NR 602 NR602 FINAL EXAM: PRIMARY CARE OF

1 NR

NR 602/ NR602 FINAL EXAM: PRIMARY CARE OF

THE CHILDBEARING & CHILDREARING FAMILY GUIDE| QUESTIONS & ANSWERS| GRADE A| 100%

CORRECT (NEW 2025/ 2026 UPDATE) (VERIFIED

SOLUTIONS)- CHAMBERLAIN

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?

• 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

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2 NR 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

Which of the following statements is accurate regarding the usefulness of mammo in screening and detection of breast cancer?

• Mammo shouldn't be done if there is any breast pain or nipple retraction
• All women >40yo should have mammo on annual basis
• Mammo should be done annually for all women of child-bearing age
• Mammos should be performed annually after initial pregnancy, especially if women

doesn't breastfeed - ANS ✓b Which would be considered normal surface characteristic of the cervix during a speculum exam?

• Small, yellow, raised around area on cervix
• Friable, bleeding tissue opening of the cervical os
• Red patch areas w/occasional white spots
• Irregular, granular surface w/red patches - ANS ✓a

What is the most common cause of dysfunctional uterine bleeding?

• Endocrine disorders
• Stress
• Anovulation
• Anatomical abnormality - ANS ✓c

PMS occurs with greatest frequency and severity in the:

• Late luteal phase
• Midfollicular phase
• Proliferative phase
• Early luteal phase - ANS ✓a

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3 NR Which is not a common cause of irregular menstrual bleeding?

• Endocrine disorders
• Stress
• Anovulation
• Anatomical abnormality - ANS ✓c

What is considered the primary etiology of primary dysmenorrhea?

• Ovarian cysts
• Prostaglandin production
• Endometriosis
• Adenomyosis - ANS ✓b

28yo female c/o breast tenderness, fatigue, abd bloating, fluid retention, irritability 1wk before her menses onset. What is most important info to obtain from this pt to determine if the pt has PMS?

• Severity of symptoms
• Occurrence of symptoms in menstrual cycle
• Frequency and number of symptoms over past 4mo - ANS ✓b

35yo woman c/o 6mo h/o hypermenorrhea, backache, pelvic pressure. On exam, you discover 12wk size uterus w/irregular contour. What does this represent?

• Uterine cancer
• Dysfunctional uterine bleeding
• Uterine fibroid
• Fecal impaction - ANS ✓c

Female c/o vaginal itching and white discharge. Denies sexual activity or douching. In good health except for recurrent strep throat. Pelvic reveals tender vulvovag area w/edema and white patches. No odor. What is the most likely cause?

• Bacterial vaginosis
• DM
• Allergy to personal hygiene product
• Candidiasis after abx treatment - ANS ✓d

32yo woman c/o postcoital bleeding. Which would not be included in the initial assessment?

• Pap smear
• Uterine biopsy
• Pelvic ultrasound
• CBC w/diff - ANS ✓b

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4 NR What phase of menstrual cycle begins with menses cessation and ends w/ovulation?

• Ovulatory phase
• Follicular phase
• Proliferative phase
• Luteal phase - ANS ✓b

What phase of menstrual cycle begins with ovulation and ends w/menstruation?

• Ovulatory phase
• Follicular phase
• Proliferative phase
• Luteal phase - ANS ✓c

Name 4 structural abnormalities that are causes of dysfunctional uterine bleeding. -

ANS ✓PALM:

Polyps Adenomyosis Leiomyoma Malignancy Name 5 non-structural abnormalities that are causes of dysfunctional uterine bleeding. -

ANS ✓COEIN:

Coagulopathy Ovulatory disorders Endometrial Iatrogenic Not classified What is abnormal/dysfunctional uterine bleeding? - ANS ✓Acute or chronic bleeding from uterine corpus; abnormal in regularity, volume, frequency, or duration; occurs in pregnancy absence.What is acute DUB? - ANS ✓Episode of sufficient quantity to require immediate intervention to prevent further blood loss What is chronic DUB? - ANS ✓Present for the majority of the last 6mo What is the most common benign tumor of the genital tract? - ANS ✓Leiomyomas?(Hollier CPG p. 772) Name some risk factors for DUB. - ANS ✓Anovulation Hormone replacement anovulation Obesity Nulliparity NR 602

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