NURS 5432 UTA MIDTERM EXAM WITH
VERIFIED QUESTIONS AND ANSWERS||
ALREADY GRADED A+ || GUARANTEED PASS ||
LATEST UPDATE 2025
What is endometriosis? - ANSWER-growth of tissue outside the uterus that
causes chronic pain and infertility.
ETIO: retrograde menstruation (backflow of endometrial cells), genetics
Symptoms of endometriosis - ANSWER-painful menses, pelvic pain,
dyspareunia (painful intercourse), tender nodules at rectovaginal septum
How is endometriosis diagnosed? - ANSWER-Transvaginal u/s then histology
of lesions when removed
How is endometriosis treated? - ANSWER-hormone therapy
1. combo contraceptives are 1st line to suppress ovulation which will inhibit
stimulation of the endometrium.
2. Progestins - oral or IUD
3. Etonogestrel implant
What is a cystocele? - ANSWER-ETIO: bladder drops into the vagina due to
weak pelvic floor from age, obesity or childbirth
S/S: retention, discomfort
TX: lifestyle changes and pelvic floor exercises
,What is a Denver II? - ANSWER-A test for birth-6mos olds to check gross/fine,
language, personal/social skills
What are the physical findings of fibrocystic masses? - ANSWER-1. Painful
masses with size fluctuations that worsen before menses due to estrogen levels.
2. Possible multiductal discharge that is brown or green
What tests need to be ordered to r/o fibrocystic masses? - ANSWER-
Mammogram if >30 yrs old
U/S if <30 yrs old
*bx is needed to r/o differential of carcinomas
Treatment for fibrocystic mass - ANSWER-1. Supportive bra
2. Avoid trauma
3. Evening Primrose oil massages
4. Danzol 100-200mg PO BID (synthetic androgen that suppresses pituatary
gonadotropin) but can cause acne, edema & hirsutism.
What is a breast fibroadenoma? - ANSWER-A benign neoplasm commonly
found 20 years after puberty but potential earlier in African American women.
Symptoms of a fibroadenoma - ANSWER-1. Round, rubbery, mobile, non-
tender mass approx. 1-5cm
If size is 3-5 cm, needs to be excised.
Treatment of Fibroadenoma - ANSWER-If >30yrs old, r/o carcinoma via cyst
aspiration & core needle bx or u/s
May not require treatment
,What is a rectocele? - ANSWER-ETIO: rectum prolapses into vagina due to
weakened tissue wall caused by multiple pregnancies/vaginal deliveries, aging,
obesity or chronic constipation.
S/S: fecal incontinence, bulge of tissue in back wall of vagina, loose vaginal
muscle tone, dyspareunia.
DX: Pelvic exam, transvaginal u/s, defecography
TX: bowel regimen, pelvic floor exercises or vaginal pessary (removable
support device)
What is a enterocele? - ANSWER-ETIO: smal intestine descends into top part
of vagina (prolapse) due to aging, weak walls
S/S: pelvic fullness, low back pain in supine, bulge in vagina, dyspareunia
TX: bowel regimen, Ab scan, possible surg repair
What happens in Malnutrition? - ANSWER-Hibernation mode = hypothyroid or
euthyroid sick to save energy >>> decreases temp/HR bc >vagal tone and
energy conservation.
S/S: dizzy, syncope, lightheaded
**left ventricle mass is decreased = stroke vol compromised & >peripheral
resistance = LV systolic dysfunction.
**High risk for prolonged QTC & >QT intervals <circulation peripherally.
In an anorexic patient, the lab results expected are: - ANSWER-> BUN/CR
(renal insuff)
<PLT, WBC, >AST/ALT (malnutrition)
>cholesterol, <ALP (zinc malnutrition)
*High osteoporosis risk
*Tx: 9 mos psychotherapy, Olanzapine/seroquel/risperidone.
, Hospitalize treatment: Dehydration, electrolytes, bradycardia, low output, low
BP, food refusal, no binge control
What is Prehn's sign? - ANSWER-During scrotal exam, if provider lifts the
scrotum:
1. Pain is relieved = positive sign
2. Pain is unchanged or worse = negative sign
What is the Blue dot sign? - ANSWER-Small, bluish discoloration of upper
pole of testes that may be tender with hard, palpable nodule. This indicates
torsion (appendiceal torsion)
What is the cremasteric reflex? - ANSWER-Pinching the high medial thigh of
male to see if test retracts
1. Brisk retraction = reflex intact
2. Absent = testicular torsion
What is HER2? - ANSWER-Stands for human epidermal growth factor receptor
2
1. an oncogene where breast cells overproduce
2. HER2= overgrowth of HER2 protein
3. If HER2+= more aggressive than HER-
What is a triple negative tumor? - ANSWER-No HER2/ER (estrogen
receptor)/PR (progesterone receptor)
*Is a higher risk of early recurrence and metastases
How is triple negative treated? - ANSWER-Docetaxil
Carboplastin
Trastuzumab
VERIFIED QUESTIONS AND ANSWERS||
ALREADY GRADED A+ || GUARANTEED PASS ||
LATEST UPDATE 2025
What is endometriosis? - ANSWER-growth of tissue outside the uterus that
causes chronic pain and infertility.
