WHNP Board Review – Questions with Complete Solutions Primary Amenorrhea - Correct Answers ✅no menstruation by age 14 in absence of secondary sex characteristics, or by 16 regardless of secondary sex characteristic development Ovarian Cancer Risk Factors - Correct Answers ✅Low Parity, Early Menarche, Late Menopause, history of breast, colon, or endometrial cancer Gonads should be removed after puberty in a person with androgen insensitivity or resistance syndrome to PREVENT - Correct Answers ✅gonadal malignancies. Gonads should be removed by 16-18 years in people with androgen insensitivity/resistance to reduce risk of malignant transformation of gonads (5%). incidence is rare before puberty.A person with latent syphilis may present with - Correct Answers ✅NO SIGNS OF INFECTION. detection is through serological testing This treatment for chlamydia shouldn't be used in pregnancy due to risk of TOOTH DISCOLORATION IN CHILDREN. - Correct Answers ✅doxycycline PLISSET Model - Correct Answers ✅May be used by non- sex therapists when counseling patients with sexual 1 / 4
WHNP Board Review – Questions with Complete Solutions dysfunction. P = permission giving, LI = Limited Information, SS = specific suggestions, IT = intensive therapy androgen insensitivity or resistance syndrome - Correct Answers ✅genetically transmitted androgen receptor defect. The individual is a genotypic male (46XY) but is phenotypically female, or has both female/male characteristics. Will have normal breasts with small nipples/areola, scant/absent pubic hair, and no uterus or ovaries. Testes are present and either partially descended or intraabdominal.Most common benign neoplasm of cervix - Correct Answers ✅polyp. most often in perimenopausal and multigravida women between 30-50 Most common presenting symptom of vulvar cancer - Correct Answers ✅Pruritus Most common symptoms of vulvar cancer - Correct Answers ✅vulvar pruritus, pain, bleeding, odorous discharge that may be blood tinged, and lesions potential causes for galactorrhea - Correct Answers ✅hypo/hyper-thyroidism, use of opiates/cannabis, excessive breast stimulation, pituitary adenoma, use of some medications 2 / 4
WHNP Board Review – Questions with Complete Solutions Lifetime risk of ovarian cancer - Correct Answers ✅1-2% Most common site of vaginal cancer - Correct Answers ✅Upper 1/3 of vagina Risk factors of endometrial cancer - Correct Answers ✅Obesity, DM, HTN, family hx, early menarche, late menopause, unopposed estrogen therapy, oligo-ovulation, anovulation, estrogen secreting tumors, PCOS due to unopposed estrogen an anovulation most common ovarian germ cell tumor is - Correct Answers ✅DERMOID CYST aka benign cystic teratoma Turner's Syndrome physical characteristics - Correct Answers ✅lack of breast development, scant pubic hair, normal uterus and vagina, absent or streak ovaries, short stature, webbed neck, shield chest with wide spaced nipples.cardiac/renal anomalies may also be present.advanced cervical cancer symptoms (mid) - Correct Answers ✅irregular painless bleeding, odorous bloody or purulent discharge, 3 / 4
WHNP Board Review – Questions with Complete Solutions late symptoms of cervical cancer - Correct Answers ✅pelvic/epigastric pain, urinary/rectal symptoms Urine specific gravity range - Correct Answers ✅1.005 - 1.030 Normal Urine pH - Correct Answers ✅4.6 to 8.0 The CONCEPTUS - Correct Answers ✅the embryo, fetal membranes, and placenta Normal Size Uterus of reproductive aged woman multiparous
- Correct Answers ✅8 cm x 5 cm x 2.5 cm
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normal size of ovaries in reproductive aged woman - Correct Answers ✅3 x 2 x 1 cm Complication that may be encountered with Duncan mechanism of placental delivery - Correct Answers ✅increased bleeding due to incomplete separation of placenta Complete breech presentation - Correct Answers ✅both hips + knees flexed (like cannonball dive), buttocks presenting