COMPREHENSIVE ADVANCED HEALTH ASSESSMENT
EXAM PREPARATION WITH UPDATED DIAGNOSTIC
REASONING, DIFFERENTIAL DIAGNOSIS, AND CLINICAL
DECISION-MAKING REVIEW || REAL NR602 FINAL EXAM–
STYLE QUESTIONS WITH VERIFIED DETAILED ACCURATE
ANSWERS LATEST EDITION || ELITE A+ PREMIUM
QUALITY GUARANTEED
Which one best describes lesions associated with condyloma acuminatum?
a. Verruciform
b. Plaque-like
c. Vesicular
d. Bullous - THE CORRECT ANSWER - a
39yo female has completed course of amox for strep throat. LMP was 2wks ago,
says it was normal. On exam, there's erythema of extern. genitalia w/small
amount of white discharge. Micro wet prep reveals few clue cells, but many
budding hyphae. No WBCs. Which one would be the most appropriate
treatment?
a. Metronidazole 500mg BID x7 days
b. OTC hydrocortisone 1% cream TID
c. Fluconazole tabs 150mg x1 dose
d. Erythromycin 500mg TID x10 days - THE CORRECT ANSWER - c
Woman c/o vaginal itching, white discharge. She is in good health except for
recent abx for strep throat. Pelvic reveals tender vulvovaginal area w/edema and
nonmalodorous white patches. Which is the most likely cause?
a. Bacterial vaginosis
b. Trichomonas
c. Lactobacillus overgrowth
d. Candidiasis - THE CORRECT ANSWER - d
18yo female c/o secondary amenorrhea. On exam, there is normal secondary
sex characteristics and normal genitalia. Pregnancy is ruled out. What would
necessitate further eval?
,a. Elevated blood cholesterol levels
b. Androgen deficiency
c. Galactorrhea
d. Hirsutism - THE CORRECT ANSWER - c
24yo female is dx'd w/primary dysmenorrhea. Which med would be used as
first-line to help control symptoms?
a. Antianxiety meds
b. Progesterone-only contraception
c. Oral steroids
d. NSAIDs - THE CORRECT ANSWER - d
Which of the following are of a reproductive and pelvic origin?
a. Salpingo-oophoritis (fallopian tube/ovary) secondary to PID
b. Gynecologic malignancy
c. Adhesions
d. Myomata uteri - THE CORRECT ANSWER - a
25yo female c/o tender area near her introitus and to the L of her perineum. Very
painful sex was first sign. Initially bump was very small, but now is ping-pong
ball size. On exam, abscess is present on L medial side of labia minora and
there's edema extending into perineum. What is dx?
a. Lipoma
b. Dermoid cyst
c. Bartholin's cyst
d. Skene's duct cyst - THE CORRECT ANSWER - c
49yo female c/o dark, watery brown vaginal discharge. Which best describes
what might be seen on physical exam in pt's with cervical cancer?
a. Ulcerated firm cervix
b. Vague lower abd pain
c. Enlarged tender femoral lymph nodes
d. Soft, still shaped cervix - THE CORRECT ANSWER - a
22yo female c/o pelvic pain. Exam reveals cervical motion and uterine
tenderness. Which supports PID dx?
a. Temp <100F
,b. Absence of WBCs in vag fluid
c. Mucopurulent vag discharge
d. Lab documentation of cervical infection w/E. coli - THE CORRECT
ANSWER - c
When educating pt about rationale for getting mammo, which statement is
false?
a. Mammo is cost-effective method to screen for breast cancer
b. Mammo detects all breast cancers
c. Mammo should be accompanied by breast exam
d. Negative mammo should not delay biopsy of clinically suspicious mass -
THE CORRECT ANSWER - b
When educating women about breast cancer risk factors, which statement is
incorrect?
a. Pregnancy after 35yo
b. Late menopause after 57yo
c. Fibrocystic breast dz
d. H/o maternal breast cancer - THE CORRECT ANSWER - c
Which of the following statements is accurate regarding the usefulness of
mammo in screening and detection of breast cancer?
a. Mammo shouldn't be done if there is any breast pain or nipple retraction
b. All women >40yo should have mammo on annual basis
c. Mammo should be done annually for all women of child-bearing age
d. Mammos should be performed annually after initial pregnancy, especially if
women doesn't breastfeed - THE CORRECT ANSWER - b
Which would be considered normal surface characteristic of the cervix during a
speculum exam?
a. Small, yellow, raised around area on cervix
b. Friable, bleeding tissue opening of the cervical os
c. Red patch areas w/occasional white spots
d. Irregular, granular surface w/red patches - THE CORRECT ANSWER -
a
What is the most common cause of dysfunctional uterine bleeding?
, a. Endocrine disorders
b. Stress
c. Anovulation
d. Anatomical abnormality - THE CORRECT ANSWER - c
PMS occurs with greatest frequency and severity in the:
a. Late luteal phase
b. Midfollicular phase
c. Proliferative phase
d. Early luteal phase - THE CORRECT ANSWER - a
Which is not a common cause of irregular menstrual bleeding?
a. Endocrine disorders
b. Stress
c. Anovulation
d. Anatomical abnormality - THE CORRECT ANSWER - c
What is considered the primary etiology of primary dysmenorrhea?
a. Ovarian cysts
b. Prostaglandin production
c. Endometriosis
d. Adenomyosis - THE CORRECT ANSWER - b
28yo female c/o breast tenderness, fatigue, abd bloating, fluid retention,
irritability 1wk before her menses onset. What is most important info to obtain
from this pt to determine if the pt has PMS?
a. Severity of symptoms
b. Occurrence of symptoms in menstrual cycle
c. Frequency and number of symptoms over past 4mo - THE CORRECT
ANSWER - b
35yo woman c/o 6mo h/o hypermenorrhea, backache, pelvic pressure. On exam,
you discover 12wk size uterus w/irregular contour. What does this represent?
a. Uterine cancer
b. Dysfunctional uterine bleeding