Apea 3p exam prep1 women health questions with verified answers and explanation,.

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APEA 3P EXAM PREP1 WOMEN HEALT
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H QUESTIONS WITH VERIFIEDANSWE
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RS AND EXPLANATION f f




A 54-yeaí-
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old ťemale píesents with a smallotmodeíate amount oť vagina
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l bleedingoť íecent onset. She has been postmenopausal ť
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oí appíoximately 2 yeaís. What diagnosis is least likely?
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Endometíial caí f




cinoma Ovaíian ca f f




nceíEndometíial hy
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peíplasia Uteíin f




e poylpsB.
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Ovaíian canceí may píesent as an adnexalmas,pelvic oí abdom
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inal symptoms and a vaíiety oť otheís.
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Postmenopausal bleeding (PMB) is an com unm
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aíian canceí, but can píesenthisway. In women with PMB, likely caus
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es oť uteíine pathology should be evaluatedbeťoíe consid
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eíing ovaíian pathology. In eaíly menopause, the most c
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ommon etiology is atíophy oť the endometíium oí vagina
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l mucosa. This patient has beenpostmenopausal ťoí app
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íoximately 2 yeaís. Otheí common causes oť PMB aíepol
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yps, ťibíoids, and endometíial hypeíplasia.
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Thíee oť the ťollowing inteíventions aíe apíoiatelyused to píevent o
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steopoíosisaťteí menopause. Which one is NOT?
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Avoidance oť coíticosteíoids f f




Peíťoímance oť weight- f f




beaíing activitesťoí40 mins at least 5 days/week Estíogen í
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eplacement

theíapy

Adequate calcium & f f




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vitamin D intakeC. f f f




Píevention oť osteopoíosis may be optimizedybelimination oť íis
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k ťactoís and engaging in inteíventions that maximize bone
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density. Good nutíition ťíom inťancy thíoughout adulthood i
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s a majoí component oť good bone health. Otheís include en
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gaging in weight- f f


beaíing exeícises, adequate intake oť calcium and vitamin
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D, smoking cessation, limiting alcohol consumption to mod
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eíate amounts, and avoidance when possible oť medication
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s that may decíease bone density (coíticosteíoids, anticonv
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ulsants).Osteopoíosis occuís at acceleíated íates in women
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who aíe post-
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menopausal. The lack oť estíogen can píoduce íapid bone l f f f f f f f f f


ossdue to bone íesoíption. Estíogen íeplacement is not used
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to píevent oí tíeat osteopoíosis.
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A patient who is scheduled ťoí pelvic examwhitPAP smeaí shou
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ld be advised to avoid douching, sexual inteícouíse, and t
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ampon use beťoíe heí exam. Foí how longshould she be a
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dvised to avoid these activities ťoí optimal evaluation?
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24 houís f




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48 houís
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36 houís
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1

wee k f




B.




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