Exam 4: NSG554/ NSG 554 (Latest 2024/ 2025 Update) - Nurse Practitioners in Primary Care I Exam Review| Complete Guide with Questions and Verified Answers| All Modules Covered|100% Correct| Grade A

Exam 4: NSG554/ NSG 554 (Latest 2024/ 2025 Update) - Nurse Practitioners in Primary Care I Exam Review| Complete Guide with Questions and Verified Answers| All Modules Covered|100% Correct| Grade A Q: most common breast problem in primary care Answer: mastalgia or mastodynia Q: galactorrhea Answer: milky breast discharge--associated with pituitary adenoma or hypothyroidism Q: chronic pelvic pain Answer: continues or episodic NONmenstrual pain of at least 6 mos. at or below umbilicus. interrupts normal activities. May involve GI, uro, gyn, onco, musco, psycho systems. cause is often multifactoral Q: Increased risk of chronic pelvic pain Answer: history of: ØPhysical and sexual abuse ØPelvic inflammatory disease ØEndometriosis ØInterstitial cystitis ØIrritable bowel syndrome ØMusculoskeletal D/O ØPostsurgical pain Q: PE and diagnostics of chronic pelvic pain Answer: detailed abd., pelvic, back, dx: vaginal/cervical cultures, UA, urine culture, CBC, pregnancy test, ESR transvaginal/renal ultrasound and/or laparoscopy, CT or MRI Q: management of chronic pelvic pain Answer: NSAIDS, TCAs, anticonfulsants, neurostim, laparoscopy Q: abnormal uterine bleeding Answer: wide range. can be acute episodic or chronic Q: workup for abnormal uterine bleeding Answer: eval s/s blood loss, systemic disease, pelvic exam, labs: hcg, CBC, TSH, prolactin, transvaginal US, endometrial sampling Q: causes of anormal uterine bleeding Answer: polyp, adenomyosis, leiomyoma, malignancy, ovulatory disorder (PCOS, hypothyroid, hyperprolactin), endometrial, iatrogenic, not otherwise classified Q: management of abnormal uterine bleeding Answer: hormones, hemostatic therapy with tranexamic acid (antifibrinolytic) and high dose NSAIDs, surgery Q: dysmenorrhea Answer: painful menstruation primary: painful despite normal anatomy and ovulation occuring within 6-12 mos after menarche secondary: painless menses assoc. with endometriosis, fibroids, adenomyosis, PID, infertility, cysts, polyps, intrauterine adhesions, cervical stenosis, other conditions or IUD use Q: diagnostis for dysmenorrhea Answer: pelvic US, genital cultures, laparoscopy, hysteroscopy, dilations and curettage, CT, labs: CBC, ESR Q: management of dysmenorrhea Answer: NSAIDs, hormonal contraceptives, CCB, tocolytic, diet changes, supplements (MVI), TENS, hysterectomy Q: dyspareunia Answer: recurrent/persistent genital pain with sex can develop due to other vulvar problems like vaginismus or volvodynia, PID, early postpartum, perimenopausal, hx of sexual abuse, psych factors often caused by endometriosis Q: Q-tip test