NURS 684 Exam 3 with Verified
Solutions
A 42-year-old woman presents with heavy but regular periods lasting up to 10 days. She feels
some pressure in the pelvic area but no pain. Pelvic exam reveals a non-tender, irregular shaped,
enlarged uterus. The most likely dx is________________ Correct Ans-Uterine fibroids
Uterine fibroids are growths made of muscle and tissue that form in or on the wall of the uterus.
These growths are usually not cancerous (benign) and are the most common noncancerous tumor
in women.
Common S/S are heavy or prolonged periods, bleeding between periods, painful periods, pelvic
pressure, a feeling of fullness in the lower abdomen, frequent urination or difficulty emptying the
bladder
***key words in this question are pressure in pelvic area, but no pain, along with
irregular/enlarged uterus.
To meet the Rotterdam Criteria of PCOS in adult women at least 2 of the three criteria must be
present. Correct Ans-1. Oligo/anovulation
2. Hyperandrogenism
3. Polycystic ovaries
All of the following are absolute contraindications for hormone therapy that includes estrogen
for non-obese, normotensive menopausal women EXCPET:
, A. Cigarette smoking 1/2 ppd
B. HX of breast cx.
C. HX of MI
D. Undiagnosed abnormal uterine bleeding Correct Ans-A.
A 30-year-old woman presents to your office with complaints of dysmenorrhea, pain with sex
when there is deep thrusting, and inability to conceive. You would suspect________________
Correct Ans-Endometriosis
Key phrase is inability to conceive. Endometriosis can make it more difficult to get pregnant.
Between 30-50% of people with endometriosis may experience infertility.
Which of the following screening tests is recommended once specifically for individuals born
between 1945 and 1965 with no other risk factors? Correct Ans-Hep C
Hepatitis C is a bloodborne virus that is primarily spread through contact with infected blood.
Most major medical organizations recommend that women (w/o risk factors started colorectal
screening at age__________ Correct Ans-45-50
The American Cancer Society and the U.S. Preventive Services Task Force, has lowered the
recommended starting age for colorectal cancer screening from 50 to 45 due to an increase in
cases among younger adults.
Solutions
A 42-year-old woman presents with heavy but regular periods lasting up to 10 days. She feels
some pressure in the pelvic area but no pain. Pelvic exam reveals a non-tender, irregular shaped,
enlarged uterus. The most likely dx is________________ Correct Ans-Uterine fibroids
Uterine fibroids are growths made of muscle and tissue that form in or on the wall of the uterus.
These growths are usually not cancerous (benign) and are the most common noncancerous tumor
in women.
Common S/S are heavy or prolonged periods, bleeding between periods, painful periods, pelvic
pressure, a feeling of fullness in the lower abdomen, frequent urination or difficulty emptying the
bladder
***key words in this question are pressure in pelvic area, but no pain, along with
irregular/enlarged uterus.
To meet the Rotterdam Criteria of PCOS in adult women at least 2 of the three criteria must be
present. Correct Ans-1. Oligo/anovulation
2. Hyperandrogenism
3. Polycystic ovaries
All of the following are absolute contraindications for hormone therapy that includes estrogen
for non-obese, normotensive menopausal women EXCPET:
, A. Cigarette smoking 1/2 ppd
B. HX of breast cx.
C. HX of MI
D. Undiagnosed abnormal uterine bleeding Correct Ans-A.
A 30-year-old woman presents to your office with complaints of dysmenorrhea, pain with sex
when there is deep thrusting, and inability to conceive. You would suspect________________
Correct Ans-Endometriosis
Key phrase is inability to conceive. Endometriosis can make it more difficult to get pregnant.
Between 30-50% of people with endometriosis may experience infertility.
Which of the following screening tests is recommended once specifically for individuals born
between 1945 and 1965 with no other risk factors? Correct Ans-Hep C
Hepatitis C is a bloodborne virus that is primarily spread through contact with infected blood.
Most major medical organizations recommend that women (w/o risk factors started colorectal
screening at age__________ Correct Ans-45-50
The American Cancer Society and the U.S. Preventive Services Task Force, has lowered the
recommended starting age for colorectal cancer screening from 50 to 45 due to an increase in
cases among younger adults.
