NURS 5432 Module 2 & 3 Women's Health
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Primary Amenorrhea - CORRECT ANSWER - The failure of any menses to appear is
termed "primary amenorrhea," and evaluation is commenced either (1) at age 14 years if neither
menarche nor any breast development has occurred or if height is in the lowest 3% for ethnicity,
or (2) at age 16 years if menarche has not occurred
Secondary Amenorrhea - CORRECT ANSWER - Secondary amenorrhea is defined as the
absence of menses for 3 consecutive months in women who have passed menarche.
Primary Amenorrhea symptoms and physical exam - CORRECT ANSWER - Patients with
primary amenorrhea require a thorough history and physical examination to look for signs of the
conditions noted above. Headaches or visual field abnormalities implicate a hypothalamic or
pituitary tumor. Signs of pregnancy may be present. Blood pressure elevation, acne, and
hirsutism should be noted. Short stature may be seen with an associated GH or thyroid hormone
deficiency. Short stature with manifestations of gonadal dysgenesis indicates Turner syndrome.
Olfactory deficits are seen in Kallmann syndrome. Obesity and short stature may be signs of
Cushing syndrome. Tall stature may be due to eunuchoidism or acromegaly. Hirsutism or
virilization suggests excessive testosterone.
An external pelvic examination plus a rectal examination should be performed to assess hymen
patency and the presence of a uterus.
Primary Amenorrhea labs - CORRECT ANSWER - The initial endocrine evaluation
should include serum FSH, LH, PRL, total and free testosterone, TSH, FT4, and beta-hCG
(pregnancy test).
Girls who have a normal uterus and high FSH without the classic features of Turner syndrome
may require a karyotype to diagnose X chromosome mosaicism
Secondary Amenorrhea labs - CORRECT ANSWER - thyroid function tests, prolactin,
FSH, LH, total testosterone, serum estradiol, Pregnancy test
, ACS and ACOG guidelines 21-29 years - CORRECT ANSWER - ACS start at 25:
Primary HPV alone q 5 years or
co-testing q 5 years or
cytology alone q 3 years
ACOG start at 21:
cytology alone q 3 years
ACS and ACOG guidelines 30-65 years - CORRECT ANSWER - ACS:
Primary HPV testing alone q 5 years or
co-testing q 5 years or
cytology alone q 3 years
ACOG:
co-testing q 5 years or
cytology alone q 3 years or
primary HPV testing alone q 5 years
Pap and HPV testing over 65 years - CORRECT ANSWER - not recommended and not
recommended if hysterectomy
Bethesda Classification - CORRECT ANSWER - Squamous cell abnormalities
ASCUS - CORRECT ANSWER - · ASCUS - atypical squamous cells of undetermined
significance
· LSIL OR LGSIL - CORRECT ANSWER - · LSIL OR LGSIL - low grade squamous
intraepithelial lesion
o CIN 1: HPV or mild dysplasia
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Primary Amenorrhea - CORRECT ANSWER - The failure of any menses to appear is
termed "primary amenorrhea," and evaluation is commenced either (1) at age 14 years if neither
menarche nor any breast development has occurred or if height is in the lowest 3% for ethnicity,
or (2) at age 16 years if menarche has not occurred
Secondary Amenorrhea - CORRECT ANSWER - Secondary amenorrhea is defined as the
absence of menses for 3 consecutive months in women who have passed menarche.
Primary Amenorrhea symptoms and physical exam - CORRECT ANSWER - Patients with
primary amenorrhea require a thorough history and physical examination to look for signs of the
conditions noted above. Headaches or visual field abnormalities implicate a hypothalamic or
pituitary tumor. Signs of pregnancy may be present. Blood pressure elevation, acne, and
hirsutism should be noted. Short stature may be seen with an associated GH or thyroid hormone
deficiency. Short stature with manifestations of gonadal dysgenesis indicates Turner syndrome.
Olfactory deficits are seen in Kallmann syndrome. Obesity and short stature may be signs of
Cushing syndrome. Tall stature may be due to eunuchoidism or acromegaly. Hirsutism or
virilization suggests excessive testosterone.
An external pelvic examination plus a rectal examination should be performed to assess hymen
patency and the presence of a uterus.
Primary Amenorrhea labs - CORRECT ANSWER - The initial endocrine evaluation
should include serum FSH, LH, PRL, total and free testosterone, TSH, FT4, and beta-hCG
(pregnancy test).
Girls who have a normal uterus and high FSH without the classic features of Turner syndrome
may require a karyotype to diagnose X chromosome mosaicism
Secondary Amenorrhea labs - CORRECT ANSWER - thyroid function tests, prolactin,
FSH, LH, total testosterone, serum estradiol, Pregnancy test
, ACS and ACOG guidelines 21-29 years - CORRECT ANSWER - ACS start at 25:
Primary HPV alone q 5 years or
co-testing q 5 years or
cytology alone q 3 years
ACOG start at 21:
cytology alone q 3 years
ACS and ACOG guidelines 30-65 years - CORRECT ANSWER - ACS:
Primary HPV testing alone q 5 years or
co-testing q 5 years or
cytology alone q 3 years
ACOG:
co-testing q 5 years or
cytology alone q 3 years or
primary HPV testing alone q 5 years
Pap and HPV testing over 65 years - CORRECT ANSWER - not recommended and not
recommended if hysterectomy
Bethesda Classification - CORRECT ANSWER - Squamous cell abnormalities
ASCUS - CORRECT ANSWER - · ASCUS - atypical squamous cells of undetermined
significance
· LSIL OR LGSIL - CORRECT ANSWER - · LSIL OR LGSIL - low grade squamous
intraepithelial lesion
o CIN 1: HPV or mild dysplasia
