NURS 5333 Family 1 Test 2 – Study guide Women's
Health Only (Questions With Definite Solutions)
Primary amenorrhea Correct Answer - the failure to begin menstruating
at puberty.patient has never had a any bleeding (menses) Ever. No prior first
period. If they are 15 or 16, need to think about structural problems, missing
ovaries, etc.)chromosomal irregularities leading to primary ovarian
insufficiency (e.g., Turner syndrome) or anatomic abnormalities (e.g.,
Müllerian agenesis).
Secondary amenorrhea Correct Answer - Menstruation begins normally,
then ends before menopause.no menses for 3-6 months after the regular cycle
has been established. Cannot be classified as Secondary amenorrhea in the
first 2years of starting menarche.
Primary amenorrhea signs and symptoms are: Correct Answer - Milky
nipple discharge.
Hair loss.
Headache.
Vision changes.
Excess facial hair.
Pelvic pain.
Acne.
Secondary amenorrhea symptoms are: Correct Answer - No menses for
at least 3-6 months. Part two is that they need to have had a regular cycle
prior to this.
Secondary amenorrhea physical exam. What to look for? Correct Answer -
acne.
vaginal dryness.
deepening of the voice.
excessive or unwanted hair growth on the body.
headaches.
changes in vision.
nipple discharge.
,Labs for primary and secondary amenorrhea? Correct Answer - Primary:
?
Second: Pregnancy test. This will probably be the first test your doctor
suggests, to rule out or confirm a possible pregnancy.
Thyroid function test. ...
Ovary function test. ...
Prolactin test. ...
Male hormone test.
Pap guidelines Correct Answer - Age 21- Initiate screenings
21-29: Pap every 3 yrs, no HPV
30-65: Pap every 3 yrs, or every 5 yrs w/ HPV
65: Stop screenings if 3+ neg in a row, no CIN2+ for 20 yrs
Stop post-hysterectomy if no history of CIN2+
Bethesda classification for Pap's Correct Answer - Atypical, Low-grade,
High-grade, SCC, Glandular cell, Endocervical adenocarcinoma in situ,
Adenocarcinoma
Normal findings : No Atypia, No malignancy in PAP are: Correct Answer -
report 1 unsatifactory..repeat 2 months
Infection in pap? Correct Answer - Could be HPV, bact vag, trich, candida.
Give ABX
Reactive or reparative changes Correct Answer -
Ascus Correct Answer - Atypical Squamous cells of unknown
significance. <25 yo age repeat the pap do colposcopy> 25yoa add HPV and
positive?=colposcopy.
LSIL, HSIL Correct Answer - Low grade squamous intraepithelial lesion.
report IV. do a colposcopy. High grade intra epithelial lesion go for:
colposcopy and biopsy
LGSIL Correct Answer - low-grade squamous intraepithelial lesion
(~CIN II)
, CIN 1 Correct Answer - mild dysplasia involving the lower 1/3 of
epithelium
66% reggression
HGSIL moderate is? Correct Answer - high-grade squamous
intraepithelial lesion
(~CIN II) moderate dysplasia
CIN 3 (severe dysplasia) this is ? Correct Answer - HGSIL(high-grade
squamous intraepithelial lesion
(~CIN III)
Carcinoma in situ (CIS) Correct Answer - a malignant tumor in its
original position that has not yet disturbed or invaded the surrounding tissues
Squamous cell carcinoma (SCC) Correct Answer - skin cancer that begins
in the epidermis but may grow into deeper tissue; does not generally
metastasize to other areas of the body
Vulvovaginitis Correct Answer - inflammation of the vulva and vagina
Vulvovaginitis s/s Correct Answer -
Vulvovaginitis causes Correct Answer - yeast infections (Candida
albicans)
bacterial vaginosis
STDs trichomonas
postmenopausal atrophy
Vulvovaginitis treatment Correct Answer - • Treatment depends on the
cause
What is the treatment for BV, Candida, Trich?
