NR 602 Final Exam (Version-2) / NR602 Week 8 Final Exam (NEW, 2021) 100 % Verified answers, Exams of Pharmacology

Download NR 602 Final Exam (Version-2) / NR602 Week 8 Final Exam (NEW, 2021) 100 % Verified answers and more Exams Pharmacology in PDF only on Docsity! NR 602 Final Exam (Version-2) / NR602 Week 8 Final Exam (NEW, 2021): Chamberlain College of Nursing (100 % Verified answers) 1. A sexually active 18-years old presents with postcoital spotting, dysuria and a yellow discharge. On exam you find her cervix is erythematous and bleeds with contact. The most likely diagnosis is a. Cervical cancer b. Chlamydia c. Primary syphilis d. Tampon injury 2. One of the leading causes of female infertility, Stein-Leventhal syndrome is a. Pelvic inflammatory disease b. Polycystic ovary disease c. Multiple sex partners d. Ectopic pregnancy syndrome 3. HIV test is indicated for a (n) a. 18-year-old female whose sex partner has a history of genital warts b. 24-year-old female with current genital warts as adjunct to routine pap test c. 30-year-old female with no history of genital warts as adjunct to routine pap test d. 67-year old female with new sex partner in past year who has history of genital warts 4. Which of the following contraceptive methods would be best for a woman with sickle cell anemia? a. Combination oral contraceptives b. Transdermal contraceptive patch c. Progestin-only contraceptives d. Female condom 5. A Patient taking metronidazole and cimetidine at the same time is at risk for: a. Bothersome side effect from the metronidazole b. Decreased effectiveness of cimetidine c. Renal impairment d. Severe disulfiram type reaction 6. A 58-year old woman complain of severe vulvular pruritis. On examination of the vulva, you note thinning of the epidermis and loss of pigmentation, as well as maculopapular lesions. You suspect the diagnosis may be a. Lichen sclerosus b. Local allergic reaction c. Lichen simplex chonicus d. Vulvodynia 7. Measuring waist circumference is most appropriate when the client’s BMI place her in which of the following categories? a. Underweight b. Normal weight c. Overweight d. Extreme obesity 8. The levonogestrel releasing IUC may be a better choice then the copper releasing IUC for a woman who: a. Has never been pregnant b. Has dysmenorrhea c. Is currently breastfeeding d. Is sure she does not want more children 9. A 30-year old is seen in your office on day 18 of her cycle for her routine annual examination. She has no complaints. Pelvic exam reveals a 9-cm firm, pelvic mass anterior to the uterus. The most likely diagnosis is a. Benign cystic teratoma b. Ectopic pregnancy c. Endometrioma d. Follicular cyst 10. First line treatment for polycystic ovary syndrome is Bilateral oophorectomy Beginning androgen therapies A combination of diet modification, weight loss, and stress managementA laparotomy with a bilateral wedge resection 11. A 45-year old female presents with complaint of lower abdominal pain with urinary urgency and frequency for the past three months. The pain is worse during sexual intercourse and relieved somewhat when she urinates. Physical exam reveals suprapubic tenderness as well as tenderness along the anterior vaginal wall and urethra. The remainder of her exam is normal. What diagnosis best fits these findings? Chronic urinary tract infection Interstitial cystitis/ painful bladder syndrome Pelvic inflammatory disease 22. USPSTF recommendations for routine breast cancer screening include: Biennial mammograms starting at age 50 Breast self-examination starting at age 21 Clinical breast examination annually starting at age 30 Discontinue mammograms at age 65 23. A 22- year old female presents with complaint of malodorous vaginal discharge and vulvar itching. On examination, a watery, yellowish-green vaginal discharge is noted, along with vulvar and vaginal erythema. The most likely findings on a wet mount examination will be: Clue cells Lactobacilli Pseudohyphae Trichomonads 24. The American cancer society recommends yearly mammogram screening beginning at age: 40 45 50 55 25. According to USPSTF recommendations, an 80 year old female should get A clinical breast examination and screening mammogram annually A clinical breast examination annually but no screening mammogram Neither a clinical breast examination nor a screening mammogram A screening mammogram biennially but no cervical breast examination 26. A 22 year old female has a Pap test report of HSIL. Recommended first stems in follow up would include: Colposcopy Co-test with Pap and HPV tests in one year Reflex HPV test now Repeat Pap test alone in six months 27. Characteristics of polycystic ovary syndrome include: Hirsutism, thinness, hypoinsulinemia Menopausal onset, vitiligo Alopecia, thinness, abdominal cramping Premenarchial onset, obesity, hyperinsulinemia 28. A 22 year old experiences six months of amenorrhea. Laboratory test results include normal prolactin and thyroid stimulating hormone and negative pregnancy test. The next action will be to: Administer a progestin challenge test Measure testosterone Order a hysterosalpingogram Order an MRI or CT scan of pituitary gland 29. A 66 year old woman with a history of pruritis presents with an ulceration of the vulva. The most likely diagnosis is: Chancroid Secondary trauma Syphilis Vulvar carcinoma 30. A 17 year old client presents at the clinic with the following reason for seeking care: “I have been sick for three days. I feel sick to my stomach and have diarrhea”. Which of the following would be the most appropriate to document as her reason for visit/ chief complaint? Flulike symptoms Gastrointestinal distress “I feel sick to my stomach and have diarrhea” Possible pregnancy, needs further evaluation 31. A 16 year old patient comes to the office because she has never had a menstrual period. She has normal breast development, scant pubic hair, and blind vaginal pouch with no palpable uterus or ovaries. The most likely diagnosis is: Androgen insensitivity/resistance syndrome Muscarian agenesis Sheehan’s syndrome Turner’s syndrome 32. Characteristic “strawberry spots” on the cervix may be seen with: Bacterial vaginosis Chlamydia Herpes genitalis Trichomoniasis 33. When examining the cervix of a 20 year old female, you note that most of the cervix is pink, but there is a small ring of dark-red tissue surrounding the os. This is most likely: An endocervical polyp Due to cervical dysplasia Due to cervical infection The squamoculomnar junction 34. A twenty-one year old woman comes to your practice seeking birth control. She has only recently become sexually active and has consistently used condoms for safe sex. Your history reveals that she does not use tampons during her menses and has very little knowledge about female reproductive anatomy. Based on this information, which of the following birth control methods would be least likely to meet her needs for contraception management? Combined oral contraceptive pill Depo-provera Ortho eva patch Nuva ring 35. Dysfunctional uterine bleeding is usually associated with Pregnancy Anovulation Genital tumor Inflammation 36. Pelvic findings on examination of a 22- year old nulliparous woman is uterus 7cm in length and ovaries 3cm x 2cm x 1cm. These findings are consistent with Enlarged uterus and enlarged ovaries