EXAM QUESTIONS AND ANSWERS(GUARANTEED PASS 100%)// ALL YOU
NEED TO PASS NUR 602 FINAL EXAM WITH MOST TEST QUESTIONS
24 yo female is dx'd w/primary dysmenorrhea. Which med would be used as first-line to help control
symptoms?
a. Antianxiety meds
b. Progesterone-only contraception
c. Oral steroids
d. NSAIDs - ANSWER-d. NSAIDs
35 yo woman c/o 6mo h/o hypermenorrhea, backache, pelvic pressure. On exam, you discover 12wk
size uterus w/irregular contour. What does this represent?
a. Uterine cancer
b. Dysfunctional uterine bleeding
c. Uterine fibroid
d. Fecal impaction - ANSWER-c. Uterine fibroid
What are the surgical treatment options for endometrial cancer? - ANSWER-Total hysterectomy
Bilateral salpingo-oophorectomy
Peritoneal cytology
Pelvic and para-aortic lymphadenectomy
What chemotherapeutic medication can be used to treat endometrial cancer? - ANSWER-Cisplatin
What are some risk factors for developing endometrial cancer? - ANSWER-Obesity
Nulliparity
Menopause after the age of 52yo
Unopposed estrogen
Tamoxifen
Combined oral contraceptives
,Cigarette smoking
Breast, colon and ovarian cancer
What is atrophic vaginitis? - ANSWER-Inflammation of the vagina related to atrophy of the vaginal
mucosa secondary to decreased estrogen levels
What are some symptoms of atrophic vaginitis? - ANSWER-Vaginal dryness
Spotting
Serosanguineous or watery discharge
Dyspareunia
What are some treatments for atrophic vaginitis? - ANSWER-Intravaginal estrogen cream
(contraindicated with h/o breast or endometrial cancer)
Estradiol vaginal ring (change every 90 days)
Estradiol hemihydrate (Vagifem) 1 tablet intravaginally (daily x2 wk, then twice per week for 3-6 mo)
What are some other causes of vaginal dryness? - ANSWER-Sjögren's syndrome
Antihistamines
Antidepressants
What are some other perimenopausal symptoms besides atrophic vaginitis? - ANSWER-Hot
flashes
Night sweats
Insomnia
Mood changes
Fatigue
Acne
Urinary symptoms
Memory problems
What are the three types of dysmenorrhea? - ANSWER-Primary (no organic cause)
, Secondary (pathological cause)
Membranous (cast of endometrial cavity shed as a single entity)
What causes primary dysmenorrhea? - ANSWER-Increased prostaglandin activity: abnormal and
increased prostanoid and possibly eicosanoid secretion, which induces abnormal uterine
contractions. The contractions reduce uterine blood flow, leading to uterine hypoxia.
What are some differential diagnoses for primary dysmenorrhea? - ANSWER-Endometriosis
Adenomyosis
What is the treatment for primary dysmenorrhea? - ANSWER-NSAIDs (ibuprofen or naproxen) or
acetaminophen
Application of heat to the abdomen
Cyclic administration of oral contraceptives
24 yo female is dx'd w/primary dysmenorrhea. Which med would be used as first-line to help control
symptoms?
a. Antianxiety meds
b. Progesterone-only contraception
c. Oral steroids
d. NSAIDs - ANSWER-d. NSAIDs
What is the most common cause of dysfunctional uterine bleeding?
a. Endocrine disorders
b. Stress
c. Anovulation
d. Anatomical abnormality - ANSWER-c. Anovulation
PMS occurs with greatest frequency and severity in the:
a. Late luteal phase
b. Midfollicular phase
c. Proliferative phase