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NR 602 / NR602 FINAL EXAM 2022 – 100% CORRECT AND VERIFIED

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NR 602 / NR602 FINAL EXAM 2022 – 100% CORRECT AND VERIFIED Which one best describes lesions associated with condyloma acuminatum? a. Verruciform b. Plaque-like c. Vesicular d. Bullous ANS - a 39yo female has completed course of amox for strep throat. LMP was 2wks ago, says it w...

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  • April 13, 2022
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  • 2021/2022
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NR 602 / NR602 FINAL EXAM 2022 – 100%
CORRECT AND VERIFIED
Which one best describes lesions associated with condyloma acuminatum?

a. Verruciform
b. Plaque-like
c. Vesicular
d. Bullous

ANS
-a

39yo female has completed course of amox for strep throat. LMP was 2wks ago, says it was
normal. On exam, there's erythema of extern. genitalia w/small amount of white discharge.
Micro wet prep reveals few clue cells, but many budding hyphae. No WBCs. Which one
would be the most appropriate treatment?

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

Woman c/o vaginal itching, white discharge. She is in good health except for recent abx for
strep throat. Pelvic reveals tender vulvovaginal area w/edema and nonmalodorous white
patches. Which is the most likely cause?

a. Bacterial vaginosis
b. Trichomonas
c. Lactobacillus overgrowth
d. Candidiasis

ANS
-d

18yo female c/o secondary amenorrhea. On exam, there is normal secondary sex
characteristics and normal genitalia. Pregnancy is ruled out. What would necessitate further
eval?

a. Elevated blood cholesterol levels
b. Androgen deficiency
c. Galactorrhea
d. Hirsutism

ANS
-c

,24yo female is dx'd w/primary dysmenorrhea. Which med would be used as first-line to help
control symptoms?

a. Antianxiety meds
b. Progesterone-only contraception
c. Oral steroids
d. NSAIDs

ANS
-d

Primary amenorrhea is best described as:

a. Cessation of menstruation x6mo
b. Failure of menstruation to occur by 17ho
c. Failure of menstruation to occur by 13yo
d. Cessation of menstruation x6mo after menarche

ANS
-c

25yo female c/o vaginal irritation and discharge. On exam, cervix is easily friable and
erythematous. No adnexal tenderness. Wet prep reveals mobile protozoa on NS slide. This
most likely represents:

a. Trichomonas
b. Mucopurulent cervicitis
c. Bacterial vaginosis
d. Gonorrhea

ANS
-a

16yo female has h/o secondary amenorrhea. Menarche at 10yo, regular cycles x2yrs, has not
menstruated x4yrs. What is most frequent etiology of this problem?

a. Eating disorder
b. Pregnancy
c. Anovulatory cycles
d. Stress

ANS
-a

Woman is experiencing vaginal discharge. Wet mount with KOH would be used to confirm:

a. Herpes simplex
b. Gonorrhea
c. Candidiasis

,d. Chlamydia

ANS
-c

Treatment options for condyloma acuminatum include:

a. Imiquimod (Aldera)
b. Azithromycin
c. Acyclovir
d. Metronidazole

ANS
-a

25yo postmenopausal female c/o pain in upper outer quadrant of L breast x1mo. Best course
of action would be:

a. Reassure pt that pain is often not presenting symptom of breast cancer.
b. Teach pt breast self-exam.
c. Order labs as most likely this is secondary to hormonal fluctuation
d. Perform breast exam and order mammo

ANS
-d

PID typically presents with all of the following except:

a. Dysuria
b. Leukopenia
c. Cervical motion tenderness
d. Abd pain

ANS
-b

Which of the following 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 female c/o tender area near her introitus and to the L of her perineum. Very painful sex
was first sign. Initially bump was very small, but now is ping-pong ball size. On exam,
abscess is present on L medial side of labia minora and there's edema extending into
perineum. What is dx?

, a. Lipoma
b. Dermoid cyst
c. Bartholin's cyst
d. Skene's duct cyst

ANS
-c

49yo female c/o dark, watery brown vaginal discharge. Which best describes what might be
seen on physical exam in pt's with cervical cancer?

a. Ulcerated firm cervix
b. Vague lower abd pain
c. Enlarged tender femoral lymph nodes
d. Soft, still shaped cervix

ANS
-a

22yo female c/o pelvic pain. Exam reveals cervical motion and uterine tenderness. Which
supports PID dx?

a. Temp <100F
b. Absence of WBCs in vag fluid
c. Mucopurulent vag discharge
d. Lab documentation of cervical infection w/E. coli

ANS
-c

When educating pt about rationale for getting mammo, which statement is false?

a. Mammo is cost-effective method to screen for breast cancer
b. Mammo detects all breast cancers
c. Mammo should be accompanied by breast exam
d. Negative mammo should not delay biopsy of clinically suspicious mass

ANS
-b

When educating women about breast cancer risk factors, which statement is incorrect?

a. Pregnancy after 35yo
b. Late menopause after 57yo
c. Fibrocystic breast dz
d. H/o maternal breast cancer

ANS
-c

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