MN 551 PATHO UNIT 8 QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
A 60-year-old woman who is 11 years menopausal has presented to the emergency department stating,
"I haven't had my period in years, but lately I've been bleeding again, and quite heavily in the last few
days." The care team needs to rule out endometrial cancer. How should they best explain the most
accurate plan for confirming or ruling out the diagnosis? - ANSWER "We can do a Pap smear right now
and we will get the results as soon as we can."
"We are going to order blood work that will measure your hormone levels."
*******"We're going to have to open your cervix with a speculum and take scrapings from the wall of
your uterus."
"We're going to book a CT scan for you as soon as possible so that we can see what is inside your
uterus."
A 66-year-old man has presented to a nurse practitioner to get a refill for his antiplatelet medication. The
patient has a history of ischemic heart disease and suffered a myocardial infarction 5 years ago and has
unstable angina; he uses a transdermal nitroglycerin patch to control his angina. The patient has a 40-
pack-year smoking history and uses nebulized bronchodilators at home for the treatment of transient
shortness of breath. He has long-standing hypertension that is treated with a potassium-sparing diuretic
and a ß-adrenergic blocking medication. During the nurse's assessment, the man notes that he has been
unable to maintain his erection in recent months. Which of the following aspects of the man's health
problems and treatments would the nurse identify as NOT being contributing to his erectile dysfunction
(ED)? - ANSWER His age
His smoking history
His ischemic heart disease
His hypertension
******His use of bronchodilators
ANSWERS WITH SOLUTIONS 2024
A 60-year-old woman who is 11 years menopausal has presented to the emergency department stating,
"I haven't had my period in years, but lately I've been bleeding again, and quite heavily in the last few
days." The care team needs to rule out endometrial cancer. How should they best explain the most
accurate plan for confirming or ruling out the diagnosis? - ANSWER "We can do a Pap smear right now
and we will get the results as soon as we can."
"We are going to order blood work that will measure your hormone levels."
*******"We're going to have to open your cervix with a speculum and take scrapings from the wall of
your uterus."
"We're going to book a CT scan for you as soon as possible so that we can see what is inside your
uterus."
A 66-year-old man has presented to a nurse practitioner to get a refill for his antiplatelet medication. The
patient has a history of ischemic heart disease and suffered a myocardial infarction 5 years ago and has
unstable angina; he uses a transdermal nitroglycerin patch to control his angina. The patient has a 40-
pack-year smoking history and uses nebulized bronchodilators at home for the treatment of transient
shortness of breath. He has long-standing hypertension that is treated with a potassium-sparing diuretic
and a ß-adrenergic blocking medication. During the nurse's assessment, the man notes that he has been
unable to maintain his erection in recent months. Which of the following aspects of the man's health
problems and treatments would the nurse identify as NOT being contributing to his erectile dysfunction
(ED)? - ANSWER His age
His smoking history
His ischemic heart disease
His hypertension
******His use of bronchodilators
