Primary Care For Women Discussion

QUESTION 1

An 18-year-old sexually active female comes to clinic and asks how often she should obtain a pap smear. Your best response is:

You should wait until you are between the ages of 21 and 29 years old.

You should have a Pap test every 3 years beginning at 21 years of age

You do not need a Pap test you are too young right now give yourself more time

You can have an annual pap test beginning at age 18 or within six months of first sexual intercourse

ORDER NOW FOR CUSTOMIZED SOLUTION PAPERS

1 points

QUESTION 2

A 30-year-old bisexual female is asking about treatment for uterine fibroids. She is asking you about treatment options. The NP knows that:

Uterine fibroids are associated with sexual activity

Since the patient is gay, she should opt to have a hysterectomy

MRI with guided ultrasound

Uterine artery embolization

1 points

QUESTION 3

A 20-year-old lesbian is asking about being a mother with her partner. A NP can educate patient about what options for being a mother.

Adopt

Same sex relationship partners cannot have a baby

Invitro fertilization

A and C only

1 points

QUESTION 4

What are risk factors for acquiring HPV?

Smoking

Immunosuppression

Multiple births

All of the above

None of the above

1 points

QUESTION 5

What NSAIDs are approved by FDA for the treatment of dysmenorrhea?

Diclofenac

Celebrex

Baralgan

Acetaminophen

1 points

QUESTION 6

A common side effect of a topical therapy with imiquimod used to treat VIN that has not progressed to invasive disease is:

severe headache

mild burning or stinging

cellulitis

nausea, vomiting, and diarrhea

1 points

QUESTION 7

Endometrial cancer occurs most frequently in a woman who

Menopausal and between the ages of 40 – 50

Postmenopausal women between the ages of 60-65

Perimenopausal women between the ages of 50-55

none of the above

1 points

QUESTION 8

What step can a clinician take to learn more about any chemicals used in a woman’s workplace?

Contact OSHA (Occupational Health and Safety Administration).

Contact the woman’s workplace.

Ask the woman to obtain her workplace MSDs (material safety data sheets).

Conduct research on the OSHA website.

1 points

QUESTION 9

Cyclic mastalgia:

More likely causes unilateral, localized pain that is sharp or burning in nature

Has an increased risk of occurrence in women whose diets are low in fat

Occurs most frequently in women who are 18 to 30 years old

Is caused by hormonal changes associated with menstruation

1 points

QUESTION 10

What is one factor that can reduce the risk for the development of ovarian cancer?

Multiple pregnancies

Transvaginal ultrasounds

Identification of recurrence

Weight loss

1 points

QUESTION 11

Which of the following is a preventive measure for vulvar cancer?

Avoiding exposure to HIV

Not smoking

There is no way to prevent it.

Colposcopy

1 points

QUESTION 12

The Bethesda System is used to

report breast cytology

report colon cytology

report cervical cytology

report Bartholin gland cyst cytology

1 points

QUESTION 13

The infertility evaluation is an opportune time to suggest health promotion behaviors that may specifically improve fertility, including:

Achieving a BMI in the range of 30 to 35, if the woman is under- or overweight

Reducing alcohol consumption to about 4 drinks per week

Reducing caffeine consumption to no more than 350 per day

None of the above

1 points

QUESTION 14

A 40-year-old white female mother died from ovarian cancer. The patient is asking the nurse practitioner, is there a way to prevent ovarian cancer?

There is nothing you can do to prevent cancer because you have a genetic predisposition for the disease.

You can prevent ovarian cancer by having a tubal ligation.

There are factors that inhibit ovulation that can reduce the risk of developing ovarian cancer.

None of the above

1 points

QUESTION 15

A nurse practitioner suspects a patient may have vulvar cancer based but is uncertain what are some possible differential diagnoses based on NPs suspicion.

Vulvar candidiasis

Vulvar vaginitis

Vulvar psoriasis

HSV 2

1 points

QUESTION 16

The most common sites of metastatic spread of invasive breast cancer include all of the following except:

Bones

Lungs

Pituitary

Lymph nodes

1 points

QUESTION 17

A 65-year-old female reports to clinic with complaints of urinary tract infection. She reports blood with urination. The NP confirms UTI with POC urine analysis test. The patient also reports low back pain. The NP will more than likely treat patient for what type of UTI?

Asymptomatic bacteriuria

Cystitis

Pyelonephritis

Nephrolithiasis

1 points

QUESTION 18

The HPV vaccine has been proven to be effective in protecting against the four types of HPV that cause genital warts and cervical cancers for as long as:

10 years

2 years

15 years

5 years

1 points

QUESTION 19

The first line of treatment for mastalgia, which is effective for 85 percent of women who have mild or moderate symptoms, is:

Reassurance

Reduction mammoplasty

Isoflavones, or naturally occurring phytoestrogens

2% lidocaine injection and 40 mg of methyl prednisone

1 points

QUESTION 20

What is now thought to be the most important causative agent in cervical cancer?

PCOS

Vulvar cancer

Herpes simplex

HPV

1 points