NSG 554 - Nurse Practitioners in Primary Care I
Exam 4
Question:
most common breast problem in primary care
Answer:
mastalgia or mastodynia
Question:
galactorrhea
Answer:
milky breast discharge--associated with pituitary adenoma or hypothyroidism
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Question:
chronic pelvic pain
Answer:
continues or episodic NON-menstrual pain of at least 6 mos. at or below umbilicus. interrupts normal activities. May involve GI, uro, gyn, onco, musco, psycho systems. cause is often multifactorial
Question:
Increased risk of chronic pelvic pain
Answer:
history of:
ØPhysical and sexual abuse ØPelvic inflammatory disease ØEndometriosis ØInterstitial cystitis ØIrritable bowel syndrome ØMusculoskeletal D/O ØPostsurgical pain
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Question:
PE and diagnostics of chronic pelvic pain
Answer:
detailed abd., pelvic, back, dx: vaginal/cervical cultures, UA, urine culture,
CBC, pregnancy test, ESR transvaginal/renal ultrasound and/or laparoscopy, CT or MRI
Question:
management of chronic pelvic pain
Answer:
NSAIDS, TCAs, anticonvulsants, neurostim, laparoscopy
Question:
abnormal uterine bleeding
Answer:
wide range. can be acute episodic or chronic
Question:
workup for abnormal uterine bleeding
Answer:
eval s/s blood loss, systemic disease, pelvic exam, labs: hcg, CBC, TSH,
prolactin, transvaginal US, endometrial sampling
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