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Exam (elaborations)

NURS 5333 Test Questions with Accurate Solutions

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NURS 5333 Test Questions with Accurate Solutions

Institution
NURS 5333
Course
NURS 5333

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NURS 5333 Test Questions with Accurate
Solutions
Polycystic Ovarian Syndrome - ANSWER Ask about their birth experience.
Where they ever fed high calorie formula as infants
Genetic link, runs in family.


Polycystic Ovarian Syndrome (PCOS) - ANSWER Noted syndrome of androgen excess and
infertility.
some pt's may not all have ovarian cyst


Diagnostic Criteria - ANSWER -Irregular or no menstrual periods in women of
reproductive age (ovulatory dysfunction)
-Acne
-Weight gain (overweight, obesity)
-Excess hair growth on the face and body (hirsutism)
-Thinning scalp hair from excess testosterone
-Ovarian Cysts (Polycystic ovarian morphology)
-Mental health problems (depression, anxiety)


Dangerous - ANSWER -PCOS can end up infertility
-Gestational Diabetes
-DM Type 2
-CAD, hyperlipidemia, HTN
-Sleep Apnea
-Endometrial Cancer due to not having periods, lining thickens
-Body image disturbance, depression, social anxiety

, Signs and Symptoms - ANSWER -Menstrual irregularity : ask pt if they have ever had
regular periods before
-Androgen excess: acne and hirsutism (ask if they did something to control excess hair)
-Always identify the onset of symptoms
-PCOS has a slow onset, virilizing tumor typically causes rapid onset of hirsutism and
acne


Acanthosis Nigricans - ANSWER -Excess insulin causes skin cell in certain areas to turn
over more rapidly
-these cells contain more melanin and produce darker patches
-Patients with darker skin may produce more noticeable patches


Alopecia - ANSWER -Generalized hair loss, all the hair is falling off
-Caused by elevation of testosterone precursors
-Hair loss is greater than 100 hairs per day is common


Hirsutism - ANSWER -Due to Androgens
-Hair removal needed
-Vaniqua cream
eflornithine hydrochloride)
6-9 months change
Inhibits cell division need from hair growth
-Adjunct to hormonal therapy


How not to get confused... - ANSWER First think about
- Hirsutism

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Institution
NURS 5333
Course
NURS 5333

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