©THESTAR EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
NR602 Final Exam Questions With Verified
Answers
Colposcopy exam- - Answers✔procedure that visualizes vaginal, vulvar, or cervical epithelium
w/ magnification to id abnormal area to be bx
painful menstruation that prevents normal activity and requires medication
3 types: primary (no organic cause), secondary (pathologic cause) and membranous - causes
intense cramping pain due to passage of a cast of endometrium through undilated cervix -
Answers✔Dysmenorrhea
Dysmenorrhea treatment - Answers✔Tx- NSAIDs/tyelnol, heat, antiprostaglandins, OCP w/
increased estrogen- pain relief r/t absence of ovulation, decreased prostaglandin production;
surgery
Dysmenorrhea mechanism - Answers✔prostaglandin activity
-vaginal wall weakens and stretches and allows the bladder to bulge into the vagina -
Answers✔Cystocele
Sx-felling of fullness or pressure in vagina, increased discomfort when you strain/cough/bear
down, feeling of incomplete empty, repeated bladder infection, pain or urinary leak during sex,
bulge of tissue into vaginal opening - Answers✔Cystocele
Cystocele prevention - Answers✔kegels, prevent constipation, avoid heavy lifting, avoid wt gain
Rectocele - Answers✔-When thin tissue of vagina separates the vaginal and rectum allowing
vaginal wall to bulge
Sx- soft bulge of tissue in vaginal, difficult BM, sensation of rectal pressure, incomplete
emptying after BM, sexual concerns - Answers✔Rectocele
Causes of rectocele - Answers✔Causes- constipation/strain, chronic cough, heavy lifting,
overweight, childbirth, age
Retocele prevention - Answers✔Prevention- kegels, prevent constipation, avoid heavy lifting,
cough, avoid wt gain
, ©THESTAR EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
-pelvic floor muscles and ligaments stretch and weaken and no longer provide support for uterus
and protrude into vagina. - Answers✔Uterine Prolapse
Uterine Prolapse causes - Answers✔Causes- pregnancy, large baby delivery, lower estrogen
level after menopause, obesity Common in postmenopausal and one or more childbirth
Uterine Prolapse symptom - Answers✔Sx- heaviness or pulling into pelvis, tissue protruding
from vagina, urinary probs (leakage, retention), trouble having BM, feeling of sitting on small
ball, sexual concerns
Uterine Prolapse prevention - Answers✔Prevention- kegels, treat constipation, correct lifting,
avoid wt gain
uterine prolapse treatment - Answers✔Tx- pessary
chronic viral infection caused by HSV1 or HSV2, relapsing - Answers✔Herpes Simplex
Herpes Simplex prevention - Answers✔Prevention: consistent condom use b/c viral shedding
can occur in asymptomatic periods and can lead to transmission. W/ symptoms- Valacyclovir
500 mg daily
Herpes Simplex sign and symptoms - Answers✔Sx-multiple painful vesicular or ulcerative
lesion on genitals, can be absent. Virus lays dormant and can be reactivated
Herpes Simplex diagnosis - Answers✔lays dormant and can be reactivated
Dx-cell culture and PCR
Herpes Simplex treatment - Answers✔Tx- systemic antiviral. Acyclovir 7-10 days for 1st
episode, suppressive 200 mg daily BID
Chancroid - Answers✔-Transmitted via sexual contact or on hands that have touched lesion.
Caused by Haemophillus ducreyi
-Reportable disease
Chancroid symptoms - Answers✔-Sx- erythematous papule that evolves into pustule and
degenerates into saucer shaped ragged ulcer that is circumscribed by inflammatory wheal.
Tender, heavy foul discharge that is contagious
Chancroid diagnosis - Answers✔Dx-culture that grows H ducreyi
Chancroid treatment - Answers✔Tx- Abx azithromycin 1 g PO one time, ceftriaxone 250 mg IM
1 x, cipro 500 mg PO BID x3 days erythromycin 500 mg PO TID x7 days. Personal hygiene,
clean w/ soap and water, sitz bath
Syphilis - Answers✔-chronic, systemic disease caused by a sphirochete transmitted via contact
with infectious moist lesion. Sexually acquired or vertically transmitted from infected mom.