ETIO: retrograde menstruation (backflow of endometrial cells), genetics
Symptoms of endometriosis - ANSWER-painful menses, pelvic pain,
dyspareunia (painful intercourse), tender nodules at rectovaginal septum
How is endometriosis diagnosed? - ANSWER-Transvaginal u/s then histology
of lesions when removed
How is endometriosis treated? - ANSWER-hormone therapy
1. combo contraceptives are 1st line to suppress ovulation which will inhibit
stimulation of the endometrium.
2. Progestins - oral or IUD
3. Etonogestrel implant
What is a cystocele? - ANSWER-ETIO: bladder drops into the vagina due to
weak pelvic floor from age, obesity or childbirth
S/S: retention, discomfort
TX: lifestyle changes and pelvic floor exercises
,What is a Denver II? - ANSWER-A test for birth-6mos olds to check gross/fine,
language, personal/social skills
What are the physical findings of fibrocystic masses? - ANSWER-1. Painful
masses with size fluctuations that worsen before menses due to estrogen levels.
2. Possible multiductal discharge that is brown or green
What tests need to be ordered to r/o fibrocystic masses? - ANSWER-
Mammogram if >30 yrs old
U/S if <30 yrs old
*bx is needed to r/o differential of carcinomas
Treatment for fibrocystic mass - ANSWER-1. Supportive bra
2. Avoid trauma
3. Evening Primrose oil massages
4. Danzol 100-200mg PO BID (synthetic androgen that suppresses pituatary
gonadotropin) but can cause acne, edema & hirsutism.
What is a breast fibroadenoma? - ANSWER-A benign neoplasm commonly
found 20 years after puberty but potential earlier in African American women.
Symptoms of a fibroadenoma - ANSWER-1. Round, rubbery, mobile, non-
tender mass approx. 1-5cm
If size is 3-5 cm, needs to be excised.
Treatment of Fibroadenoma - ANSWER-If >30yrs old, r/o carcinoma via cyst
aspiration & core needle bx or u/s
May not require treatment
,What is a rectocele? - ANSWER-ETIO: rectum prolapses into vagina due to
weakened tissue wall caused by multiple pregnancies/vaginal deliveries, aging,
obesity or chronic constipation.
S/S: fecal incontinence, bulge of tissue in back wall of vagina, loose vaginal
muscle tone, dyspareunia.
DX: Pelvic exam, transvaginal u/s, defecography
TX: bowel regimen, pelvic floor exercises or vaginal pessary (removable
support device)
What is a enterocele? - ANSWER-ETIO: smal intestine descends into top part
of vagina (prolapse) due to aging, weak walls
S/S: pelvic fullness, low back pain in supine, bulge in vagina, dyspareunia
TX: bowel regimen, Ab scan, possible surg repair
What happens in Malnutrition? - ANSWER-Hibernation mode = hypothyroid or
euthyroid sick to save energy >>> decreases temp/HR bc >vagal tone and
energy conservation.
S/S: dizzy, syncope, lightheaded
**left ventricle mass is decreased = stroke vol compromised & >peripheral
resistance = LV systolic dysfunction.
**High risk for prolonged QTC & >QT intervals <circulation peripherally.
In an anorexic patient, the lab results expected are: - ANSWER-> BUN/CR
(renal insuff)
<PLT, WBC, >AST/ALT (malnutrition)
>cholesterol, <ALP (zinc malnutrition)
*High osteoporosis risk
*Tx: 9 mos psychotherapy, Olanzapine/seroquel/risperidone.
, Hospitalize treatment: Dehydration, electrolytes, bradycardia, low output, low
BP, food refusal, no binge control
What is Prehn's sign? - ANSWER-During scrotal exam, if provider lifts the
scrotum:
1. Pain is relieved = positive sign
2. Pain is unchanged or worse = negative sign
What is the Blue dot sign? - ANSWER-Small, bluish discoloration of upper
pole of testes that may be tender with hard, palpable nodule. This indicates
torsion (appendiceal torsion)
What is the cremasteric reflex? - ANSWER-Pinching the high medial thigh of
male to see if test retracts
1. Brisk retraction = reflex intact
2. Absent = testicular torsion
What is HER2? - ANSWER-Stands for human epidermal growth factor receptor
2
1. an oncogene where breast cells overproduce
2. HER2= overgrowth of HER2 protein
3. If HER2+= more aggressive than HER-
What is a triple negative tumor? - ANSWER-No HER2/ER (estrogen
receptor)/PR (progesterone receptor)
*Is a higher risk of early recurrence and metastases
How is triple negative treated? - ANSWER-Docetaxil
Carboplastin
Trastuzumab
