NURS 525 EXAM 5 QUESTIONS & ANSWERS
Explore methods to incorporate culturally safe and gender affirming best practices in
health assessment and physical examination. - Answer -- make no assumptions
- consider your position one of POWER
- use correct LGBTQ+ language
- screen and treat the body parts they have
- utilize universal principles of patient care
- For sexual health to be attained, the sexual rights of ALL persons must be affirmed
and protected
- be straightforward but sensitive and open
List components of a comprehensive H&P. - Answer -- vitals
- past medical history
- review of systems
- physical exam
Describe the importance of utilizing universal practices with LGBTQ people. - Answer -
universal principals of patient care apply to everyone
Demonstrate the 5 P's of conducting a sexual history for the LGBTQ patient population.
- Answer -- Partners
- Practices (drugs/alcohol, etc)
- Past history of STI
- Protection from STI
- Pregnancy plans
List the structures of the female genitalia. - Answer -clitoris is on the bottom right?
List the structures of the male genitalia. - Answer -dick and balls
menstrual cycle stage 1 - Answer -- Days 1 to 4
- beginning phase
- Estrogen and progesterone levels decrease, triggering a shedding of upper layers of
endometrium and menstrual bleeding.
menstrual cycle stage 2 - Answer -- Days 5 to 12
- postmenstrual or preovulatory phase
- Follicle-stimulating hormone (FSH) stimulates follicular growth and ovary and maturing
follicle produce estrogen
menstrual cycle stage 3 - Answer -- Days 13 or 14
- ovulation
- Characterized by steep rise in estrogen and luteinizing hormone (LH)
,menstrual cycle stage 4 - Answer -- Days 15 to 20
- secretory phase
- After ovulation
- FSH and LH hormones decline
- Egg moves into uterus
- follicle becomes a corpus luteum.
menstrual cycle stage 5 - Answer -- Days 21 to 28
- premenstrual phase
- If fertilization of egg and subsequent implantation does not occur
- Corpus luteum degenerates and progesterone production decreases
- Estrogen levels begin to rise again as new follicle develops.
Incorporate health promotion strategies during a genitourinary exam for all patients. -
Answer -- screenings probably?
- HPV vax
- bag it 🍆 before you tag it 🍑
- more, probably
rectal and anal cancer - Answer -- malignant tumor grows within rectal mucosa, anal
canal, or anus.
- Most common symptom is rectal bleeding
prostate cancer - Answer -- leading site of cancer in men
- Patient usually asymptomatic until cancer begins causing urinary obstruction that
results in difficulty urinating.
testicular cancer - Answer -- most common malignancy in men aged 20 to 34 years.
- Classic manifestation is painless testicular mass
ovarian cancer - Answer -- Ovarian cancer has the highest mortality rate of the
gynecologic cancers because typically undetected.
- Never being pregnant can increase the risk
cervical cancer - Answer -- usually caused by HPV infection
- Most common symptom is abnormal vaginal bleeding between normal menstrual
periods, after intercourse, or bleeding that is heavier or lasts longer than normal.
Endometrial cancer - Answer -- the most common gynecologic malignancy
- occurs most often in postmenopausal women, especially those women taking
estrogen.
- Cardinal symptom is abnormal uterine bleeding or spotting
Hemorrhoids - Answer -- Dilated veins of hemorrhoidal plexus resulting from increased
portal venous pressure
- both genders are affected equally.
, inguinal Hernia - Answer -- Protrusion of an intra-abdominal organ, often the small
bowel, through an opening in the inguinal area of the abdominal wall
- Hernia bulge turns red, purple or dark (strangulation)
Varicocele - Answer -- enlargement of the veins within the scrotum
- A "bag of worms" on palpation
Hydrocele - Answer -- accumulation of fluid in scrotum.
- Scrotal enlargement is most common symptom.
Epididymitis - Answer -- inflammation of epididymis and vas deferens usually
associated with STIs involving C. trachomatosisand gonorrhea
- Classic symptoms include dull, unilateral scrotal pain developing over period of hours
or days.
Testicular torsion - Answer -- twisting of testicle and spermatic cord, cutting off blood
supply
- Hallmark finding of testicular torsion is history of sudden onset of severe pain and
scrotal swelling.
- Medical emergency
uterine Prolapse - Answer -uterus telescopes into vagina
Premenstrual Syndrome (PMS) - Answer -- A group of recurrent symptoms associated
with menstrual cycle.
Clinical findings:
- Combination of symptoms during last half of menstrual cycle and diminishing as
menstruation begins.
- Emotional symptoms
- Cognitive symptoms
- Physical symptoms
Uterine Leiomyomas - Answer -- benign uterine tumors
clinical findings:
- pelvic pressure and heaviness
- (increased?) urinary frequency
- dysmenorrhea
- pelvic or back pain
- abdominal enlargement.
