NR 602 Final Exam: Primary Care of the Family
Chamberlain University Updated and Latest Questions and
Correct Answers with Rationale
1. A 24-year-old female presents for her first cervical cancer screening. According to the current ASCCP and
ACOG guidelines, what is the appropriate screening method?
A. No screening is required until age 30
B. Primary HPV testing every 5 years
C. Co-testing with cytology and HPV every 5 years
D. Cervical cytology (Pap smear) alone every 3 years
Correct Answer: D
Rationale: For women aged 21-29, the recommendation is cervical cytology (Pap smear) alone every 3
years. HPV testing is generally not recommended in this age group unless the Pap is abnormal.
2. A 6-month-old infant is brought in for a well-child visit. Which developmental milestone is typically
expected at this age?
A. Sitting up without support
B. Walking while holding onto furniture
C. Using a pincer grasp to pick up small objects
D. Speaking 2-3 clear words
Correct Answer: A
Rationale: By 6 months of age, most infants can sit without support. Pincer grasp usually develops
around 9 months, and walking while holding furniture (cruising) occurs closer to 10-12 months.
,3. A 15-year-old female athlete complains of primary dysmenorrhea. What is the first-line pharmacological
treatment?
A. Oral contraceptive pills
B. Acetaminophen
C. Non-steroidal anti-inflammatory drugs (NSAIDs)
D. Low-dose corticosteroids
Correct Answer: C
Rationale: NSAIDs, such as ibuprofen or naproxen, are the first-line treatment for primary
dysmenorrhea because they inhibit prostaglandin synthesis, which is the cause of menstrual cramping.
4. Which of the following is considered a ‘red flag’ sign in a 12-month-old child that requires further
developmental evaluation?
A. Inability to run
B. Failure to use a spoon independently
C. Loss of previously acquired language or social skills
D. Inability to say 20 distinct words
Correct Answer: C
Rationale: Regressional loss of language or social skills at any age is a major red flag for
neurodevelopmental disorders, including Autism Spectrum Disorder.
5. A patient with polycystic ovary syndrome (PCOS) is at an increased risk for which of the following
conditions?
A. Hypothyroidism
, B. Ovarian cancer
C. Cervical cancer
D. Endometrial cancer
Correct Answer: D
Rationale: Chronic anovulation in PCOS leads to unopposed estrogen, which increases the risk of
endometrial hyperplasia and eventually endometrial cancer.
6. When screening for scoliosis in an adolescent, which physical exam maneuver is most sensitive?
A. Measuring leg length discrepancy
B. Adam’s Forward Bend test
C. Palpating the spinous processes while standing
D. Checking for symmetry of the patella
Correct Answer: B
Rationale: The Adam’s Forward Bend test is the standard screening tool for scoliosis; it allows the
clinician to observe for a rib hump or spinal curvature.
7. A 4-year-old child presents with a ‘barking’ cough and inspiratory stridor. What is the most likely
diagnosis?
A. Epiglottitis
B. Croup (Laryngotracheobronchitis)
C. Foreign body aspiration
D. Bronchiolitis
Chamberlain University Updated and Latest Questions and
Correct Answers with Rationale
1. A 24-year-old female presents for her first cervical cancer screening. According to the current ASCCP and
ACOG guidelines, what is the appropriate screening method?
A. No screening is required until age 30
B. Primary HPV testing every 5 years
C. Co-testing with cytology and HPV every 5 years
D. Cervical cytology (Pap smear) alone every 3 years
Correct Answer: D
Rationale: For women aged 21-29, the recommendation is cervical cytology (Pap smear) alone every 3
years. HPV testing is generally not recommended in this age group unless the Pap is abnormal.
2. A 6-month-old infant is brought in for a well-child visit. Which developmental milestone is typically
expected at this age?
A. Sitting up without support
B. Walking while holding onto furniture
C. Using a pincer grasp to pick up small objects
D. Speaking 2-3 clear words
Correct Answer: A
Rationale: By 6 months of age, most infants can sit without support. Pincer grasp usually develops
around 9 months, and walking while holding furniture (cruising) occurs closer to 10-12 months.
,3. A 15-year-old female athlete complains of primary dysmenorrhea. What is the first-line pharmacological
treatment?
A. Oral contraceptive pills
B. Acetaminophen
C. Non-steroidal anti-inflammatory drugs (NSAIDs)
D. Low-dose corticosteroids
Correct Answer: C
Rationale: NSAIDs, such as ibuprofen or naproxen, are the first-line treatment for primary
dysmenorrhea because they inhibit prostaglandin synthesis, which is the cause of menstrual cramping.
4. Which of the following is considered a ‘red flag’ sign in a 12-month-old child that requires further
developmental evaluation?
A. Inability to run
B. Failure to use a spoon independently
C. Loss of previously acquired language or social skills
D. Inability to say 20 distinct words
Correct Answer: C
Rationale: Regressional loss of language or social skills at any age is a major red flag for
neurodevelopmental disorders, including Autism Spectrum Disorder.
5. A patient with polycystic ovary syndrome (PCOS) is at an increased risk for which of the following
conditions?
A. Hypothyroidism
, B. Ovarian cancer
C. Cervical cancer
D. Endometrial cancer
Correct Answer: D
Rationale: Chronic anovulation in PCOS leads to unopposed estrogen, which increases the risk of
endometrial hyperplasia and eventually endometrial cancer.
6. When screening for scoliosis in an adolescent, which physical exam maneuver is most sensitive?
A. Measuring leg length discrepancy
B. Adam’s Forward Bend test
C. Palpating the spinous processes while standing
D. Checking for symmetry of the patella
Correct Answer: B
Rationale: The Adam’s Forward Bend test is the standard screening tool for scoliosis; it allows the
clinician to observe for a rib hump or spinal curvature.
7. A 4-year-old child presents with a ‘barking’ cough and inspiratory stridor. What is the most likely
diagnosis?
A. Epiglottitis
B. Croup (Laryngotracheobronchitis)
C. Foreign body aspiration
D. Bronchiolitis
