NSG6330 WOMEN’S HEALTH FINAL EXAM 300 QUESTIONS
AND CORRECT ANSWERS
How is HIV transmitted - ANSWER: Vertical transmission from a mother to her baby,
blood transfusion, or exchange of any blood products
Question :
HIV risk factors are all of these except:
Unprotected sex or trauma with sexual activity or multiple partners
IV drug use, including shared syringes
Exchange of saliva - ANSWER: Exchange of saliva
Whether you order diagnostic testing or refer the patient to an HIV-specific facility,
laboratory confirmation for documentation for appropriate care rendered.
The test confirming HIV infection is _____________.
HIV-1/2 Ag/Ab combination immunoassay
enzyme-linked immunosorbent HIV RNA
CD4+ lymphocyte count
quantitative plasma HIV RNA - ANSWER: HIV-1/2 Ag/Ab combination immunoassay
Treatment, although not curative, is critical for the best outcome possible. One
important principle of antiretroviral therapy is:
Therapy should be started when symptoms first appear.
Monotherapy is recommended.
Response to drug therapy is monitored by HIV RNA levels.
Response to drug therapy is monitored with CD4+ counts. - ANSWER: Response to
drug therapy is monitored by HIV RNA levels.
The HIV is positive, and the chest X-ray reflects bilateral infiltrates. The radiologist
telephones you with a diagnosis of pneumonia. Further evaluation and report are
sent to you with a diagnosis of pneumocystis pneumonia. What stage is this HIV
presentation?
Acute HIV infection
Early-stage infection
AIDS
Symptomatic but likely to begin a latency period - ANSWER: AIDS
,Women often tend to reschedule a well-woman visit, but they don't do so often with
a problem such as pelvic pain. This symptom can present as an acute, or chronic,
insult. When a woman presents with pelvic pain, the term can encompass many
possibilities. Differentiating acute from chronic assists with narrowing down the
possibilities but nonetheless can originate from more than one system as a referred
pain or discomfort. The focus here will be of reproductive/pelvic origin.
As you know, the most common cause of pelvic pain can be noted as endometriosis.
But you also know that the most acute causes of pelvic pain are probably:
Salpingo-oophoritis (fallopian tube/ovary) secondary to PID
Gynecologic malignancy
Adhesions
Myomata uteri - ANSWER: Salpingo-oophoritis (fallopian tube/ovary)
A twenty-five-year-old presents with a report of a very tender area just near her
introitus and to the left of her perineum. Very painful sex is how she knew
"something wasn't right." She showered and when washing, she felt a "pea-sized"
painful lump on the left side of her "bottom." She tells you she looked at it with a
mirror and it was very small, but now it is the size of a ping-pong ball and getting
worse.
When you inspect her external genitalia, you are amazed at the size and appearance
of the "lump."
You note what appears to be an abscess on the left medial side of the labia minora,
and there is some edema extending into the perineum. Your diagnosis for this
presentation is:
Lipoma
Dermoid cyst
Bartholin's cyst
Skene's duct cyst - ANSWER: Bartholin's cyst
Bartholin's Cyst - ANSWER: If a Bartholin duct gets blocked, fluid builds up in the
gland. The blocked gland is called a Bartholin gland cyst
You explain to this young woman what this "lump" is and let her know you will be
referring her to a gynecologist you consult with regularly. You explain to her the
likely treatment as follows:
She will need to take sitz baths three times per day and a broad-spectrum antibiotic.
This is likely a fatty tumor and will need to be surgically removed.
A possible incision might be necessary and a catheter placed for two to four weeks
to allow for drainage and appropriate healing.
,This is a folliculitis that has become infected and needs a needle aspiration and
broad-spectrum antibiotic treatment. - ANSWER: A possible incision might be
necessary and a catheter placed for two to four weeks to allow for drainage and
appropriate healing.
You are at the office and a thirty-year-old woman presents with an abrupt onset of
pain when attempting to urinate. She is also complaining of frequency and urgency
and thinks she may have seen some blood as well.You take her history and she tells
you she had sex three days ago with her long-term significant other, but she realized
she left her diaphragm in until today when these symptoms occurred.
Her BP is unremarkable, pulse is 90, temperature is 99, no costovertebral angle
tenderness (CVAT), and is experiencing slight suprapubic discomfort. You review her
urine dip and you note 2+ blood, +nitrates, +leukocyte esterase. You send the urine
for a microscopic and culture and sensitivity but your management plan is:
Pending the culture and sensitivities, you will treat accordingly.
Advise her to drink cranberry juice and you will give her a pain medication.
Provide broad spectrum antibiotic while waiting for cul - ANSWER: Provide broad
spectrum antibiotic while waiting for culture and sensitivity lab to return for specific
microbe.
The diagnosis of stress incontinence can be confirmed by __________.
your suspected etiology
the woman's symptom history to date
urodynamic evaluation
pelvic muscle evaluation - ANSWER: the woman's symptom history to date
Anticholinergic medications are a type of treatment for which type of incontinence?
