Navigating Success: Your Ultimate
Guide to Mastering the NR602 Final
Exam.
A Comprehensive Exam Study Guide
with 100% Verified by Expert
Which one best describes lesions associated with condyloma acuminatum?
a. Verruciform
b. Plaque-like
c. Vesicular
d. Bullous - ansa
39yo female has completed course of amox for strep throat. LMP was 2wks ago, says it was
normal. On exam, there's erythema of extern. genitalia w/small amount of white discharge.
Micro wet prep reveals few clue cells, but many budding hyphae. No WBCs. Which one
would be the most appropriate treatment?
a. Metronidazole 500mg BID x7 days
b. OTC hydrocortisone 1% cream TID
c. Fluconazole tabs 150mg x1 dose
d. Erythromycin 500mg TID x10 days - ansc
Woman c/o vaginal itching, white discharge. She is in good health except for recent abx for
strep throat. Pelvic reveals tender vulvovaginal area w/edema and nonmalodorous white
patches. Which is the most likely cause?
a. Bacterial vaginosis
b. Trichomonas
c. Lactobacillus overgrowth
d. Candidiasis - ansd
18yo female c/o secondary amenorrhea. On exam, there is normal secondary sex
characteristics and normal genitalia. Pregnancy is ruled out. What would necessitate further
eval?
a. Elevated blood cholesterol levels
b. Androgen deficiency
c. Galactorrhea
d. Hirsutism - ansc
24yo female is dx'd w/primary dysmenorrhea. Which med would be used as first-line to help
control symptoms?
a. Antianxiety meds
b. Progesterone-only contraception
c. Oral steroids
d. NSAIDs - ansd
Primary amenorrhea is best described as:
a. Cessation of menstruation x6mo
b. Failure of menstruation to occur by 17ho
,Navigating Success: Your Ultimate
Guide to Mastering the NR602 Final
Exam.
A Comprehensive Exam Study Guide
with 100% Verified by Expert
c. Failure of menstruation to occur by 13yo
d. Cessation of menstruation x6mo after menarche - ansc
25yo female c/o vaginal irritation and discharge. On exam, cervix is easily friable and
erythematous. No adnexal tenderness. Wet prep reveals mobile protozoa on NS slide. This
most likely represents:
a. Trichomonas
b. Mucopurulent cervicitis
c. Bacterial vaginosis
d. Gonorrhea - ansa
16yo female has h/o secondary amenorrhea. Menarche at 10yo, regular cycles x2yrs, has not
menstruated x4yrs. What is most frequent etiology of this problem?
a. Eating disorder
b. Pregnancy
c. Anovulatory cycles
d. Stress - ansa
Woman is experiencing vaginal discharge. Wet mount with KOH would be used to confirm:
a. Herpes simplex
b. Gonorrhea
c. Candidiasis
d. Chlamydia - ansc
Treatment options for condyloma acuminatum include:
a. Imiquimod (Aldera)
b. Azithromycin
c. Acyclovir
d. Metronidazole - ansa
25yo postmenopausal female c/o pain in upper outer quadrant of L breast x1mo. Best course
of action would be:
a. Reassure pt that pain is often not presenting symptom of breast cancer.
b. Teach pt breast self-exam.
c. Order labs as most likely this is secondary to hormonal fluctuation
d. Perform breast exam and order mammo - ansd
PID typically presents with all of the following except:
a. Dysuria
b. Leukopenia
c. Cervical motion tenderness
d. Abd pain - ansb
,Navigating Success: Your Ultimate
Guide to Mastering the NR602 Final
Exam.
A Comprehensive Exam Study Guide
with 100% Verified by Expert
Which of the following are of a reproductive and pelvic origin?
a. Salpingo-oophoritis (fallopian tube/ovary) secondary to PID
b. Gynecologic malignancy
c. Adhesions
d. Myomata uteri - ansa
25yo female c/o tender area near her introitus and to the L of her perineum. Very painful sex
was first sign. Initially bump was very small, but now is ping-pong ball size. On exam,
abscess is present on L medial side of labia minora and there's edema extending into
perineum. What is dx?
a. Lipoma
b. Dermoid cyst
c. Bartholin's cyst
d. Skene's duct cyst - ansc
49yo female c/o dark, watery brown vaginal discharge. Which best describes what might be
seen on physical exam in pt's with cervical cancer?
a. Ulcerated firm cervix
b. Vague lower abd pain
c. Enlarged tender femoral lymph nodes
d. Soft, still shaped cervix - ansa
22yo female c/o pelvic pain. Exam reveals cervical motion and uterine tenderness. Which
supports PID dx?
