NUR 654 Final Exam Study Set questions with
correct answers
A patient has rapid weight gain, amenorrhea without pregnancy, and mild hypertension. Once confirmatory tests are
performed, what is a possible treatment for this patient? - correct answer -Pituitary tumor resection
A patient has unexplained weight loss and the provider notes increased skin pigmentation on light-exposed skin folds along
with darkened palmar creases. Which laboratory tests will the provider order vs NOT order - correct answer -ORDER: Serum
ACTH, Serum electrolytes, TB skin testing
NOT: Serum cortisol
T or F: Patient wishes related to palliative care should be discussed at the initial visit and updated at preventive visits - correct
answer -T
T or F: A patient on chemo has a high temperature and absolute neutropenic count >500,000 needs immediate ER workup -
correct answer -T
Radiation therapy can be used for all of the following in cancer treatment EXCEPT - correct answer -Treatment of side effects
of chemo
T or F: SIADH is an oncological emergency requiring urgent oncologic care - correct answer -T
What is an effective pharmacologic medication to treat non-cancer chronic pain? - correct answer -Ibuprofen
T or F: The most common sites for breast CA metastasis include lymph, lungs, liver, bone, and brain - correct answer -T
What is an FDA approved treatment for osteoporosis? - correct answer -Biphosphonate therapy
T or F: Bone density improvement is the primary goal of biphosphonate treatment? - correct answer -F (it is to slow the
progression of disease)
An elevated serum alkaline phosphate (SAP) may include all of the following EXCEPT - correct answer -Hypothyroidism
T or F: Xray findings associated with Paget's disease can show enlargement of bone and specific deformities (long bone
bowing) - correct answer -T
Symptoms of Cushing's Syndrome include - correct answer -Amenorrhea
T or F: Pituitary tumor resection may be first line treatment for Cushing's Syndrome if indicated - correct answer -T
Addison's Disease may cause which of the following lab abnormalities? - correct answer -Elevated ACTH (not hypokalemia,
hypernatremia, or elevated cortisol)
T or F: A patient with suspected hirsituism should be referred to endocrinology for an evaluation - correct answer -T
A positive Trousseau's sign occurs with which serum abnormality? - correct answer -HYPOcalcemia
Which of the following can cause hypocalcemia? - correct answer -Vit D Deficiency, hypomagnesemia
T or F: Low serum albumin may lower serum calcium - correct answer -T
Which can cause hyperkalemia in a patient with normal renal function? - correct answer -Adrenocorticol deficiency
T or F: Medical management of primary hyperparathyroidism involves close monitoring of calcium, creatinine, and bone
, density - correct answer -T
Criteria for parathyroidectomy in a case of primary hyperparathyroidism includes all EXCEPT - correct answer -under age 50
T or F: Primary hypoparathyroidism is characterized by inappropriate secretion of PTH along with hypercalcemia - correct
answer -F
T or F: Patients with a history of migraines with aura is an absolute contraindication for combined oral contraceptives -
correct answer -T
When an OCP is forgotten for 2 days or fewer... - correct answer -2 pills for 2 days, resume pills, use back up method for rest
of cycle
T or F: 45 year old patient with secondary amenorrhea for 4 months and negative HcG needs no further evaluation for
underlying cause - correct answer -F
T or F: Herbal OTC remedies for menopausal women with vasomotor symptoms have not been proven effective and may be
harmful - correct answer -T
Neuropathic pain may be characterized by - correct answer -poorly localized, shooting or stabbing pain
T or F: Naproxen is recommended for moderate pain or dysmenorrhea and should be dosed: 500mg initially then 250mg q12
hours - correct answer -T
The medical diagnosis associated with a transgender patient is - correct answer -gender dysphoria
T or F: Diminished testosterone may be a possible cause of decreased arousal, libido, and orgasm in postmenopausal women
- correct answer -T
Causes of primary amenorrhea in a 17 year old may include all EXCEPT - correct answer -endometriosis
Lab work for a primary amenorrhea includes - correct answer -thyroid panel, pregnancy test, prolactin
T or F:A Bartholin Gland cyst is always infectious - correct answer -F
Differential diagnosis to consider in a case of mastitis that is worsening despite a course of cephalosporin antibiotics - correct
answer -inflammatory breast carcinoma
Diagnostic work-up for unilateral breast pain in a postmenopausal woman should include - correct answer -bilateral
mammogram
T or F: Female patient found to have BRCA1 and BRCA2 mutation may be offered prophylactic mastectomy and
oophorectomy - correct answer -T
Chronic pelvic pain in women may be related to all EXCEPT - correct answer -hepatitis (faulty posture, interstitial cystitis,
physical abuse are causes)
Severe primary dysmenorrhea in a young adult may be treated with - correct answer -combination oral contraceptives
Most common cause of dyspareunia in the premenopausal patient - correct answer -endometriosis
Follow-up for abnormal pap involving a low grade intraepithelial lesion will include - correct answer -colposcopy with biopsy
T or F: Outpatient management of PID with fever will include administration of Rocephin IM, Doxycycline and metronidazole
for 14 days - correct answer -T
Risk factors for PID include all EXCEPT - correct answer -Tubal sterilization (it includes age under 25, smoking, and vaginal
