MDC III EXAM 1 MODULE 1-3 COMPLETE QUESTIONS AND ANSWERS

MDC III EXAM 1 MODULE 1-3 COMPLETE QUESTIONS AND ANSWERS Breast Cancer Screening and Diagnosis - CORRECT ANSWER-•History •Physical assessment and examination •Mammogram •Self examination - know your breasts •Ultrasound •MRI •Biopsy (only way to confirm diagnosis) •Labs •Pathology Risk Factors for Breast Cancer - CORRECT ANSWER-•Gender •Age 65 •First child after age 30 or never having children •History / genetics •Estrogen use •Alcohol •Smoking •Dense breast tissue •High socioeconomic status Uterine Leiomyomas- •Signs & symptoms / assessment details: - CORRECT ANSWER- •Heavy vaginal bleeding •Pelvic pain / pelvic pressure •Abdominal distention •Painful sexual intercourse •Changes to urinary or bowel function (constipation, retention, difficulty starting a stream) •Difficulty maintaining pregnancy or getting pregnant •Signs of anemia •Signs of volume / fluid loss Endometrial (Uterine) Cancer signs and symptoms - CORRECT ANSWER-•Abnormal uterine bleeding, especially in post menopausal women •Pain during urination •Pain during intercourse Endometrial (Uterine) Cancer •Diagnostics: - CORRECT ANSWER-•Transvaginal ultrasound •Endometrial biopsy - gold standard •Other tests to assess overall health status: •Complete Blood count •Chest x-ray •Abdominal ultrasound •Liver / bone scans to identify metastasis •Renal scans / function tests Cervical / Endometrial / Ovarian Cancers Post Hysterectomy care - CORRECT ANSWER-Monitor vitals, sounds, urine output •CBC levels •Activity tolerance - mobilize, but limit driving & stairs - increase walking as exercise, but stop BEFORE becoming fatigued •Monitor dressing, drains, I&Os •Deep breathing & IS •Avoid heavy lifting / strenuous activity (nothing 5-10 lbs) •No sex, tampon use, or baths until cleared by surgeon (usually 6 wks) Cervical / Endometrial / Ovarian Cancers Signs & symptoms to report after surgery - CORRECT ANSWER-•Heavy vaginal bleeding •Urethral burning 24 hrs •Blood in urine •Extreme fatigue •Severe diarrhea •Fever of 100F •Abdominal pain Cervical Cancer Treatment - CORRECT ANSWER-•Surgery •Cervical ablation •Hysterectomy •Radical hysterectomy •Chemotherapy •Hormone therapy •Radiation Cervical Cancer prevention - CORRECT ANSWER-HPV vaccination! Cervical cancer Post op care (cervical ablation): - CORRECT ANSWER-Refrain from sex •Do not use tampons •Do not douche •Take showers NOT baths •Avoid lifting heavy objects •Report any heavy bleeding, foul-smelling discharge or fever Vulvovaginitis patient care - CORRECT ANSWER-EDUCATE your patient on best ways to self manage •Self management •Wear cotton underwear •Avoid tight clothes •Wipe front to back •Cleanse inner labia with water not soap •Do not douche •Avoid sprays / perfumes in vaginal area Treat sexual infections and abstain until treatment complete Toxic Shock Syndrome patient care and education - CORRECT ANSWER-•Prevention= •Change tampons every 3-6 hrs •Careful and clean use of tampons •Use pads ONLY at night •Avoid superabsorbent tampons, use smallest effective tampon possible •Never using tampons is the ONLY way to eliminate risk from tampons •Use condoms during sexual activity Transgender patients terminology - CORRECT ANSWER-Gender identity - the internal understanding of one's own gender - or the gender to which one identifies •Gender expression - the external presentation of gender Coming out •Female to male •Gender dysphoria •Gender identity •Genderqueer •Male to female •Sex (natal sex) •Gender reassignment surgery •Transgender •Transition •Transsexual Transgender Surgeries; Gender Reassignment Surgeries; Post Operative care - CORRECT ANSWER-•Ice pack to the perineum to decrease pain and bruising •Monitor pain carefully and provide adequate pain relief •Monitor for bleeding •Encourage PO intake and document •Verify lower-extremity neurovascular status (in lithotomy position for extended period) •May be on prolonged bedrest while full function returns to lower extremities