1
Nr602wk8possquestions
Nr602wk8possquestions
ACOGguidelinesregardingwellwomenexams
WhatistheASCCPrecommendedmanagementforanASCUS(atypicalsquamouscellsofundetermined
significance)papresultwithapositivehigh-riskHPV16cotestina26-year-oldwomanwithoutahistoryof
abnormalpapsmears?
•Colposcopy
Awell-womanvisitforanadolescentshouldincludewhichofthefollowing?
•Ageneralhealthhistoryfocusingonreproductiveandsexualhealthconcerns(menses,gynecologic,
andpregnancyrelated)andpsychosocial(familyrelated,peerrelated,emotional,andphysicalaswell
asrelatedtoabuse,druguse,andalcoholuse)concerns
Physicalexam,screeningtests,andimmunizationsasindicatedbythehealthhistoryandgynecologic
considerationsforanexternal-onlyinspectionofthegenitalia
ACOGPapsmearguidelines
ABethesdasystemPapsmearreportthatreadsLSILismostconsistentwithwhichclassification?
•CIN1
AsinglePapsmearreadingofASCUSinapatientnegativeforHPVinfectionshouldhavewhatasfollow-up? 2
Nr602wk8possquestions
•Routinescreening
Afemalepatientis35yearsold.ShehasneverhadanabnormalPAPsmearandhashadregularscreeningsinceage
18.IfshehasanormalPAPsmearwithHPVtestingtoday,whenshouldshehavethenextcervicalcancer
screening?
•5years
AyoungsexuallyactiveclientatthefamilyplanningclinicisadvisedtohaveaPapanicolaou(Pap)smear.Shehas
neverhadaPapsmearbefore.Whatshouldthenurseincludeintheexplanationofthisprocedure?
•ThePapsmearcandetectcancerofthecervix
Labresultsonyour26-year-oldpatientshowanegativePapsmearwithapositivehumanpapillomavirus(HPV)
screen.Whichprocedurewillberequirednext?
•RepeatPapandHPVscreen
WhichofthefollowingisnotpartofthecriteriaforanolderwomantoceasehavinganyfuturePaptestsperformed?
•Over55yearsofage
Amenorrhea(PrimaryandSecondary)
Youareevaluatinga17-year-oldEmilywhopresentedwithamenorrheaandnormalsecondarysexcharacteristics.
Thepurposeoftheprogesteronechallengeistoascertainthepresenceof?
•Endogenousestrogen
A17-year-oldfemalepatientpresentswithamenorrheafor4monthsshedidexperiencemenarcheatage15buthad
nothadamenstrualcyclesince.Onphysicalexamination,itisnoticedthatshehasnormalsecondarysexual
characteristics.Thenursepractitionerwillconsideraprogesteronechallengetodeterminethepresenceofadequate
•Endogenousestrogen
Ateenagepatientpresentswithamenorrheaandmoralsecondarysexcharacteristics.Aprogesteronechallengeis
ordered.Thepurposeistodeterminethepresenceof ?
•Endogenousestrogen
A16yearoldgirlwhocomestoyourofficewithahistoryofsecondaryamenorrhea.Sheexperiencedmenarcheat
age10,regularcyclesfor2years.Shehasnotmenstruatednowfor4years.Inyourinitialconsiderationof
differentialdiagnoses,whatisthemostfrequentetiologyofthisproblem:
•Eatingdisorder
18yofemalec/osecondaryamenorrhea.Onexam,thereisnormalsecondarysexcharacteristicsandnormal
genitalia.Pregnancyisruledout.Whatwouldnecessitatefurthereval?
•Galactorrhea
Primaryamenorrheaisbestdescribedas:
•Failuretomenstruationtooccurby13yr
Anursepractitioneriscaringforawomanwithprimaryandsecondaryamenorrhea.Thepelvicexamwasnormal.
Whichofthefollowingmaybethecauseifetiologyoriginatesinthehypothalamus?
•Sheehan’ssyndrome
AmericanCancerSocietyrecommendations
Anursepractitionerisparticipatinginawomen’shealthfair.Wheneducatingthewomenaboutriskfactorsfor
breastcancer,whichofthefollowingstatementsisincorrect?
