Medical Concepts and Terminology, Exams of Advanced Education

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WHNP NCC Exam 5 Questions With

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Ai 24 iyearioldiwomanicomesiiniforievaluationibecauseiofidarkeningiofiher inipplesiandiincreasedibreastisensitivity.iTheiNPiordersiwhatitest? a)ibetaiHCG b)iserumiprolactin c)itestosteroneileveli-iCorrectiAnswer-BetaiHCG NOBipatientihasicysticifibrosis.iTheifetusiisiatiriskifor... a)igrowthirestriction b)irespiratoryifailure c)ipulmonaryihypoplasiai-iCorrectiAnswer- Growthirestrictioni(d/tilackiofioxygeni&ipooridietaryiintake) PatienticomplainsiofiRUQPithatiradiatesitoiscapula.iTheiNPisuspects? a)icholelithiasis b)ipancreatitis c)iduodenaliulceri-iCorrectiAnswer-Cholelithiasisi-iradiatesitoiscapula Whatihormoneiisiresponsibleiforibreastichangesiinipregnancy?

a)iestrogen b)iprogesterone c)iHCGi-iCorrectiAnswer-Estrogen DuringiPE,iyouipalpateiainoduleiinitheiposterioricul-de- sac,ithisimakesiyouisuspiciousifor... a)iendometriosis b)iadenomyosis c)iadhesioni-iCorrectiAnswer-Endometriosis-inodule,iposterioricul-de- sac Spermatoceleiisidefinedias: a)ipainlessicysticimassilocatedisuperioritoitestes b)imassibetweenitheilayersiofitheiscrotalisacithatisurroundsitestes c)iaipalpablei"bagiofiworms"i-iCorrectiAnswer- Painlessicysticimassilocatedisuperioritoitestes Havingiaiwomaniraiseiheriarmsiduringiaibreastiexamiwillihelp... a)idiscernisymmetry b)iobserveiforiretraction c)iseeibreastilumpi-iCorrectiAnswer-Observeiforiretraction- icheckiforidimpling

BetaiHCGishouldiapproximatelyi_____ieveryi 48 ihours? a)irisei25% b)irisei50% c)irisei75%i-iCorrectiAnswer-50% Ai 6 iweekinewlyipregnantipatientihasianiHCGiofi120,000,ithisiindicatesiw hat? a)iectopicipregnancy b)imolaripregnancy c)ifetalidemisei-iCorrectiAnswer-Molaripregnancy Itiisicommonitoiorderiaireticulateicountifor... a)isickleicell b)itreatmentiforianemia c)iironioverloadi-iCorrectiAnswer-Txiofianemia- i 4 iweeksiafteristartingiiron 1 - houriGTTiisi161,iwhat'siyourinextistep? a)inothin,ithisiisinormal b)iorderiai 3 - houriGTT c)iorderiaiHgbA1Ci-iCorrectiAnswer- 3 - houriGTTi(130-145) Theimostiaccurateitoolitoievaluateitheiendometriumiis...

a)iEMB b)iD&C c)iSonogrami-iCorrectiAnswer-D&Ci(goldistandarditoidiagnose) Treatmentiforisyphilisiis... a)iPCN b)iErythromycini c)iZithromaxi-iCorrectiAnswer-PCN D-dimeriisiuseditoidiagnose....i-iCorrectiAnswer-DVT Aifirmimobileibreastimassiififoundioniexamiiniai 40 iyeariold.iWhatiisitheifi rstistep? a)iorderisonogram b)iorderibx c)iorderimammogrami-iCorrectiAnswer-Mammogram Typei 2 iDMiisicharacterizedibyiinsuliniresistanceiand... a)idecreasediinsuliniproduction b)idefectionsiiniinsulinisecretion c)ilowipancreaticibetaicellireservei-iCorrectiAnswer- Defectionsiiniinsulinisecretion

Epigastricipainiisiaihallmarkifor... a)iGIibleed b)iPepticiulcer c)iDuodenaliulceri-iCorrectiAnswer-pepticiulcer Nasalicongestion,ipostnasalidrip,iheadache,ifever,iandiyellowigreeninas alidischargeiareicharacteristicsiof... a)isinusitisi b)irhinitis c)iallergiesi-iCorrectiAnswer-sinusitis Aisigniofiexcessiinsuliniis.... a)iShakinessi&idiaphoresisi b)inauseai&iheadache c)idryimouth,ifruityibreathi-iCorrectiAnswer-shakinessi&idiaphoresis Gravesidiseaseiis... a)ianiautoimmuneidisorderi b)iindicationiofihypothyroidism c)icausesibradycardiai-iCorrectiAnswer-autoimmuneidisorder Alternatingiboutsioficonstipationiandidiarrheaiareisignsiof....

