CMN 571 UNIT 3 EXAM QUESTIONS
AND ANSWERS ALL CORRECT
When should a woman who are at high risk for syphilis should have an RPR done
when?
a. First prenatal visit
b. At 28 weeks
c. At delivery
d. All of the above - Answer-d. all of the above
Pregnant women 25 and under are considered at risk for which STD?
a. Gonorrhea
b. Syphilis
c. Chlamydia
d. A and C - Answer-d. A and C
You just vaccinated a 14 year old for varicella with first dose, how long does he have to
wait to get the second dose?
a. 4 weeks
b. 6 weeks
c. 8 weeks - Answer-a. 4 weeks
Hay 278
Which of the following pts is the VAR vaccine NOT contraindicated?
a. Pt with lymphoma
b. Pt with HIV and mildly immunosuppressed.
c. Pregnancy
d. Pt with congenital T-cell abnormalities - Answer-b. Pt with HIV and mildly
immunosuppressed.
Hay 278
Which STD should all pregnant women be screened for at the first prenatal visit?
a. Syphilis
b. Chlamydia
c. HBV (HBsAg)
d. all of the above - Answer-d. all of the above
Which of the following screenings are not routinely recommended during pregnancy?
a. BV
b. Trichomonas
c. HSV-2
,d. all of the above - Answer-d. all of the above
__________ are becoming the second most populous racial and ethnic group of
adolescents.
a. African American
b. Hispanics
c. Asians
d. Muslims - Answer-b. Hispanics
(hay 113)
The leading cause of death among adolescents is
a. homicide
b. MVA
c. suicide - Answer-b. MVA
(hay 113)
The emotional reaction elicited in the physician by the adolescent is termed... - Answer-
Counter-transference
(hay 115)
True or False: To address confidentiality, the FNP should tell the parents that there will
be two meetings, one with the adolescent pt and one with the parents. - Answer-True
(hay 115)
By what age is it appropriate for the FNP to see a child alone without the parents in the
room?
a. 10-11
b. 11-12
c. 12-13
d. 13-14 - Answer-b. 11-12
(hay 116)
True or False: When a teenager is brought in against their will to your clinic, it is best to
keep the parent in the room as a witness to the visit. - Answer-False
It is useful to meet with the parents and patient for 3-5 minutes to allow the parents to
describe the conflict and voice concerns, then the adolescent should be seen alone.
(hay 116)
T or F: It is more appropriate to wait for the adolescent patient to initiate discussion on
sexual development rather than you, otherwise the patient may not be honest or show
interest in the subject. - Answer-False
Although teenagers may not admit that they are interested in this subject, they are
usually attentive when it is raised.
(hay 116)
, When examining the chest of an teenage boy during puberty, you notice a small lump
under his right breast, you...
a. Show no concern and do not mention it to the patient.
b. Let his parents know this may be need to biopsied to rule out breast CA.
c. Refer to a men's health specialist for further evaluation.
d. Reassure the boy that it is normal during puberty and should disappear in 6 months
to a year. - Answer-d. Reassure the boy that it is normal during puberty and should
disappear in 6 months to a year.
- Gynecomastia is common in boys 14-15 during puberty, usually disappears within 6
mo to 2 years.
Hay 116
At onset of puberty, the inhibition of gonadotropin-releasing hormone in the
hypothalamus is removed, allowing pulsatile production and release of the ...
a. gonadotropins
b. luteinizing hormone
c. follicle-stimulating hormone
d. all of the above - Answer-d. all of the above
hay 121
During puberty, circulating testorone levels increase more than ______.
a. 10-fold
b. 20-fold
c. 50-fold - Answer-b. 20-fold
hay 121
T or F: Levels of testosterone correlate with the physical stages of puberty and the
degree of skeletal maturation. - Answer-True
hay 121
Which stage of sexual maturations occurs first?
a. appearance of axillary hair
b. appearance of pubic hair - Answer-b. appearance of pubic hair
- Precedes axillary hair by 1 year.
hay 123
T or F: Chronological age may be a poor indicator of physiologic and psychosocial
development. - Answer-True
hay 123
T or F: Skeletal maturation may correlate poorly with pubertal development. - Answer-
False
Skeletal maturation correlates well with growth and pubertal development.
