NURS 6615 Midterm
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: -
ANS-Inflammatory breast carcinoma
Which statement is true regarding a clinical breast exam: - ANS-The 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? -
ANS-virginal status
October is breast cancer awareness month - ANS-True
Lately, Tani never knows when her partner will erupt and start beating her. Which phase
of the
cycle of violence is this? - ANS-Acute battering
As a nurse practitioner, your priorities with a victim of intimate violence include: -
ANS-providing a safe place to talk
knowing local resources
recognizing escalating signs of violence
Which of the following HPVserotypes is most strongly associated with cervical cancer? -
ANS-HPV 6
Risk factors associated with endometrial cancer include all of the following except: -
ANS-Early menopause
In which of the following patients is the use of HPV vaccine not currently
recommended? - ANS-An 11 year old male, An 18 year old female
All of the following have been identified as risk factors for vulvar cancer except: -
ANS-HPV exposure
The American Cancer Society recommends annual mammography screening begin at
what age: - ANS-40 years
, At what age does a female need her first pap smear? - ANS-At age 21, unless there is
significant concern in the past medical history or upon physical examination of the
cervix
Potential causes of abnormal uterine bleeding before menarche include: - ANS-sexual
abuse, malignancy, trauma
What is the first consideration of abnormal uterine bleeding in women of reproductive
age? - ANS-Pregnancy
A 19 year old female comes to you with the primary complaint of dysmenorrhea. Which
of the following questions is least important to ascertain in her history? - ANS-Do you
have first degree relatives with breast cancer?
When trying to narrow down the etiology of secondary amenorrhea in your 28 year old
female patient, which of the following would most likely NOT be the cause of her
amenorrhea? - ANS-Imperforate hymen
A 16 year old female presents to you becuase she thinks 'she is not normal'. Her
periods have
never started, but otherwise she has no physical complaints. She has never been
sexually active. Based on the history you have obtained so far, her likely diagnosis is: -
ANS-Primary amenorrhea
All of the following therapies are routinely used in the treatment of PMS except: -
ANS-Surgical removal of the ovaries
A female patient complains of intermittently feeling a strange bulge in her vagina along
with occasional episodes of urinary incontinence. Which of the following statements
about her condition is most accurate? - ANS-Her symptoms are suggestive of a
cystocele causing bladder prolapse through a defect in her anterior vaginal wall.
A 46 year old women presents with very heavy menses and no other symptoms. She
denies menopausal symptoms. Her cycles are 21 days apart, lasting 7 days. On exam
you palpate a firm, irregularly enlarged uterus. In discussing her condition you advise
her that fibroids are: - ANS-the most common benign tumor of the female genital tract
The definitive diagnosis of uterine fibroids is typically made by: - ANS-Transvaginal
ultrasound
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