Urge incontinence
Stress incontinence
Vulvodynia
Vestibulitis - ANSWER: Urge incontinence
Treatment for stress incontinence can include:
Student Answer:
Pelvic muscle exercises/kegel floor exercises
Biofeedback
Weight loss if obese
All of the above - ANSWER: All of the above
, A well-woman visit for an adolescent should include which of the following?
A general health history and physical examination, including a breast examination,
pelvic with Pap smear, screening tests, counseling, immunizations, risk factors, and
patient concerns
A general health history focusing on reproductive and sexual health concerns
(menses, gynecologic, and pregnancy related) and psychosocial (family related, peer
related, emotional, and physical as well as related to abuse, drug use, and alcohol
use) concerns
Physical exam, screening tests, and immunizations as indicated by the health history
and gynecologic considerations for an external-only inspection of the genitalia
Both b and c - ANSWER: Both b and c
A myriad of influencing factors can affect adolescent women in a positive or negative
way. As an advanced practice nurse, you will need to be cognizant of such influences
and address them from a health promotion/prevention lens.
Today, Marie, a sixteen-year-old woman, arrives for a well-woman visit, hoping to
begin birth control since "all her friends are using it."
After a thorough history, you note that Marie resides in a community with very high
risk factors. These include poverty, violence, and lack of recreational facilities. She
tells you that she "hangs out" at a convenience store near the apartment complex
she lives at with her mother. "All the group hangs there," she reports proudly. She
shares that she has been menstruating for two years now although she has irregular
cycles. She also lets you know that she has had coitus only one time and that he
"pulled out." She does not want to get pregnant, and this i - ANSWER: CORRECT You
will assess all predisposing factors that lead to premarital sex and the negative
consequences, tell Marie to be careful, and prescribe birth-control pills.
CORRECT One by one, you will plan to carefully address the risks (red flags) in
Marie's history. Your goal will be to clarify and address misconceptions, as well as
share valuable sex education in a sensitive, nonjudgmental way. You will let her
know you are her advocate and are very protective of her health. Without preaching,
you want her to be aware of the negative possibilities of premarital, unprotected
sexual activities. You will also share a clear understanding of the risk of STIs with
Marie.
CORRECT After processing all of the history Marie has shared, you will write a
referral for psychiatric evaluation and tell her she needs ongoing counseling for her
behavior at such a young age and she likely needs to learn to cope within her
environment (home and community).
AND CORRECT ANSWERS
How is HIV transmitted - ANSWER: Vertical transmission from a mother to her baby,
blood transfusion, or exchange of any blood products
Question :
HIV risk factors are all of these except:
Unprotected sex or trauma with sexual activity or multiple partners
IV drug use, including shared syringes
Exchange of saliva - ANSWER: Exchange of saliva
Whether you order diagnostic testing or refer the patient to an HIV-specific facility,
laboratory confirmation for documentation for appropriate care rendered.
The test confirming HIV infection is _____________.
HIV-1/2 Ag/Ab combination immunoassay
enzyme-linked immunosorbent HIV RNA
CD4+ lymphocyte count
quantitative plasma HIV RNA - ANSWER: HIV-1/2 Ag/Ab combination immunoassay
Treatment, although not curative, is critical for the best outcome possible. One
important principle of antiretroviral therapy is:
Therapy should be started when symptoms first appear.
Monotherapy is recommended.
Response to drug therapy is monitored by HIV RNA levels.
Response to drug therapy is monitored with CD4+ counts. - ANSWER: Response to
drug therapy is monitored by HIV RNA levels.
The HIV is positive, and the chest X-ray reflects bilateral infiltrates. The radiologist
telephones you with a diagnosis of pneumonia. Further evaluation and report are
sent to you with a diagnosis of pneumocystis pneumonia. What stage is this HIV
presentation?
Acute HIV infection
Early-stage infection
AIDS
Symptomatic but likely to begin a latency period - ANSWER: AIDS
,Women often tend to reschedule a well-woman visit, but they don't do so often with
a problem such as pelvic pain. This symptom can present as an acute, or chronic,
insult. When a woman presents with pelvic pain, the term can encompass many
possibilities. Differentiating acute from chronic assists with narrowing down the
possibilities but nonetheless can originate from more than one system as a referred
pain or discomfort. The focus here will be of reproductive/pelvic origin.
As you know, the most common cause of pelvic pain can be noted as endometriosis.
But you also know that the most acute causes of pelvic pain are probably:
Salpingo-oophoritis (fallopian tube/ovary) secondary to PID
Gynecologic malignancy
Adhesions
Myomata uteri - ANSWER: Salpingo-oophoritis (fallopian tube/ovary)
A twenty-five-year-old presents with a report of a very tender area just near her
introitus and to the left of her perineum. Very painful sex is how she knew
"something wasn't right." She showered and when washing, she felt a "pea-sized"
painful lump on the left side of her "bottom." She tells you she looked at it with a
mirror and it was very small, but now it is the size of a ping-pong ball and getting
worse.
