MN 551 PATHO UNIT 8 QUESTIONS
WITH COMPLETE SOLUTION
j A 60-year-old woman who is 11 years menopausal has presented to the emergency department stating,
"I haven't had my period in years, but lately I've been bleeding again, and quite heavily in the last few
days." The care team needs to rule out endometrial cancer. How should they best explain the most
accurate plan for confirming or ruling out the diagnosis? - "We can do a Pap smear right now and we will
get the results as soon as we can."
"We are going to order blood work that will measure your hormone levels."
*******"We're going to have to open your cervix with a speculum and take scrapings from the wall of
your uterus."
"We're going to book a CT scan for you as soon as possible so that we can see what is inside your
uterus."
A 66-year-old man has presented to a nurse practitioner to get a refill for his antiplatelet medication. The
patient has a history of ischemic heart disease and suffered a myocardial infarction 5 years ago and has
unstable angina; he uses a transdermal nitroglycerin patch to control his angina. The patient has a 40-
pack-year smoking history and uses nebulized bronchodilators at home for the treatment of transient
shortness of breath. He has long-standing hypertension that is treated with a potassium-sparing diuretic
and a ß-adrenergic blocking medication. During the nurse's assessment, the man notes that he has been
unable to maintain his erection in recent months. Which of the following aspects of the man's health
problems and treatments would the nurse identify as NOT being contributing to his erectile dysfunction
(ED)? - His age
His smoking history
His ischemic heart disease
His hypertension
, ******His use of bronchodilators
His antihypertensive medications
Which of the following factors are NOT known to contribute to vaginal yeast infections? - High hormone
levels during pregnancy
Use of oral contraceptives
Recent antibiotic therapy
Poorly controlled diabetes'
******Inflammation of the Skene and Bartholin glands
A 14-year-old boy has been brought to the emergency department by his mother in excruciating pain
that is radiating from his scrotum to his inguinal area. The boy's heart rate is 122 beats per minute and
he vomited twice before arrival at the hospital. Examination reveals that his scrotum is reddened and
slightly swollen and the testes are firm to the touch and tender, with extensive cremaster muscle
contraction noted. What is the boy's most likely diagnosis? - Varicocele
******Testicular torsion
Hydrocele
Epididymitis
Long, stretchy cervical mucus that exhibits ferning on a microscope slide is characteristic of which of the
following? - Low human chorionic gonadotropin levels
WITH COMPLETE SOLUTION
j A 60-year-old woman who is 11 years menopausal has presented to the emergency department stating,
"I haven't had my period in years, but lately I've been bleeding again, and quite heavily in the last few
days." The care team needs to rule out endometrial cancer. How should they best explain the most
accurate plan for confirming or ruling out the diagnosis? - "We can do a Pap smear right now and we will
get the results as soon as we can."
"We are going to order blood work that will measure your hormone levels."
*******"We're going to have to open your cervix with a speculum and take scrapings from the wall of
your uterus."
"We're going to book a CT scan for you as soon as possible so that we can see what is inside your
uterus."
A 66-year-old man has presented to a nurse practitioner to get a refill for his antiplatelet medication. The
patient has a history of ischemic heart disease and suffered a myocardial infarction 5 years ago and has
unstable angina; he uses a transdermal nitroglycerin patch to control his angina. The patient has a 40-
pack-year smoking history and uses nebulized bronchodilators at home for the treatment of transient
shortness of breath. He has long-standing hypertension that is treated with a potassium-sparing diuretic
and a ß-adrenergic blocking medication. During the nurse's assessment, the man notes that he has been
unable to maintain his erection in recent months. Which of the following aspects of the man's health
problems and treatments would the nurse identify as NOT being contributing to his erectile dysfunction
(ED)? - His age
His smoking history
His ischemic heart disease
His hypertension
, ******His use of bronchodilators
His antihypertensive medications
Which of the following factors are NOT known to contribute to vaginal yeast infections? - High hormone
levels during pregnancy
Use of oral contraceptives
Recent antibiotic therapy
Poorly controlled diabetes'
******Inflammation of the Skene and Bartholin glands
A 14-year-old boy has been brought to the emergency department by his mother in excruciating pain
that is radiating from his scrotum to his inguinal area. The boy's heart rate is 122 beats per minute and
he vomited twice before arrival at the hospital. Examination reveals that his scrotum is reddened and
slightly swollen and the testes are firm to the touch and tender, with extensive cremaster muscle
contraction noted. What is the boy's most likely diagnosis? - Varicocele
******Testicular torsion
Hydrocele
Epididymitis
Long, stretchy cervical mucus that exhibits ferning on a microscope slide is characteristic of which of the
following? - Low human chorionic gonadotropin levels
