NR-577 Primary Care Management of Adolescents and Adults
Midterm Exam (Latest Update)
Question:
Breast lumps masses or pain
Answer:
A breast lump or mass, or breast pain, may be a symptom of breast cancer or a benign (non-cancerous) condition
Question:
Dx tests for breast lumps
Answer:
Mammogram, Ultrasound, MRI
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Question:
Mammogram
Answer:
A mammogram is an X-ray of the breast used to detect breast cancer. It is usually the first test recommended for women who have breast symptoms or who are at increased risk of breast cancer.
Question:
Ultrasound for breast
Answer:
An ultrasound uses high-frequency sound waves to create images of the breast, which can be used to help determine whether a breast lump is solid or fluid-filled.
Question:
MRI for breast
Answer:
An MRI uses a strong magnetic field and radio waves to produce detailed images of the breast and is often used in conjunction with a mammogram for women with a high risk of breast cancer. It is important to consult a healthcare provider for proper evaluation and diagnosis of any breast symptoms and to determine the best course of action, which may include additional testing and/or biopsy. Early detection is crucial for the successful treatment of breast cancer
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Question:
Presumptive signs of pregnancy
Answer:
Amenorrhea, N/V, breast tenderness, fatigue, urinary frequency, Quickening,
Question:
Probably signs of pregnancy
Answer:
Pregnancy test
Question:
Positive signs of pregnancy
Answer:
Palpation of the fetus by the health care provider • Ultrasound and visualization of the fetus • Fetal Heart Tones (FHT) auscultated by the health care provider
Question:
Positive signs pregnancy
Answer:
Fetal heart rate auscultated by fetoscope at 17-20 weeks or by Doppler at 10- 12 weeks Palpable fetal outline and fetal movement after 20 weeks 3 / 4
Visualization of fetus with cardiac activity by ultrasound (fetal parts visible by 8 weeks)
Question:
Vaccines in pregnancy
Answer:
IM Flu, Tdap, Hep B,
Question:
Vaccines contraindicated in pregancy
Answer:
MMR, Varicella, Live flu vaccine
Question:
Benefits of combined estrogen oral contraceptive
Answer:
decrease blood loss, decrease cramps, can manipulate timing of cycle, decrease ovarain and endometrial cancer, decreases risk for ectopic pregancny, Effective to treat acne, hirsutism and other androgen excess/sensitivity states Reduced vasomotorsymptoms and effective contraception in perimenopausal women ▪Increased bone mineral density Decreased pain and frequency of sickle cell disease crises
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