Primary Care of the Childbearing and
Childrearing Family ) Questions With
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1. Patient education for Condylomata acuminata should
include all of the following except - ANSWER ✓
Treatment and elimination of visible words as a sign
of a cure, and transmission will not occur
2. Hey 65-year-old female presents for a health
maintenance examination. She complains of a bulbar
itching due to what she recalls recurrent used
infections and her symptoms have worsened over the
last few months. She is sexually active with her
husband and has experienced dyspareunia with
Penetration lately. She always uses a water-based
lubricant with intercourse. On examination you find
complete loss of the borders of the labia minora,
, constriction of the vaginal outlet, and several thin
white plaques on the Vulva. There is no other skin or
mucosal involvement - ANSWER ✓ Lichen sclerosus
3. Hey 65-year-old patient is diagnosed with lichen
sclerosus. The woman asked the nurse what this
really means. What is the nurses best response -
ANSWER ✓ Lichen sclerosus is a benign condition
that is easily treated
4. The appearance of lichen simplex chronicus is best
described as - ANSWER ✓ Diffusely red to red
brown
5. The patient asked why she need a breast ultrasound
when she already has had a mammogram. Which of
the following would be the best response of the use -
ANSWER ✓ To determine if her breast lesion is
cystic or solid
,6. A 55-year-old female patient presents with pain in the
upper outer quadrant of her left breast for over one
month now. The best course of action would be to -
ANSWER ✓ Perform a breast examination and order
a mammogram
7. My 24-year-old female presents to the practice with a
painless 2 cm lobular mass in the right breast that is
freely mobile and firm. This has noted on self breast
examination, and she reports it has been unchanged
for the past three months. The best course of action
by the nurse practitioner would be to - ANSWER ✓
Order a diagnostic ultrasound or diagnostic
mammogram
8. When educating a patient about the rationale for
obtaining a mammogram which of the following
statements is false - ANSWER ✓ Mammography
detects all breast cancer's
9. 855-year-old woman presents to the clinic for
evaluation of a breast mass. Which of the following is
, not a typical presenting sign of breast cancer -
ANSWER ✓ A 2cm, rubbery, tender lesion
10. During a breast exam of a 30-year-old Nulliparis
female the nurse practitioner palpates several robbery
mobile areas of the breast tissue. They are slightly
tender to palpation. Both breast have symmetrical
findings. There are no skin changes or any nipple
discharge. The patient is expecting her menstrual
period in five days. Which of the following would
you recommend - ANSWER ✓ Tell her to return one
week after her. So her breast can be rechecked
11. Which of the following statements is accurate
regarding the usefulness of mammo in screening and
detection of breast cancer - ANSWER ✓ All women
>40 years should have a mammo on an annual basis
12. 845-year-old woman has an abnormal screening
mammogram. The next step in management should
be - ANSWER ✓ Diagnostic mammogram