NR602 FINAL EXAM QUESTIONS WITH COMPLETE
SOLUTIONS GUARANTEED PASS
ASCCP recommended management for an ASCUS pap result
with high risk hpv 16 cotest in 26 year old no abnormal paps
ANSWER - >colposcopy
What is included in the well women of an adolescent?
ANSWER - >health history
menses
gynecologic and pregnancy issues
psychosocial
abuse drugs alcohol use
physical exam
screening tests
immunizations
When does ACOG pap smear start ANSWER - >21 years old
done every three years
ACOG pap for over 30 yrs old ANSWER - >every five years with
HPV test completed
ACOG when can you stop pap smear ANSWER - >can stop at 65
if negative history for 10 years or if they had a hysterectomy
with no history of cervical cancer
,Bethesda pap smear report reads LSIL is what classification?
ANSWER - >CIN 1
A single Pap smear reading of ASCUS in a patient negative for
HPV infection should have what as follow-up? ANSWER -
>routine screening
a female patient is 35 years old. she has never had an abnormal
PAP smear has regular screening since age 18. If she has a
normal PAP smear with HPV testing today, when should she
have the next cervical cancer screening? ANSWER - >5 years
A young sexually active is having her first pap smear what
would you explain? ANSWER - >pap smear detects cervical
cancer
26 year old pap smear shows negative and positive HPV what
do you do? ANSWER - >repeat HPV and pap
what is not part of criteria for older women to cease pap
smears? ANSWER - >over 55 year old
no menarche in a 15 year old with no medical problems and
Tanner stage 1 with a uterus ANSWER - >primary amenorrhea
No menses for at least 6 months ANSWER - >secondary
amenorrhea
,female athlete triad ANSWER - >disordered eating,
amenorrhea, osteoporosis
labs for female athlete triad ANSWER - >HCG
serum prolactin
serum TSH,FSH, LH
if amenorhea lasts longer than 6 months do what? ANSWER -
>bone density test
treatment plan for female athlete triad ANSWER - >increase
caloric intake, decrease exercise
prescribe ca and vit d 1200/1500 daily and vitamin e 400 iu
daily
complications of female athlete triad ANSWER -
>osteopenia/osteoporosis (stress fracture)
myocardial atrophy, arrhythmia, hypotension, brady
hypoglycemia, dehydration, electrolytes
lanugo, telogen effluvium hair loss zerosis dry skin, infertility,
low body mass, cachexia, respiratory failure
purpose of progesterone challenge ANSWER - >endogenous
estrogen
primary and secondary amenorrhea originates in hypothalamus
ANSWER - >sheehans syndrome
symptoms of breast cancer ( early) ANSWER - >None
, Non-painful mass (occasionally pain)
Eczematous nipple (Paget's)
Serosanguinous (bloody) nipple discharge
late symptoms of breast cancer ANSWER - >skin or nipple
retraction
axilary lymhadenpathy
breast enlargement
redness, edema, brawny induration
peau d' orange
pain
fixation of the mass to the skin or chest wall
very late findings of breast cancer ANSWER - >ulceration
supraclavicular lymphadenopathy
edema of the arm, bone, lung, liver, brain or other distant
metstases
Follow up for breast cancer patients ANSWER - >1. Bilateral
mammogram 6 months after complete radiation post-
lumpectomy; Mammogram yearly after
2. Contralateral mammogram annually post-mastectomy
(entire breast + pectoralis major fascia)
PE every 3-6 months for 3 years then annually
fibrocystic breast disease ANSWER - >the presence of single or
multiple benign cysts in the breasts
SOLUTIONS GUARANTEED PASS
ASCCP recommended management for an ASCUS pap result
with high risk hpv 16 cotest in 26 year old no abnormal paps
ANSWER - >colposcopy
What is included in the well women of an adolescent?
ANSWER - >health history
menses
gynecologic and pregnancy issues
psychosocial
abuse drugs alcohol use
physical exam
screening tests
immunizations
When does ACOG pap smear start ANSWER - >21 years old
done every three years
ACOG pap for over 30 yrs old ANSWER - >every five years with
HPV test completed
ACOG when can you stop pap smear ANSWER - >can stop at 65
if negative history for 10 years or if they had a hysterectomy
with no history of cervical cancer
,Bethesda pap smear report reads LSIL is what classification?
ANSWER - >CIN 1
A single Pap smear reading of ASCUS in a patient negative for
HPV infection should have what as follow-up? ANSWER -
>routine screening
a female patient is 35 years old. she has never had an abnormal
PAP smear has regular screening since age 18. If she has a
normal PAP smear with HPV testing today, when should she
have the next cervical cancer screening? ANSWER - >5 years
A young sexually active is having her first pap smear what
would you explain? ANSWER - >pap smear detects cervical
cancer
26 year old pap smear shows negative and positive HPV what
do you do? ANSWER - >repeat HPV and pap
what is not part of criteria for older women to cease pap
smears? ANSWER - >over 55 year old
no menarche in a 15 year old with no medical problems and
Tanner stage 1 with a uterus ANSWER - >primary amenorrhea
No menses for at least 6 months ANSWER - >secondary
amenorrhea
,female athlete triad ANSWER - >disordered eating,
amenorrhea, osteoporosis
labs for female athlete triad ANSWER - >HCG
serum prolactin
serum TSH,FSH, LH
if amenorhea lasts longer than 6 months do what? ANSWER -
>bone density test
treatment plan for female athlete triad ANSWER - >increase
caloric intake, decrease exercise
prescribe ca and vit d 1200/1500 daily and vitamin e 400 iu
daily
complications of female athlete triad ANSWER -
>osteopenia/osteoporosis (stress fracture)
myocardial atrophy, arrhythmia, hypotension, brady
hypoglycemia, dehydration, electrolytes
lanugo, telogen effluvium hair loss zerosis dry skin, infertility,
low body mass, cachexia, respiratory failure
purpose of progesterone challenge ANSWER - >endogenous
estrogen
primary and secondary amenorrhea originates in hypothalamus
ANSWER - >sheehans syndrome
symptoms of breast cancer ( early) ANSWER - >None
, Non-painful mass (occasionally pain)
Eczematous nipple (Paget's)
Serosanguinous (bloody) nipple discharge
late symptoms of breast cancer ANSWER - >skin or nipple
retraction
axilary lymhadenpathy
breast enlargement
redness, edema, brawny induration
peau d' orange
pain
fixation of the mass to the skin or chest wall
very late findings of breast cancer ANSWER - >ulceration
supraclavicular lymphadenopathy
edema of the arm, bone, lung, liver, brain or other distant
metstases
Follow up for breast cancer patients ANSWER - >1. Bilateral
mammogram 6 months after complete radiation post-
lumpectomy; Mammogram yearly after
2. Contralateral mammogram annually post-mastectomy
(entire breast + pectoralis major fascia)
PE every 3-6 months for 3 years then annually
fibrocystic breast disease ANSWER - >the presence of single or
multiple benign cysts in the breasts
