NR 602 FINAL EXAM
Latest 2023 / 2024
Which one best describes lesions associated with condyloma acuminatum?
- Verruciform
- Plaque-like
- Vesicular
- Bullous
ANS
- a
39yo female has completed course of amox for strep throat. LMP was 2wks ago, says it was normal. On exam, there's erythema of extern. genitalia w/small amount of white discharge.Micro wet prep reveals few clue cells, but many budding hyphae. No WBCs. Which one would be the most appropriate treatment?
- Metronidazole 500mg BID x7 days
- OTC hydrocortisone 1% cream TID
- Fluconazole tabs 150mg x1 dose
- Erythromycin 500mg TID x10 days
ANS
- c
Woman c/o vaginal itching, white discharge. She is in good health except for recent abx for strep throat. Pelvic reveals tender vulvovaginal area w/edema and nonmalodorous white patches. Which is the most likely cause?
- Bacterial vaginosis
- Trichomonas
- Lactobacillus overgrowth
- Candidiasis
ANS
- d
18yo female c/o secondary amenorrhea. On exam, there is normal secondary sex characteristics and normal genitalia. Pregnancy is ruled out. What would necessitate further eval?
- Elevated blood cholesterol levels
- Androgen deficiency
- Galactorrhea
- Hirsutism 1 / 4
ANS
- c
24yo female is dx'd w/primary dysmenorrhea. Which med would be used as first-line to help control symptoms?
- Antianxiety meds
- Progesterone-only contraception
- Oral steroids
- NSAIDs
ANS
- d
Primary amenorrhea is best described as:
- Cessation of menstruation x6mo
- Failure of menstruation to occur by 17ho
- Failure of menstruation to occur by 13yo
- Cessation of menstruation x6mo after menarche
ANS
- c
25yo female c/o vaginal irritation and discharge. On exam, cervix is easily friable and erythematous. No adnexal tenderness. Wet prep reveals mobile protozoa on NS slide. This
most likely represents:
- Trichomonas
- Mucopurulent cervicitis
- Bacterial vaginosis
- Gonorrhea
ANS
- a
16yo female has h/o secondary amenorrhea. Menarche at 10yo, regular cycles x2yrs, has not menstruated x4yrs. What is most frequent etiology of this problem?
- Eating disorder
- Pregnancy
- Anovulatory cycles
- Stress
ANS
- a
Woman is experiencing vaginal discharge. Wet mount with KOH would be used to confirm:
- Herpes simplex
- Gonorrhea
- Candidiasis 2 / 4
- Chlamydia
ANS
- c
Treatment options for condyloma acuminatum include:
- Imiquimod (Aldera)
- Azithromycin
- Acyclovir
- Metronidazole
ANS
- a
25yo postmenopausal female c/o pain in upper outer quadrant of L breast x1mo. Best course
of action would be:
- Reassure pt that pain is often not presenting symptom of breast cancer.
- Teach pt breast self-exam.
- Order labs as most likely this is secondary to hormonal fluctuation
- Perform breast exam and order mammo
ANS
- d
PID typically presents with all of the following except:
- Dysuria
- Leukopenia
- Cervical motion tenderness
- Abd pain
ANS
- b
Which of the following are of a reproductive and pelvic origin?
- Salpingo-oophoritis (fallopian tube/ovary) secondary to PID
- Gynecologic malignancy
- Adhesions
- Myomata uteri
ANS
- a
25yo female c/o tender area near her introitus and to the L of her perineum. Very painful sex was first sign. Initially bump was very small, but now is ping-pong ball size. On exam, abscess is present on L medial side of labia minora and there's edema extending into perineum. What is dx? 3 / 4
- Lipoma
- Dermoid cyst
- Bartholin's cyst
- Skene's duct cyst
ANS
- c
49yo female c/o dark, watery brown vaginal discharge. Which best describes what might be seen on physical exam in pt's with cervical cancer?
- Ulcerated firm cervix
- Vague lower abd pain
- Enlarged tender femoral lymph nodes
- Soft, still shaped cervix
ANS
- a
22yo female c/o pelvic pain. Exam reveals cervical motion and uterine tenderness. Which supports PID dx?
- Temp <100F
- Absence of WBCs in vag fluid
- Mucopurulent vag discharge
- Lab documentation of cervical infection w/E. coli
ANS
- c
When educating pt about rationale for getting mammo, which statement is false?
- Mammo is cost-effective method to screen for breast cancer
- Mammo detects all breast cancers
- Mammo should be accompanied by breast exam
- Negative mammo should not delay biopsy of clinically suspicious mass
ANS
- b
When educating women about breast cancer risk factors, which statement is incorrect?
- Pregnancy after 35yo
- Late menopause after 57yo
- Fibrocystic breast dz
- H/o maternal breast cancer
ANS
- c
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