Page 1 of 18
NSG 555 – Nurse Practitioners in Primary Care II (NSG
555), Wilkes University, 2026–2027 – Exam 4 Guide
Questions and Answers
Introduction
This study guide covers key concepts for NSG 555 Exam 4,
including women's health, contraception, vaginitis, sexually
transmitted infections, pelvic inflammatory disease, thyroid
disorders, prostatitis, benign prostatic hyperplasia, endocrine
disorders, and major depressive disorder. It is organized in a
question-and-answer format and summarizes essential clinical
findings, diagnostic criteria, laboratory tests, contraindications,
pharmacologic treatments, and exam-focused management points.
The material is intended as a comprehensive review for primary
care nurse practitioner students preparing for Exam 4.
Exam Questions and Answers
42.Combined Oral Contraceptives--- correct precise answer ---
obesity; -obese or overweight women less ettective
-risk for thromboembolic complications
-alternatives= progestin only injections, implants, IUD
43.Combined Oral Contraceptives--- correct precise answer ---
minor side effects;-nausea, dizziness in first few months
,Page 2 of 18
-weight gain of 2-5 lbs
-spotting/breakthrough bleeding between menstrual cycles may
occur especially if pill is skipped or taken labs
-missed menstual cycles may occur especially with lose dose pills
-fatigue, decreased libido, chloasma increased by exposure to light
44.progestin minipill--- correct precise answer --- efficacy and
methods of use; -formulation containing 0.35 mg of norethindrone
-eflcacy is similar to combo pill but highly dependable on consistent
use (taking the pill within the same 3 hr window daily)
-prevents conception by thickening cervical mucus, causing
alternation of ovum transport and causes inhibition of implantation
-take on the 1st day of menstrual cycle
-no "placebo" week
45.progestin minipill--- correct precise answer --- advantages; -low
dose of progestin and absence of estrogen makes it safe during
lactation
-may increase flow of milk
-good for patients who want minimal doses of hormones or women
over 35
-lacks cardiovascular ZSE
-can use with sickle cell disease
46.progestin minipill--- correct precise answer ---
contraindications/complications;-bleeding irregularities (pro-
longed flow, spotting, amenorrhea)
-ectopic pregnancies more frequent
-weight gain, mild HA
47.menopause--- correct precise answer --- average age; average
age; 51
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48.condyloma acuminata--- correct precise answer --- diagnosis; -
diagnosed after application of 4% acidic acid (vinegar) and
colposcopy
-whitish with prominent papillae
-dittuse hypertrophy or cobblestone appearance
49.condyloma acuminata--- correct precise answer --- treatment; -
vulvar; podophyllum resin 10-25% in tincture of benzoin (not
during pregnancy/bleeding lesions)
-80-90% trichloroacetic or bichloroacetic acid
-pain of acid application can be lessed by sodium bicarb paste
applied after tx
-podophyllum resin must be washed ott after 2-4 hours
-cryotherapy, liquid nitrogen, electrocautery also ettective
-pt applied regimes useful when entire lesion is accessible to the
patient and include podofilox 0.5% soltuoin/gel, imiquimod 5%
cream or sinecatechins 15% ointment
-co2 laser, electrocauter or excision
50.acute bacterial prostatitis--- correct precise answer --- -caused
by gram negative rods esp e.coli and psuedomas species, less
common by gram positive organisms ex. enterococci
-likely routes include ascent up the urethra and reflux of infected
urine into the prostatic ducts
-lymphatic and hematogenous routes rare
51.acute bacterial prostatitis--- correct precise answer --- clinical
findings; -perineal, sacral or suprapubic pain
-fever
-irritative voiding complaints
-varying degree of obstructive symptoms
NSG 555 – Nurse Practitioners in Primary Care II (NSG
555), Wilkes University, 2026–2027 – Exam 4 Guide
Questions and Answers
Introduction
This study guide covers key concepts for NSG 555 Exam 4,
including women's health, contraception, vaginitis, sexually
transmitted infections, pelvic inflammatory disease, thyroid
disorders, prostatitis, benign prostatic hyperplasia, endocrine
disorders, and major depressive disorder. It is organized in a
question-and-answer format and summarizes essential clinical
findings, diagnostic criteria, laboratory tests, contraindications,
pharmacologic treatments, and exam-focused management points.
The material is intended as a comprehensive review for primary
care nurse practitioner students preparing for Exam 4.
Exam Questions and Answers
42.Combined Oral Contraceptives--- correct precise answer ---
obesity; -obese or overweight women less ettective
-risk for thromboembolic complications
-alternatives= progestin only injections, implants, IUD
43.Combined Oral Contraceptives--- correct precise answer ---
minor side effects;-nausea, dizziness in first few months
,Page 2 of 18
-weight gain of 2-5 lbs
-spotting/breakthrough bleeding between menstrual cycles may
occur especially if pill is skipped or taken labs
-missed menstual cycles may occur especially with lose dose pills
-fatigue, decreased libido, chloasma increased by exposure to light
44.progestin minipill--- correct precise answer --- efficacy and
methods of use; -formulation containing 0.35 mg of norethindrone
-eflcacy is similar to combo pill but highly dependable on consistent
use (taking the pill within the same 3 hr window daily)
-prevents conception by thickening cervical mucus, causing
alternation of ovum transport and causes inhibition of implantation
-take on the 1st day of menstrual cycle
-no "placebo" week
45.progestin minipill--- correct precise answer --- advantages; -low
dose of progestin and absence of estrogen makes it safe during
lactation
-may increase flow of milk
-good for patients who want minimal doses of hormones or women
over 35
-lacks cardiovascular ZSE
-can use with sickle cell disease
46.progestin minipill--- correct precise answer ---
contraindications/complications;-bleeding irregularities (pro-
longed flow, spotting, amenorrhea)
-ectopic pregnancies more frequent
-weight gain, mild HA
47.menopause--- correct precise answer --- average age; average
age; 51
, Page 3 of 18
48.condyloma acuminata--- correct precise answer --- diagnosis; -
diagnosed after application of 4% acidic acid (vinegar) and
colposcopy
-whitish with prominent papillae
-dittuse hypertrophy or cobblestone appearance
49.condyloma acuminata--- correct precise answer --- treatment; -
vulvar; podophyllum resin 10-25% in tincture of benzoin (not
during pregnancy/bleeding lesions)
-80-90% trichloroacetic or bichloroacetic acid
-pain of acid application can be lessed by sodium bicarb paste
applied after tx
-podophyllum resin must be washed ott after 2-4 hours
-cryotherapy, liquid nitrogen, electrocautery also ettective
-pt applied regimes useful when entire lesion is accessible to the
patient and include podofilox 0.5% soltuoin/gel, imiquimod 5%
cream or sinecatechins 15% ointment
-co2 laser, electrocauter or excision
50.acute bacterial prostatitis--- correct precise answer --- -caused
by gram negative rods esp e.coli and psuedomas species, less
common by gram positive organisms ex. enterococci
-likely routes include ascent up the urethra and reflux of infected
urine into the prostatic ducts
-lymphatic and hematogenous routes rare
51.acute bacterial prostatitis--- correct precise answer --- clinical
findings; -perineal, sacral or suprapubic pain
-fever
-irritative voiding complaints
-varying degree of obstructive symptoms
