NURS 660 EXAM 1 QUESTIONS WITH COMPLETE
SOLUTIONS GUARANTEED PASS BRAND NEW
2025/2026
What is the initial pharmacologic management of SEVERE AUB in
reproductive-age women?
High dose of estrogen during severe acute bleeding
Oral: 35 mcg 1-4x/day for 7 days and then daily
IV prn
What is something to consider when a patient is interested in
endometrial ablation as treatment for their AUB?
Fertility
Will not be able to have children after this procedure so it is not
recommended in the case that she wants to reproduce
For a patient who is having chronic or less severe ANOVULATORY
AUB, what would the pharmacologic management be?
OCPs can help by increasing the predictability of cycles as well as
decreasing blood loss per cycle
Provera is cyclic progesterone which can help manage flow or jump
start cycles to get back on track
What is the use for the medication Provera?
,By taking 5-10 mg daily for 5-10 days you can manage your flow OR
jump start your cycle to get back on track (bleeding should start within
a week after taking)
Synthetic progesterone
For a patient who is having chronic or less severe OVULATORY AUB,
what would the pharmacologic management be?
Basically what you would think of to treat a bad period: NSAIDs
before/during cycle to decrease prostaglandins and hopefully reduce
cycle If patient wants to try a progesterone IUD like Mirena to decrease
cycles/stop cycles
A woman with postmenopausal bleeding comes to your office. She
has been taking hormone therapy. What is something you want to
know to help determine cancer risk?
How long she has been on the therapy
AUB cannot be diagnosed until the bleeding has been present for 6
months to 1 year
IF she's been on it >6 months (or if she were to not be on hormonal
therapy) --> r/o endometrial cancer
What is the initial workup for postmenopausal bleeding?
Transvaginal US can be done BUT
Endometrial biopsy is more specific/sensitive so should probably just go
straight to that
,What endometrial stripe would be concerning in a postmenopausal
woman? Why? What is the next step?
>5mm is concerning for potential endometrial cancer and requires
biopsy Postmenopausal women should not have estrogen production
which therefore means they should have a thin stripe Biopsy is next
step to evaluate for endometrial cancer
Your postmenopausal patient's transvaginal US was normal but their
AUB persists with no explanation. What is the next step?
Continue the workup and do not rule out endometrial cancer.
May need D&C, hyersteroscopy w/ biopsy
What is the gold standard for endometrial cancer diagnosis?
D&C
Describe the differences between a D&C and biopsy for endometrial
cancer diagnosis.
D&C is gold standard BUT requires anesthesia/sedation and is a
scheduled procedure.
Biopsy can be performed in the office with no sedation BUT is not the
gold standard because you can biopsy the wrong spot or miss the
cancer and have a false reassuring result.
How many months does pelvic pain need to be present to be
considered chronic?
>6 months
, What is the most common missed contributor to pelvic pain?
IBS
What is some important education for an endometriosis patient who
is interested in pre-sacral neuroectomy?
This procedure only works well for midline pain, not pain over the
ovaries which is where many endometriosis patients have pain What
is a potential side effect from adhesiolysis surgery?
may increase scar tissue and therefore worsen adhesions, having
opposite effect
3 key symptoms of endometriosis
Pain with sex
Pain with defecation
Pain with menses
What is the pathophysiology of endometriosis?
unknown etiology but it occurs when there is endometrial tissue
outside of the uterus that acts the same as the tissue inside the uterus,
so it sheds and creates pain during cycles
What is required for a true endometriosis diagnosis?
visualization of tissue via laproscopy
What is the number 1 theory of what causes endometriosis?
Retrograde menstruation --> shed uterine tissue exits through os but
some backflows via tubes into pelvic cavity
SOLUTIONS GUARANTEED PASS BRAND NEW
2025/2026
What is the initial pharmacologic management of SEVERE AUB in
reproductive-age women?
High dose of estrogen during severe acute bleeding
Oral: 35 mcg 1-4x/day for 7 days and then daily
IV prn
What is something to consider when a patient is interested in
endometrial ablation as treatment for their AUB?
Fertility
Will not be able to have children after this procedure so it is not
recommended in the case that she wants to reproduce
For a patient who is having chronic or less severe ANOVULATORY
AUB, what would the pharmacologic management be?
OCPs can help by increasing the predictability of cycles as well as
decreasing blood loss per cycle
Provera is cyclic progesterone which can help manage flow or jump
start cycles to get back on track
What is the use for the medication Provera?
,By taking 5-10 mg daily for 5-10 days you can manage your flow OR
jump start your cycle to get back on track (bleeding should start within
a week after taking)
Synthetic progesterone
For a patient who is having chronic or less severe OVULATORY AUB,
what would the pharmacologic management be?
Basically what you would think of to treat a bad period: NSAIDs
before/during cycle to decrease prostaglandins and hopefully reduce
cycle If patient wants to try a progesterone IUD like Mirena to decrease
cycles/stop cycles
A woman with postmenopausal bleeding comes to your office. She
has been taking hormone therapy. What is something you want to
know to help determine cancer risk?
How long she has been on the therapy
AUB cannot be diagnosed until the bleeding has been present for 6
months to 1 year
IF she's been on it >6 months (or if she were to not be on hormonal
therapy) --> r/o endometrial cancer
What is the initial workup for postmenopausal bleeding?
Transvaginal US can be done BUT
Endometrial biopsy is more specific/sensitive so should probably just go
straight to that
,What endometrial stripe would be concerning in a postmenopausal
woman? Why? What is the next step?
>5mm is concerning for potential endometrial cancer and requires
biopsy Postmenopausal women should not have estrogen production
which therefore means they should have a thin stripe Biopsy is next
step to evaluate for endometrial cancer
Your postmenopausal patient's transvaginal US was normal but their
AUB persists with no explanation. What is the next step?
Continue the workup and do not rule out endometrial cancer.
May need D&C, hyersteroscopy w/ biopsy
What is the gold standard for endometrial cancer diagnosis?
D&C
Describe the differences between a D&C and biopsy for endometrial
cancer diagnosis.
D&C is gold standard BUT requires anesthesia/sedation and is a
scheduled procedure.
Biopsy can be performed in the office with no sedation BUT is not the
gold standard because you can biopsy the wrong spot or miss the
cancer and have a false reassuring result.
How many months does pelvic pain need to be present to be
considered chronic?
>6 months
, What is the most common missed contributor to pelvic pain?
IBS
What is some important education for an endometriosis patient who
is interested in pre-sacral neuroectomy?
This procedure only works well for midline pain, not pain over the
ovaries which is where many endometriosis patients have pain What
is a potential side effect from adhesiolysis surgery?
may increase scar tissue and therefore worsen adhesions, having
opposite effect
3 key symptoms of endometriosis
Pain with sex
Pain with defecation
Pain with menses
What is the pathophysiology of endometriosis?
unknown etiology but it occurs when there is endometrial tissue
outside of the uterus that acts the same as the tissue inside the uterus,
so it sheds and creates pain during cycles
What is required for a true endometriosis diagnosis?
visualization of tissue via laproscopy
What is the number 1 theory of what causes endometriosis?
Retrograde menstruation --> shed uterine tissue exits through os but
some backflows via tubes into pelvic cavity
