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2024 NURS 6615 MIDTERM EXAM WITH CORRECT ANSWERS
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2024 NURS 6615 MIDTERM EXAM WITH CORRECT ANSWERS
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2024 NURS 6615 MIDTERM EXAMWITH CORRECT ANSWERS
A young client comes to the office complaining of vaginal bleeding. The client
states that she has used five tampons in the last 3 hours. She admits to
sexual activity and takes OC's. On further questioning, she states that she
started her last pack of pills a few weeks late. The nurse practitioner should:
- CORRECT-ANSWERSPerform a stat urine pregnancy test
A 22-year-old married female presents with complaints of severe
dysmenorrhea and menorrhagia. Her gynecologic exam is normal. Which
managment protocol is preferred? - CORRECT-ANSWERSAssess for
contraceptive interest, and combine with NSAID therapy
Pat presents to the clinic with psychological symptoms that escalate around
the time of menstruation and subside after menses begin. Her symptoms
include depression, irritability, tension, impatience, anxiety, anger, mood
swings, and sometimes feels out of control or tearful. Her diagnosis is? -
CORRECT-ANSWERSPerimenstrual mood discomfort
When using OLD CAARTS, the NP would include: - CORRECT-ANSWERSonset,
location, duration, characteristics, alleviating/aggrevating, associated sxs,
radiation, temporal, and severity.
Beth comes to the clinic with severe pelvic pain. She denies STI exposure,
her LMP 2 wks ago, and is on OCPs. She states her pain is constant and
started today rapidly. Her temp is 99.6. Her PE is positive for a tender
abdomen with localized rebound tenderness in the left lower quadrant as
well a large pelvic mass in the left lower quadrant. No labs are available. The
NP suspects? - CORRECT-ANSWERSAdnexal torsion
Jackie comes to the office with a low grade fever, and complaints of pelvic
pain and vaginal discharge. The NP suspects PID. What would the NP expect
to find on her PE and from her history? - CORRECT-ANSWERSLow grade
fever, purulent vaginal discharge, positive CMT and pain that is achy that
radiates to her back.
Lisa presents to the clinic with a low grade temperature, positive Psoas sign,
and pain in the RLQ. She is nauseated and vomited once. She states she is
worried she has PID because she has a new boyfriend. She denies vaginal
discharge. The NP suspects? - CORRECT-ANSWERSAppendicitis
, Susan presents to the clinic with severe colicky pain in the suprapubic area,
urinary frequency, and dysuria. She is bleeding vaginally today as well. The
NP knows the following statement to be true in distinguishing gyn and
nongyn causes of acute pelvic pain. - CORRECT-ANSWERSUreteral lithiasis
can mimic ectopic pregnancy
The NP knows the following is true of Vulvodynia when discussing it with a
patient: - CORRECT-ANSWERSA vulvodynia is chronic vulvar pain without an
identifiable cause
What is the best way to manage a pap for a 25 year old with ASCUS on
cytology and neg HPV testing? - CORRECT-ANSWERSRepeat contesting in 3
years
What is the best management for a woman > 30 years old with LSIL with
positive HPV? - CORRECT-ANSWERSColposcopy
Alice comes in to the clinic and is diagnosed with PID based upon her PE and
history. The NP treats Alice with what combination of medications that would
be most appropriate at this time despite not having specimen results: -
CORRECT-ANSWERSRocephin 250mg IM, Doxcyclin 100mg bid for 14 days,
and Flagyl 500 mg bid for 14 days.
A patient presents with moderate abdominal pelvic pain that began
suddenly. LMP 2 wks ago. Negative pregnancy test. VS 98, P120, R 20, B/P
90/48. PE positive for abdominal tenderness with rebound in LLQ. The NP
suspects? - CORRECT-ANSWERSHemorrhagic corpus luteum cyst
In a patient with ovarian remnant syndrome, the management is usually: -
CORRECT-ANSWERSInitial treatment with Danazol or high dose progestins
A 75 year old female presents with skin changes to her left breast. These
include redness, skin thickening, and
swelling. Your chief differential diagnosis for this patient would include: -
CORRECT-ANSWERSInflammatory breast carcinoma
Which statement is true regarding a clinical breast exam: - CORRECT-
ANSWERSThe ability to palpate the breasts, examine the lymph nodes, and
inspection are all
important findings in a clinical breast exam.
Which of the following is NOT a risk factor for the development of cervical
cancer? - CORRECT-ANSWERSvirginal status
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