620 Adult - Women's Health - AG and FNP Certification Exam 4th ed. Practical Application Exam Questions with Correct Solutions Graded A+||100% Guaranteed Pass!!!<<Brand New Version>>

Mrs. H. inquires about why she needs progestereone in addition to her estrogen for hormone replacement. Women who have an intact uterus need to add progesterone to their prescribed estrogen because progestin: a. assists in relieving the typical hot flashes ofmenopause b. reduces the incidence of endometrial hyperplasia and cancer c. decreases the risk of osteoporosis d. controls mood swings - ANSWER b. reduces the incidence of endometrial hyperplasia and cancer a 21 y/o woman comes to your ofice and reports a hx of genital warts. In reference to the HPV vaccination (Gardasil or Cervarix), she should be educated that: a. she is not in the correct age grp and is not a candidate for the vaccination b. she should receive the HPV vaccination c. she already has been exposed to HPV; therefore, she is not a candidate for the vaccine d. there is a vaccine coming out shortly specifically for those who have been exposed. She should wait - ANSWER b. she should receive the HPV vaccination Mrs. G., called the office to make an appt for her annual Pap smear. She needs to be given the following instructions prior to her appt: a. insert nothing in the vagina for 24 hrs before the exam b. douching enhances visualization of the cervix and should be done before the appt c. an infection or menstrual period is no reason to cancel the appt d. the procedure is completely painless - ANSWER a. insert nothing in the vagina for 24 hrs before the exam Procidentia is a: a. cystocele b. rectocele c. vaginal fistula d. third-degree uterine prolapse - ANSWER d. third-degree uterine prolapse endometrial cancer, hirsutism, acne, breast cancer, increased risk of diabetes,infertility, menstrual bleeding problems, and an increased risk of cardiovascular disease are clinical consequences of: a. mastalgia b. menorrhagia c. endometriosis d. persistent anovulation - ANSWER d. persistent anovulation menses at irregular intervals with excessive flow and duration is defined as: a. oligomenorrhea b. polymenorrhea c. menorrhagia d. metrorrhagia - ANSWER d. metrorrhagia the most likely cause of amenorrhea is: a. an anatomical deviation b. a genetic factor c. an endocrine abnormality d. pregnancy - ANSWER d. pregnancy Jane wants to use some form of birth control, but because she is getting married next year,s he wants to be able to stop the birth control method after the wedding and have her fertility restored almost immediately. Which method do you recommend for her? a. birth control pills b. vaginal ring c. depot-medroxyprogesterone acetate (DMPA) d. Lea's shield - ANSWER d. Lea's shield Belle is breastfeeding her 3 month old infant with no supplementation./ She says she has heard that she cannot get pregnant during this time. What do you tell her? a. it is highly likely that you may become pregnant, so you should use another method of birth control b. yes, you are safe for as long as you breastfeed c. for the first 6 months, if you breastfeed and have very little supplementation, your chances are less than 2% that you'l get pregnant d. you are more at risk for getting pregnant now because of your fluctuating hormone levels - ANSWER c. for the first 6 months, if you breastfeed and have very little supplementation, your chances are less than 2% that you'l get pregnant the most common reason for surgery for macromastia is: a. back and shoulder pain b. breast cancer c. fibrocystic breast disease d. inability to breastfeed - ANSWER a. back and shoulder pain You have just finished a Pap smear on Sally, age 39. during the wet mount, you see cells with bacteria adherent to the cell wall giving it a stippled, granular appearance. What do you suspect? a. candidiasis b. bacterial vaginosis c. trichomoniasis d. cervicitis - ANSWER b. bacterial vaginosis the majority of breast carcinomas are found in which anatomical site in the breast? a. around the areola b. in the upper outer quadrant c. in the lower half of the breast d. toward the sternum - ANSWER b. in the upper outer quadrant Ann, age 19, is going to begin taking birth control pills. She asks you if she is safe immediately. How do you respond? a. yes, you should not get pregnant once you start the pill. However, it doesn't protect you from STIs b. for the first month, you need to be on a backup birth-control method. However, it doesn't protect you from STIs c. a second birth control method needs to be used during intercourse for the first 7 days while taking the pill. However, it doesn't protect you from STIs d. until you have your second period (cycle) with the pill, you are not considered safe - ANSWER c. a second birth control method needs to be used during intercourse for the first 7 days while taking the pill. However, it doesn't protect you from STIs J. age 42 presents for her well-woman exam and you notice "dimpling" on her left breast. Your initial reaction is that is may possible be: a. breast cancer b. fibrocystic breast disease c. Paget's disease d. striae from recent dieting - ANSWER a. breast cancer what is the most common cause of mastitis in breastfeeding women? a. escherichia coli b. streptococcus c. mycobacterium tuberculosis d. staphylococcus aureus - ANSWER d. staphylococcus aureus which of the following drugs given to nursing mothers may cause a reduction in the milk supply? a. antihistamines b. antithyroid medication c. oral contraceptives d. laxatives - ANSWER c. oral contraceptives J. has severe pain monthly with her fibrocystic breast disease. Which medication do you suggest she try? a. micronized estradiol (estrace) b. danazol (danocrine) c. paroxetine (paxil) d. venlafaxine (effexor) - ANSWER b. danazol (danocrine) emotional support is best given to the clt