Crohn's disease c) ulcerative colitis - IBS This picture represents.... - Shingles A hemorrhoid is dilated varicose vein that develops from persistent venous... a) stasis b) pressure c) congestion - Pressure Exercise impacts health by... a) decreases osteoblast activity b) improves mineral content c) reduces bone absorption - Improves mineral content &... increases osteoblast activity, & increases bone absorption Which would not be an option for a woman with vaginal dryness with an intact uterus... a) Estrogen cream b) Femring c) E-String - E string- Because she needs progesterone Bone loss is affected mostly by a) weight b) diet c) age - Age Symptomatic fibroids are related to... a) size b) number c) location - Location