a)iIBS b)iCrohn'sidisease c)iulcerativeicolitisi-iCorrectiAnswer-IBS Thisipictureirepresents....i-iCorrectiAnswer-Shingles Aihemorrhoidiisidilatedivaricoseiveinithatidevelopsifromipersistentiveno us... a)istasisi b)ipressure c)icongestioni-iCorrectiAnswer-Pressure Exerciseiimpactsihealthiby... a)idecreasesiosteoblastiactivityi b)iimprovesimineralicontenti c)ireducesiboneiabsorptioni-iCorrectiAnswer- Improvesimineralicontenti&...iincreasesiosteoblastiactivity,i&iincreasesi boneiabsorption Whichiwouldinotibeianioptioniforiaiwomaniwithivaginalidrynessiwithianii ntactiuterus... a)iEstrogenicream b)iFemring

c)iE-Stringi-iCorrectiAnswer-Eistring-iBecauseisheineedsiprogesterone Boneilossiisiaffectedimostlyiby a)iweight b)idiet c)iagei-iCorrectiAnswer-Age Symptomaticifibroidsiareirelatedito... a)isize b)inumber c)ilocationi-iCorrectiAnswer-Location ACOGirecommendsifirstipapismeariscreeningibasedion... a)iAgeiofi1stiintercourse b)iAge c)ihxiofiSTIi-iCorrectiAnswer-Age Theilengthiofiaimenstrualicycleiisiaffectediby....i-iCorrectiAnswer- Follicular (Lutealiisiconstant) Nightisweatsiisiaisigniof...i-iCorrectiAnswer- Vasomotoriinstabilityi(decreasediestrogeniandiincreasediFSH)

Phiofivaginaiduringimenopauseidoesiwhat....i-iCorrectiAnswer-increases Endometriosisiisiconfirmediby...i-iCorrectiAnswer-laparoscopy Womeniwithiaigreateririskiforiendometrialicancerihave....i- iCorrectiAnswer-prolongediunopposediestrogen Chroniciovulationicauses....i-iCorrectiAnswer-AUB WhatiisiassociatediwithiBV...i-iCorrectiAnswer-decreaseiinilactobacilli Womeniwhoiareihyperandrogenicihave....i-iCorrectiAnswer- increaseiinitestosterone Vaginaliatrophyiisicausediby....i-iCorrectiAnswer-lackioficellulariglycogen GnRHipulsationiisir/tiFSH/menstrualicycle- icellulariturnoveribecauseiofiglycogen Chancroidiappearsiinihigheriratesiiniwomeniwithiaihxiof...i- iCorrectiAnswer-multipleipartners Symptomsiofichancroidiare...i-iCorrectiAnswer-painful,iredibumps

WithiextendediCOCiuse,iyouripatientimayiexperience...i- iCorrectiAnswer-breastitenderness Continuousibirthicontrolipillsihelpiwith...i-iCorrectiAnswer- improvesihirsutism Aisigniofidisseminatedigonorrheaiis....i-iCorrectiAnswer-swollenijoints Detrusorioveractivityiisitheimainicauseiof....i-iCorrectiAnswer- urgeiincontinence Aisolidiroundirubberyibreastimassiis...i-iCorrectiAnswer-fibroadenoma Ai 32 iyearioldiwithiunscheduledibleedingioniCOCsishouldibeievaluatedifo r...i-iCorrectiAnswer-STDs AiCA- 125 iisiuseditoievaluatei-iCorrectiAnswer-monitori(Ovarian)iCancer IfitheipatientihasiTrichionitheiwetiprep,itheinextistepiis....i- iCorrectiAnswer-ScreeniforiotheriSTDs Itiisicommoniforifollicularicystsito...i-iCorrectiAnswer- causeichangeiiniaimenstrualicycle

Aiyellowigreenidischargeiis....i-iCorrectiAnswer-Trich TheidrugiknownitoichangeitheieffectivenessiofiCOCs...i-iCorrectiAnswer- St.iJohn'siWart Theimosticommoniformiofibirthicontroliis...i-iCorrectiAnswer- Sterilization Whatiisitrueiregardingipremenstrualisymptoms?i-iCorrectiAnswer- Typicallyibeginitheiweekiprioritoimensesiandiresolveicompletelyiatitheio nsetiofibleeding.iTheyiareicycliciandiNOTivariable.iTheyioccurimonthly. WhatiisitheifirstipharmacologyichoiceiforiPMDi-iCorrectiAnswer-SSRIs Transientiincreaseiiniinfectioniratesioccursiinitheifirsti 20 idaysiafteriIUDii nsertion,itrueiorifalse?i-iCorrectiAnswer-True ECPiisieffectiupitoihowimanyihours?i-iCorrectiAnswer- 120 Whatiisitheimostieffectiveiemergencyicontraceptive?i-iCorrectiAnswer- CopperiIUD