When you inspect her external genitalia, you are amazed at the size and appearance
of the "lump."
You note what appears to be an abscess on the left medial side of the labia minora,
and there is some edema extending into the perineum. Your diagnosis for this
presentation is:
Lipoma
Dermoid cyst
Bartholin's cyst
Skene's duct cyst - ANSWER: Bartholin's cyst
Bartholin's Cyst - ANSWER: If a Bartholin duct gets blocked, fluid builds up in the
gland. The blocked gland is called a Bartholin gland cyst
You explain to this young woman what this "lump" is and let her know you will be
referring her to a gynecologist you consult with regularly. You explain to her the
likely treatment as follows:
She will need to take sitz baths three times per day and a broad-spectrum antibiotic.
This is likely a fatty tumor and will need to be surgically removed.
A possible incision might be necessary and a catheter placed for two to four weeks
to allow for drainage and appropriate healing.
,This is a folliculitis that has become infected and needs a needle aspiration and
broad-spectrum antibiotic treatment. - ANSWER: A possible incision might be
necessary and a catheter placed for two to four weeks to allow for drainage and
appropriate healing.
You are at the office and a thirty-year-old woman presents with an abrupt onset of
pain when attempting to urinate. She is also complaining of frequency and urgency
and thinks she may have seen some blood as well.You take her history and she tells
you she had sex three days ago with her long-term significant other, but she realized
she left her diaphragm in until today when these symptoms occurred.
Her BP is unremarkable, pulse is 90, temperature is 99, no costovertebral angle
tenderness (CVAT), and is experiencing slight suprapubic discomfort. You review her
urine dip and you note 2+ blood, +nitrates, +leukocyte esterase. You send the urine
for a microscopic and culture and sensitivity but your management plan is:
Pending the culture and sensitivities, you will treat accordingly.
Advise her to drink cranberry juice and you will give her a pain medication.
Provide broad spectrum antibiotic while waiting for cul - ANSWER: Provide broad
spectrum antibiotic while waiting for culture and sensitivity lab to return for specific
microbe.
The diagnosis of stress incontinence can be confirmed by __________.
your suspected etiology
the woman's symptom history to date
urodynamic evaluation
pelvic muscle evaluation - ANSWER: the woman's symptom history to date
Anticholinergic medications are a type of treatment for which type of incontinence?
Urge incontinence
Stress incontinence
Vulvodynia
Vestibulitis - ANSWER: Urge incontinence
Treatment for stress incontinence can include:
Student Answer:
Pelvic muscle exercises/kegel floor exercises
Biofeedback
Weight loss if obese
All of the above - ANSWER: All of the above
, A well-woman visit for an adolescent should include which of the following?
A general health history and physical examination, including a breast examination,
pelvic with Pap smear, screening tests, counseling, immunizations, risk factors, and
patient concerns
A general health history focusing on reproductive and sexual health concerns
(menses, gynecologic, and pregnancy related) and psychosocial (family related, peer
related, emotional, and physical as well as related to abuse, drug use, and alcohol
use) concerns
Physical exam, screening tests, and immunizations as indicated by the health history
and gynecologic considerations for an external-only inspection of the genitalia
Both b and c - ANSWER: Both b and c
A myriad of influencing factors can affect adolescent women in a positive or negative
way. As an advanced practice nurse, you will need to be cognizant of such influences
and address them from a health promotion/prevention lens.
Today, Marie, a sixteen-year-old woman, arrives for a well-woman visit, hoping to
begin birth control since "all her friends are using it."
After a thorough history, you note that Marie resides in a community with very high
risk factors. These include poverty, violence, and lack of recreational facilities. She
tells you that she "hangs out" at a convenience store near the apartment complex
she lives at with her mother. "All the group hangs there," she reports proudly. She
shares that she has been menstruating for two years now although she has irregular
cycles. She also lets you know that she has had coitus only one time and that he
"pulled out." She does not want to get pregnant, and this i - ANSWER: CORRECT You
will assess all predisposing factors that lead to premarital sex and the negative
consequences, tell Marie to be careful, and prescribe birth-control pills.
CORRECT One by one, you will plan to carefully address the risks (red flags) in
Marie's history. Your goal will be to clarify and address misconceptions, as well as
share valuable sex education in a sensitive, nonjudgmental way. You will let her
know you are her advocate and are very protective of her health. Without preaching,
you want her to be aware of the negative possibilities of premarital, unprotected
sexual activities. You will also share a clear understanding of the risk of STIs with
Marie.
CORRECT After processing all of the history Marie has shared, you will write a
referral for psychiatric evaluation and tell her she needs ongoing counseling for her
behavior at such a young age and she likely needs to learn to cope within her
environment (home and community).
