Nr 602 Final Exam Questions With Correct Answers
ASCCP recommended management for an ASCUS pap result with high
risk hpv 16 cotest in 26 year old no abnormal paps Correct Answer-
colposcopy
What is included in the well women of an adolescent? Correct Answer-
health history
menses
gynecologic and pregnancy issues
psychosocial
abuse drugs alcohol use
physical exam
screening tests
immunizations
When does ACOG pap smear start Correct Answer-21 years old done
every three years
ACOG pap for over 30 yrs old Correct Answer-every five years with
HPV test completed
ACOG when can you stop pap smear Correct Answer-can stop at 65 if
negative history for 10 years or if they had a hysterectomy with no
history of cervical cancer
,Bethesda pap smear report reads LSIL is what classification? Correct
Answer-CIN 1
A single Pap smear reading of ASCUS in a patient negative for HPV
infection should have what as follow-up? Correct Answer-routine
screening
a female patient is 35 years old. she has never had an abnormal PAP
smear has regular screening since age 18. If she has a normal PAP smear
with HPV testing today, when should she have the next cervical cancer
screening? Correct Answer-5 years
A young sexually active is having her first pap smear what would you
explain? Correct Answer-pap smear detects cervical cancer
26 year old pap smear shows negative and positive HPV what do you
do? Correct Answer-repeat HPV and pap
what is not part of criteria for older women to cease pap smears? Correct
Answer-over 55 year old
no menarche in a 15 year old with no medical problems and Tanner
stage 1 with a uterus Correct Answer-primary amenorrhea
No menses for at least 6 months Correct Answer-secondary amenorrhea
,female athlete triad Correct Answer-disordered eating, amenorrhea,
osteoporosis
labs for female athlete triad Correct Answer-HCG
serum prolactin
serum TSH,FSH, LH
if amenorhea lasts longer than 6 months do what? Correct Answer-bone
density test
treatment plan for female athlete triad Correct Answer-increase caloric
intake, decrease exercise
prescribe ca and vit d 1200/1500 daily and vitamin e 400 iu daily
complications of female athlete triad Correct
Answer-osteopenia/osteoporosis (stress fracture)
myocardial atrophy, arrhythmia, hypotension, brady
hypoglycemia, dehydration, electrolytes
lanugo, telogen effluvium hair loss zerosis dry skin, infertility, low body
mass, cachexia, respiratory failure
purpose of progesterone challenge Correct Answer-endogenous estrogen
primary and secondary amenorrhea originates in hypothalamus Correct
Answer-sheehans syndrome
, symptoms of breast cancer ( early) Correct Answer-None
Non-painful mass (occasionally pain)
Eczematous nipple (Paget's)
Serosanguinous (bloody) nipple discharge
late symptoms of breast cancer Correct Answer-skin or nipple retraction
axilary lymhadenpathy
breast enlargement
redness, edema, brawny induration
peau d' orange
pain
fixation of the mass to the skin or chest wall
very late findings of breast cancer Correct Answer-ulceration
supraclavicular lymphadenopathy
edema of the arm, bone, lung, liver, brain or other distant metstases
Follow up for breast cancer patients Correct Answer-1. Bilateral
mammogram 6 months after complete radiation post-lumpectomy;
Mammogram yearly after
2. Contralateral mammogram annually post-mastectomy (entire breast +
pectoralis major fascia)
ASCCP recommended management for an ASCUS pap result with high
risk hpv 16 cotest in 26 year old no abnormal paps Correct Answer-
colposcopy
What is included in the well women of an adolescent? Correct Answer-
health history
menses
gynecologic and pregnancy issues
psychosocial
abuse drugs alcohol use
physical exam
screening tests
immunizations
When does ACOG pap smear start Correct Answer-21 years old done
every three years
ACOG pap for over 30 yrs old Correct Answer-every five years with
HPV test completed
ACOG when can you stop pap smear Correct Answer-can stop at 65 if
negative history for 10 years or if they had a hysterectomy with no
history of cervical cancer
,Bethesda pap smear report reads LSIL is what classification? Correct
Answer-CIN 1
A single Pap smear reading of ASCUS in a patient negative for HPV
infection should have what as follow-up? Correct Answer-routine
screening
a female patient is 35 years old. she has never had an abnormal PAP
smear has regular screening since age 18. If she has a normal PAP smear
with HPV testing today, when should she have the next cervical cancer
screening? Correct Answer-5 years
A young sexually active is having her first pap smear what would you
explain? Correct Answer-pap smear detects cervical cancer
26 year old pap smear shows negative and positive HPV what do you
do? Correct Answer-repeat HPV and pap
what is not part of criteria for older women to cease pap smears? Correct
Answer-over 55 year old
no menarche in a 15 year old with no medical problems and Tanner
stage 1 with a uterus Correct Answer-primary amenorrhea
No menses for at least 6 months Correct Answer-secondary amenorrhea
,female athlete triad Correct Answer-disordered eating, amenorrhea,
osteoporosis
labs for female athlete triad Correct Answer-HCG
serum prolactin
serum TSH,FSH, LH
if amenorhea lasts longer than 6 months do what? Correct Answer-bone
density test
treatment plan for female athlete triad Correct Answer-increase caloric
intake, decrease exercise
prescribe ca and vit d 1200/1500 daily and vitamin e 400 iu daily
complications of female athlete triad Correct
Answer-osteopenia/osteoporosis (stress fracture)
myocardial atrophy, arrhythmia, hypotension, brady
hypoglycemia, dehydration, electrolytes
lanugo, telogen effluvium hair loss zerosis dry skin, infertility, low body
mass, cachexia, respiratory failure
purpose of progesterone challenge Correct Answer-endogenous estrogen
primary and secondary amenorrhea originates in hypothalamus Correct
Answer-sheehans syndrome
, symptoms of breast cancer ( early) Correct Answer-None
Non-painful mass (occasionally pain)
Eczematous nipple (Paget's)
Serosanguinous (bloody) nipple discharge
late symptoms of breast cancer Correct Answer-skin or nipple retraction
axilary lymhadenpathy
breast enlargement
redness, edema, brawny induration
peau d' orange
pain
fixation of the mass to the skin or chest wall
very late findings of breast cancer Correct Answer-ulceration
supraclavicular lymphadenopathy
edema of the arm, bone, lung, liver, brain or other distant metstases
Follow up for breast cancer patients Correct Answer-1. Bilateral
mammogram 6 months after complete radiation post-lumpectomy;
Mammogram yearly after
2. Contralateral mammogram annually post-mastectomy (entire breast +
pectoralis major fascia)
