Expert answer:Answer questions
Expert answer:Please answer the fallowing questions with references. Question 1 A woman is interested in starting Depo-Provera injections for contraception. What would be the most likely side effect that she should be educated about? Question 1 options: Irregular bleeding Dysmenorrhea Breast tenderness Headache Question 2 Lenore, fifty-five years old, comes in for evaluation of a breast mass. Which of the following assessment findings is/are associated with carcinoma of the breast? Select all that apply. Question 2 options: Scaly lesions similar to eczema on one areola and nipple Peau d’orange dimpling of skin over one breast Unilateral retraction and deviation of nipple Discrete, smooth, and mobile lesion Question 3 There are several phases to the menstrual cycle. What phase begins with ovulation and ends with menstruation? Question 3 options: Ovulatory phase Follicular phase Proliferative phase Luteal phase Question 4 Tanisha is a twenty-two-year-old woman who presents with extreme irritability and mood swings, bloating, constipation, fluid retention, and headache. She tearfully tells you, “This happens every month in my cycle. I get like a crazy woman, lashing out at everyone. I’m afraid I’ll lose my job if I can’t stop this. Sometimes, it’s so bad. I just want to quit living. I need help!” Tanisha’s symptoms are typical of what disorder? Question 4 options: Depression Premenstrual syndrome (PMS) Bipolar disorder Premenstrual dysphoric disorder (PMDD) Question 5 Sylvia is a forty-four-year-old woman with abnormal uterine bleeding (AUB) and is unable to use combined hormonal oral contraceptives. Which of the following medications can be used for management of AUB? Question 5 options: Ethinyl estradiol Medroxyprogesterone Musculoskeletal relaxants Conjugated estrogen Question Your fifteen-year-old patient has been diagnosed with secondary amenorrhea. The urine human chorionic gonadotropin (HCG) is negative and Prolactin levels are within normal limits. The physical examination reveals growth of breast tissue and Tanner stage III. Which of the following medication regimes would be most appropriate? Question 6 options: Oral estrogen 1.25 mg daily for three weeks Oral progestin 5 mg every other day for three cycles Medrol 16 mg dose pack Medroxyprogesterone acetate 5 to 10 mg daily for first 12 to 14 days of each cycle Question A female patient has been diagnosed with polycystic ovary syndrome (PCOS) and weighs 250 pounds. In addition to obesity, PCOS is associated with which of the following clinical manifestations? Select all that apply. Question 7 options: Unexplained weight loss Dry, flaking skin Menstrual irregularity Hirsutism Question 8 The nurse practitioner is counseling an eleven-year-old girl, Kayleigh, and her mother about the human papillomavirus vaccine (HPV), Gardasil. Kayleigh is Tanner stage IV at this visit. In counseling this family, the nurse practitioner tells them that the HPV vaccine ______. Question 8 options: is a series of three doses over a six month period will protect Kayleigh from all strains of HPV can cause seizures in some children is not indicated in her age group as she is not yet sexually active Question 9 The nurse practitioner understands that women with polycystic ovarian syndrome have an increased risk for: Question 9 options: is a series of three doses over a six month period Adrenal tumors Endometrial cancer Endometriosis Question 10 The nurse practitioner is instructing a patient on the proper use of the diaphragm, a barrier contraceptive method. Which of the following would the nurse practitioner include in the instructions? Question 10 options: The diaphragm should be removed within one hour after intercourse. The diaphragm may be inserted up to twenty-four hours prior to intercourse The diaphragm may be inserted up to twenty-four hours prior to intercourse Douching is safe immediately upon removal of the diaphragm. Question 11 Abnormal uterine bleeding (AUB) has multiple causes. When a woman presents and reports menstrual irregularity with amenorrhea, which is the most common cause of amenorrhea? Question 11 options: Ectopic pregnancy Adenomyosis Coagulopathy Anovulation Question 12 Polycystic ovaries predispose women to a higher incidence of: Question 12 options: Adrenal tumors Ovarian cancer Endometrial cancer Endometriosis Question 13 A well-woman visit for an adolescent should include which of the following? Select all that apply. Question 13 options: A general health history and physical examination, including a breast examination, pelvic with Pap smear, counseling, and assessment of risk factors A general health history focusing on reproductive and sexual health concerns (menses, gynecologic, and pregnancy related) and psychosocial (family related, peer related, emotional, and physical as well as related to abuse, drug use, and alcohol use) concerns Screening tests and immunizations as indicated by the health history External-only inspection of the genitalia Question 14 A 42 year old female presents to your office with complaint of a palpable breast mass that she noticed while performing her breast self-examination. After taking her history, you perform a clinical breast examination which reveals a solitary, 3 cm, mobile, non-painful, rubbery mass. On the basis of her clinical breast examination, what is most likely her diagnosis? Question 14 options: Fibrocystic breast changes Fibroadenoma Intraductal papilloma Invasive breast cancer Question 15 Which of the following contraceptives would not be a reasonable method for a 40 year old patient that smokes 1 pack of cigarettes per day and has a history of hypertension? Question 15 options: Contraceptive patch Depo-Provera Mirena IUD Nexplanon
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Question 1
A woman is interested in starting Depo-Provera injections for contraception.
What would be the most likely side effect that she should be educated about?
