NR602 FINAL EXAM 2022 – 100% CORRECT AND VERIFIED

Examination For NR602 FINAL EXAM 2022 – 100% CORRECT AND VERIFIED

NR 602 / NR602 FINAL EXAM 2022 – 100% CORRECT AND VERIFIED Which one greatest describes lesions related to condyloma acuminatum? a. Verruciform b. Plaque-like c. Vesicular d. Bullous ANS – a 39yo feminine has accomplished course of amox for strep throat. LMP was 2wks in the past, says it was regular. On examination, there’s erythema of extern. genitalia w/small quantity of white discharge. Micro moist prep reveals few clue cells, however many budding hyphae. No WBCs. Which one could be essentially the most acceptable remedy? a. Metronidazole 500mg BID x7 days b. OTC hydrocortisone 1% cream TID c. Fluconazole tabs 150mg x1 dose d. Erythromycin 500mg TID x10 days ANS – c Girl c/o vaginal itching, white discharge. She is in good well being apart from current abx for strep throat. Pelvic reveals tender vulvovaginal space w/edema and nonmalodorous white patches. Which is the most certainly trigger? a. Bacterial vaginosis b. Trichomonas c. Lactobacillus overgrowth d. Candidiasis ANS – d 18yo feminine c/o secondary amenorrhea. On examination, there may be regular secondary intercourse traits and regular genitalia. Being pregnant is dominated out. What would necessitate additional eval? a. Elevated blood levels of cholesterol b. Androgen deficiency c. Galactorrhea d. Hirsutism ANS – c 24yo feminine is dx’d w/major dysmenorrhea. Which med could be used as first-line to assist management signs? a. Antianxiety meds b. Progesterone-only contraception c. Oral steroids d. NSAIDs ANS – d Main amenorrhea is greatest described as: a. Cessation of menstruation x6mo b. Failure of menstruation to happen by 17ho c. Failure of menstruation to happen by 13yo d. Cessation of menstruation x6mo after menarche ANS – c 25yo feminine c/o vaginal irritation and discharge. On examination, cervix is well friable and erythematous. No adnexal tenderness. Moist prep reveals cell protozoa on NS slide. This most certainly represents: a. Trichomonas b. Mucopurulent cervicitis c. Bacterial vaginosis d. Gonorrhea ANS – a 16yo feminine has h/o secondary amenorrhea. Menarche at 10yo, common cycles x2yrs, has not menstruated x4yrs. What’s most frequent etiology of this downside? a. Consuming dysfunction b. Being pregnant c. Anovulatory cycles d. Stress ANS – a Girl is experiencing vaginal discharge. Moist mount with KOH could be used to verify: a. Herpes simplex b. Gonorrhea c. Candidiasis d. Chlamydia ANS – c Therapy choices for condyloma acuminatum embody: a. Imiquimod (Aldera) b. Azithromycin c. Acyclovir d. Metronidazole ANS – a 25yo postmenopausal feminine c/o ache in higher outer quadrant of L breast x1mo. Greatest plan of action could be: a. Reassure pt that ache is commonly not presenting symptom of breast most cancers. b. Educate pt breast self-exam. c. Order labs as most certainly that is secondary to hormonal fluctuation d. Carry out breast examination and order mammo ANS – d PID sometimes presents with the entire following besides: a. Dysuria b. Leukopenia c. Cervical movement tenderness d. Abd ache ANS – b Which of the next are of a reproductive and pelvic origin? a. Salpingo-oophoritis (fallopian tube/ovary) secondary to PID b. Gynecologic malignancy c. Adhesions d. Myomata uteri ANS – a 25yo feminine c/o tender space close to her introitus and to the L of her perineum. Very painful intercourse was first signal. Initially bump was very small, however now could be ping-pong ball dimension. On examination, abscess is current on L medial aspect of labia minora and there is edema extending into perineum. What’s dx? a. Lipoma b. Dermoid cyst c. Bartholin’s cyst d. Skene’s duct cyst ANS – c 49yo feminine c/o darkish, watery brown vaginal discharge. Which greatest describes what could be seen on bodily examination in pt’s with cervical most cancers? a. Ulcerated agency cervix b. Imprecise decrease abd ache c. Enlarged tender femoral lymph nodes d. Comfortable, nonetheless formed cervix ANS – a 22yo feminine c/o pelvic ache. Examination reveals cervical movement and uterine tenderness. Which helps PID dx? a. Temp <100F b. Absence of WBCs in vag fluid c. Mucopurulent vag discharge d. Lab documentation of cervical an infection w/E. coli ANS – c When educating pt about rationale for getting mammo, which assertion is fake? a. Mammo is cost-effective methodology to display for breast most cancers b. Mammo detects all breast cancers c. Mammo must be accompanied by breast examination d. Damaging mammo shouldn’t delay biopsy of clinically suspicious mass ANS – b When educating