Download APEA 3P Exam Prep 1: Women's Health Questions with Verified Answers and more Exams Nursing in PDF only on Docsity!
APEA 3P EXAM PREP1 WOMEN
HEALTH QUESTIONS WITH VERIFIED
ANSWERS AND EXPLANATION
A 54 -y ear-old female presents with a small tomoderate amount of vaginal bleedingof recent onset. She has been postmenopausal for approximately 2 years. What diagnosis is least likely? Endometrial carcinoma Ovarian cancer Endometrial hyperplasia Uterine polyps B. Ovarian cancer may present as an adnexal mass, pelvic or abdominal symptoms and a variety of others.
Postmenopausal bleeding (PMB) is an uncommon presentation of ovarian cancer, but can present this way. In women with PMB, likely causes of uterine pathology should be evaluated before considering ovarian pathology. In early menopause, the most common etiology is atrophy of the endometrium or vaginal mucosa. This patient has been postmenopausal for approximately 2 years. Other common causes of PMB are polyps, fibroids, and endometrial hyperplasia. Three of the following interventions areappropriately used toprevent osteoporosis after menopause. Which one is NOT? Avoidance ofcorticosteroids Performance of weight-bearing activities for 40 mins atleast 5 days/week Estrogen replacement therapy Adequate calcium &
48 hours 36 hours 1 wee k B.
The general recommendation is toavoid these activities and any vaginal medication for 48 hours prior to thePAP smear. Douching and tampon use can remove superficial cells, which are the ones collected and usedas representative samples on PAPsmear. Sexual intercourse should be avoided because there canbe specimen contamination bythe male partner. With vaginal medications or creams, either can serve as a barrierto epithelial cell sampling. When collecting cervical cells for a PAP smear, when are the endocervical cells typically collected? After the ectocervical specimen with a broom After the ectocervical specimen with a brush Before the ectocervical specimen with a broom Before the ectocervical specimen with a brush B.
supplementation 30 minutes of regular exercise daily B. NSAIDs and hormonal contraceptives represent the mainstay ofpharmacologic treatment for dysmenorrhea. NSAIDs produce an 80 - 86% response ratewhen used for dysmenorrhea. The general recommendation isthat when one agent (NSAIDs orhormonal contraceptives) does not produce relief ofsymptoms, the other agent
should be tried. Hence, the best choice isoral contraceptives. Both agents should be considered for women who aresymptomatic with one agent only.
She has no associated lymphadenopathy and there is no nipple discharge. How should she be managed? Mammogram Ultrasound and mammogram
Re-examination after her next menses Clinical exam only C. Women who are younger than age 35 years and who have no associated suspicious findings ofbreast cancer should delay imaging studies until re-examination 3- 10 days after the last menstrual period todetermine whether the lump changes in sizeor becomes nonpalpable. If there areassociated suspicious findings on exam, such aspalpable nodes, a large lump (>2.0 cm), or nipple discharge, diagnostic evaluation should not be delayed. If management involved a return visit for re- examination after menses, and the lump isunchanged, ultrasound is certainly advised. Mammogram maynot yield good information in a 28 -year-old because ofthe density of the breast tissue. Baseline mammogrammay be advised, and direction from a radiologist or breast surgeon could besought. A definitive diagnosis of osteoporosis can be made when:
and itching. Besides trichomoniasis and yeast, what else should be includedin the differential? Bacterial vaginosis Chlamydia Herpes genitalis Syphilis A.
The most common cause of vaginal discharge inwomen of child-bearing age isbacterial vaginosis. The most common presentation is a complaint ofvaginal discharge with a fishy odor, most noticeable after sexual intercourse. Chlamydia can produce a discharge but it is not reported as pruritic. Herpes can produce a discharge, but it is typically associated with burning, not itching. Syphilis produces a lesion. Clue cells arefound in patients who have: leukemia. bacterial vaginosis. epidermal fungal infections. pneumonia. B. The hallmark finding in a patient with bacterial vaginosis
