Practicum Final Exam 400 QA Highly

NR602 / NR 602 Primary Care of the Childbearing and Childrearing Family Practicum Final Exam 400+ Q/A| Highly Rated | LATEST| Chamberlain College Which one best describes lesions associated with condyloma acuminatum?

• Verruciform
• Plaque-like
• Vesicular
• Bullous - ANSWER 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 - ANSWER c 1 / 4

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 - ANSWER 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 - ANSWER 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 - ANSWER d 2 / 4

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 - ANSWER

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 - ANSWER 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 - ANSWER a 3 / 4

Woman is experiencing vaginal discharge. Wet mount with KOH would be used to

confirm:

• Herpes simplex
• Gonorrhea
• Candidiasis
• Chlamydia - ANSWER c

Treatment options for condyloma acuminatum include:

• Imiquimod (Aldera)
• Azithromycin
• Acyclovir
• Metronidazole - 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 mammo - ANSWER d
• / 4