NRNP 6552 Week 6 Midterm Exam - Questions and Verified Answers, Exams of Nursing

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Question 1

1 out of 1 points

The is a sensitive organ that is typically described as the female homologue of the penis. Ans: Clitoris

Question 2

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Normal vaginal discharge has a pH of: Ans: 3.8 and 4.

Question 3

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On physical examination, pale atrophic depigmented tissue that has a “cigarette paper” appearance is consistent with: Ans: Lichen Sclerosus

Question 4

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Criteria for clinical diagnosis of bacterial vaginosis include the presence of three out of four of the following Amsel criteria: answer: C (white, thin adherent vaginal discharge, pH equal or greater than 4.5; positive whiff/KOH test; presence of WBC on microscopic examination)

Question 5

NRNP 6552 WEEK 6 MIDTERM

EXAM – QUESTIONS AND VERIFIED

ANSWERS | 2024/2025 UPDATE

1 out of 1 points

The most common STI in the United States is: Answer: Chlamydia

Question 6

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Ovarian failure is diagnosed when estrogen production is identified while the serum FSH is. Answer: B (Low Estrogen, High)

Question 7

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Approximately of infertility cases are due to female factors and are due to male factors. Answer: D - 55%. 35%

Question 8

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In women with PCOS, polycystic ovaries are due to: Answer: B (Chronic Anovulation) characterized by hyperandrogenaemia and hyperinsulinemia, which play a role in anovulation (Excess adipose tissues may lead to polycystic ovarian syndrom

Question 9

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The most common symptoms of uterine cancer are: Answer B. Abnormal uterine bleeding and postmenopausal bleeding.

Question 10

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Neisseria gonorrhea is a bacteria Answer: Gram-negative diplococci bacteria

Question 11

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When females go through puberty, the changes that occur are initiated by the production of: Answer: B (oestrogen)

Question 12

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The most common pathogen leading to urinary tract infection is: Answer: Escherichia coli (E. coli).

Question 13

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All organizations recommend beginning screening mammograms in average-risk women at age Answer: 40 – 44 years

Question 14

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When completing this exam, did you comply with Walden University's Code of Conduct including the expectations for academic integrity? Answer: YES

Question 15

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The new guideline for systolic blood pressure cut-off for hypertension is: Answer: D (Systolic BP should not be lowered to below 120 mm Hg. Diastolic BP should not be lowered to below 70 mm Hg)

Question 16

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Menopause is defined as: Answer: D (none of the above)

Question 17

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First line pharmacologic treatment for women with PCOS is/are: Answer: COCs (Ethinyl estradiol + levonorgestrel, norgestimate – vienva, aviane, marzia, levein, amethyst)

Question 18

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Clinicians are required to report certain STIs to their state public health officials. These include: answer: Nationally notifiable STIs include chancroid, chlamydia, gonorrhea, hepatitis, HIV, and syphilis

Question 19

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Symptoms of Polycystic Ovary Syndrome (PCOS) include all of the following except: Answer: D – Hypopigmentation of the extremities

**- irregular periods or no periods at all.

• difficulty getting pregnant (because of irregular ovulation or failure to ovulate)
• excessive hair growth (hirsutism) – usually on the face, chest, back or buttocks.
• weight gain.
• thinning hair and hair loss from the head.
• oily skin or acne.**

Question 20

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Josefina is a 47-year-old patient with family history of diabetes. Her BMI is 30. She has been healthy except for medication-controlled hypertension. She has been very compliant with her appointments. Today, you tell her you need to check her blood sugar. She says “I just read an article that said I only need to have that checked every three years. You just checked it last year.” You tell her: answer: A I will advice Josefina that, the test determines your typical blood sugar levels and their proximity to normal. When you're first diagnosed, you get these checkups every three months, then every six months until you're stable. This can be done by your primary care physician or a diabetic nurse. Every diabetic should see a doctor at least every three months. Routine visits enable your doctor to monitor your status and if required, modify your treatment strategy. weight, feet, heart , diet, Eyes , neuropathy, circulation ,blood , thyroid, electrolytes, cholesterol, blood pressure and other tests should be performed on an annual basis. For patients with diabetes, one reason for hospitalization and unplanned hospital readmission is severe dysglycemia (uncontrolled hyperglycemia -- high blood sugar, or hypoglycemia -- low blood sugar), says new research published in the Journal of General Internal Medic