girls about breast most cancers danger components, which assertion is inaccurate? a. Being pregnant after 35yo b. Late menopause after 57yo c. Fibrocystic breast dz d. H/o maternal breast most cancers ANS – c Which of the next statements is correct relating to the usefulness of mammo in screening and detection of breast most cancers? a. Mammo should not be executed if there may be any breast ache or nipple retraction b. All girls >40yo ought to have mammo on annual foundation c. Mammo must be executed yearly for all girls of child-bearing age d. Mammos must be carried out yearly after preliminary being pregnant, particularly if girls would not breastfeed ANS – b Which might be thought-about regular floor attribute of the cervix throughout a speculum examination? a. Small, yellow, raised round space on cervix b. Friable, bleeding tissue opening of the cervical os c. Purple patch areas w/occasional white spots d. Irregular, granular floor w/crimson patches ANS – a What’s the commonest reason behind dysfunctional uterine bleeding? a. Endocrine issues b. Stress c. Anovulation d. Anatomical abnormality ANS – c PMS happens with biggest frequency and severity within the: a. Late luteal section b. Midfollicular section c. Proliferative section d. Early luteal section ANS – a Which isn’t a standard reason behind irregular menstrual bleeding? a. Endocrine issues b. Stress c. Anovulation d. Anatomical abnormality ANS – c What is taken into account the first etiology of major dysmenorrhea? a. Ovarian cysts b. Prostaglandin manufacturing c. Endometriosis d. Adenomyosis ANS – b 28yo feminine c/o breast tenderness, fatigue, abd bloating, fluid retention, irritability 1wk earlier than her menses onset. What’s most essential information to acquire from this pt to find out if the pt has PMS? a. Severity of signs b. Prevalence of signs in menstrual cycle c. Frequency and variety of signs over previous 4mo ANS – b 35yo lady c/o 6mo h/o hypermenorrhea, backache, pelvic strain. On examination, you uncover 12wk dimension uterus w/irregular contour. What does this signify? a. Uterine most cancers b. Dysfunctional uterine bleeding c. Uterine fibroid d. Fecal impaction ANS – c Feminine c/o vaginal itching and white discharge. Denies sexual exercise or douching. In good well being apart from recurrent strep throat. Pelvic reveals tender vulvovag space w/edema and white patches. No odor. What’s the most certainly trigger? a. Bacterial vaginosis b. DM c. Allergy to private hygiene product d. Candidiasis after abx remedy ANS – d 32yo lady c/o postcoital bleeding. Which might not be included within the preliminary evaluation? a. Pap smear b. Uterine biopsy c. Pelvic ultrasound d. CBC w/diff ANS – b What section of menstrual cycle begins with menses cessation and ends w/ovulation? a. Ovulatory section b. Follicular section c. Proliferative section d. Luteal section ANS – b What section of menstrual cycle begins with ovulation and ends w/menstruation? a. Ovulatory section b. Follicular section c. Proliferative section d. Luteal section ANS – c Identify 4 structural abnormalities which can be causes of dysfunctional uterine bleeding. ANS – PALM: Polyps Adenomyosis Leiomyoma Malignancy Identify 5 non-structural abnormalities which can be causes of dysfunctional uterine bleeding. ANS – COEIN: Coagulopathy Ovulatory issues Endometrial Iatrogenic Not categorized What’s irregular/dysfunctional uterine bleeding? ANS – Acute or power bleeding from uterine corpus; irregular in regularity, quantity, frequency, or length; happens in being pregnant absence. What’s acute DUB? ANS – Episode of ample amount to require instant intervention to stop additional blood loss What’s power DUB? ANS – Current for almost all of the final 6mo What’s the commonest benign tumor of the genital tract? ANS – Leiomyomas? (Hollier CPG p. 772) Identify some danger components for DUB. ANS – Anovulation Hormone alternative anovulation Weight problems Nulliparity >35yo DM Private/fam h/o coagulation dysfunction Liver dysfunction Anticoagulant remedy/chemo What are some subjective findings for DUB? ANS – Heavy bleeding Bleeding >7 days Cycles nearer than 21 days Ache Submit-coital bleeding Passing clots/tissue Dizziness Sizzling flashes Temp intolerance Uterine/cervical tenderness What are some goal findings for DUB? ANS – Extreme bleeding on examination Hypotension Tachycardia Diaphoresis Vag atrophy Mass Trauma Enlarged uterus/adnexa Hirsutism Thyromegaly Bruising Galactorrhea What are some diff dx’s for DUB? ANS – PALM-COEIN Traumatic damage Being pregnant-related bleeding (ectopic, SAB, placenta previa/abruptio)