with a sexually transmitted infection by: a. offering many alternatives b. authentic active listening c. assuring the clt that everything will be okay d. emphasizing the duration of the disease - ANSWER b. authentic active listening M., age 40 has been given a dx of rheumatoid arthritis. She asks you whether she should continue taking her birth control pills. You tell her: a. to check with her rheumatologist b. to stop c. to continue d. the dose will have to be altered - ANSWER c. to continue Mrs. L. would like to be fitted for a diaphragm. She has been on numerous hormones int he past and does not like the side effects. It is important to remember that when properly fitting a pt for a diaphragm, it should: a. allow a fingertip between it and the pubic arch b. be small enough to allow for vaginal expansion c. lie snugly over the pubic arch and under the cervix d. provide firm tension against the vaginal walls - ANSWER a. allow a fingertip between it and the pubic arch herpes implex virus can be potentially acquired through maternal transmission. This is least likely to occur: a. before labor b. during delivery c. postnatally d. during the neonatal period - ANSWER d. during the neonatal period a tx used to improve the chance of pregnancy in an infertile woman who has minimal or mild endometriosis is: a. laparoscopic resection or ablation of the lesions b. dilation and curettage c. the use of gonadotropin-releasing hormone analogues d. the use of birth control pills for 3 months and then abruptly stopping - ANSWER a. laparoscopic resection or ablation of the lesions S., age 29, c/o premenstrual syndrome. She state she was told that changing her diet might help in managing some of the sxs. What changes in her diet do you recommend? a. increase her intake of protein b. increase her intake of complex carbohydrates c. increase her intake of sale and salty foods d. decrease her intake of fatty foods - ANSWER b. increase her intake of complex carbohydrates which form of estrogen is secreted in the greatest amount by the ovaries during the reproductive yrs and considered most potent? a. estrone (E1) b. estradiol (E2) c. estriol (E3) d. the potency and secretion of all of the above are in equal amts - ANSWER b. estradiol (E2) J., age 26, who has genital herpes, ask if her partner has to use a condom during sexual intercourse even if she does not have a visible lesion. How do you respond? a. yes, we are not sure if its still transmitted when the lesions are not visible, so it is better to be on the safe side b. no, you are not contagious when the lesions are not visible c. no, use of spermicidal agent is all that is required d. yes, shedding of the herpes simplex virus from mucocutaneous surfaces int he absence of visible lesions is a primary mode of transmission - ANSWER d. yes, shedding of the herpes simplex virus from mucocutaneous surfaces int he absence of visible lesions is a primary mode of transmission when a woman has extreme spasticity, which position should she assume for a Pap smear? a. OB stirrups position b. knee-chest position while prone c. v-shaped position without stirrups d. side-lying position - ANSWER b. knee-chest position while prone on PE, J., has pubic hair that spreads over her mons pubis with a slt lateral spread. In addition, her breast development shows breast enlargement with secondary mound formation by the developing areola. Which Tanner best describes J.'s development? a. stage II b. stage III c. stage IV d. stage V - ANSWER c. stage IV of the sxs listed below, the most commonly expressed sx of women with premenstrual syndrome is: a. fatigue b. depression c. breast tenderness d. swelling of the extremities - ANSWER a. fatigue the Mobiluncus species is responsible for which sexually transmitted infection? a. condylomata acuminata b. bacterial vaginosis c. human papillomavirus d. lymphogranuloma venereum - ANSWER b. bacterial vaginosis an occurrence of genital herpes is: a. cured with acyclovir b. best managed with trichloroacetic acid 80%-90% applied directly to the lesion c. expected to be completely resolved within 21 days (for the primary lesion) d. not a factor in continuing with intercourse - ANSWER c. expected to be completely resolved within 21 days (for the primary lesion) L., age 43 comes to your office in tears, stating that last night she had unprotected sex and forgot to take her birth control pill. she wants to know about the morning after pill. You tell her: a. if your period does not start at the schedule time, come back to see me b. I'll go ahead and order the estrogen-only postcoital contraception pill c. I'll go ahead and order the Yuzpe regimen d. I'll refer you to a gynecologist - ANSWER c. I'll go ahead and order the Yuzpe regimen L., age 38 states that she has not had a pelvic exam in 5 yrs because she does not like having the digital rectal exam. How do you respond? a. let's schedule an exam now because women no longer need a rectal exam with routine pelvic exams b. ok, we'll do a pelvic, and I'll just put refused on the chart to cover my liability c. we really need to don one because the rectal exam has been shown to pick up many abnormalities such as rectal polyps d. I'll try to be quick with the rectal exam and get it over with - ANSWER a. let's schedule an exam now because women no longer need a rectal exam with routine pelvic exams Lactobacilli in the vagina: a. decreases glycogen metabolism b. maintains an acid pH range c. increases the development of WBCs d. maintains an alkaline pH range - ANSWER b. maintains an acid pH range D., is a 23 y/o pt dx with dyspareunia. Which of the following is NOT a cause for this condition? a. vulvovaginitis b. an incompletely stretch hymen c. vaginismus d. multiple pregnancies - ANSWER d. multiple pregnancies there are many causes of amenorrhea. In ballet dancers or marathon runners,