Get ahead with a $300 test prep scholarship
| Enter to win by Tuesday 9/24
NR602 Week 6
Terms in this set (16)
A nurse practitioner is reviewing the chart of a woman who has findings consistent with polycystic ovary syndrome (PCOS). the diagnostic criteria for PCOS include all of the following except:
Irregular menstrual cycles
Pelvic pain is a common complaint in young women. Which of the following is not a first-line diagnostic test for evaluation of pelvic pain?
Urine human choronic gonadottropin (HCG)
CBC with differential
CT of pelvis
A nurse practitioner is participating in a women's health fair. When educating the women about risk factors for breast cancer, which of the following statements is incorrect?
Pregnancy after age of thirty-five years
Late menopause after age of fifty-seven years
Fibrocystic breast disease
History of maternal breast cancer
A thirty-three-year-old woman presents to your clinic complaining of a dark brown, watery vaginal discharge and post-coital bleeding. There is a strong history of multiple unprotected sexual encounters. Which of the following findings on examination would be suspicious for cervical cancer?
A soft, pink cervix with no ulcerations
A very firm, erasily friable cervix
An anteverted cervix
When educating a patient about the rationale for obtaining a mammogram, which of the following statements is false?
Mammography is a cost-effective method to screen for breast cancer
Mammography detects all breast cancers
Mammography should be accompanied by breast examination
Negative mammography shuold not delay biopsy of a clinically suspicious mass
A fifty-five-year-old postmenopausal female patient presents with pain in the upper outer quadrant of her left breast for over one month now. the best course of action would be to:
Reassure the patient that pain is often not a presenting symptom of breast cancer
Teach the patient breast self-examination
Order laboratory studies as most likely this is secondary to a hormonal fluctuation
Perform a breast examination and order a mammogram
A twenty-five-year-old presents with a report of a very tender area just near her introitus and to the left of her perineum. Very painful sex is how she knew "something wasn't right." She showered and when washing, she felt a "pea-sized" painful lump on the left side of her "bottom." She tells you she looked at it with a mirror and it was very small, but now it is the size of a ping-pong ball and getting worse. When you inspect her external genitalia, you are amazed at the size and appearance of the "lump." You note what appears to be an abscess on the left medial side of the labia minora, and there is some edema extending into the perineum. Your diagnosis for this presentation is:
Skene's duct cyst
A 22-year-old woman complains of pelvic pain. Physical examination reveals cervical motion tenderness and uterine tenderness. Which of the following would further support a diagnosis of PID?
Temperature less than 100 degrees F(37.8C)
Absence of white blood cells in vaginal fluid
Mucopurulent vaginal discharge
Laboratory documentation of cervical infection with Escherichia coli
A nurse practitioner is educating a patient who has just been diagnosed with polycystic ovary syndrome (PCOS). She needs to be aware that PCOS is associated with which of the following clinical manifestations?
Excessive menstrual flow
Dry, flaking skin
Low insulin levels
A forty-nine-year-old female patient presents with a chief complaint of dark, watery brown vaginal discharge. Part of the differential diagnosis includes that of cervical cancer. Which of the following best describes what might be visualized on physical examination in patients with cervical cancer?
Ulcerated firm cervix
Lower abdominal pain that is vague
Enlarged tender femoral lymph nodes
Soft, still shaped cervix
Women often tend to reschedule a well-woman visit, but they don't do so often with a problem such as pelvic pain. This symptom can present as an acute, or chronic, insuit. When a woman presents with pelvic pain, the term can encompass many possibilities but nonetheless can originate from more than one system as a referred pain or discomfort. Which of the following choices are or a reproductive and pelvic origin?
Salpingo-oophoritis (fallopian tube/ovary) secondary to PID
A fifty-five-year-old woman presents to the clinic for evaluation of a breast mass. Which of the following is not a typical presenting sign of breast cancer?
Engorgement of one areola and nipple
Dimpling of skin over breast
Unilateral retraction and deviation of nipple
A 2cm, rubbery, tender lesion
Woman with PID typically present with all the following except:
Cervical motion tenderness
During a breast exam of a 30-year-old nulliparous female, the nurse practitioner palpates several rubbery mobile areas of breast tissue. They are slightly tender to palpation. Both breasts have symmetrical findings. There are no skin changes or any nipple discharge. The patient is expecting her menstrual period in 5 days. Which of the following would you recommend?
Referral to a gynecologist for further evaluation
Tell her to return 1 week after her period so her breasts can be rechecked
Advise the patient to return in 6 months to have her breasts rechecked
Schedule the patient for a mammogram
A patient asks why she needs a breast ultrasound when she already has had a mammogram. Which of the following would be the best response of the use?
To locate small lesions prior to surgery
As a screening test for breast cancer
To determine if a breast lesion is cystic or solid
For definitive diagnosis of breast cancer
A woman is experiencing a milky white nipple discharge. Galactorrhea is usually a finding with which other diagnosis?
Fibrocystic breast disease