Terazole (BRAND NAME )or Gynazole for yeast( candida)
150mg Diflucan BID for 1 day unless at risk for recurrent infection the 7 days
more
Health Only (Questions With Definite Solutions)
Primary amenorrhea Correct Answer - the failure to begin menstruating
at puberty.patient has never had a any bleeding (menses) Ever. No prior first
period. If they are 15 or 16, need to think about structural problems, missing
ovaries, etc.)chromosomal irregularities leading to primary ovarian
insufficiency (e.g., Turner syndrome) or anatomic abnormalities (e.g.,
Müllerian agenesis).
Secondary amenorrhea Correct Answer - Menstruation begins normally,
then ends before menopause.no menses for 3-6 months after the regular cycle
has been established. Cannot be classified as Secondary amenorrhea in the
first 2years of starting menarche.
Primary amenorrhea signs and symptoms are: Correct Answer - Milky
nipple discharge.
Hair loss.
Headache.
Vision changes.
Excess facial hair.
Pelvic pain.
Acne.
Secondary amenorrhea symptoms are: Correct Answer - No menses for
at least 3-6 months. Part two is that they need to have had a regular cycle
prior to this.
Secondary amenorrhea physical exam. What to look for? Correct Answer -
acne.
vaginal dryness.
deepening of the voice.
excessive or unwanted hair growth on the body.
headaches.
changes in vision.
nipple discharge.
,Labs for primary and secondary amenorrhea? Correct Answer - Primary:
?
Second: Pregnancy test. This will probably be the first test your doctor
suggests, to rule out or confirm a possible pregnancy.
Thyroid function test. ...
Ovary function test. ...
Prolactin test. ...
Male hormone test.
Pap guidelines Correct Answer - Age 21- Initiate screenings
21-29: Pap every 3 yrs, no HPV
30-65: Pap every 3 yrs, or every 5 yrs w/ HPV
65: Stop screenings if 3+ neg in a row, no CIN2+ for 20 yrs
Stop post-hysterectomy if no history of CIN2+
Bethesda classification for Pap's Correct Answer - Atypical, Low-grade,
High-grade, SCC, Glandular cell, Endocervical adenocarcinoma in situ,
Adenocarcinoma
Normal findings : No Atypia, No malignancy in PAP are: Correct Answer -
report 1 unsatifactory..repeat 2 months
Infection in pap? Correct Answer - Could be HPV, bact vag, trich, candida.
Give ABX
Reactive or reparative changes Correct Answer -
Ascus Correct Answer - Atypical Squamous cells of unknown
significance. <25 yo age repeat the pap do colposcopy> 25yoa add HPV and
positive?=colposcopy.
LSIL, HSIL Correct Answer - Low grade squamous intraepithelial lesion.
report IV. do a colposcopy. High grade intra epithelial lesion go for:
colposcopy and biopsy
LGSIL Correct Answer - low-grade squamous intraepithelial lesion
(~CIN II)
, CIN 1 Correct Answer - mild dysplasia involving the lower 1/3 of
epithelium
66% reggression
HGSIL moderate is? Correct Answer - high-grade squamous
intraepithelial lesion
(~CIN II) moderate dysplasia
CIN 3 (severe dysplasia) this is ? Correct Answer - HGSIL(high-grade
squamous intraepithelial lesion
(~CIN III)
Carcinoma in situ (CIS) Correct Answer - a malignant tumor in its
original position that has not yet disturbed or invaded the surrounding tissues
Squamous cell carcinoma (SCC) Correct Answer - skin cancer that begins
in the epidermis but may grow into deeper tissue; does not generally
metastasize to other areas of the body
Vulvovaginitis Correct Answer - inflammation of the vulva and vagina
Vulvovaginitis s/s Correct Answer -
Vulvovaginitis causes Correct Answer - yeast infections (Candida
albicans)
bacterial vaginosis
STDs trichomonas
postmenopausal atrophy
Vulvovaginitis treatment Correct Answer - • Treatment depends on the
cause
What is the treatment for BV, Candida, Trich?
Terazole (BRAND NAME )or Gynazole for yeast( candida)
150mg Diflucan BID for 1 day unless at risk for recurrent infection the 7 days
more
