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NR 546 final exam, week 7 reproductive questions with complete solutions
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NR 546 final exam, week 7 reproductivequestions with complete solutions
What |are |the |five |5 |P's |- |correct |answer-partners, |practices, |past |history |of |STI, |protection, |
prevention |of |pregnancy |(and |pleasure)
hypospadias |- |correct |answer-abnormal |congenital |opening |of |the |male |urethra |on |the |
undersurface |of |the |penis
epispadias |- |correct |answer-congenital |defect |in |which |the |urinary |meatus |is |located |on |the |
upper |surface |of |the |penis |or |on |the |side
nagele's |rule |- |correct |answer-identify |LMP, |subtract |3 |months, |add |7 |days |and |one |year
difference |between |presumptive |and |positive |s/s |- |correct |answer-presumptive |(probable |and |
noted |on |exam)
positive- |directly |linked |to |fetus
GTPAL |- |correct |answer-Gravida, |Term, |Preterm, |Abortions, |Living
diffrence |between |gravida |and |para |- |correct |answer-gravida- |number |of |pregancies |the |
woman |has |had |
para- |number |of |births |the |woman |has |had
What |does |the |T |in |GTPAL |stand |for? |- |correct |answer-term |births- |37-42 |weeks |gestation
what |does |the |P |stand |for |in |GTPAL |- |correct |answer-preterm- |20-37
,what |does |the |A |in |GTPAL |stand |for |- |correct |answer-spontaneous |and/or |elective |abortions
what |does |the |L |in |GTPAL |stand |for? |- |correct |answer-living |children
what |is |quickening? |- |correct |answer-maternal |sensation |of |fetal |movement
when |can |provider |feel |movements |versus |when |mother |can |- |correct |answer-provider- |after |
24 |weeks
mom- |18-24 |weeks
When |should |fundal |height |be |measured? |- |correct |answer-is |gestational |age |is |> |20 |weeks= |
at |this |point |fundus |reaches |umbilicus
1. |A |44-year-old |female |mathematician |presents |to |clinic |with |a |complaint |of |a |mass |in |the |
right |breast.Her |partner |noticed |this |mass |2 |days |ago, |and |the |patient |feels |guilty |because |she |
has |only |had |onemammogram |and |does |not |engage |in |breast |self-examination |(BSE) |on |any |
regular |basis. |She |has |nofamily |history |of |breast |cancer, |and |her |prior |mammogram |was |
ordered |as |a |routine |screening |test |atage |43 |years |after |a |brief |discussion |with |her |primary |
care |provider. |After |a |thorough |investigationreveals |a |benign |cyst, |what |advice |should |be |
given |to |this |patient |about |screening |for |breast |cancer |inher |age |group? |- |correct |answer-This |
patient |was |in |compliance |with |the |U.S. |Preventive |Services |Task |Force |
(USPSTF)recommendations |for |her |age |group |and |risk |factors |prior |to |her |current |complaint
A |42-year-old |female |website |developer |presents |for |an |annual |preventive |examination |
withquestions |about |breast |cancer |screening. |She |is |concerned |about |the |radiation |exposure |
associated |withmammography |and |is |interested |in |magnetic |resonance |imaging |(MRI) |as |a |
possible |alternative |forroutine |screening. |She |is |otherwise |healthy |with |no |family |history |of |
breast, |ovarian, |or |colon |cancer.Which |of |the |following |is |true |about |MRI |as |a |screening |
modality |for |breast |cancer |in |the |generalpopulation? |- |correct |answer-Sensitivity |of |screening
|for |breast |cancer |increases |with |breast |MRI |at |the |expense |of |specificity.
, A |35-year-old |G0P0 |woman |presents |to |clinic |with |a |complaint |of |bilateral |nipple |discharge. |
Thisdischarge |started |several |weeks |ago |and |has |occurred |at |irregular |intervals |since |that |
time. |She |does |notcomplain |of |local |tenderness, |redness, |fever, |or |any |other |systemic |
symptoms |aside |from |slightlyirregular |periods |over |the |last |few |months. |On |examination, |she
|is |able |to |express |a |small |amount |ofdischarge, |which |is |sent |to |the |laboratory |and |found |to |be |
consistent |with |breast |milk |but |without |anysigns |of |blood |or |pus. |Screening |laboratories |are |
also |sent, |which |reveal |a |normal |blood |count, |metabolicpanel, |thyroid-stimulating |hormone, |
and |human |chorionic |gonadotropin |(HCG) |level. |Furtherlaboratories |are |still |pending. |
Which |of |the |following |is |the |most |likely |diagnosis? |- |correct |answer-Prolactinoma
A |22-year-old |G0P0 |undergraduate |student |presents |to |clinic |after |finding |a |breast |mass |on |
breastself-examination |(BSE) |at |home. |The |mass |is |nontender |without |skin |changes, |
erythema, |or |overlyingswelling. |She |has |heard |that |most |breast |cancers |are |found |by |patients |
themselves, |and |she |is |veryconcerned |that |she |may |have |breast |cancer. |Which |of |the |
following |is |true |about |BSE |and |self-detectionof |breast |cancer |- |correct |answer-This |patient |is |
more |likely |to |find |a |fibroadenoma |than |a |cancer |on |self-examination
A |48-year-old |female |psychologist |presents |to |clinic |with |concerns |about |her |breast |cancer |
risk |afteran |age-matched |cousin |was |recently |diagnosed |with |this |disease. |This |cousin |is |the |
third |family |memberon |her |father's |side |in |as |many |years |to |be |diagnosed |with |breast |cancer, |
including |the |patient's |ownfather, |who |had |surgery |and |subsequent |treatment |3 |years |ago |for |
breast |cancer. |The |patient |has |littleother |knowledge |of |her |family |history, |only |that |her |
grandparents |independently |arrived |from |EasternEurope |near |the |end |of |World |War |II |and |
were |among |very |few |members |of |their |family |that |survivedthe |war. |The |patient |has |read |
about |testing |for |the |breast |cancer |genes |(BRCA1 |and |BRCA2) |and |desiresfurther |
information |about |whether |this |would |be |appropriate |for |her. |Which |of |the |following |is |
trueabout |this |patient's |indications |for |BRCA |testing? |- |correct |answer-This |patient |carries |
several |risk |factors |that |together |justify |BRCA |testing
A |68-year-old |former |paleontologist |presents |to |clinic |with |concerns |about |her |breast |cancer |
risk. |Her |mother |developed |the |disease |in |her |50s |and |died |from |it |in |her |60s. |A |younger |
cousin |developed |the |disease |a |few |years |ago |before |the |age |of |50 |years, |but |this |individual |
was |not |tested |for |the |BRCA1 |andBRCA2 |genes. |In |addition, |the |patient |suffered |from |
lymphoma |in |her |20s |and |had |radiation |to |the |chest.She |did |take |hormone |replacement |
therapy |for |a |few |years |before |data |emerged |that |this |may
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