NR602 FINAL EXAM QUESTIONS AND
ANSWERS 2025
ASCCP recommended management for an ASCUS pap result
with high risk hpv 16 cotest in 26 year old no abnormal paps -
correct answer- colposcopy
What is included in the well women of an adolescent? - correct
answer- health history
menses
gynecologic and pregnancy issues
psychosocial
abuse drugs alcohol use
physical exam
screening tests
immunizations
When does ACOG pap smear start - correct answer- 21 years
old done every three years
ACOG pap for over 30 yrs old - correct answer- every five
years with HPV test completed
,2 | Page
ACOG when can you stop pap smear - correct 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? -
correct answer- CIN 1
A single Pap smear reading of ASCUS in a patient negative for
HPV infection should have what as follow-up? - correct 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? - correct
answer- 5 years
A young sexually active is having her first pap smear what
would you explain? - correct answer- pap smear detects
cervical cancer
,3 | Page
26 year old pap smear shows negative and positive HPV what
do you do? - correct answer- repeat HPV and pap
what is not part of criteria for older women to cease pap
smears? - correct answer- over 55 year old
no menarche in a 15 year old with no medical problems and
Tanner stage 1 with a uterus - correct answer- primary
amenorrhea
No menses for at least 6 months - correct answer- secondary
amenorrhea
female athlete triad - correct answer- disordered eating,
amenorrhea, osteoporosis
labs for female athlete triad - correct answer- HCG
serum prolactin
serum TSH,FSH, LH
, 4 | Page
if amenorhea lasts longer than 6 months do what? - correct
answer- bone density test
treatment plan for female athlete triad - correct 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 - correct 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 - correct answer-
endogenous estrogen
primary and secondary amenorrhea originates in hypothalamus
- correct answer- sheehans syndrome
symptoms of breast cancer ( early) - correct answer- None