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NR 602 final exam with Complete Solutions
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NR 602 final exam with Complete Solutions
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NR 602 final exam with Complete SolutionsFor those patients who still seek treatment, symptomatic relief by avoiding trauma and by
wearing a bra with adequate support can be very helpful. The role of caffeine consumption in
the development and treatment of fibrocystic change has never been proven; however, many
patients report relief of symptoms after abstinence from coffee, tea, and chocolate. Similarly,
observational studies have suggested that low-fat diets can provide some relief. The data
regarding the utility of vitamin E supplementation and evening primrose oil are controversial.
Mild analgesics such as acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs) can
be used to relieve breast pain. For more symptomatic women, danazol and tamoxifen have
been found to be effective, although their significant side effects have limited their
acceptability and utility.
Fibroadenoma ☑️Correct Ans-benign breast lesion 15-40 yrs old
risk factors for fibroadenoma ☑️Correct Ans-multiple fibroadenomas associated with rate
cancer syndromes like mafficci syndrome, Cowden syndrome, carney complex early ETOH
consumption
findings with fibroadenoma ☑️Correct Ans-painless, firm or rubbery mass with well defined
borders, freely mobile, changes with size may occur with pregnany or menstrual cycle, lesions
under 5 cm, considered to be giant fibrodenomas no nipple discharge
Dx of fibroadenoma ☑️Correct Ans-mammo, us to differentiate fluid filled to solid mass, fine
needle aspiration biopsy, open biopsy
Intraductal papilloma ☑️Correct Ans-benign tumor within the ductal system of the breast, one
of the heterogeneous group of lesions encompassed by the term benign breast disease seen in
females 30-50
risk factors for intraductal papilloma ☑️Correct Ans-multiple papilloma's which increases the
risk for breast cancer
dx studies for intraductal papilloma ☑️Correct Ans-mammo, us mri, galactography, fine needle
or core biopsy
,a pap smear result of atypical squamous cells of undetermined significance rule out high grade
squamous intraepithelial lesions will require which procedure next? ☑️Correct Ans-colposcopy
pap smear is ASCUS what is next? ☑️Correct Ans-follow up pap smear
Bartholin's glands obstruction symptoms ☑️Correct Ans-pain, tenderness, dyspareunia,
walking with adducted thighs
assessment findings of Bartholin's glands obstruction ☑️Correct Ans-firm labia mass or cyst,
erythema, induration, edema of
treatment for bartholins gland obstruction ☑️Correct Ans-warm baths
Augmentin for e coli and strep
staph or MRSA clindamycin
re assess in 7-10 days
drainage of the infected cyst through marsupialization or WORD catheter
BMI below 18.5 ☑️Correct Ans-underweight
BMI 18.5-24.9 ☑️Correct Ans-normal
BMI 25-29.9 ☑️Correct Ans-overweight
BMI >30 ☑️Correct Ans-obese
annual screening for chlamydia and gonorrhea at increased risk ☑️Correct Ans-every 3-6
months
annual screening for pharyngeal gonorrhea throat at increased risk ☑️Correct Ans-every 3-6
months
annual testing for HIV, syphilis and HBsAG ☑️Correct Ans-test frequently
screen pregnant woman at first prenatal visit for ☑️Correct Ans-HIV, chlamydia, syphilis,
hepatitis B
,testing for pregnant women after chlamydia and gonorrhea treatment ☑️Correct Ans-within 3-
4 weeks after tx
retest for chlamydia and gonorrhea (not for cure) ☑️Correct Ans-3 months
PID tx ☑️Correct Ans-Rocephin 250 IM plus
Doxy bid x 14 days
with or without flagyl x 14 days
PID symptoms ☑️Correct Ans-pelvic lower ab pain and one of the following cervical motion
tenderness, uterine or adnexa tenderness
testing for PID ☑️Correct Ans-endometrial bx, transvag US, laprascopy
cervix disorders ☑️Correct Ans-fusion of mullerian ducts to form cervix and corpus uteri
Cervical agenesis ☑️Correct Ans-an absent uterine cervix with a normal uterine corpus and
normal vagina
rx of cervical agenesis ☑️Correct Ans-suppression of menstruation with continuous combined
estrogen progesterone pills may improve the pain related complaints.
dx of cervical agenesis ☑️Correct Ans-ultrasonography, MRI, laparoscopy
Incomplete Mullerian Fusion ☑️Correct Ans-complete failure of fusion of the Mullerian ducts
results in duplication of preproduction structures.
Failure of Resorption ☑️Correct Ans-complete spectate uterus
Diethylstilbestrol (DES) ☑️Correct Ans-cervical abnormalities and are at increased risk for
infertility
laceration of the cervix ☑️Correct Ans-cervical cerclage, precipitous labor, vacuum extraction,
nulliparity and episiotomy are associated with increased risk for clinically significant lacerations
, perforation of the cervix ☑️Correct Ans-may occur during sounding of the cervix, cervical
dilation, dilation of cervix, insertions of radioactive sources or conization of the cervix or during
self inducted abortion with sharp objects
ulceration of the cervix ☑️Correct Ans-from pressure necrosis from vaginal pessary. or from
uterine prolapse when the cervix protrudes through the vaginal introitus
cervical stenosis ☑️Correct Ans-narrowing or obstruction of the cervical canal caused by an
acquired condition
Pyometra ☑️Correct Ans-infection of the uterus
Dx of pyometra ☑️Correct Ans-biopsy to rule out endometrial carcinoma
tx of pyometra ☑️Correct Ans-1) OHE w/ *pre-surgical stabilization is paramount*
2) anti-biotic therapy for 2 weeks post-op
annular detachment ☑️Correct Ans-extremely rare
devitalized and torn uterus
and expelled during labor
complications of cervical injuries ☑️Correct Ans-hemorrhage
hypovolemic shock
Mongolian spots ☑️Correct Ans-areas of deep bluish-gray pigmentation most commonly on the
sacral aspect of a newborn
lead poisoning ☑️Correct Ans-test at 12 months of age
cystic fibrosis ☑️Correct Ans-A genetic disorder that is present at birth and affects both the
respiratory and digestive systems.
Traumatic Brain Injury (TBI) ☑️Correct Ans-A traumatic insult to the brain capable of producing
physical, intellectual, emotional, social, and vocational changes.
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