Reportable disease
ALL RIGHTS RESERVED.
NR602 Final Exam Questions With Verified
Answers
Colposcopy exam- - Answers✔procedure that visualizes vaginal, vulvar, or cervical epithelium
w/ magnification to id abnormal area to be bx
painful menstruation that prevents normal activity and requires medication
3 types: primary (no organic cause), secondary (pathologic cause) and membranous - causes
intense cramping pain due to passage of a cast of endometrium through undilated cervix -
Answers✔Dysmenorrhea
Dysmenorrhea treatment - Answers✔Tx- NSAIDs/tyelnol, heat, antiprostaglandins, OCP w/
increased estrogen- pain relief r/t absence of ovulation, decreased prostaglandin production;
surgery
Dysmenorrhea mechanism - Answers✔prostaglandin activity
-vaginal wall weakens and stretches and allows the bladder to bulge into the vagina -
Answers✔Cystocele
Sx-felling of fullness or pressure in vagina, increased discomfort when you strain/cough/bear
down, feeling of incomplete empty, repeated bladder infection, pain or urinary leak during sex,
bulge of tissue into vaginal opening - Answers✔Cystocele
Cystocele prevention - Answers✔kegels, prevent constipation, avoid heavy lifting, avoid wt gain
Rectocele - Answers✔-When thin tissue of vagina separates the vaginal and rectum allowing
vaginal wall to bulge
Sx- soft bulge of tissue in vaginal, difficult BM, sensation of rectal pressure, incomplete
emptying after BM, sexual concerns - Answers✔Rectocele
Causes of rectocele - Answers✔Causes- constipation/strain, chronic cough, heavy lifting,
overweight, childbirth, age
Retocele prevention - Answers✔Prevention- kegels, prevent constipation, avoid heavy lifting,
cough, avoid wt gain
, ©THESTAR EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
-pelvic floor muscles and ligaments stretch and weaken and no longer provide support for uterus
and protrude into vagina. - Answers✔Uterine Prolapse
Uterine Prolapse causes - Answers✔Causes- pregnancy, large baby delivery, lower estrogen
level after menopause, obesity Common in postmenopausal and one or more childbirth
Uterine Prolapse symptom - Answers✔Sx- heaviness or pulling into pelvis, tissue protruding
from vagina, urinary probs (leakage, retention), trouble having BM, feeling of sitting on small
ball, sexual concerns
Uterine Prolapse prevention - Answers✔Prevention- kegels, treat constipation, correct lifting,
avoid wt gain
uterine prolapse treatment - Answers✔Tx- pessary
chronic viral infection caused by HSV1 or HSV2, relapsing - Answers✔Herpes Simplex
Herpes Simplex prevention - Answers✔Prevention: consistent condom use b/c viral shedding
can occur in asymptomatic periods and can lead to transmission. W/ symptoms- Valacyclovir
500 mg daily
Herpes Simplex sign and symptoms - Answers✔Sx-multiple painful vesicular or ulcerative
lesion on genitals, can be absent. Virus lays dormant and can be reactivated
Herpes Simplex diagnosis - Answers✔lays dormant and can be reactivated
Dx-cell culture and PCR
Herpes Simplex treatment - Answers✔Tx- systemic antiviral. Acyclovir 7-10 days for 1st
episode, suppressive 200 mg daily BID
Chancroid - Answers✔-Transmitted via sexual contact or on hands that have touched lesion.
Caused by Haemophillus ducreyi
-Reportable disease
Chancroid symptoms - Answers✔-Sx- erythematous papule that evolves into pustule and
degenerates into saucer shaped ragged ulcer that is circumscribed by inflammatory wheal.
Tender, heavy foul discharge that is contagious
Chancroid diagnosis - Answers✔Dx-culture that grows H ducreyi
Chancroid treatment - Answers✔Tx- Abx azithromycin 1 g PO one time, ceftriaxone 250 mg IM
1 x, cipro 500 mg PO BID x3 days erythromycin 500 mg PO TID x7 days. Personal hygiene,
clean w/ soap and water, sitz bath
Syphilis - Answers✔-chronic, systemic disease caused by a sphirochete transmitted via contact
with infectious moist lesion. Sexually acquired or vertically transmitted from infected mom.
Reportable disease
