Examl 4:l NSG554/l NSGl 554l (NEWl 2025/l
2026l Update)l Primaryl Carel Il Review|l
Questionsl &l Answers|l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Wilkes
QUESTION
Anl adolescentl femalel reportsl al massl onl herl genitalial whichl isl becomingl increasinglyl
painful.
Onl exam,l thel providerl notesl anl erythematous,l edematous,l tenderl massl laterall tol thel
vestibule
withoutl discharge.l Itl isl determinedl thatl thel patientl hasl al Bartholinl glandl abscess.l Whatl
will
thel providerl dol initially?
a.l Obtainl al consultationl forl biopsyl ofl thel lesion
b.l Performl al speculuml examinationl ofl thel vagina
c.l Prescribel al broad-spectruml antibiotic
d.l Referl thel patientl forl anl incisionl andl drainagel andl culture
Answer:
ANS:l C
Empiricall administrationl ofl antibiotics,l ifl donel early,l canl bel helpful.l Biopsyl isl
performedl if
thel massl isl suspectedl asl beingl cancerous.l Speculuml examinationl isl deferredl untill painl
isl relieved.l I&Dl hasl risksl andl oftenl resultsl inl recurrence.
QUESTION
Al patientl hasl undergonel surgicall incisionl andl drainagel ofl al Bartholin'sl cystl withl
insertionl of
al drain.l Whatl isl anl importantl aspectl ofl carel forl thisl patient?
a.l Administrationl ofl antibiotics
b.l Educationl aboutl long-terml dyspareunia
c.l Teachingl aboutl reproductivel sequelae
d.l Weeklyl follow-upl monitoring
,Answer:
ANS:l D
Patientsl withl surgicall I&Dl whol havel al drainl shouldl bel monitoredl weekly.l Ifl adequatelyl
treated,l long-terml functionl shouldl bel normal.
QUESTION
Al femalel patientl identifiedl asl havingl thel BRCAl mutationl asksl whichl interventionl willl
reduce
thel riskl ofl breastl cancerl thel most?l Whatl willl thel providerl telll her?
a.l Breastl magneticl resonancel imagingl (MRI)
b.l Clinicall breastl examinationl everyl 6l months
c.l Earlyl childbearingl andl breastfeeding
d.l Prophylacticl mastectomy
Answer:
ANS:l D
Althoughl alll thel optionsl helpl tol reducel breastl cancerl risk,l patientsl withl BRCAl
mutationl arel atl extremelyl highl riskl andl willl benefitl mostl froml prophylacticl mastectomyl
andl oophorectomy.
MRIl canl helpl detectl invasivel cancersl earlier.
QUESTION
Al postmenopausall womanl reportsl unilaterall breastl painl thatl shel describesl asl sharpl and
burningl andl localizedl tol onel area.l Al breastl examinationl revealsl nol dimpling,l discharge,l
or
masses.l Whichl diagnosticl testl willl thel providerl order?
a.l Bilaterall mammography
b.l Focusedl ultrasound
c.l Hormonel levels
d.l Needlel biopsy
Answer:
ANS:l Al Bilaterall mammographyl isl usuallyl performedl inl postmenopausall womenl with
,noncyclicl breastl pain,l althoughl thel likelihoodl ofl abnormall findingsl isl low.l Focusedl
ultrasoundl mayl bel performedl inl additionl tol mammographyl ifl indicated.l Hormonel levelsl
arel generallyl normal.l Needlel biopsyl isl performedl ifl al suspiciousl massl isl identified.
QUESTION
Al womanl whol hasl justl weanedl herl infantl froml breastfeedingl developsl signsl ofl mastitisl
andl is
treatedl withl antibiotics.l Atl al follow-upl visit,l thel providerl notesl markedl breastl edemal
and
erythemal ofl thel affectedl breast.l Whatl willl thel providerl dol next?
a.l Consultl withl al surgeonl forl I&Dl ofl thel breast
b.l Counsell thel patientl tol applyl warml compresses
c.l Prescribel antibioticsl tol treatl MRSAl infection
d.l Referl thel patientl forl anl immediatel biopsy
Answer:
ANS:l D
Patientsl treatedl forl mastitisl whol dol notl respondl tol antibioticsl andl whol havel persistentl
erythemal andl edemal arel likelyl tol havel inflammatoryl breastl carcinomal andl shouldl bel
referredl forl al biopsyl immediately.l MRSAl infectionl isl possible,l butl thesel symptomsl arel
severe,l andl thel patientl needsl immediatel evaluation.l Warml compressesl andl surgical
QUESTION
Al womanl diagnosedl withl chronicl pelvicl painl mostl likelyl hasl al gynecologicall causel forl
her
symptoms.l Whichl treatmentl willl thel providerl recommendl initially?
a.l Counselingl andl support
b.l Hysterectomy
c.l Neurostimulation
d.l Orall contraceptives
Answer:
ANS:l D
Orall contraceptivesl mayl bel helpfull andl arel al goodl initiall choice.l Counselingl andl
supportl arel necessaryl throughoutl management,l butl dol notl helpl withl symptoml relief.l
Hysterectomyl mayl bel indicatedl ifl therel arel morel severel structurall problemsl butl doesl
, notl alwaysl alleviatel symptoms.l Neurostimulationl isl usedl whenl neuropathicl painl isl
present.
QUESTION
Whichl underlyingl causesl arel relatedl tol chronicl pelvicl painl inl women?l (Selectl alll thatl
apply.)
a.l Posturall problems
b.l Hepatitis
c.l Interstitiall cystitis
d.l Physicall abuse
e.l Gastrointestinall disorders
Answer:
ANS:l A,l C,l D,l E
Problemsl withl posturel canl causel inflammationl inl thel lowerl spinall column,l leadingl tol
chronicl pelvicl pain.l Interstitiall cystitisl andl physicall orl sexuall abusel arel relatedl tol CPP.l
Hepatitisl isl notl linkedl tol CPP.
QUESTION
Whichl patientl meetsl thel criterial currentlyl presentedl forl al diagnosisl ofl currentl abnormal
uterinel bleeding?
a.l Al 45-yearl oldl whol hasl experiencedl heavyl menstruall voidl sincel mensesl began
b.l Al 25-yearl oldl reportingl beingl "sol fatiguedl afterl myl periods"
c.l Al 15-yearl oldl whol reportsl "usingl morel padsl thanl Il didl whenl Il firstl gotl myl period"
d.l 35-yearl oldl experiencingl al significantl increasel inl bleedingl overl thel lastl 8l months
Answer:
ANS:l D
Chronicl AUBl hasl beenl definedl asl bleedingl froml thel uterinel corpusl thatl isl abnormall inl
duration,l volume,l frequency,l orl regularityl andl hasl beenl presentl forl thel majorityl ofl thel
pastl 6l months.l Thel otherl optionsl presentl signsl thatl arel notl usuall orl havel beenl
confirmedl asl abnormall forl thatl particularl patient.
QUESTION
2026l Update)l Primaryl Carel Il Review|l
Questionsl &l Answers|l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Wilkes
QUESTION
Anl adolescentl femalel reportsl al massl onl herl genitalial whichl isl becomingl increasinglyl
painful.
Onl exam,l thel providerl notesl anl erythematous,l edematous,l tenderl massl laterall tol thel
vestibule
withoutl discharge.l Itl isl determinedl thatl thel patientl hasl al Bartholinl glandl abscess.l Whatl
will
thel providerl dol initially?
a.l Obtainl al consultationl forl biopsyl ofl thel lesion
b.l Performl al speculuml examinationl ofl thel vagina
c.l Prescribel al broad-spectruml antibiotic
d.l Referl thel patientl forl anl incisionl andl drainagel andl culture
Answer:
ANS:l C
Empiricall administrationl ofl antibiotics,l ifl donel early,l canl bel helpful.l Biopsyl isl
performedl if
thel massl isl suspectedl asl beingl cancerous.l Speculuml examinationl isl deferredl untill painl
isl relieved.l I&Dl hasl risksl andl oftenl resultsl inl recurrence.
QUESTION
Al patientl hasl undergonel surgicall incisionl andl drainagel ofl al Bartholin'sl cystl withl
insertionl of
al drain.l Whatl isl anl importantl aspectl ofl carel forl thisl patient?
a.l Administrationl ofl antibiotics
b.l Educationl aboutl long-terml dyspareunia
c.l Teachingl aboutl reproductivel sequelae
d.l Weeklyl follow-upl monitoring
,Answer:
ANS:l D
Patientsl withl surgicall I&Dl whol havel al drainl shouldl bel monitoredl weekly.l Ifl adequatelyl
treated,l long-terml functionl shouldl bel normal.
QUESTION
Al femalel patientl identifiedl asl havingl thel BRCAl mutationl asksl whichl interventionl willl
reduce
thel riskl ofl breastl cancerl thel most?l Whatl willl thel providerl telll her?
a.l Breastl magneticl resonancel imagingl (MRI)
b.l Clinicall breastl examinationl everyl 6l months
c.l Earlyl childbearingl andl breastfeeding
d.l Prophylacticl mastectomy
Answer:
ANS:l D
Althoughl alll thel optionsl helpl tol reducel breastl cancerl risk,l patientsl withl BRCAl
mutationl arel atl extremelyl highl riskl andl willl benefitl mostl froml prophylacticl mastectomyl
andl oophorectomy.
MRIl canl helpl detectl invasivel cancersl earlier.
QUESTION
Al postmenopausall womanl reportsl unilaterall breastl painl thatl shel describesl asl sharpl and
burningl andl localizedl tol onel area.l Al breastl examinationl revealsl nol dimpling,l discharge,l
or
masses.l Whichl diagnosticl testl willl thel providerl order?
a.l Bilaterall mammography
b.l Focusedl ultrasound
c.l Hormonel levels
d.l Needlel biopsy
Answer:
ANS:l Al Bilaterall mammographyl isl usuallyl performedl inl postmenopausall womenl with
,noncyclicl breastl pain,l althoughl thel likelihoodl ofl abnormall findingsl isl low.l Focusedl
ultrasoundl mayl bel performedl inl additionl tol mammographyl ifl indicated.l Hormonel levelsl
arel generallyl normal.l Needlel biopsyl isl performedl ifl al suspiciousl massl isl identified.
QUESTION
Al womanl whol hasl justl weanedl herl infantl froml breastfeedingl developsl signsl ofl mastitisl
andl is
treatedl withl antibiotics.l Atl al follow-upl visit,l thel providerl notesl markedl breastl edemal
and
erythemal ofl thel affectedl breast.l Whatl willl thel providerl dol next?
a.l Consultl withl al surgeonl forl I&Dl ofl thel breast
b.l Counsell thel patientl tol applyl warml compresses
c.l Prescribel antibioticsl tol treatl MRSAl infection
d.l Referl thel patientl forl anl immediatel biopsy
Answer:
ANS:l D
Patientsl treatedl forl mastitisl whol dol notl respondl tol antibioticsl andl whol havel persistentl
erythemal andl edemal arel likelyl tol havel inflammatoryl breastl carcinomal andl shouldl bel
referredl forl al biopsyl immediately.l MRSAl infectionl isl possible,l butl thesel symptomsl arel
severe,l andl thel patientl needsl immediatel evaluation.l Warml compressesl andl surgical
QUESTION
Al womanl diagnosedl withl chronicl pelvicl painl mostl likelyl hasl al gynecologicall causel forl
her
symptoms.l Whichl treatmentl willl thel providerl recommendl initially?
a.l Counselingl andl support
b.l Hysterectomy
c.l Neurostimulation
d.l Orall contraceptives
Answer:
ANS:l D
Orall contraceptivesl mayl bel helpfull andl arel al goodl initiall choice.l Counselingl andl
supportl arel necessaryl throughoutl management,l butl dol notl helpl withl symptoml relief.l
Hysterectomyl mayl bel indicatedl ifl therel arel morel severel structurall problemsl butl doesl
, notl alwaysl alleviatel symptoms.l Neurostimulationl isl usedl whenl neuropathicl painl isl
present.
QUESTION
Whichl underlyingl causesl arel relatedl tol chronicl pelvicl painl inl women?l (Selectl alll thatl
apply.)
a.l Posturall problems
b.l Hepatitis
c.l Interstitiall cystitis
d.l Physicall abuse
e.l Gastrointestinall disorders
Answer:
ANS:l A,l C,l D,l E
Problemsl withl posturel canl causel inflammationl inl thel lowerl spinall column,l leadingl tol
chronicl pelvicl pain.l Interstitiall cystitisl andl physicall orl sexuall abusel arel relatedl tol CPP.l
Hepatitisl isl notl linkedl tol CPP.
QUESTION
Whichl patientl meetsl thel criterial currentlyl presentedl forl al diagnosisl ofl currentl abnormal
uterinel bleeding?
a.l Al 45-yearl oldl whol hasl experiencedl heavyl menstruall voidl sincel mensesl began
b.l Al 25-yearl oldl reportingl beingl "sol fatiguedl afterl myl periods"
c.l Al 15-yearl oldl whol reportsl "usingl morel padsl thanl Il didl whenl Il firstl gotl myl period"
d.l 35-yearl oldl experiencingl al significantl increasel inl bleedingl overl thel lastl 8l months
Answer:
ANS:l D
Chronicl AUBl hasl beenl definedl asl bleedingl froml thel uterinel corpusl thatl isl abnormall inl
duration,l volume,l frequency,l orl regularityl andl hasl beenl presentl forl thel majorityl ofl thel
pastl 6l months.l Thel otherl optionsl presentl signsl thatl arel notl usuall orl havel beenl
confirmedl asl abnormall forl thatl particularl patient.
QUESTION