Question 21

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The test for the fishy odor that occurs in bacterial vaginosis is called the: Answer: Whiff Test

Question 22

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Evidence from randomized trials on intimate partner violence screening support the following intervention(s) for women of childbearing age: Answer: E (A, B, and C) Evidence from randomized trials support a variety of interventions for women of childbearing age which includes counseling, home visits, and mentoring support

Question 23

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The act that was established that mandated every American to carry health insurance is called: answer: The Patient Protection and Affordable Care Act (ACA)

Question 24

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All of the following are risk factors for UTI, except: Answer: B (infrequent sexual activity)

Question 25

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Reproductive coercion includes behaviors: Answer D. (Any of the above)

Question 26

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An appropriate medication for Herpes Simplex virus is: Answer: D (all of the above) The most effective treatments for persons infected with HSV are antiviral medications including acyclovir, famciclovir and valacyclovir.

Question 27

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Just prior to ovulation, rising levels of oestradiol increases the amount of cervical mucus, making it: Answer: C (thin and watery) Just prior to ovulation, your estrogen levels are rising. You may see more clear, stretchy, watery, and slippery mucus. This mucus may remind you of the consistency of egg whites. During ovulation.

Question 28

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Strong evidence shows that first trimester abortions, whenever performed safely, increases a women’s risks of: Answer: D (none of the above)

Question 29

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The American Cancer Society (ACS) has recently updated its colorectal cancer screening guidelines. The new guidelines recommend screening average-risk patients for that disease at age Answer: 45 years

Question 30

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An endometrial biopsy can be done in the office setting. It has a overall accuracy in diagnosing endometrial cancer. Answer: C - HIGH

Question 31

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The following are the four basic Caldwell-Moloy pelvic types. Answer: Gynecoid Android Anthropoid Platypelloid

Question 32

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The following is/are types of sexual violence. Answer: C (Threats of sexual violence)

Question 33

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Jenna comes in complaining of intense itching in the vaginal area. She also has some itching in the vulvar area. It is really bad after she has intercourse. In gathering her history, she tells you she had an ear infection a few weeks ago and took amoxicillin for it but otherwise, has been healthy. On exam, you note a thick, white, lumpy discharge with the consistency of cottage cheese. The vulva is red and swollen as are the labial folds. There is no strong odor. The most likely diagnosis is: Answer: Vulvovaginal candidiasis (Yeast Infection)

Question 34

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A pharmacologic treatment for patients with Hydradenitis Suppurativa (HI) may include D. All of the above Answer: Metformin, oral contraceptives, and spironolactone Answer: tetracycline 500 mg, doxycycline 100 mg, minocycline100 mg orally, or amoxicillin 500 mg

Question 35

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EBP stands for: Answer: Evidence Based Practice

Question 36

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Women in the following profession have a higher rate of UTI Answer: A (Nursing)

Question 37

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One of the reasons that substance use is a concern in LBQ and TGNC communities is: Answer: CULTURAL CONTEXT, bars and clubs scenes have long been safe spaces for gay, LBQ and TGNC people. Lack of support Internalized homophobia Discrimination and social stigma

Question 38

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Pelvic support structures include: Answer: D (all of the above)

Question 39

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The following is an appropriate sexual health assessment question: Answer: ANSWER: C – Are there any sexual problems.

Question 40

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The use of a pain rating scale may assist the clinician to comprehend the intensity of a woman’s pain. Example(s) of pain rating scale(s) include: answer:D (All of the above)

Numeric ranking scales, visual analog scales, verbal descriptive scales, allow the woman to identify the severity of her pain. If there is a language barrier related to culture or mental ability, the Wong-Baker FACES pain rating scale

Question 41

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Female orgasmic disorder is present when there is a marked delay in, marked infrequency of, or absence of orgasm or reduced intensity of orgasm sensations that last more than.