emergencyicontraceptivesicanihardiaifetusiifitheipatientibecomesipregn antiafteritakingiit,itrueiorifalse?i-iCorrectiAnswer-False DepoiProveraiisiFDAiapprovediforitreatmentiofiendometriosis,itrueiorifa lse?i-iCorrectiAnswer-True IfiwomeniareigiveniDepoiofficycle,iwhatiisitheilengthiofitimeisheishouldiu seibackupimethods?i-iCorrectiAnswer- 7 idays DoneimineralidensityireversesiafteriDMPAidiscontinuation,itrueiorifalse ?i-iCorrectiAnswer-True WhichiisinotiainoncontraceptiveibenefitiofiDepo?i-iCorrectiAnswer- Itiincreasesitheiriskiofiendometrialicancer-iFALSE isireducesiseizuresiwithiepilepsyipatients Itireducesisickleicellicrisis MosticommonisideieffectiofiNexplanon?i-iCorrectiAnswer- unscheduledibleeding-iwillistabalizeiafteri 3 imonths ItitakesihowimanyimonthsiforifertilityitoireturniafteriDepo?i- iCorrectiAnswer- 9 - 10 imonths

Cayaiisiainonlatexidiaphragmithatidoesinotineedianyifitting,itrueiorifalse ?i-iCorrectiAnswer-True DiaphragmiusersihaveinoiincreasediriskiforiUTIs,itrueiorifalse?i- iCorrectiAnswer-False Whichiuterusipositioniisiaiproblemiforidiaphragmiuse?i-iCorrectiAnswer- Retroverted Theithyroidiwilliincreaseiinisizeiduringipregnancyidueitoiwhichihormone ?i-iCorrectiAnswer-HCG- iitimimicsiFT4.iTSHiisidecreasediduringipregnancy Theiovaryiproducesiprogesteroneiuntilitheiplacentaimatures,itrueiorifals e?i-iCorrectiAnswer-True Whereiisitheifundusiati20,i16,iandi 12 iweeks?i-iCorrectiAnswer- Ati 12 iitiisijustiaboveisymphysisipubis Ati 16 iitiisihalfiwayifromisymphysisipubiciandiumbilical Ati 20 iitiisiatiumbilicus Oxygen- enrichedibloodiflowsibackithroughitheiumbilicaliveinitoitheifetus,itrueior ifalse?i-iCorrectiAnswer-True

Physiologicalianemiaiinipregnancyiisitheiresultiof?i-iCorrectiAnswer- Increaseiiniplasma Theigrowingiuterusiputsipressureionitheibladder,iproducingiurinaryifreq uencyiuntiliwhatigestationaliage?i-iCorrectiAnswer- 14 iweeks Whatiisitheimosticommoniemotionalifeelingiatitheibeginningiofipregnan cy?i-iCorrectiAnswer-Ambivalence-iAimixtureiofifeelings Whatipressureiinterferesiwithireturningibloodiflowiandiproducesimarke didecreaseiiniBPiwithidizziness,ipallor,iandiclamminess?i- iCorrectiAnswer-VenaiCavaiSyndrome Theicircumferenceiofitheichestidecreasesibyiasimuchiasi 6 icmiandidiaphra gmielevatesiinipregnancy,itrueiorifalse?i-iCorrectiAnswer- True.iTheicircumferenceiincreases Whichihormoneicausesinasalistuffinessiandinoseibleedsiinipregnancy?i- iCorrectiAnswer-progesterone Womeniareimoreiproneitoibloodiclotsiinipregnancyi-iCorrectiAnswer- True

Cholesterolilevelsishouldibeicheckediinipregnancyiisitheipatientihasiaihxi ofidyslipidemia,itrueiorifalse?i-iCorrectiAnswer-False- iitiwilliincreaseiwithipregnancy,iNoiLipitoriduringipregnancy! Whativaccinesicanibeigivenisafelyiduringipregnancy?i-iCorrectiAnswer- Flu,iTdap,iModerna Ifibothiparentsiareirhinegative,itheibabyiwillibe?i-iCorrectiAnswer- rhinegative accelerationsiandidecelerationsionitheifetaliheartirateimonitoriareibase dionitheirirelationshipito...i-iCorrectiAnswer-fetaliheartibaseline Aniincreaseiininuchalitranslucencyiindicates?i-iCorrectiAnswer- increaseiinichromosomalianomaly AiGBSicultureiwasiobtainediati 35 iweeks,iwhenishouldiitibeirepeated?i- iCorrectiAnswer-Theseiareigoodifori 5 iweeks,isoirptiati 41 iweeks. Whatiisianiincreasediriskiforiplacentaiaccreta?i-iCorrectiAnswer- previousic/s Gestationalidiabetesiincreasesiaiwoman'silikelihooditoidevelopitypei 2 iD M,itrueiorifalse?i-iCorrectiAnswer-True-i80%,isoicheckieveryi 3 iyears