hay 122
AND ANSWERS ALL CORRECT
When should a woman who are at high risk for syphilis should have an RPR done
when?
a. First prenatal visit
b. At 28 weeks
c. At delivery
d. All of the above - Answer-d. all of the above
Pregnant women 25 and under are considered at risk for which STD?
a. Gonorrhea
b. Syphilis
c. Chlamydia
d. A and C - Answer-d. A and C
You just vaccinated a 14 year old for varicella with first dose, how long does he have to
wait to get the second dose?
a. 4 weeks
b. 6 weeks
c. 8 weeks - Answer-a. 4 weeks
Hay 278
Which of the following pts is the VAR vaccine NOT contraindicated?
a. Pt with lymphoma
b. Pt with HIV and mildly immunosuppressed.
c. Pregnancy
d. Pt with congenital T-cell abnormalities - Answer-b. Pt with HIV and mildly
immunosuppressed.
Hay 278
Which STD should all pregnant women be screened for at the first prenatal visit?
a. Syphilis
b. Chlamydia
c. HBV (HBsAg)
d. all of the above - Answer-d. all of the above
Which of the following screenings are not routinely recommended during pregnancy?
a. BV
b. Trichomonas
c. HSV-2
,d. all of the above - Answer-d. all of the above
__________ are becoming the second most populous racial and ethnic group of
adolescents.
a. African American
b. Hispanics
c. Asians
d. Muslims - Answer-b. Hispanics
(hay 113)
The leading cause of death among adolescents is
a. homicide
b. MVA
c. suicide - Answer-b. MVA
(hay 113)
The emotional reaction elicited in the physician by the adolescent is termed... - Answer-
Counter-transference
(hay 115)
True or False: To address confidentiality, the FNP should tell the parents that there will
be two meetings, one with the adolescent pt and one with the parents. - Answer-True
(hay 115)
By what age is it appropriate for the FNP to see a child alone without the parents in the
room?
a. 10-11
b. 11-12
c. 12-13
d. 13-14 - Answer-b. 11-12
(hay 116)
True or False: When a teenager is brought in against their will to your clinic, it is best to
keep the parent in the room as a witness to the visit. - Answer-False
It is useful to meet with the parents and patient for 3-5 minutes to allow the parents to
describe the conflict and voice concerns, then the adolescent should be seen alone.
(hay 116)
T or F: It is more appropriate to wait for the adolescent patient to initiate discussion on
sexual development rather than you, otherwise the patient may not be honest or show
interest in the subject. - Answer-False
Although teenagers may not admit that they are interested in this subject, they are
usually attentive when it is raised.
(hay 116)
, When examining the chest of an teenage boy during puberty, you notice a small lump
under his right breast, you...
a. Show no concern and do not mention it to the patient.
b. Let his parents know this may be need to biopsied to rule out breast CA.
c. Refer to a men's health specialist for further evaluation.
d. Reassure the boy that it is normal during puberty and should disappear in 6 months
to a year. - Answer-d. Reassure the boy that it is normal during puberty and should
disappear in 6 months to a year.
- Gynecomastia is common in boys 14-15 during puberty, usually disappears within 6
mo to 2 years.
Hay 116
At onset of puberty, the inhibition of gonadotropin-releasing hormone in the
hypothalamus is removed, allowing pulsatile production and release of the ...
a. gonadotropins
b. luteinizing hormone
c. follicle-stimulating hormone
d. all of the above - Answer-d. all of the above
hay 121
During puberty, circulating testorone levels increase more than ______.
a. 10-fold
b. 20-fold
c. 50-fold - Answer-b. 20-fold
hay 121
T or F: Levels of testosterone correlate with the physical stages of puberty and the
degree of skeletal maturation. - Answer-True
hay 121
Which stage of sexual maturations occurs first?
a. appearance of axillary hair
b. appearance of pubic hair - Answer-b. appearance of pubic hair
- Precedes axillary hair by 1 year.
hay 123
T or F: Chronological age may be a poor indicator of physiologic and psychosocial
development. - Answer-True
hay 123
T or F: Skeletal maturation may correlate poorly with pubertal development. - Answer-
False
Skeletal maturation correlates well with growth and pubertal development.
hay 122
