FNP 1 - Women's Health Questions With Complete Solutions
4 killers of adults in the US - ANSWER 1. CAD
2. Cancer
3. Lower respiratory disease
4. CVA
Highest cancer mortality rate in women - ANSWER Lung cancer
Leading gyn-associated KILLER - ANSWER Ovarian
Highest incidence of cancer in women - ANSWER Breast
Leading cancer killer in men and women - ANSWER Lung
Second leading cancer killer in men and women - ANSWER Colorectal
Trichomonas symptoms - ANSWER Malodorous frothy yellow green discharge pruritis STRAWBERRY PATCHES on cervix and vagina dyspareunia dysuria
Bacterial vaginosis symptoms - ANSWER Watery grey fishy smelling discharge
Trichomonas diagnosis - ANSWER Normal saline mixture shows motile trichomonads
bacterial vaginosis diagnosis - ANSWER Normal saline mixture shows clue cells-
epithelial cells with poorly defined borders
Candidiasis diagnosis - ANSWER KOH mixture shows pseudo hyphae
Trichomonas treatment - ANSWER Metronidazole (Flagyl) 2 grams orally (single dose) or 500mg BID
bacterial vaginosis treatment - ANSWER Metronidazole (Flagyl) 500mg BIDX7days
Candidiasis treatment - ANSWER Miconazole or clotrimazole, terconazole, or butaconazole.
PID symptoms - ANSWER GYN+Flu symptoms
fever, chills, nausea, vomiting,
Vaginal discharge, dysuria, dyspareunia, lower abdominal pain, infertility
PID physical exam findings - ANSWER Positive cervical motion tenderness adnexal tenderness
abdominal tenderness
fever >38C
PID diagnosis - ANSWER STD testing
Elevated ESR or Creactive protein
PID treatment - ANSWER (Broad spectrum antibiotics)
Ofloxacin+Levofloxacin or Cefoxitin+Doxycycline and Rocephin+Vibramycin
PCOS symptoms - ANSWER Menstrual irregularity
infertility
Hirsutism
obesity and metabolic syndrome
acne
PCOS associated conditions - ANSWER diabetes
heart and blood vessel complications
uterine cancer
sleep apnea
possible concerns with HRT - ANSWER breast cancer
MI/CAD
uterine cancer
younger female athlete triad osteoporosis - ANSWER eating disorder/excessive exercise
amenorrhea-leads to-
decreased amounts of estrogen leading to bone loss
osteoporosis risk factors - ANSWER small females
early menopause
family hx
high consumption of caffeine, phosphates, protein, or sodium
smoking
low intake of dietary calcium
sedentary lifestyle
alcoholism
osteoporosis testing - ANSWER DEXA-results are T and Z scores
Tscore -1.0--2.5 osteopenia "low bone mass"
Tscore below -2.5 is osteoporosis
when to do bone density screening - ANSWER all women over the age of 65
osteoporosis prevention - ANSWER estrogen replacement therapy
weight bearing exercise
increased calcium intake
risk of biphosphonates (osteoporosis) - ANSWER osteonecrosis of the jaw
4 killers of adults in the US - ANSWER 1. CAD
2. Cancer
3. Lower respiratory disease
4. CVA
Highest cancer mortality rate in women - ANSWER Lung cancer
Leading gyn-associated KILLER - ANSWER Ovarian
Highest incidence of cancer in women - ANSWER Breast
Leading cancer killer in men and women - ANSWER Lung
Second leading cancer killer in men and women - ANSWER Colorectal
Trichomonas symptoms - ANSWER Malodorous frothy yellow green discharge pruritis STRAWBERRY PATCHES on cervix and vagina dyspareunia dysuria
Bacterial vaginosis symptoms - ANSWER Watery grey fishy smelling discharge
Trichomonas diagnosis - ANSWER Normal saline mixture shows motile trichomonads
bacterial vaginosis diagnosis - ANSWER Normal saline mixture shows clue cells-
epithelial cells with poorly defined borders
Candidiasis diagnosis - ANSWER KOH mixture shows pseudo hyphae
Trichomonas treatment - ANSWER Metronidazole (Flagyl) 2 grams orally (single dose) or 500mg BID
bacterial vaginosis treatment - ANSWER Metronidazole (Flagyl) 500mg BIDX7days
Candidiasis treatment - ANSWER Miconazole or clotrimazole, terconazole, or butaconazole.
PID symptoms - ANSWER GYN+Flu symptoms
fever, chills, nausea, vomiting,
Vaginal discharge, dysuria, dyspareunia, lower abdominal pain, infertility
PID physical exam findings - ANSWER Positive cervical motion tenderness adnexal tenderness
abdominal tenderness
fever >38C
PID diagnosis - ANSWER STD testing
Elevated ESR or Creactive protein
PID treatment - ANSWER (Broad spectrum antibiotics)
Ofloxacin+Levofloxacin or Cefoxitin+Doxycycline and Rocephin+Vibramycin
PCOS symptoms - ANSWER Menstrual irregularity
infertility
Hirsutism
obesity and metabolic syndrome
acne
PCOS associated conditions - ANSWER diabetes
heart and blood vessel complications
uterine cancer
sleep apnea
possible concerns with HRT - ANSWER breast cancer
MI/CAD
uterine cancer
younger female athlete triad osteoporosis - ANSWER eating disorder/excessive exercise
amenorrhea-leads to-
decreased amounts of estrogen leading to bone loss
osteoporosis risk factors - ANSWER small females
early menopause
family hx
high consumption of caffeine, phosphates, protein, or sodium
smoking
low intake of dietary calcium
sedentary lifestyle
alcoholism
osteoporosis testing - ANSWER DEXA-results are T and Z scores
Tscore -1.0--2.5 osteopenia "low bone mass"
Tscore below -2.5 is osteoporosis
when to do bone density screening - ANSWER all women over the age of 65
osteoporosis prevention - ANSWER estrogen replacement therapy
weight bearing exercise
increased calcium intake
risk of biphosphonates (osteoporosis) - ANSWER osteonecrosis of the jaw