a. Temp <100F
b. Absence of WBCs in vag fluid
c. Mucopurulent vag discharge
d. Lab documentation of cervical infection w/E. coli - ansc
When educating pt about rationale for getting mammo, which statement is false?
a. Mammo is cost-effective method to screen for breast cancer
b. Mammo detects all breast cancers
c. Mammo should be accompanied by breast exam
d. Negative mammo should not delay biopsy of clinically suspicious mass - ansb
When educating women about breast cancer risk factors, which statement is incorrect?
a. Pregnancy after 35yo
b. Late menopause after 57yo
c. Fibrocystic breast dz
d. H/o maternal breast cancer - ansc
, Navigating Success: Your Ultimate
Guide to Mastering the NR602 Final
Exam.
A Comprehensive Exam Study Guide
with 100% Verified by Expert
Which of the following statements is accurate regarding the usefulness of mammo in
screening and detection of breast cancer?
a. Mammo shouldn't be done if there is any breast pain or nipple retraction
b. All women >40yo should have mammo on annual basis
c. Mammo should be done annually for all women of child-bearing age
d. Mammos should be performed annually after initial pregnancy, especially if women
doesn't breastfeed - ansb
Which would be considered normal surface characteristic of the cervix during a speculum
exam?
a. Small, yellow, raised around area on cervix
b. Friable, bleeding tissue opening of the cervical os
c. Red patch areas w/occasional white spots
d. Irregular, granular surface w/red patches - ansa
What is the most common cause of dysfunctional uterine bleeding?
a. Endocrine disorders
b. Stress
c. Anovulation
d. Anatomical abnormality - ansc
PMS occurs with greatest frequency and severity in the:
a. Late luteal phase
b. Midfollicular phase
c. Proliferative phase
d. Early luteal phase - ansa
Which is not a common cause of irregular menstrual bleeding?
a. Endocrine disorders
b. Stress
c. Anovulation
d. Anatomical abnormality - ansc
What is considered the primary etiology of primary dysmenorrhea?
a. Ovarian cysts
b. Prostaglandin production
c. Endometriosis
d. Adenomyosis - ansb
28yo female c/o breast tenderness, fatigue, abd bloating, fluid retention, irritability 1wk
before her menses onset. What is most important info to obtain from this pt to determine if
the pt has PMS?
Guide to Mastering the NR602 Final
Exam.
A Comprehensive Exam Study Guide
with 100% Verified by Expert
Which one best describes lesions associated with condyloma acuminatum?
a. Verruciform
b. Plaque-like
c. Vesicular
d. Bullous - ansa
39yo female has completed course of amox for strep throat. LMP was 2wks ago, says it was
normal. On exam, there's erythema of extern. genitalia w/small amount of white discharge.
Micro wet prep reveals few clue cells, but many budding hyphae. No WBCs. Which one
would be the most appropriate treatment?
a. Metronidazole 500mg BID x7 days
b. OTC hydrocortisone 1% cream TID
c. Fluconazole tabs 150mg x1 dose
d. Erythromycin 500mg TID x10 days - ansc
Woman c/o vaginal itching, white discharge. She is in good health except for recent abx for
strep throat. Pelvic reveals tender vulvovaginal area w/edema and nonmalodorous white
patches. Which is the most likely cause?
a. Bacterial vaginosis
b. Trichomonas
c. Lactobacillus overgrowth
d. Candidiasis - ansd
18yo female c/o secondary amenorrhea. On exam, there is normal secondary sex
characteristics and normal genitalia. Pregnancy is ruled out. What would necessitate further
eval?
a. Elevated blood cholesterol levels
b. Androgen deficiency
c. Galactorrhea
d. Hirsutism - ansc
24yo female is dx'd w/primary dysmenorrhea. Which med would be used as first-line to help
control symptoms?
a. Antianxiety meds
b. Progesterone-only contraception
c. Oral steroids
d. NSAIDs - ansd
Primary amenorrhea is best described as:
a. Cessation of menstruation x6mo
b. Failure of menstruation to occur by 17ho
,Navigating Success: Your Ultimate
Guide to Mastering the NR602 Final
Exam.
