NSG 6020 WEEK 7 QUIZ
1. Jean has just given birth 6 months ago and is breast-feeding her child.She has not had a
period since giving birth. What does this most likely represent?: Secondary amenorrhea
2. Abby is a newly married woman who is unable to have intercourse because of vaginismus.
Which of the following is true?: Psychosocial reasons may causethis condition.
3. It has been shown to reduce mortality from breast cancer: a high proportion of breast
masses are detected by breast self-examination
4. one breast larger than the other: benign breast examination
5. If diagnosed with gonorrhea should be treated from the following infection: chlamydia
6. A 34-year-old married daycare worker comes to your office, complaining of severe
pelvic pain for the last 6 hours. She states that the pain was at first
cramp-like but is now sharp. Nothing makes the pain better or worse. She has had no vaginal
bleeding or discharge.She has had no pain with urination. She has had some nausea for the last
few days but denies vomiting, constipation, or diarrhea. She states she feelsso bad that when
she stands up she has fainted. Her past medical history consists of two prior cesarean sections
and an appendectomy. She is marriedand has two children. She denies any tobacco, alcohol, or
drug use. Her parents are both healthy. On examination you find a pale young woman whois
obviously in a great deal of pain. She is lying on her right side with her eyesclosed. Her blood
pressure is 90/60 and her pulse is 110.
She is afebrile. She has bowel sounds and her abdomen is soft.The speculumexamination
reveals a bluish cervix but no blood or purulent discharge at theos. There is a mild amount of
tenderness with palpation of the cervix. The uterus is nongravid but the right adnexal area is
swollen and very tender.
Urine analysis is normal and the urine pregnancy test is pending. What typeof adnexal disorder
is causing her pain?: tubal pregnancy
7. A 24-year-old travel agent comes to your clinic, complaining of pain and swelling in her
vulvar area. She states that 2 days earlier she could feel a smalltender spot on the left side of her
vagina but now it is larger and extremely tender. Her last period was 1 year ago and she is
sexually active. She uses the Depo-Provera shot for contraception. She denies any nausea,
vomiting, constipation, diarrhea, pain with urination, or fever. Her past medical historyis
significant for ankle surgery. Her mother is healthy and her father has type2 diabetes. On
examination she appears her stated age and is standing up.
She states she cannot sit down without excruciating pain. Her blood pressure,temperature, and
pulse are unremarkable. On visualization of her perineum, a large, red, tense swelling is seen
to the left of her introitus. Palpation of themass causes a great deal of pain. What disorder of
the vulva is most likely causing her problems?: Bartholin's gland infection
8. A 48-year-old high school librarian comes to your clinic, complaining of 1 week of heavy
discharge causing severe itching. She is not presently sexuallyactive and has had no burning
1. Jean has just given birth 6 months ago and is breast-feeding her child.She has not had a
period since giving birth. What does this most likely represent?: Secondary amenorrhea
2. Abby is a newly married woman who is unable to have intercourse because of vaginismus.
Which of the following is true?: Psychosocial reasons may causethis condition.
3. It has been shown to reduce mortality from breast cancer: a high proportion of breast
masses are detected by breast self-examination
4. one breast larger than the other: benign breast examination
5. If diagnosed with gonorrhea should be treated from the following infection: chlamydia
6. A 34-year-old married daycare worker comes to your office, complaining of severe
pelvic pain for the last 6 hours. She states that the pain was at first
cramp-like but is now sharp. Nothing makes the pain better or worse. She has had no vaginal
bleeding or discharge.She has had no pain with urination. She has had some nausea for the last
few days but denies vomiting, constipation, or diarrhea. She states she feelsso bad that when
she stands up she has fainted. Her past medical history consists of two prior cesarean sections
and an appendectomy. She is marriedand has two children. She denies any tobacco, alcohol, or
drug use. Her parents are both healthy. On examination you find a pale young woman whois
obviously in a great deal of pain. She is lying on her right side with her eyesclosed. Her blood
pressure is 90/60 and her pulse is 110.
She is afebrile. She has bowel sounds and her abdomen is soft.The speculumexamination
reveals a bluish cervix but no blood or purulent discharge at theos. There is a mild amount of
tenderness with palpation of the cervix. The uterus is nongravid but the right adnexal area is
swollen and very tender.
Urine analysis is normal and the urine pregnancy test is pending. What typeof adnexal disorder
is causing her pain?: tubal pregnancy
7. A 24-year-old travel agent comes to your clinic, complaining of pain and swelling in her
vulvar area. She states that 2 days earlier she could feel a smalltender spot on the left side of her
vagina but now it is larger and extremely tender. Her last period was 1 year ago and she is
sexually active. She uses the Depo-Provera shot for contraception. She denies any nausea,
vomiting, constipation, diarrhea, pain with urination, or fever. Her past medical historyis
significant for ankle surgery. Her mother is healthy and her father has type2 diabetes. On
examination she appears her stated age and is standing up.
She states she cannot sit down without excruciating pain. Her blood pressure,temperature, and
pulse are unremarkable. On visualization of her perineum, a large, red, tense swelling is seen
to the left of her introitus. Palpation of themass causes a great deal of pain. What disorder of
the vulva is most likely causing her problems?: Bartholin's gland infection
8. A 48-year-old high school librarian comes to your clinic, complaining of 1 week of heavy
discharge causing severe itching. She is not presently sexuallyactive and has had no burning