Question 1 options:
Irregular bleeding
Dysmenorrhea
Breast tenderness
Headache
Question 2
Lenore, fifty-five years old, comes in for evaluation of a breast mass. Which of the
following assessment findings is/are associated with carcinoma of the breast?
Select all that apply.
Question 2 options:
Scaly lesions similar to eczema on one areola and nipple
Peau d’orange dimpling of skin over one breast
Unilateral retraction and deviation of nipple
Discrete, smooth, and mobile lesion
Question 3
There are several phases to the menstrual cycle. What phase begins with
ovulation and ends with menstruation?
Question 3 options:
Ovulatory phase
Follicular phase
Proliferative phase
Luteal phase
Question 4
Tanisha is a twenty-two-year-old woman who presents with extreme irritability
and mood swings, bloating, constipation, fluid retention, and headache. She
tearfully tells you, “This happens every month in my cycle. I get like a crazy
woman, lashing out at everyone. I’m afraid I’ll lose my job if I can’t stop this.
Sometimes, it’s so bad. I just want to quit living. I need help!” Tanisha’s symptoms
are typical of what disorder?
Question 4 options:
Depression
Premenstrual syndrome (PMS)
Bipolar disorder
Premenstrual dysphoric disorder (PMDD)
Question 5
Sylvia is a forty-four-year-old woman with abnormal uterine bleeding (AUB) and is
unable to use combined hormonal oral contraceptives. Which of the following
medications can be used for management of AUB?
Question 5 options:
Ethinyl estradiol
Medroxyprogesterone
Musculoskeletal relaxants
Conjugated estrogen
Question
Your fifteen-year-old patient has been diagnosed with secondary amenorrhea.
The urine human chorionic gonadotropin (HCG) is negative and Prolactin levels
are within normal limits. The physical examination reveals growth of breast tissue
and Tanner stage III. Which of the following medication regimes would be most
appropriate?
Question 6 options:
Oral estrogen 1.25 mg daily for three weeks
Oral progestin 5 mg every other day for three cycles
Medrol 16 mg dose pack
Medroxyprogesterone acetate 5 to 10 mg daily for first 12 to 14 days of each
cycle
Question
A female patient has been diagnosed with polycystic ovary syndrome (PCOS) and
weighs 250 pounds. In addition to obesity, PCOS is associated with which of the
following clinical manifestations? Select all that apply.
Question 7 options:
Unexplained weight loss
Dry, flaking skin
Menstrual irregularity
Hirsutism
Question 8
The nurse practitioner is counseling an eleven-year-old girl, Kayleigh, and her
mother about the human papillomavirus vaccine (HPV), Gardasil. Kayleigh is
Tanner stage IV at this visit. In counseling this family, the nurse practitioner tells
them that the HPV vaccine ______.
Question 8 options:
is a series of three doses over a six month period
will protect Kayleigh from all strains of HPV
can cause seizures in some children
is not indicated in her age group as she is not yet sexually active
Question 9
The nurse practitioner understands that women with polycystic ovarian syndrome
have an increased risk for:
Question 9 options:
is a series of three doses over a six month period
Adrenal tumors
Endometrial cancer
Endometriosis
Question 10
The nurse practitioner is instructing a patient on the proper use of the diaphragm,
a barrier contraceptive method. Which of the following would the nurse
practitioner include in the instructions?
Question 10 options:
The diaphragm should be removed within one hour after intercourse.
The diaphragm may be inserted up to twenty-four hours prior to intercourse
The diaphragm may be inserted up to twenty-four hours prior to intercourse
Douching is safe immediately upon removal of the diaphragm.
Question 11
Abnormal uterine bleeding (AUB) has multiple causes. When a woman presents
and reports menstrual irregularity with amenorrhea, which is the most common
cause of amenorrhea?
Question 11 options:
Ectopic pregnancy
Adenomyosis
Coagulopathy
Anovulation
Question 12 Polycystic ovaries predispose women to a higher incidence of:
Question 12 options:
Adrenal tumors
Ovarian cancer
Endometrial cancer
Endometriosis
Question 13
A well-woman visit for an adolescent should include which of the following?
Select all that apply.
Question 13 options:
A general health history and physical examination, including a breast
examination, pelvic with Pap smear, counseling, and assessment of risk factors
A general health history focusing on reproductive and sexual health concerns
(menses, gynecologic, and pregnancy related) and psychosocial (family related,
peer related, emotional, and physical as well as related to abuse, drug use, and
alcohol use) concerns
Screening tests and immunizations as indicated by the health history
External-only inspection of the genitalia
Question 14
A 42 year old female presents to your office with complaint of a palpable breast
mass that she noticed while performing her breast self-examination. After taking
her history, you perform a clinical breast examination which reveals a solitary, 3
cm, mobile, non-painful, rubbery mass. On the basis of her clinical breast
examination, what is most likely her diagnosis?
Question 14 options:
Fibrocystic breast changes
Fibroadenoma
Intraductal papilloma
Invasive breast cancer
Question 15
Which of the following contraceptives would not be a reasonable method for a 40
year old patient that smokes 1 pack of cigarettes per day and has a history of
hypertension?
Question 15 options:
Contraceptive patch
Depo-Provera
Mirena IUD
Nexplanon
…
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