correct answers
A patient has rapid weight gain, amenorrhea without pregnancy, and mild hypertension. Once confirmatory tests are
performed, what is a possible treatment for this patient? - correct answer -Pituitary tumor resection
A patient has unexplained weight loss and the provider notes increased skin pigmentation on light-exposed skin folds along
with darkened palmar creases. Which laboratory tests will the provider order vs NOT order - correct answer -ORDER: Serum
ACTH, Serum electrolytes, TB skin testing
NOT: Serum cortisol
T or F: Patient wishes related to palliative care should be discussed at the initial visit and updated at preventive visits - correct
answer -T
T or F: A patient on chemo has a high temperature and absolute neutropenic count >500,000 needs immediate ER workup -
correct answer -T
Radiation therapy can be used for all of the following in cancer treatment EXCEPT - correct answer -Treatment of side effects
of chemo
T or F: SIADH is an oncological emergency requiring urgent oncologic care - correct answer -T
What is an effective pharmacologic medication to treat non-cancer chronic pain? - correct answer -Ibuprofen
T or F: The most common sites for breast CA metastasis include lymph, lungs, liver, bone, and brain - correct answer -T
What is an FDA approved treatment for osteoporosis? - correct answer -Biphosphonate therapy
T or F: Bone density improvement is the primary goal of biphosphonate treatment? - correct answer -F (it is to slow the
progression of disease)
An elevated serum alkaline phosphate (SAP) may include all of the following EXCEPT - correct answer -Hypothyroidism
T or F: Xray findings associated with Paget's disease can show enlargement of bone and specific deformities (long bone
bowing) - correct answer -T
Symptoms of Cushing's Syndrome include - correct answer -Amenorrhea
T or F: Pituitary tumor resection may be first line treatment for Cushing's Syndrome if indicated - correct answer -T
Addison's Disease may cause which of the following lab abnormalities? - correct answer -Elevated ACTH (not hypokalemia,
hypernatremia, or elevated cortisol)
T or F: A patient with suspected hirsituism should be referred to endocrinology for an evaluation - correct answer -T
A positive Trousseau's sign occurs with which serum abnormality? - correct answer -HYPOcalcemia
Which of the following can cause hypocalcemia? - correct answer -Vit D Deficiency, hypomagnesemia
T or F: Low serum albumin may lower serum calcium - correct answer -T
Which can cause hyperkalemia in a patient with normal renal function? - correct answer -Adrenocorticol deficiency
T or F: Medical management of primary hyperparathyroidism involves close monitoring of calcium, creatinine, and bone
, density - correct answer -T
Criteria for parathyroidectomy in a case of primary hyperparathyroidism includes all EXCEPT - correct answer -under age 50
T or F: Primary hypoparathyroidism is characterized by inappropriate secretion of PTH along with hypercalcemia - correct
answer -F
T or F: Patients with a history of migraines with aura is an absolute contraindication for combined oral contraceptives -
correct answer -T
When an OCP is forgotten for 2 days or fewer... - correct answer -2 pills for 2 days, resume pills, use back up method for rest
of cycle
T or F: 45 year old patient with secondary amenorrhea for 4 months and negative HcG needs no further evaluation for
underlying cause - correct answer -F
T or F: Herbal OTC remedies for menopausal women with vasomotor symptoms have not been proven effective and may be
harmful - correct answer -T
Neuropathic pain may be characterized by - correct answer -poorly localized, shooting or stabbing pain
T or F: Naproxen is recommended for moderate pain or dysmenorrhea and should be dosed: 500mg initially then 250mg q12
hours - correct answer -T
The medical diagnosis associated with a transgender patient is - correct answer -gender dysphoria
T or F: Diminished testosterone may be a possible cause of decreased arousal, libido, and orgasm in postmenopausal women
- correct answer -T
Causes of primary amenorrhea in a 17 year old may include all EXCEPT - correct answer -endometriosis
Lab work for a primary amenorrhea includes - correct answer -thyroid panel, pregnancy test, prolactin
T or F:A Bartholin Gland cyst is always infectious - correct answer -F
Differential diagnosis to consider in a case of mastitis that is worsening despite a course of cephalosporin antibiotics - correct
answer -inflammatory breast carcinoma
Diagnostic work-up for unilateral breast pain in a postmenopausal woman should include - correct answer -bilateral
mammogram
T or F: Female patient found to have BRCA1 and BRCA2 mutation may be offered prophylactic mastectomy and
oophorectomy - correct answer -T
Chronic pelvic pain in women may be related to all EXCEPT - correct answer -hepatitis (faulty posture, interstitial cystitis,
physical abuse are causes)
Severe primary dysmenorrhea in a young adult may be treated with - correct answer -combination oral contraceptives
Most common cause of dyspareunia in the premenopausal patient - correct answer -endometriosis
Follow-up for abnormal pap involving a low grade intraepithelial lesion will include - correct answer -colposcopy with biopsy
T or F: Outpatient management of PID with fever will include administration of Rocephin IM, Doxycycline and metronidazole
for 14 days - correct answer -T
Risk factors for PID include all EXCEPT - correct answer -Tubal sterilization (it includes age under 25, smoking, and vaginal
