pg. 1 NR602 Final Exam Latest 2024 -2025 Test Bank/ Complete 400+ Actual Exam Questions with 100% Correct Verified Answers/ Graded A+
39yo female has completed course of amok 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 - Correct Answer - c
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 - Correct Answer - a
What is the most common cause of dysfunctional uterine bleeding?
- Endocrine disorders
- Stress
- Anovulation
- Anatomical abnormality - Correct Answer - c
PMS occurs with greatest frequency and severity in the: 1 / 4
pg. 2
- Late luteal phase
- Mi follicular phase
- Proliferative phase
- Early luteal phase - Correct Answer - a
Which is not a common cause of irregular menstrual bleeding?
- Endocrine disorders
- Stress
- Anovulation
- Anatomical abnormality - Correct Answer - c
What is considered the primary etiology of primary dysmenorrhea?
- Ovarian cysts
- Prostaglandin production
- Endometriosis
- Adenomyosis - Correct Answer - 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 - Correct Answer - 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 2 / 4
pg. 3
- Fecal impaction - Correct Answer - 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 vulvovaginal area w/edema and white patches. No odor. What is the most likely cause?
- Bacterial vaginosis
- DM
- Allergy to personal hygiene product
- Candidiasis after abs treatment - Correct Answer - d
Treatment options for condyloma acuminatum include:
- Imiquimod (Aldora)
- Azithromycin
- Acyclovir
- Metronidazole - Correct Answer - 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 mamo - Correct Answer - d
PID typically presents with all of the following except:
- Dysuria
- Leukopenia
- Cervical motion tenderness
- Abd pain - Correct Answer - b
- / 4
pg. 4 Which of the following are of a reproductive and pelvic origin?
- Sapling-oophoritis (fallopian tube/ovary) secondary to PID
- Gynecologic malignancy
- Adhesions
- Momita uteri - Correct Answer - a
32yo woman c/o postcoital bleeding. Which would not be included in the initial assessment?
- Pap smear
- Uterine biopsy
- Pelvic ultrasound
- CBC w/diff - Correct Answer - b
What phase of menstrual cycle begins with menses cessation and ends w/ovulation?
- Ovulatory phase
- Follicular phase
- Proliferative phase
- Luteal phase - Correct Answer - b
What phase of menstrual cycle begins with ovulation and ends w/menstruation?
- Ovulatory phase
- Follicular phase
- Proliferative phase
- Luteal phase - Correct Answer - c
Woman c/o vaginal itching, white discharge. She is in good health except for recent abs for strep throat. Pelvic reveals tender vulvovaginal area w/edema and no malodorous white patches. Which is the most likely cause?
- / 4