CMN 572 FINAL EXAM| 230 QUESTIONS| WITH COMPLETE SOLUTIONS

It is at this location, where squamous cells meet glandular cells, that cancer is more likely to develop. Correct Answer: Transformation zone Pap Screening starts at what age? Correct Answer: 21 Routine HPV screening starts at what age? Correct Answer: 30 A patient is founds to have ASC-H? What is the next step? Correct Answer: Colposcopy Cervical Cancer is typically slow growing and occurs predominantly in women of what age? Correct Answer: 40-44 Most SE's of COC's resolve over the first ____ months. Correct Answer: 6 Common side effects of COC's include: Correct Answer: Breast tenderness, nausea, headache, breakthrough bleeding (BTB) Theresa is a 33 y.o smoker with no health history. Can she be prescribed a COC pill? Correct Answer: yes- Would be contraindicated in a smoker age /= 35. Linda is a 35 y.o smoker with a history of undiagnosed vaginal bleeding, triglyceride level of 269, and a history of DVT. Can she be prescribed a COC pill? Correct Answer: No. Contraindications to COC pill include: Smoker, aged /=35, hx of thrombolytic event (MI, DVT, Stroke), hx or current breast cancer, uncontrolled HTN or DM, prolonged immobilization, triglycerides 250, active liver disease, women at increased risk of cardiac dse, Active SLE, and undiagnosed vaginal bleeding Danielle is a 29 y.o. She is in grad school and admits to having acne, having heavy cycles, and never being in the sunlight. She wants to start on a BC pill and is interested in COC's. What could you tell her might be advantages to using COC's? Correct Answer: Decreased menorrhagia, acne, PCOS, ovarian cysts, PID, ovarian/endometrial cancer, benign breast disease, ectopic pregnancy. Increased bone density. What kind of hormone(s) does the NuvaRing contain? Correct Answer: Estrogen and Progestin How long can the NuvaRing be removed without losing efficacy? Correct Answer: 3 hours What hormone(s) does the transdermal patch contain (orthevra or xulane)? Correct Answer: Estrogen and Progestin Is the patch effective for all shapes and sizes of women? Correct Answer: Less effective in obese women What are the contraindications to the transdermal patch for BC? Correct Answer: Same as COC's: Smoker /= age 35, history of thrombolytic events (MI, DVT, stroke), history or current breast cancer, uncontrolled HTN or DM, Prolonged immobilization, Triglycerides 250, active liver disease, women at increased risk of cardiac disease, active SLE, undiagnosed vaginal bleeding