FNP: Women's Health exam 2024 with 100% correct answers

Breast Cancer - correct answer 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 answer Most common in 25 years Order US to dx Normal vaginal pH - correct answer 4.0 (acidic) Contraception - correct answer 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 answer factor V Leiden mutation Noncontraceptive benefits of OC increase a decrease in all of the following: - correct answer IDA, PID, ovar