2025 nr 602 final exam 349 Questions With Detailed
Answers
PID - ANSWER-pelvic inflammatory disease
endometriosis
salpingitis
tube ovarian abscess
pelvic peritonitis
organism N gonorrhea and C trachomatis
Dx of PID - ANSWER-clinical dx confirmed by CMT, uterine tenderness, or adnexal tenderness
NAAT from cervical swab determines pathogen
definitive dx laparoscopy.
Prevention of PID - ANSWER-treat for chlamydia and gonorrhea
abstain from intercourse during treatment
S/S of PID - ANSWER-abdominal pain and pelvic pain
purulent vaginal discharge
,nausea
HA
hypoactive bowel sounds
extreme tenderness with bimanual
cervical motion tenderness
uterine tenderness
adnexal tenderness
Labs for PID - ANSWER-leuks, ESR/CRP, trasvaginal sonography/ MRI
tubal hyperemia
complications of PID - ANSWER-peritonitis, adhesions, bacteremia, infertility
ASCCP recommended management for an ASCUS pap result with high risk hpv 16 cotest in 26
year old no abnormal paps - ANSWER-colposcopy
What is included in the well women of an adolescent? - ANSWER-health history
menses
gynecologic and pregnancy issues
psychosocial
abuse drugs alcohol use
physical exam
screening tests
immunizations
,When does ACOG pap smear start - ANSWER-21 years old done every three years
ACOG pap for over 30 yrs old - ANSWER-every five years with HPV test completed
ACOG when can you stop pap smear - ANSWER-can stop at 65 if negative history for 10 years or
if they had a hysterectomy with no history of cervical cancer
Bethesda pap smear report reads LSIL is what classification? - ANSWER-CIN 1
A single Pap smear reading of ASCUS in a patient negative for HPV infection should have what as
follow-up? - ANSWER-routine screening
a female patient is 35 years old. she has never had an abnormal PAP smear has regular
screening since age 18. If she has a normal PAP smear with HPV testing today, when should she
have the next cervical cancer screening? - ANSWER-5 years
A young sexually active is having her first pap smear what would you explain? - ANSWER-pap
smear detects cervical cancer
26 year old pap smear shows negative and positive HPV what do you do? - ANSWER-repeat HPV
and pap
what is not part of criteria for older women to cease pap smears? - ANSWER-over 55 year old
no menarche in a 15 year old with no medical problems and Tanner stage 1 with a uterus -
ANSWER-primary amenorrhea
No menses for at least 6 months - ANSWER-secondary amenorrhea
, female athlete triad - ANSWER-disordered eating, amenorrhea, osteoporosis
labs for female athlete triad - ANSWER-HCG
serum prolactin
serum TSH,FSH, LH
if amenorhea lasts longer than 6 months do what? - ANSWER-bone density test
treatment plan for female athlete triad - ANSWER-increase caloric intake, decrease exercise
prescribe ca and vit d 1200/1500 daily and vitamin e 400 iu daily
complications of female athlete triad - ANSWER-osteopenia/osteoporosis (stress fracture)
myocardial atrophy, arrhythmia, hypotension, brady
hypoglycemia, dehydration, electrolytes
lanugo, telogen effluvium hair loss zerosis dry skin, infertility, low body mass, cachexia,
respiratory failure
purpose of progesterone challenge - ANSWER-endogenous estrogen
primary and secondary amenorrhea originates in hypothalamus - ANSWER-sheehans syndrome
symptoms of breast cancer ( early) - ANSWER-None
Non-painful mass (occasionally pain)
Eczematous nipple (Paget's)
Serosanguinous (bloody) nipple discharge
Answers
PID - ANSWER-pelvic inflammatory disease
endometriosis
salpingitis
tube ovarian abscess
pelvic peritonitis
organism N gonorrhea and C trachomatis
Dx of PID - ANSWER-clinical dx confirmed by CMT, uterine tenderness, or adnexal tenderness
NAAT from cervical swab determines pathogen
definitive dx laparoscopy.
Prevention of PID - ANSWER-treat for chlamydia and gonorrhea
abstain from intercourse during treatment
S/S of PID - ANSWER-abdominal pain and pelvic pain
purulent vaginal discharge
,nausea
HA
hypoactive bowel sounds
extreme tenderness with bimanual
cervical motion tenderness
uterine tenderness
adnexal tenderness
Labs for PID - ANSWER-leuks, ESR/CRP, trasvaginal sonography/ MRI
tubal hyperemia
complications of PID - ANSWER-peritonitis, adhesions, bacteremia, infertility
ASCCP recommended management for an ASCUS pap result with high risk hpv 16 cotest in 26
year old no abnormal paps - ANSWER-colposcopy
What is included in the well women of an adolescent? - ANSWER-health history
menses
gynecologic and pregnancy issues
psychosocial
abuse drugs alcohol use
physical exam
screening tests
immunizations
,When does ACOG pap smear start - ANSWER-21 years old done every three years
ACOG pap for over 30 yrs old - ANSWER-every five years with HPV test completed
ACOG when can you stop pap smear - ANSWER-can stop at 65 if negative history for 10 years or
if they had a hysterectomy with no history of cervical cancer
Bethesda pap smear report reads LSIL is what classification? - ANSWER-CIN 1
A single Pap smear reading of ASCUS in a patient negative for HPV infection should have what as
follow-up? - ANSWER-routine screening
a female patient is 35 years old. she has never had an abnormal PAP smear has regular
screening since age 18. If she has a normal PAP smear with HPV testing today, when should she
have the next cervical cancer screening? - ANSWER-5 years
A young sexually active is having her first pap smear what would you explain? - ANSWER-pap
smear detects cervical cancer
26 year old pap smear shows negative and positive HPV what do you do? - ANSWER-repeat HPV
and pap
what is not part of criteria for older women to cease pap smears? - ANSWER-over 55 year old
no menarche in a 15 year old with no medical problems and Tanner stage 1 with a uterus -
ANSWER-primary amenorrhea
No menses for at least 6 months - ANSWER-secondary amenorrhea
, female athlete triad - ANSWER-disordered eating, amenorrhea, osteoporosis
labs for female athlete triad - ANSWER-HCG
serum prolactin
serum TSH,FSH, LH
if amenorhea lasts longer than 6 months do what? - ANSWER-bone density test
treatment plan for female athlete triad - ANSWER-increase caloric intake, decrease exercise
prescribe ca and vit d 1200/1500 daily and vitamin e 400 iu daily
complications of female athlete triad - ANSWER-osteopenia/osteoporosis (stress fracture)
myocardial atrophy, arrhythmia, hypotension, brady
hypoglycemia, dehydration, electrolytes
lanugo, telogen effluvium hair loss zerosis dry skin, infertility, low body mass, cachexia,
respiratory failure
purpose of progesterone challenge - ANSWER-endogenous estrogen
primary and secondary amenorrhea originates in hypothalamus - ANSWER-sheehans syndrome
symptoms of breast cancer ( early) - ANSWER-None
Non-painful mass (occasionally pain)
Eczematous nipple (Paget's)
Serosanguinous (bloody) nipple discharge