AlliHPVilesionsishouldibeitreatediinipregnancy?i-iCorrectiAnswer-False CaniuseiTCAitoitreat. Antiretroviralitxishouldibeginiatiwhatigestationaliage?i-iCorrectiAnswer- 36 iweeks Aipregnantipatientiisispotting,inoipainiati 7 iweeks,itheinextistepiis?i- iCorrectiAnswer-Scheduleiforiaisonoiandireassure- iDOiNOTisenditoiERiunlessipain Theipathophysiologyiofipreeclampsiaiis...i-iCorrectiAnswer-vasospasm PPidepressionicanioccurihowilongiafteridelivery?i-iCorrectiAnswer- 1 iyear Whichiimmunoglobiniisitransferrediinibreastimilk?i-iCorrectiAnswer-IGA IGG-throughiplacenta IGM-inoicrossingifromiplacenta,ibutisynthesisibeginsiiniearlyigestationi IGE- iinismalliamountsiofiserumiandisecretions,imajoriforiallergicireactions Whatiisitypicalioficandidaiofitheibreastiwithibreastifeeding?i- iCorrectiAnswer-Pain

Whatiisitheitreatmentiforibreasticandidai-iCorrectiAnswer- Fluconazolei(Diflucan)i400mgiloadingidose,itheni200mg/dayifori 14 idaysi TREATibabyiTOO! Theipatientireturnsi 4 idaysiafteribeingitreatediforimastitis,iandihasiaitend eribreastimass,iwhatiisiyourinextistep?i-iCorrectiAnswer- Orderisonogram Whatiisipolypharmacy?i-iCorrectiAnswer-useiofimultipleimedications Whatiisibioavailability?i-iCorrectiAnswer- Fractioniofiadministeredidrugithatireachesisiteiofiactionioridrug'siintend editargets Ifithereiisiailiver/kidneyidysfunction,itheihalfilifeiofiaidrugiwouldibe...i- iCorrectiAnswer-Prolonged Halfilife...i-iCorrectiAnswer- lengthiofitimeiforitheiconcentrationiofitheidrugitoidecreaseibyihalf 100mgiwithihalfilifeiofi 15 imin 15 imin-i 50 imgiisileft 30 imin-i 25 imgiisileft

DefineiDistrubutioni-iCorrectiAnswer- Movementiofidrugiintoibodyifluidsianditissuesi Influencediby:ibloodibrainibarrier,iplacentaibarrier,ihalfilife,ivolumeidist ribution,ipermeabilityioficapillariesianditissues,ietc. Whatiisitheitreatmentiforitrich?i-iCorrectiAnswer- metronidazolei 2 igiPOixi 1 idose treatisexipartner,iavoidisexitillicomplete Whatiisitheitreatmentiforichlamydia?i-iCorrectiAnswer- doxycyclineioriazithromycin treatmentiforisyphilisi-iCorrectiAnswer-PCNiinjection Defineibeneficencei-iCorrectiAnswer- Theiactionsioneitakesiasiaihealthcareiprofessionalishouldipromoteigood Descriptiveiresearchistudies....i-iCorrectiAnswer- describeiandiexploreiaiphenomenaiinirealisituations correlationaliresearchidesigni-iCorrectiAnswer- systematiciinvestigationiofirelationshipsibetweenitwoiorimoreivariables .idoesinotiexamineitheicauseiandieffectithough

quasi-experimentalidesigni-iCorrectiAnswer- explainsirelationshipsiandiclarifyiwhyieventsihappen,iespeciallyibetwee niindependentiandidependentivariables. experimentalidesigni-iCorrectiAnswer- providesigreatestiamountioficontrolitoiexamineiprobabilityiandicausalit yiofiindependentiandidependentivariablesitoipredictiandicontrolitheiphe nomena. Whatilabsidoiyouiorderibeforeistartingistatins?i-iCorrectiAnswer- Liverifunctionistudies Repeatiafteri 2 imonths OptimaligoaliforiHDLiis?i-iCorrectiAnswer- 50 iorihigher Desirableicholesteroliis....i-iCorrectiAnswer-< Dyslipidemiaiincreasesitheiriskifori-iCorrectiAnswer-atherosclerosis _______ipresentsitheigreatestiriskifactioniforitheidevelopmentioficoron aryiarteryidisease?i-iCorrectiAnswer-DyslipidemiaiBestianswer Obesityiandihypertensionidoialso