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NR 602 WEEK 8 FINAL EXAM SOLVED
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NR 602 WEEK 8 FINAL EXAM SOLVEDA sexually active 18-years old presents with postcoital spotting, dysuria and a yellowdischarge.
On exam you find her cervix is erythematous and bleeds with contact. Themost likely diagnosis is
a. Cervical cancer
b. Chlamydia
c. Primary syphilis
d. Tampon injury
2. One of the leading causes of female infertility, Stein-Leventhal syndrome is
a. Pelvic inflammatory disease
b. Polycystic ovary disease
c. Multiple sex partners
d. Ectopic pregnancy syndrome
3. HIV test is indicated for a (n)
a. 18-year-old female whose sex partner has a history of genital warts
b. 24-year-old female with current genital warts as adjunct to routine pap test
c. 30-year-old female with no history of genital warts as adjunct to routine pap
test
d. 67-year old female with new sex partner in past year who has history of genital
warts
4. Which of the following contraceptive methods would be best for a woman with sickle
cell anemia?
a. Combination oral contraceptives
b. Transdermal contraceptive patch
c. Progestin-only contraceptives
d. Female condom
5. A Patient taking metronidazole and cimetidine at the same time is at risk for:
a. Bothersome side effect from the metronidazole
b. Decreased effectiveness of cimetidine
c. Renal impairment
d. Severe disulfiram type reaction
6. A 58-year old woman complain of severe vulvular pruritis. On examination of the vulva,
you note thinning of the epidermis and loss of pigmentation, as well as maculopapular
lesions. You suspect the diagnosis may be
a. Lichen sclerosus
b. Local allergic reaction
c. Lichen simplex chonicus
d. Vulvodynia
7. Measuring waist circumference is most appropriate when the client’s BMI place her in
which of the following categories?
, NR 602 WEEK 8 FINAL EXAM SOLVED
a. Underweight
b. Normal weight
c. Overweight
d. Extreme obesity
8. The levonogestrel releasing IUC may be a better choice then the copper releasing IUC for
a woman who:
a. Has never been pregnant
b. Has dysmenorrhea
c. Is currently breastfeeding
d. Is sure she does not want more children
9. A 30-year old is seen in your office on day 18 of her cycle for her routine annual
examination. She has no complaints. Pelvic exam reveals a 9-cm firm, pelvic mass
anterior to the uterus. The most likely diagnosis is
a. Benign cystic teratoma
b. Ectopic pregnancy
c. Endometrioma
d. Follicular cyst
10. First line treatment for polycystic ovary syndrome is
Bilateral oophorectomy
Beginning androgen therapies
A combination of diet modification, weight loss, and stress management
A laparotomy with a bilateral wedge resection
11. A 45-year old female presents with complaint of lower abdominal pain with urinary urgency
and frequency for the past three months. The pain is worse during sexual intercourse and relieved
somewhat when she urinates. Physical exam reveals suprapubic tenderness as well as tenderness
along the anterior vaginal wall and urethra. The remainder of her exam is normal. What
diagnosis best fits these findings?
Chronic urinary tract infection
Interstitial cystitis/ painful bladder syndrome
Pelvic inflammatory disease
Pyelonephritis
12. If you diagnose a cervical gonococcal infection, which other infection is probably present?
Candidiasis
Syphilis
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