Womens health N582 Exam Questions And Answers Verified 100% Correct

Womens health N582 Exam Questions And Answers Verified 100% Correct 1. A 45-year-old woman is seen in the clinic with abnormal uterine bleeding and pain during intercourse. The clinician should consider which of the following diagnoses? a. Leiomyoma b. Pregnancy c. Ovarian cancer d. All of the above - ANSWER d. All of the above 2. A 48-year-old woman is seen in the clinic with complaints of prolonged heavy menstrual periods. She is pale and states she can no longer exercise. Pelvic exam reveals a single, very large mass. Which of the following diagnostic tests should the clinician order first? a. Transvaginal ultrasound b. Endometrial biopsy c. MRI d. Abdominal computed tomography scan - ANSWER a. Transvaginal ultrasound 3. A 45-year-old woman is seen because of irregular menstrual periods. Her follicle-stimulating hormone (FSH) level is 48 mIU/mL, and her luteinizing hormone (LH) level is elevated. She asks the clinician what this means. Which would be the best response? a. "You are approaching menopause." b. "You have a hormonal imbalance." c. "Your FSH is normal, but your pituitary is making too much LH." d. "There is an imbalance between your ovaries and pituitary." - ANSWER a. "You are approaching menopause."*** FSH: 4.7 to 21.5 mIU/mL *Before puberty - 0 to 4.0 mIU/mL (0 to 4.0 IU/L) *During puberty - 0.3 to 10.0 mIU/mL (0.3 to 10.0 IU/L) *Women who are still menstruating - 4.7 to 21.5 mIU/mL (4.5 to 21.5 IU/L) *After menopause - 25.8 to 134.8 mIU/mL (25.8 to 134.8 IU/L) LH: *women in the follicular phase of the menstrual cycle: 1.9 to 12.5 IU/L *women at the peak of the menstrual cycle: 8.7 to 76.3 IU/L *women in the luteal phase of the menstrual cycle: 0.5 to 16.9 IU/L * pregnant women: less than 1.5 IU/L * women past menopause: 15.9 to 54.0 IU/L *women using contraceptives: 0.7 to 5.6 IU/L 4. Which of the following tests is essential for a 46-year-old woman who the clinician suspects is perimenopausal? a. Pregnancy b. Estrogen level c. Progesterone level d. LH level - ANSWER a. Pregnancy*** 5. A 60-year-old woman is seen for an annual checkup. Her obstetric history reveals para 6, gravida 6. She reports that she went through menopause at age 45. Her grandmother died at age 80 of colon cancer, and her father died of lung cancer. What in her history would be a risk factor for ovarian cancer? a. Her numerous pregnancies b. Her age at menopause c. Her father's history of lung cancer d. Her grandmother's history of colon cancer - ANSWER d. Her grandmother's history of colon cancer*** 6. A 58-year-old woman, who had a total abdominal hysterectomy at the age of 45, is diagnosed with atrophic vaginitis. Which of the following is the most appropriate treatment? a. Conjugated estrogen, 0.625 mg/day oral b. Estradiol, 7.5 mcg/24 hr vaginal ring c. Medroxyprogesterone, 10 mg/day oral d. Conjugated estrogen, 0.3 mg + medroxyprogesterone 1.5 mg/day oral - ANSWER b. Estradiol, 7.5 mcg/24 hr vaginal ring*** 1. Oral contraceptive pills can cause endometrial cancer. - ANSWER False Oral contraceptive (OC) pills have been shown to have a protective mechanism against ovarian and endometrial cancer. P727 A woman taking estradiol is at risk for developing endometrial cancer. - ANSWER True Needs progesterone too Most breast cancer cases are in women with a family history of breast cancer - ANSWER False Stages of Syphilis - ANSWER primary, secondary, latent, and tertiary Primary syphilis symptoms - ANSWER primary syphilis generally has a sore or sores at the original site of infection. These sores usually occur on or around the genitals, around the anus or in the rectum, or in or around the mouth. These sores are usually (but not always) firm, round, and painless