NUR 684- Test#3 Questions and Correct
Answers the Latest Update
Cervical cancer screening recommendations
✓ Pap smear alone every 3 years (21-65 years old)
✓ OR
✓ Pap smear + HPV test every 5 years (30-65 years old)
Cervical cancer screening for women with history of CIN2 or a more serious diagnosis?
✓ Should continue routine screening for at least 20 years after spontaneous regression or
treatment
Colorectal cancer screening recommendations
✓ Beginning at age 45-50 till 75
✓
✓ -guaiac fecal occult blood test (yearly) OR stool DNA tests (every 3 years)
✓ OR
✓ -colonoscopy every 10 years
Breast cancer screening recommendations
✓ Beginning at age 40-50
✓ Can stop at 74 years old
✓
✓ Mammograms every 1-2 years
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Diabetes screening recommendations
✓ Every 3 years starting at age 45
Herpes zoster vaccine
✓ 2 doses of recombinant zoster vaccine (RZV) 2-6 months apart for adults aged 50 or
older
✓
✓ ^regardless of past episode of herpes zoster or receipt of zoster vaccine live (ZVL)
(Zostavax)
Pneumococcal vaccine
✓ First, PCV13
✓ <1 year apart>
✓ Second, PPSV23
Tdap vaccine
✓ -One dose of Tdap vaccine for adults who have not previously received Tdap
✓
✓ -Td booster every 10 years
Menopause (define)
✓ Permanent cessation of ovulation and menses confirmed after 12 consecutive months
without a period
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The average age of natural menopause in North America
✓ 52 years old
Premature menopause (define)
✓ Cessation of ovulation and menses before age 40; spontaneous or induced
Menopause transition (define)
✓ Span of time when menstrual cycle and endocrine changes begin to occur and ending with
the final menstrual period (FMP)
✓
✓ ^can last 2-8 years
Perimenopause (define)
✓ Extends from beginning of menopause transition until 12 months after final menstrual
period
"Early" menopause transition
✓ Variable duration; menstrual cycle length varies (persistent difference of seven or more
days in length of consecutive cycles)
"Late" menopause transition
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✓ 1-3 year duration; intervals of amenorrhea > 60 days
✓
✓ ^vasomotor symptoms likely
Predominant event leading to menopause?
✓ Ovarian aging with follicular atresia
Pre-menopausal hormone changes?
✓ Estradiol decreases --> FSH increases
✓
✓ ^hormone levels fluctuate, so cannot rely on these measurements to determine menopause
Generally rely on what to determine menopause?
✓ **Cessation of menses**
✓ -Age
✓ -Hypoestrogenic symptoms
Is menopause responsible for weight gain?
✓ NO!
✓
✓ ~may be responsible for changes in fat distribution~
Menopause & skin changes
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