Answer: 6 months (75-100% of situations of sexual intercourse)

Question 42

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Abnormal uterine bleeding can sometimes be caused by Answer: None of the above hormone changes, cancer, fibroids, polyps or early pregnancy People with menstrual-related problems are more likely to report anxiety, depression, insomnia, excessive sleepiness, and pain than people without menstrual-related problems

Question 43

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Margaret has several risk factors for osteoporosis. She is 72 years old, is a 30-pack year smoker, and has never had children. Which one of these risk factors was nonmodifiable? Answer: D – all of the above (age, smoking and nulliparity)

Question 44

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A person whose gender identity is the same as their sex when he or she was born is: Answer: Cisgender

Question 45

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Trichomonas vaginalis can be asymptomatic, but when symptomatic, the vaginal discharge tends to be: Answer: Yellow to green frothy

Question 46

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When performing a pain history, the term OLD CAARTS is an aid. This stands for: Answer: A (onset, location, duration, characteristics, alleviating..)

Question 47

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When conducting qualitative research, data can be derived from: Answer: E. (A,B and C)

Question 48

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The only antimicrobial medications that are effective against Trichomoniasis vaginalis are: answer: A (Tinidazole or metronidazole)

Question 49

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Most malignancies in breast tissue occur in: Answer: Upper Outer quadrant

Question 50

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Gale is 36 weeks pregnant. She calls the office to report that she has noticed a sticky fluid coming from her breasts. You let her know that this is most likely: Answer: C (Colostrum, which is commonly noted toward the end of the pregnancy)

Question 51

1 out of 1 points

The contraceptive implant that is currently available in the U.S. is: Answer: D - Nexplanon

Question 52

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The is often considered the most important muscle of the pelvic floor. ANSWER: D – Levator Ani

Question 53

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The following symptoms are consistent with PMS except: Answer: D (uncontrollable fits of laughter)

Question 54

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The following symptoms are associated with peri-menopause and menopause. Answer: D (Fatigue and Headache)

Question 55

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The term used to describe painful cramps that occur with menstruation is: Answer: D (Dysmenorrhea)

Question 56

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An umbrella term that describes all people with non-heterosexual gender identities is: Answer: A - Queer

Question 57

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A progesterone challenge test that produces withdrawal bleeding is indicative of: Answer: C (functioning ovaries)

Question 58

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Marianne presents for a well woman exam. In gathering her history, she tells you she has been pregnant 3 times. She has two children, both born at 39 weeks, and had one miscarriage. Using the GTPAL system, you note that in her chart as the following answer: A (G3 T2 p0 A1 L2)

Question 59

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On vaginal exam you find that Polly’s cervix is in the most common position, which is: Answer: A ( Antiflexion)

Question 60

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Emergency contraception therapy may be given to a woman who seeks treatment immediately following sexual assault. It may be given within hours of the assault. ANSWER: C (72 Hours) it should be 120 hours

Question 61

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For women at high risk for breast cancer, ACS recommends annual screening with mammography and beginning at age 30. Answer: C (MRI)

Question 62

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A cluster of mild to moderate physical and psychological symptoms that occur during the late luteal phase of menses and resolve with menstruation is the definition of answer: A (Premenstrual dysphoric disorder )

Question 63

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Olivia presents with a complaint of “bumps” around her vagina. They are nonpainful and nonpruritic. Upon inspection, you note several flesh colored and pearly white papules with depressed centers. This appearance is characteristic of: Answer: D (Molluscum contagiosum)

Question 64

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Pelvic muscle exercises, where the woman performs a repetitive pelvic floor muscle contraction regimen are known as: answer: B – Kegel Exercise

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The USPTF, ACOG, and ACS all recommend pap tests to begin at: Answer: C – 21 YEARS

Question 66

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Martha is a 65 - year-old woman who is a new patient to you. In telling you her history, she states that she has a history of a rare type of breast cancer. She cannot remember the name of it but tells you that it also involved itchy eczema-like nipple changes. With this info and your knowledge of breast cancer, you surmise that she may be referring to: Answer: C Pagets disease

Question 67

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In women, fertility declines gradually beginning at age and more rapidly after age. Answer: B. 32; 37

Question 68

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The name of the act in the U.S. that addresses domestic violence, dating violence, sexual assault, stalking, and human trafficking is: answer: A – The violence against women act (VAWA)

