Nur 622 100% Verified Test Solutions 2023/2024

NUR 622 100% VERIFIED TEST SOLUTIONS 2023/2024 True or False: A woman in menopause will have low FSH and low Estradiol serum hormones upon testing - ANSWER False A 60 year old female with PMH of HTN and hypothyrodism presents to your clinic with a several month history of night sweats, insomnia, vaginal dryness, painful sexual intercourse, and wight gain. You are concerned with menopause and inform her that the more painful sexual intercourse being experienced is due to : interstitial cystitis thinning of the urogenital tissues associated with menopause. fibromyalgia her abnormal thyroid - ANSWER thinning of the urogenital tissues associated with menopause As an advanced provider, you understand that all of the following can be used in the treatment of menopause EXCEPT: prophylactic UTI management with Bactrim Androgen replacement therapy Estrogen replacement therapy Mirena Tamoxifen - ANSWER prophylactic UTI management with Bactrim A 59 y/o female presents with severe menopausal symptoms of night sweats, insomnia, mood changes, and difficulty concentrating. As her advanced provider, you understand the best treatment for her is: - ANSWER low dose short term hormone replacement therapy As the advanced provider, you understand that when teaching a menopausal woman about hormone replacement therapy (HRT) that you should consider that: there may be a worsening of underlying hypertension it lowers thromboembolic events helps to preserve bone density may cause severe weight loss - ANSWER helps to preserve bone density Those who are menopausal are at high risk for CV disease. T/F? - ANSWER True As and advanced provider, you understand that all of the following are common fracture sites in those with osteoporosis EXCEPT: vertebrae proximal femur distal forearm clavicle - ANSWER clavicle As the advanced provider caring for a patient with concerns for undiagnosed osteoporosis, you understand that the gold standard for diagnosis is: - ANSWER bone mineral density testing through DEXA scan You are the advanced provider for your patient reviewing the T-score from a DEXA scan and see that the value of your T-score is -2.5. You are able to diagnose your patient with: Osteopenia Osteoporosis Normal bone strength Low bone density - ANSWER osteoporosis As an advanced provider and expert on osteoporosis, you know that all of the following are possible secondary causes of osteoporosis that need further investigation and treatment EXCEPT: depression transplantation liver disease immobilization hypothyroidism - ANSWER hypothyroidism As an advanced provider in the ED caring for a 21 y/o sexually active female, you understand that all of the following are absolute contraindications to prescribing oral contraceptives EXCEPT: uncontrolled HTN renal dysfunction surgery requiring prolonged immobilization history of clotting disorder with recurrent PTE/DVT's migraines with an aura - ANSWER renal dysfunction All of the following are contraindications to IUD contracpetion therapy EXCEPT pregnancy unexplained uterine bleeding pelvic inflammatory disease colon cancer - ANSWER colon cancer A 17 y/o female presents to the ED six hours after being sexually assaulted with bilateral wrist ecchymosis, scalp lacerations, vaginal bleeding, and conjunctival hemorrhages. Her mother is at the bedside and asking for an exam by a sexual assault trained provider. An appropriate choice of emergency contracetpion would be the: - ANSWER emergency contraceptive pill Which of the following contraception methods is least effective: diaphragm Male sterilization Nuva Ring oral contraceptives IUD's - ANSWER diaphragm As an advanced provder who underwent intimate partner violence training, you recognize that all of the following clues my be indicators of intimate partner violence EXCEPT injuries hidden by clothing or on central body areas low self-esteem injuries at different stages of healings frequent office visits with somatic complaints a rash to the extremities - ANSWER a rash to the extremities All of the following are forms of treatment for intimate partner violence EXCEPT: counseling and psychosocial support STI testing and prophylactic STI treatment prevent pregancy by using emergency contraceptives Asking the patient if he/she did an action that caused his/her partner to react this way. - ANSWER asking the patient if he/she did an action that caused his/her partner to react this way Compared with younger women, elderly women who present with a UTI are more likely to display all of the following symptoms EXCEPT: hematuria encephalopathy new onset urinary incontinence weakness - ANSWER hematuria Most common UTI pathogen? - ANSWER E coli True or False: Most UTI pathogens are gram negative - ANSWER True As an advanced provider, you know that all of the following medications are the preferred mainstay treatment for treatment of outpatient acute cystitis EXCEPT: Bactrim Nitrofurantoin Amoxcillin Correct Ciprofloxacin - ANSWER amoxicillin