A Comprehensive Exam Study Guide
with 100% Verified by Expert
c. Failure of menstruation to occur by 13yo
d. Cessation of menstruation x6mo after menarche - ansc
25yo female c/o vaginal irritation and discharge. On exam, cervix is easily friable and
erythematous. No adnexal tenderness. Wet prep reveals mobile protozoa on NS slide. This
most likely represents:
a. Trichomonas
b. Mucopurulent cervicitis
c. Bacterial vaginosis
d. Gonorrhea - ansa
16yo female has h/o secondary amenorrhea. Menarche at 10yo, regular cycles x2yrs, has not
menstruated x4yrs. What is most frequent etiology of this problem?
a. Eating disorder
b. Pregnancy
c. Anovulatory cycles
d. Stress - ansa
Woman is experiencing vaginal discharge. Wet mount with KOH would be used to confirm:
a. Herpes simplex
b. Gonorrhea
c. Candidiasis
d. Chlamydia - ansc
Treatment options for condyloma acuminatum include:
a. Imiquimod (Aldera)
b. Azithromycin
c. Acyclovir
d. Metronidazole - ansa
25yo postmenopausal female c/o pain in upper outer quadrant of L breast x1mo. Best course
of action would be:
a. Reassure pt that pain is often not presenting symptom of breast cancer.
b. Teach pt breast self-exam.
c. Order labs as most likely this is secondary to hormonal fluctuation
d. Perform breast exam and order mammo - ansd
PID typically presents with all of the following except:
a. Dysuria
b. Leukopenia
c. Cervical motion tenderness
d. Abd pain - ansb
,Navigating Success: Your Ultimate
Guide to Mastering the NR602 Final
Exam.
A Comprehensive Exam Study Guide
with 100% Verified by Expert
Which of the following are of a reproductive and pelvic origin?
a. Salpingo-oophoritis (fallopian tube/ovary) secondary to PID
b. Gynecologic malignancy
c. Adhesions
d. Myomata uteri - ansa
25yo female c/o tender area near her introitus and to the L of her perineum. Very painful sex
was first sign. Initially bump was very small, but now is ping-pong ball size. On exam,
abscess is present on L medial side of labia minora and there's edema extending into
perineum. What is dx?
a. Lipoma
b. Dermoid cyst
c. Bartholin's cyst
d. Skene's duct cyst - ansc
49yo female c/o dark, watery brown vaginal discharge. Which best describes what might be
seen on physical exam in pt's with cervical cancer?
a. Ulcerated firm cervix
b. Vague lower abd pain
c. Enlarged tender femoral lymph nodes
d. Soft, still shaped cervix - ansa
22yo female c/o pelvic pain. Exam reveals cervical motion and uterine tenderness. Which
supports PID dx?
a. Temp <100F
b. Absence of WBCs in vag fluid
c. Mucopurulent vag discharge
d. Lab documentation of cervical infection w/E. coli - ansc
When educating pt about rationale for getting mammo, which statement is false?
a. Mammo is cost-effective method to screen for breast cancer
b. Mammo detects all breast cancers
c. Mammo should be accompanied by breast exam
d. Negative mammo should not delay biopsy of clinically suspicious mass - ansb
When educating women about breast cancer risk factors, which statement is incorrect?
a. Pregnancy after 35yo
b. Late menopause after 57yo
c. Fibrocystic breast dz
d. H/o maternal breast cancer - ansc
, Navigating Success: Your Ultimate
Guide to Mastering the NR602 Final
Exam.
A Comprehensive Exam Study Guide
with 100% Verified by Expert
Which of the following statements is accurate regarding the usefulness of mammo in
screening and detection of breast cancer?
a. Mammo shouldn't be done if there is any breast pain or nipple retraction
b. All women >40yo should have mammo on annual basis
c. Mammo should be done annually for all women of child-bearing age
d. Mammos should be performed annually after initial pregnancy, especially if women
doesn't breastfeed - ansb
Which would be considered normal surface characteristic of the cervix during a speculum
exam?
a. Small, yellow, raised around area on cervix
b. Friable, bleeding tissue opening of the cervical os
c. Red patch areas w/occasional white spots
d. Irregular, granular surface w/red patches - ansa
What is the most common cause of dysfunctional uterine bleeding?
a. Endocrine disorders
b. Stress
c. Anovulation
d. Anatomical abnormality - ansc
PMS occurs with greatest frequency and severity in the:
a. Late luteal phase
b. Midfollicular phase
c. Proliferative phase
d. Early luteal phase - ansa
Which is not a common cause of irregular menstrual bleeding?
a. Endocrine disorders
b. Stress
c. Anovulation
d. Anatomical abnormality - ansc
What is considered the primary etiology of primary dysmenorrhea?
a. Ovarian cysts
b. Prostaglandin production
c. Endometriosis
d. Adenomyosis - ansb
28yo female c/o breast tenderness, fatigue, abd bloating, fluid retention, irritability 1wk
before her menses onset. What is most important info to obtain from this pt to determine if
the pt has PMS?
