CMN 572 Final Exam (Module 1-5): Questions With Comprehensive Solutions

CMN 572 Final Exam (Module 1-5): Questions
With Comprehensive Solutions
The USPSTF (US Preventative Services Task Force) recommends
cervical screening for cervical cancer every _____ years with cervical
cytology alone in women aged 21-29 years. Correct Answer - 3
years (A recommendation)

The USPSTF (US Preventative Services Task Force) recommends
cervical screening for cervical cancer for women ages 30 to 65
years:
every _____ years with cervical cytology alone,
every _____ years with hrHPV testing alone, or
every _____ years with hrHPV testing in combination with cytology
(cotesting) Correct Answer - 3
5
5
(A recommendation)

Does the USPSTF recommend screening for cervical cancer in
women younger than 21 years? Correct Answer - No. D
recommendation.

Does the USPSTF recommend screening for cervical cancer in
women older than 65 years? Correct Answer - No. They do not
recommend screening in women over age 65 who have had
adequate prior screening and are not otherwise at high risk for
cervical cancer.

Does the USPSTF recommend screening for cervical cancer in
women who have had a hysterectomy with removal of the cervix
and do not have a history or a high-grade precancerous lesion or
cervical cancer? Correct Answer - No.

,Select the appropriate screening for cervical cancer for women age
21-29:

A. Screen for cervical cancer every 3 years with cytology alon
B. Screen for cervical cancer every 3 yearswith cytology alone, every
5 years withhrHPV testing alone, or every 5 yearswith cotesting.
C. Do not screen for cervical cancer Correct Answer - A

Select the appropriate screening for cervical cancer for women age
30-65:
A. Screen for cervical cancer every 3 years with cytology alon
B. Screen for cervical cancer every 3 yearswith cytology alone, every
5 years withhrHPV testing alone, or every 5 yearswith cotesting.
C. Do not screen for cervical cancer Correct Answer - B

Select the appropriate screening for cervical cancer for women
younger than 21, older than 65 with adequate prior screening, and
women who have had a hysterectomy:
A. Screen for cervical cancer every 3 years with cytology alon
B. Screen for cervical cancer every 3 yearswith cytology alone, every
5 years withhrHPV testing alone, or every 5 yearswith cotesting.
C. Do not screen for cervical cancer Correct Answer - C

True or False?
Colposcopy can be deferred for certain patients with screening
abnormalities. Correct Answer - Repeat HPV testing or
cotesting at 1 year is recommended for patients with minor
screening abnormalities indicatingHPV infection with low risk of
underlying CIN 3+ (e.g., HPV-positive, low-grade cytologic
abnormalities after a docu-mented negative screening HPV test or
cotest).

True or False?

,Continued surveillance with HPV testing or cotesting at 3-year
intervals for at least 25 years is recommended after treatment and
initial post-treatment management of histologic HSIL, CIN 2, CIN 3,
or AIS. Correct Answer - True.
Continued surveillance at 3-year intervals beyond 25 years is
acceptable for as long as the patient's life expectancy and ability to
be screened are not significantly compromised by serious health
issues.•The 2012 guidelines recommended return to 5-year
screening intervals and did not specify when screening should
cease.New evidence indicates that risk remains elevated for at least
25 years, with no evidence that treated patients ever return to risk
levels compatible with 5-year intervals.

What are some progestin only methods of contraception? Correct
Answer - 1. Progestin only pills (daily)
2. Depo Provera (injectable every 3 months)
3. Intrauterine Devices:
- Mirena/Kyleena (every 5 years)
- Liletta /Skyla (every 3 years)
4. Nexplanon subdermal implant (every 3 years)

What is the method of action for progestin only methods? Correct
Answer - Thickens cervical mucus
Endometrial activity out of synch making implantation less likely
Negative effect on sperm motility
Some suppress ovulation

What are the most effective contraceptive methods? Correct
Answer - implants, IUD, sterilization

What are the least effective contraceptive methods? Correct
Answer - withdrawal, spermicide

Which methods are most effective for contraception?

, A. injectables, lactational amenorrhea method (LAM), pills, patch,
vaginal ring
B. male and female condoms, diaphragm, fertility awareness
methods Correct Answer - A.

What are the advantages to Levonorgestrel IUDs? (progestin-only
IUDs: Mirena, Skyla, Lilitta, Kyleena) Correct Answer - Highly
effective 3-5 years
Decreased menorrhagia (bleeding over 7 days), dysmenorrhea
(cramping), anemia
Decreased risk of PID and ectopic pregnancy (compared to non-
users of contraception)
May be used by lactating women and by those with
contraindications to estrogen

Levonorgestrel Intrauterine Device (LNG IUD) Side effects/ risks:
Correct Answer - Irregular bleeding, may be heavy, worse the
first few months. 20-25% amenorrheic at 1 year
Headache, mastalgia, acne may occur
Expulsion (more common in first few cycles)
Uterine perforation at time of insertion

Levonorgestrel Intrauterine Device (LNG IUD) Contraindications:
Correct Answer - Pregnancy
Uterine abnormalities causing distortion
Acute PID or high risk for PID
Endometrial infection in past 3 months
Uterine, cervical, or breast cancer
Undiagnosed vaginal bleeding
Acute mucopurulent cervicitis

What do these foods have in common? Fried foods, non-dairy coffee
creamer, margarine, shortening, commercially baked goods
Correct Answer - High in trans fats