1
NUR
NUR 654 FINAL EXAM QUESTIONS
AND ANSWERS UPDATED
(2024/2025) (VERIFIED ANSWERS)
A positive Trousseau's sign occurs with which serum abnormality? - ANS
✓Hypocalcaemia
Which of the following can cause hypocalcemia? - ANS ✓Vit D Deficiency,
hypomagnesemia
T or F: Low serum albumin may lower serum calcium - ANS ✓T
Which can cause hyperkalaemia in a patient with normal renal function? -
ANS ✓Adrenocortical deficiency
T or F: Medical management of primary hyperparathyroidism involves
close monitoring of calcium, creatinine, and bone density - ANS ✓T
Criteria for parathyroidectomy in a case of primary hyperparathyroidism
includes all EXCEPT - ANS ✓under age 50
T or F: Primary hypoparathyroidism is characterized by inappropriate
secretion of PTH along with hypercalcemia - ANS ✓F
T or F: Patients with a history of migraines with aura is an absolute
contraindication for combined oral contraceptives - ANS ✓T
NUR 654
, 2
NUR
When an OCP is forgotten for 2 days or fewer... - ANS ✓2 pills for 2 days,
resume pills, use back up method for rest of cycle
T or F: 45 year old patient with secondary amenorrhea for 4 months and
negative HcG needs no further evaluation for underlying cause - ANS ✓F
T or F: Herbal OTC remedies for menopausal women with vasomotor
symptoms have not been proven effective and may be harmful - ANS ✓T
Neuropathic pain may be characterized by - ANS ✓poorly localized, shooting
or stabbing pain
T or F: Naproxen is recommended for moderate pain or dysmenorrhea and
should be dosed: 500mg initially then 250mg q12 hours - ANS ✓T
The medical diagnosis associated with a transgender patient is - ANS
✓gender dysphoria
T or F: Diminished testosterone may be a possible cause of decreased
arousal, libido, and orgasm in postmenopausal women - ANS ✓T
Causes of primary amenorrhea in a 17 year old may include all EXCEPT -
ANS ✓endometriosis
Lab work for a primary amenorrhea includes - ANS ✓thyroid panel,
pregnancy test, prolactin
T or F:A Bartholin Gland cyst is always infectious - ANS ✓F
Differential diagnosis to consider in a case of mastitis that is worsening
despite a course of cephalosporin antibiotics - ANS ✓inflammatory breast
carcinoma
NUR 654
, 3
NUR
Diagnostic work-up for unilateral breast pain in a postmenopausal woman
should include - ANS ✓bilateral mammogram
T or F: Female patient found to have BRCA1 and BRCA2 mutation may be
offered prophylactic mastectomy and oophorectomy - ANS ✓T
Chronic pelvic pain in women may be related to all EXCEPT - ANS ✓hepatitis
(faulty posture, interstitial cystitis, physical abuse are causes)
Severe primary dysmenorrhea in a young adult may be treated with - ANS
✓combination oral contraceptives
Most common cause of dyspareunia in the premenopausal patient - ANS
✓endometriosis
Follow-up for abnormal pap involving a low grade intraepithelial lesion
will include - ANS ✓colposcopy with biopsy
T or F: Outpatient management of PID with fever will include
administration of Rocephin IM, Doxycycline and metronidazole for 14 days
- ANS ✓T
Risk factors for PID include all EXCEPT - ANS ✓Tubal sterilization (it includes
age under 25, smoking, and vaginal douching)
T or F: BV presents with white non-inflammatory discharge, clue cells, and
a positive KOH whiff test - ANS ✓T
Treatment for asymptomatic gonorrhea exposure includes - ANS ✓empiric
ceftriaxone and azithromycin
NUR 654
NUR
NUR 654 FINAL EXAM QUESTIONS
AND ANSWERS UPDATED
(2024/2025) (VERIFIED ANSWERS)
A positive Trousseau's sign occurs with which serum abnormality? - ANS
✓Hypocalcaemia
Which of the following can cause hypocalcemia? - ANS ✓Vit D Deficiency,
hypomagnesemia
T or F: Low serum albumin may lower serum calcium - ANS ✓T
Which can cause hyperkalaemia in a patient with normal renal function? -
ANS ✓Adrenocortical deficiency
T or F: Medical management of primary hyperparathyroidism involves
close monitoring of calcium, creatinine, and bone density - ANS ✓T
Criteria for parathyroidectomy in a case of primary hyperparathyroidism
includes all EXCEPT - ANS ✓under age 50
T or F: Primary hypoparathyroidism is characterized by inappropriate
secretion of PTH along with hypercalcemia - ANS ✓F
T or F: Patients with a history of migraines with aura is an absolute
contraindication for combined oral contraceptives - ANS ✓T
NUR 654
, 2
NUR
When an OCP is forgotten for 2 days or fewer... - ANS ✓2 pills for 2 days,
resume pills, use back up method for rest of cycle
T or F: 45 year old patient with secondary amenorrhea for 4 months and
negative HcG needs no further evaluation for underlying cause - ANS ✓F
T or F: Herbal OTC remedies for menopausal women with vasomotor
symptoms have not been proven effective and may be harmful - ANS ✓T
Neuropathic pain may be characterized by - ANS ✓poorly localized, shooting
or stabbing pain
T or F: Naproxen is recommended for moderate pain or dysmenorrhea and
should be dosed: 500mg initially then 250mg q12 hours - ANS ✓T
The medical diagnosis associated with a transgender patient is - ANS
✓gender dysphoria
T or F: Diminished testosterone may be a possible cause of decreased
arousal, libido, and orgasm in postmenopausal women - ANS ✓T
Causes of primary amenorrhea in a 17 year old may include all EXCEPT -
ANS ✓endometriosis
Lab work for a primary amenorrhea includes - ANS ✓thyroid panel,
pregnancy test, prolactin
T or F:A Bartholin Gland cyst is always infectious - ANS ✓F
Differential diagnosis to consider in a case of mastitis that is worsening
despite a course of cephalosporin antibiotics - ANS ✓inflammatory breast
carcinoma
NUR 654
, 3
NUR
Diagnostic work-up for unilateral breast pain in a postmenopausal woman
should include - ANS ✓bilateral mammogram
T or F: Female patient found to have BRCA1 and BRCA2 mutation may be
offered prophylactic mastectomy and oophorectomy - ANS ✓T
Chronic pelvic pain in women may be related to all EXCEPT - ANS ✓hepatitis
(faulty posture, interstitial cystitis, physical abuse are causes)
Severe primary dysmenorrhea in a young adult may be treated with - ANS
✓combination oral contraceptives
Most common cause of dyspareunia in the premenopausal patient - ANS
✓endometriosis
Follow-up for abnormal pap involving a low grade intraepithelial lesion
will include - ANS ✓colposcopy with biopsy
T or F: Outpatient management of PID with fever will include
administration of Rocephin IM, Doxycycline and metronidazole for 14 days
- ANS ✓T
Risk factors for PID include all EXCEPT - ANS ✓Tubal sterilization (it includes
age under 25, smoking, and vaginal douching)
T or F: BV presents with white non-inflammatory discharge, clue cells, and
a positive KOH whiff test - ANS ✓T
Treatment for asymptomatic gonorrhea exposure includes - ANS ✓empiric
ceftriaxone and azithromycin
NUR 654