Question 69

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Patients identified as being at increased risk for Sexually Transmitted Infections need to receive information about risk factors and ways to reduce the likelihood of infection. This would include: Answer: D (A and B, use of latex condoms and being mutually monogamous)

Question 70

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“A movement to end sexism, sexist exploitation, and oppression” is a definition for: Answer: C - Feminism

Question 71

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Barriers for providers related to intimate partner violence screening include: Answer: D: A & C – discomfort with the topic and time constraints

Question 72

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Infertility related to is a common problem among women who are obese. ANSWER: B (ovarian dysfunction and anovulation)

Question 73

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Clinicians can participate in primary sexual violence prevention by applying individual prevention skills, such as: Answer: E: A, B, and C

Question 74

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Uterine fibroids are also known as: ANSWER: D (A & B) – Myomas and Leiomyomatas

Question 75

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A waiting period of between bariatric surgery and pregnancy is recommended. Answer: C: 12 – 24 months.

Question 76

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Approximately 50% to 70% of women with PCOS are insulin resistant. Insulin resistance often results in: answer: A (compensatory hyperinsulinemia)

Question 77

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The endometrial cycle has three phases, which are: Answer: C (Proliferative, secretory and menstrual)

Question 78

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The frontline analgesics for painful menstrual cramps are: Answer: C(NSAIDS)

Question 79

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Angela just adopted an 11-year-old from another country. Unfortunately, there are no records of previous immunizations on this child. When discussing immunizations, you mention that the child needs several, including the MMR. Angela asks you what MMR stands for. You tell her: Answer: C (Mumps, measles and rubella)

Question 80

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The least invasive way to assess bladder capacity is through: Answer: A (Filling cystometrogram)

Question 81

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The majority of female infertility is due to: Answer: A – Ovulatory dysfunction and tubal and peritoneal pathology

Question 82

Endometriosis is: Answer: B. The presence of endometrial glands and stroma outside the lining of the uterus

Question 83

The timing of an adolescent growth spurt typically occurs in puberty than it does for boys. Answer: D (None of the above)

Question 84

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Serum FSH indirectly measures ovarian function, with levels of FSH indicating normally functioning ovaries. A. Lower

Question 85

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The following is/are risk factor(s) for bacterial vaginosis. Answers: Answer: B (Douching)

Question 86

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The most common type of UTI affecting women is: ANSWER: C (Acute bacterial cystitis)

Question 87

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Bone density testing for osteoporosis should start at age for women and age

for men. Answer: B (65; 70)

Question 88

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When using the FIGO staging classification for cancer of the ovary, fallopian tube, and peritoneum, Stage I means: Answer: A (The tumor is confined to the ovaries or fallopian tubes)

Question 89

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When looking from a feminist perspective at research studies, one of the great concerns is that: Answer C: For many years, studies were done primarily on men with the findings being generalized to women.

Question 90

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When concerned about ectopic pregnancy in a patient with abdominal pain, two diagnostic aids include: Answer: B. HCG and ultrasound

Question 91

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Metabolic syndrome typically includes the following except: Answer: A (Sudden weight loss)

Question 92

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Lichen planus is typically treated with: Answer: D - Corticosteroids

Question 93

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To avoid the development of Bartholin’s gland cysts, women should:

Question 94

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Endometrial polyps are most commonly identified by: Answer: a transvaginal ultrasound

Question 95

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The are easily sensitized and become engorged with blood during sexual arousal. Answer: A (Labia Minora)

Question 96

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Infected hair follicles on the vulvar skin that are small and scattered often occur because of: Answer: C. Shaving the pubic hair

Question 97

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The glands are oil-producing glands on the areola that protect and lubricate the nipple during lactation. Answer: A - Montgomery

Question 98

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Nearly pregnant women have been abused by the partner. Answer: C (1 in 6)

Question 99

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The following are risk factors for endometrial cancer. Answer: D: A and C (Age 40 and unopposed estrogen stimulation of the endometrium)

Question 100

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Hirsutism is defined as: D. Excessive terminal hair growth in women

Question 101

A type of contraceptive that does not contain hormones is Answer: Paragard IUD

Sunday, April 11, 2021 1:56:53 PM EDT