Nr602wk8possquestions
Nr602wk8possquestions
ACOGguidelinesregardingwellwomenexams
WhatistheASCCPrecommendedmanagementforanASCUS(atypicalsquamouscellsofundetermined
significance)papresultwithapositivehigh-riskHPV16cotestina26-year-oldwomanwithoutahistoryof
abnormalpapsmears?
•Colposcopy
Awell-womanvisitforanadolescentshouldincludewhichofthefollowing?
•Ageneralhealthhistoryfocusingonreproductiveandsexualhealthconcerns(menses,gynecologic,
andpregnancyrelated)andpsychosocial(familyrelated,peerrelated,emotional,andphysicalaswell
asrelatedtoabuse,druguse,andalcoholuse)concerns
Physicalexam,screeningtests,andimmunizationsasindicatedbythehealthhistoryandgynecologic
considerationsforanexternal-onlyinspectionofthegenitalia
ACOGPapsmearguidelines
ABethesdasystemPapsmearreportthatreadsLSILismostconsistentwithwhichclassification?
•CIN1
AsinglePapsmearreadingofASCUSinapatientnegativeforHPVinfectionshouldhavewhatasfollow-up? 2
Nr602wk8possquestions
•Routinescreening
Afemalepatientis35yearsold.ShehasneverhadanabnormalPAPsmearandhashadregularscreeningsinceage
18.IfshehasanormalPAPsmearwithHPVtestingtoday,whenshouldshehavethenextcervicalcancer
screening?
•5years
AyoungsexuallyactiveclientatthefamilyplanningclinicisadvisedtohaveaPapanicolaou(Pap)smear.Shehas
neverhadaPapsmearbefore.Whatshouldthenurseincludeintheexplanationofthisprocedure?
•ThePapsmearcandetectcancerofthecervix
Labresultsonyour26-year-oldpatientshowanegativePapsmearwithapositivehumanpapillomavirus(HPV)
screen.Whichprocedurewillberequirednext?
•RepeatPapandHPVscreen
WhichofthefollowingisnotpartofthecriteriaforanolderwomantoceasehavinganyfuturePaptestsperformed?
•Over55yearsofage
Amenorrhea(PrimaryandSecondary)
Youareevaluatinga17-year-oldEmilywhopresentedwithamenorrheaandnormalsecondarysexcharacteristics.
Thepurposeoftheprogesteronechallengeistoascertainthepresenceof?
•Endogenousestrogen
A17-year-oldfemalepatientpresentswithamenorrheafor4monthsshedidexperiencemenarcheatage15buthad
nothadamenstrualcyclesince.Onphysicalexamination,itisnoticedthatshehasnormalsecondarysexual
characteristics.Thenursepractitionerwillconsideraprogesteronechallengetodeterminethepresenceofadequate
•Endogenousestrogen
Ateenagepatientpresentswithamenorrheaandmoralsecondarysexcharacteristics.Aprogesteronechallengeis
ordered.Thepurposeistodeterminethepresenceof ?
•Endogenousestrogen
A16yearoldgirlwhocomestoyourofficewithahistoryofsecondaryamenorrhea.Sheexperiencedmenarcheat
age10,regularcyclesfor2years.Shehasnotmenstruatednowfor4years.Inyourinitialconsiderationof
differentialdiagnoses,whatisthemostfrequentetiologyofthisproblem:
•Eatingdisorder
18yofemalec/osecondaryamenorrhea.Onexam,thereisnormalsecondarysexcharacteristicsandnormal
genitalia.Pregnancyisruledout.Whatwouldnecessitatefurthereval?
•Galactorrhea
Primaryamenorrheaisbestdescribedas:
•Failuretomenstruationtooccurby13yr
Anursepractitioneriscaringforawomanwithprimaryandsecondaryamenorrhea.Thepelvicexamwasnormal.
Whichofthefollowingmaybethecauseifetiologyoriginatesinthehypothalamus?
•Sheehan’ssyndrome
AmericanCancerSocietyrecommendations
Anursepractitionerisparticipatinginawomen’shealthfair.Wheneducatingthewomenaboutriskfactorsfor
breastcancer,whichofthefollowingstatementsisincorrect?