Endometriosis - Answer -- the presence and growth of uterine tissue outside uterus
Clinical findings:
Explore methods to incorporate culturally safe and gender affirming best practices in
health assessment and physical examination. - Answer -- make no assumptions
- consider your position one of POWER
- use correct LGBTQ+ language
- screen and treat the body parts they have
- utilize universal principles of patient care
- For sexual health to be attained, the sexual rights of ALL persons must be affirmed
and protected
- be straightforward but sensitive and open
List components of a comprehensive H&P. - Answer -- vitals
- past medical history
- review of systems
- physical exam
Describe the importance of utilizing universal practices with LGBTQ people. - Answer -
universal principals of patient care apply to everyone
Demonstrate the 5 P's of conducting a sexual history for the LGBTQ patient population.
- Answer -- Partners
- Practices (drugs/alcohol, etc)
- Past history of STI
- Protection from STI
- Pregnancy plans
List the structures of the female genitalia. - Answer -clitoris is on the bottom right?
List the structures of the male genitalia. - Answer -dick and balls
menstrual cycle stage 1 - Answer -- Days 1 to 4
- beginning phase
- Estrogen and progesterone levels decrease, triggering a shedding of upper layers of
endometrium and menstrual bleeding.
menstrual cycle stage 2 - Answer -- Days 5 to 12
- postmenstrual or preovulatory phase
- Follicle-stimulating hormone (FSH) stimulates follicular growth and ovary and maturing
follicle produce estrogen
menstrual cycle stage 3 - Answer -- Days 13 or 14
- ovulation
- Characterized by steep rise in estrogen and luteinizing hormone (LH)
,menstrual cycle stage 4 - Answer -- Days 15 to 20
- secretory phase
- After ovulation
- FSH and LH hormones decline
- Egg moves into uterus
- follicle becomes a corpus luteum.
menstrual cycle stage 5 - Answer -- Days 21 to 28
- premenstrual phase
- If fertilization of egg and subsequent implantation does not occur
- Corpus luteum degenerates and progesterone production decreases
- Estrogen levels begin to rise again as new follicle develops.
Incorporate health promotion strategies during a genitourinary exam for all patients. -
Answer -- screenings probably?
- HPV vax
- bag it 🍆 before you tag it 🍑
- more, probably
rectal and anal cancer - Answer -- malignant tumor grows within rectal mucosa, anal
canal, or anus.
- Most common symptom is rectal bleeding
prostate cancer - Answer -- leading site of cancer in men
- Patient usually asymptomatic until cancer begins causing urinary obstruction that
results in difficulty urinating.
testicular cancer - Answer -- most common malignancy in men aged 20 to 34 years.
- Classic manifestation is painless testicular mass
ovarian cancer - Answer -- Ovarian cancer has the highest mortality rate of the
gynecologic cancers because typically undetected.
- Never being pregnant can increase the risk
cervical cancer - Answer -- usually caused by HPV infection
- Most common symptom is abnormal vaginal bleeding between normal menstrual
periods, after intercourse, or bleeding that is heavier or lasts longer than normal.
Endometrial cancer - Answer -- the most common gynecologic malignancy
- occurs most often in postmenopausal women, especially those women taking
estrogen.
- Cardinal symptom is abnormal uterine bleeding or spotting
Hemorrhoids - Answer -- Dilated veins of hemorrhoidal plexus resulting from increased
portal venous pressure
- both genders are affected equally.
, inguinal Hernia - Answer -- Protrusion of an intra-abdominal organ, often the small
bowel, through an opening in the inguinal area of the abdominal wall
- Hernia bulge turns red, purple or dark (strangulation)
Varicocele - Answer -- enlargement of the veins within the scrotum
- A "bag of worms" on palpation
Hydrocele - Answer -- accumulation of fluid in scrotum.
- Scrotal enlargement is most common symptom.
Epididymitis - Answer -- inflammation of epididymis and vas deferens usually
associated with STIs involving C. trachomatosisand gonorrhea
- Classic symptoms include dull, unilateral scrotal pain developing over period of hours
or days.
Testicular torsion - Answer -- twisting of testicle and spermatic cord, cutting off blood
supply
- Hallmark finding of testicular torsion is history of sudden onset of severe pain and
scrotal swelling.
- Medical emergency
uterine Prolapse - Answer -uterus telescopes into vagina
Premenstrual Syndrome (PMS) - Answer -- A group of recurrent symptoms associated
with menstrual cycle.
Clinical findings:
- Combination of symptoms during last half of menstrual cycle and diminishing as
menstruation begins.
- Emotional symptoms
- Cognitive symptoms
- Physical symptoms
Uterine Leiomyomas - Answer -- benign uterine tumors
clinical findings:
- pelvic pressure and heaviness
- (increased?) urinary frequency
- dysmenorrhea
- pelvic or back pain
- abdominal enlargement.
Endometriosis - Answer -- the presence and growth of uterine tissue outside uterus
Clinical findings:
