Exam 1: NU 664D / NU664D (Latest
Update ) Primary Care
Adult Woman I | Questions &
Answers | 100% Correct | Grade A -
Regis
Question:
iron deficiency anemia is commonly related to a poor diet. True or False?
Answer:
-False
-IDA happens when there is not enough iron to build hemoglobin for red
blood cells
Question:
pernicious anemia is macrocytic or microcytic?
Answer:
Macrocytic
,Question:
When iron is prescribed to trate iron deficiency anemia, the first lab value
that changes to indicate the iron is working is:
Answer:
Reticulocyte count
Question:
Common side effects of Depo-provera?
Answer:
Weight gain, temporary low bone density, nauseam headaches, menstrual
irregularities.
Question:
If a patient with an IUD comes in 6 wks with vaginal discharge, intermittent
cramping, and continuous spotting. What do you do?
Answer:
Heavy menstrual bleeding, spotting and more painful periods is normal with
the Paraguard, especially in the first 1-6 months after insertion. NSAIDs are
typically recommended to management of these symptoms. If NSAIDS fail to
work for this patient, I would have her schedule an appointment to assess for
pregnancy, infection, and/or expulsion(Schadewald et. al, 2020).
, Question:
- A patient calls and reports she was engaging in sexual relations with her new
boyfriend and the condom broke. What should she do now?
Answer:
Assess for when this incident happened and if she wishes to be pregnant. As
emergency contraception is only effective within the last 120 hours (5 days). I
would ask her to come in. We would have her complete a pregnancy test, if
negative:
----Postcoital IUD Insertion ( most effective method)
----Ulipristal Acetate ( not effective if BMI>25)
-----Levonorgestrel-Only
Question:
A patient has been on combination birth control pills for many years and just
started on Lamictal for management of her seizures. She calls to ask if the two
interact and what she should do.
Answer:
- I would inform her that they do interact as the oral contraceptives may
decrease the effectiveness of the Lamictal. According to U.S. medical
eligibility criteria for contraceptive chart, it is a 3. So I would schedule an
appointment with the patient to discuss other options for birth control
(Schadewald et. al, 2020).
Update ) Primary Care
Adult Woman I | Questions &
Answers | 100% Correct | Grade A -
Regis
Question:
iron deficiency anemia is commonly related to a poor diet. True or False?
Answer:
-False
-IDA happens when there is not enough iron to build hemoglobin for red
blood cells
Question:
pernicious anemia is macrocytic or microcytic?
Answer:
Macrocytic
,Question:
When iron is prescribed to trate iron deficiency anemia, the first lab value
that changes to indicate the iron is working is:
Answer:
Reticulocyte count
Question:
Common side effects of Depo-provera?
Answer:
Weight gain, temporary low bone density, nauseam headaches, menstrual
irregularities.
Question:
If a patient with an IUD comes in 6 wks with vaginal discharge, intermittent
cramping, and continuous spotting. What do you do?
Answer:
Heavy menstrual bleeding, spotting and more painful periods is normal with
the Paraguard, especially in the first 1-6 months after insertion. NSAIDs are
typically recommended to management of these symptoms. If NSAIDS fail to
work for this patient, I would have her schedule an appointment to assess for
pregnancy, infection, and/or expulsion(Schadewald et. al, 2020).
, Question:
- A patient calls and reports she was engaging in sexual relations with her new
boyfriend and the condom broke. What should she do now?
Answer:
Assess for when this incident happened and if she wishes to be pregnant. As
emergency contraception is only effective within the last 120 hours (5 days). I
would ask her to come in. We would have her complete a pregnancy test, if
negative:
----Postcoital IUD Insertion ( most effective method)
----Ulipristal Acetate ( not effective if BMI>25)
-----Levonorgestrel-Only
Question:
A patient has been on combination birth control pills for many years and just
started on Lamictal for management of her seizures. She calls to ask if the two
interact and what she should do.
Answer:
- I would inform her that they do interact as the oral contraceptives may
decrease the effectiveness of the Lamictal. According to U.S. medical
eligibility criteria for contraceptive chart, it is a 3. So I would schedule an
appointment with the patient to discuss other options for birth control
(Schadewald et. al, 2020).
