ACTUAL EXAM WITH CORRECT
SOLUTIONS.
It is at this location, where squamous cells meet glandular cells,
that cancer is more likely to develop. - correct answer-
Transformation zone
Pap Screening starts at what age? - correct answer- 21
Routine HPV screening starts at what age? - correct answer-
30
A patient is founds to have ASC-H? What is the next step? -
correct answer- Colposcopy
Cervical Cancer is typically slow growing and occurs
predominantly in women of what age? - correct answer- 40-44
Most SE's of COC's resolve over the first months. -
correct answer- 6
,Common side effects of COC's include: - correct answer-
Breast tenderness, nausea, headache, breakthrough bleeding
(BTB)
Theresa is a 33 y.o smoker with no health history. Can she be
prescribed a COC pill? - correct answer- yes- Would be
contraindicated in a smoker age >/= 35.
Linda is a 35 y.o smoker with a history of undiagnosed vaginal
bleeding, triglyceride level of 269, and a history of DVT. Can
she be prescribed a COC pill? - correct answer- No.
Contraindications to COC pill include: Smoker, aged >/=35, hx
of thrombolytic event (MI, DVT, Stroke), hx or current breast
cancer, uncontrolled HTN or DM, prolonged immobilization,
triglycerides > 250, active liver disease, women at increased
risk of cardiac dse, Active SLE, and undiagnosed vaginal
bleeding
Danielle is a 29 y.o. She is in grad school and admits to having
acne, having heavy cycles, and never being in the sunlight. She
wants to start on a BC pill and is interested in COC's. What
could you tell her might be advantages to using COC's? -
correct answer- Decreased menorrhagia, acne, PCOS, ovarian
cysts, PID, ovarian/endometrial cancer, benign breast disease,
ectopic pregnancy. Increased bone density.
,What kind of hormone(s) does the NuvaRing contain? - correct
answer- Estrogen and Progestin
How long can the NuvaRing be removed without losing
efficacy? - correct answer- 3 hours
What hormone(s) does the transdermal patch contain (orthevra
or xulane)? - correct answer- Estrogen and Progestin
Is the patch effective for all shapes and sizes of women? -
correct answer- Less effective in obese women
What are the contraindications to the transdermal patch for
BC? - correct answer- Same as COC's: Smoker >/= age 35,
history of thrombolytic events (MI, DVT, stroke), history or
current breast cancer, uncontrolled HTN or DM, Prolonged
immobilization, Triglycerides > 250, active liver disease, women
at increased risk of cardiac disease, active SLE, undiagnosed
vaginal bleeding
, What are some extended use combination contraceptives?
How do they work? - correct answer- Seasonale, Seasonique,
Lybrel- the lining of the uterus doesn't build up, so menses is
not needed. The pills delay or eliminate menstruation
What are the benefits of extended use contraceptives? - correct
answer- Decreased anemia, dysmenorrhea, or pre-menstrual
depression
What is common during the first several months of use in
extended use combination contraceptives? - correct answer-
Breakthrough bleeding (BTB)
Hillary is a 38 y.o smoker with SLE. She wants to use a BC pill,
but does not know what kind. As her NP, what would you
suggest? - correct answer- A progestin only BC option. Due to
her SLE, a progestin only option is preferred to a COC, but
must still be used in caution.
Laura has been prescribed a POP. She reports working 12 hour
shifts and getting home at irregular hours each night. What is
appropriate education for Laura, concerning her POP? - correct
answer- MUST be taken at the SAME time each day. A delay of
even a couple of hours can result in contraceptive failure. And
you don't want that, Laura!