NR 602 FINAL UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
COMPLETE STUDY GUIDE FULL SOLUTION
●● 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
QUESTIONS AND CORRECT ANSWERS
COMPLETE STUDY GUIDE FULL SOLUTION
●● 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
