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WHNP Board Review - Random Exam
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WHNP Board Review - Random Exam 2024-2025Primary Amenorrhea - ANSWER no menstruation by age 14 in absence of secondary sex
characteristics, or by 16 regardless of secondary sex characteristic development
Ovarian Cancer Risk Factors - ANSWER Low Parity, Early Menarche, Late Menopause,
history of breast, colon, or endometrial cancer
Gonads must be removed after puberty in a case of androgen insensitivity or resistance
syndrome to PREVENT - ANSWER gonadal malignancies. Gonads must be removed
before the age of 16-18 years in cases with androgen insensitivity/resistance to avoid
the risk of malignant transformation of gonads - incidence 5%. Incidence is rare before
puberty.
A latent syphilis case may present with - ANSWER NO SIGNS OF INFECTION. It is
detected through serological testing.
This is a treatment for chlamydia, but should not be used in pregnancy d/t risk of TOOTH
DISCOLORATION IN CHILDREN. ANSWER doxycycline
PLISSET Model ANSWER May be used by non-sex therapists when counseling patients
with sexual dysfunction. P = permission giving, LI = Limited Information, SS = specific
suggestions, IT = intensive therapy
androgen insensitivity or resistance syndrome - ANSWER genetically transmitted
androgen receptor defect. The individual is a genotypic male (46XY) but is
phenotypically female, or has both female/male characteristics. Will have normal
breasts with small nipples/areola, scant/absent pubic hair, and no uterus or ovaries.
Testes are present and either partially descended or intraabdominal.
Most common benign neoplasm of cervix - ANSWER polyp. most often in
perimenopausal and multigravida women between 30-50
,Most common presenting symptom of vulvar cancer - ANSWER Pruritus
Most common symptoms of vulvar cancer - ANSWER vulvar pruritus, pain, bleeding,
odorous discharge that may be blood tinged, and lesions
potential causes for galactorrhea - ANSWER hypo/hyper-thyroidism, use of
opiates/cannabis, excessive breast stimulation, pituitary adenoma, use of some
medications
Lifetime risk of ovarian cancer - ANSWER 1-2%
Most common site of vaginal cancer - ANSWER Upper 1/3 of vagina
Risk factors of endometrial cancer - ANS Obesity, DM, HTN, family hx, early menarche,
late menopause, unopposed estrogen therapy, oligo-ovulation, anovulation, estrogen
secreting tumors, PCOS due to unopposed estrogen an an ovulation
The most common ovarian germ cell tumor is - ANS DERMOID CYST aka benign cystic
teratoma
Turner's Syndrome physical characteristics-ANSWER lack of breast development, scant
pubic hair, normal uterus and vagina, absent or streak ovaries, short stature, webbed
neck, shield chest with wide spaced nipples. cardiac/renal anomalies may also be
present.
advanced cervical cancer symptoms (mid)-ANSWER irregular painless bleeding,
odorous bloody or purulent discharge,
late symptoms of cervical cancer-ANSWER pelvic/epigastric pain, urinary/rectal
symptoms
, Urine specific gravity range-ANSWER 1.005 - 1.030
Normal Urine pH - ANSWER 4.6 to 8.0
The CONCEPTUS - ANSWER the embryo, fetal membranes, and placenta
Normal Size Uterus of reproductive aged woman multiparous - ANSWER 8 cm x 5 cm x
2.5 cm
normal size of ovaries in reproductive aged woman - ANSWER 3 x 2 x 1 cm
Complication that may be encountered with Duncan mechanism of placental delivery -
ANSWER increased bleeding due to incomplete separation of placenta
Complete breech presentation- ANSWER both hips + knees flexed (like cannonball dive),
buttocks presenting
most common breech presentation- ANSWER complete breech
Hep B Surface antibody- ANSWER The presence of anti-HBs is generally interpreted as
indicating recovery and immunity from hepatitis B virus infection.
A "positive" or "reactive" anti-HBs (or HBsAb) test result indicates that a person is
protected against the hepatitis B virus.
Hep B Surface Antigen - ANSWER A "positive" or "reactive" HBsAg test result indicates
current infection with hepatitis B.
Will be present in acute active infection AND ALSO in chronic carrier states
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