Nr 602 wk 8 poss questions
ACOG guidelines regarding well women exams
What is the ASCCP recommended management for an ASCUS (atypical squamous cells of undetermined
significance) pap result with a positive high-risk HPV 16 cotest in a 26-year-old woman without a history of
abnormal pap smears?
A well-woman visit for an adolescent should include which of the following?
A general health history focusing on reproductive and sexual health concerns (menses, gynecologic,
and pregnancy related) and psychosocial (family related, peer related, emotional, and physical as
well as related to abuse, drug use, and alcohol use) concerns
Physical exam, screening tests, and immunizations as indicated by the health history and gynecologic
considerations for an external-only inspection of the genitalia
ACOG Pap smear guidelines
A Bethesda system Pap smear report that reads LSIL is most consistent with which classification?
A single Pap smear reading of ASCUS in a patient negative for HPV infection should have what as follow-up?
A female patient is 35 years old. She has never had an abnormal PAP smear and has had regular screening since age
18. If she has a normal PAP smear with HPV testing today, when should she have the next cervical cancer
A young sexually active client at the family planning clinic is advised to have a Papanicolaou (Pap) smear. She has
never had a Pap smear before. What should the nurse include in the explanation of this procedure?
The Pap smear can detect cancer of the cervix
Lab results on your 26-year-old patient show a negative Pap smear with a positive human papillomavirus (HPV)
screen. Which procedure will be required next?
Repeat Pap and HPV screen
Which of the following is not part of the criteria for an older woman to cease having any future Pap tests performed?
Over 55 years of age
Amenorrhea (Primary and Secondary)
You are evaluating a 17-year-old Emily who presented with amenorrhea and normal secondary sex characteristics.
The purpose of the progesterone challenge is to ascertain the presence of?
A 17-year-old female patient presents with amenorrhea for 4 months she did experience menarche at age 15 but had
not had a menstrual cycle since. On physical examination, it is noticed that she has normal secondary sexual
characteristics. The nurse practitioner will consider a progesterone challenge to determine the presence of adequate
A teenage patient presents with amenorrhea and moral secondary sex characteristics. A progesterone challenge is
ordered. The purpose is to determine the presence of ____________?
A 16year old girl who comes to your office with a history of secondary amenorrhea. She experienced menarche at
age 10, regular cycles for 2 years. She has not menstruated now for 4 years. In your initial consideration of
differential diagnoses, what is the most frequent etiology of this problem:
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?
Primary amenorrhea is best described as:
Failure to menstruation to occur by 13 yr
A nurse practitioner is caring for a woman with primary and secondary amenorrhea. The pelvic exam was normal.
Which of the following may be the cause if etiology originates in the hypothalamus?
American Cancer Society recommendations
A nurse practitioner is participating in a women’s health fair. When educating the women about risk factors for
breast cancer, which of the following statements is incorrect?
Nr 602 wk 8 poss questions
Fibrocystic breast disease
When educating women about breast cancer risk factors, which statement is incorrect?
Fibrocystic breast disease
A woman with lobular carcinoma in situ has a relative risk of developing invasive breast cancer of
Androgen insensitivity/resistance syndrome
Changes in hormonal regulation during menopause result in the gradual cessation of menstruation. From which
gland is Androstenedione secreted?
ASCUS/HSIL results from Paper Test Report
A Pap smear result of atypical squamous cells of undetermined significance—rule out high-grade squamous
intraepithelial lesion (ASCUS r/o HGSIL) will require which procedure next?
A Pap smear result of atypical squamous cells of undetermined significance (ASCUS) will require which procedure
Follow up pap smear
Bartholin glands and cysts
A 25-year-old presents with a report of a very tender area just near her introitus and to the left of her
perineum. Very painful sex is how she knew "something wasn't right." She showered and when washing, she felt a
"pea-sized" painful lump on the left side of her "bottom." She tells you she looked at it with a mirror and it was very
small, but now it is the size of a ping-pong ball and getting worse.
When you inspect her external genitalia, you are amazed at the size and appearance of the "lump."
You note what appears to be an abscess on the left medial side of the labia minora, and there is some edema
extending into the perineum. Your diagnosis for this presentation is:
You explain to this young woman what this "lump" is and let her know you will be referring her to a gynecologist
you consult with regularly. You explain to her the likely treatment as follows:
A possible incision might be necessary and a catheter placed for two to four weeks to allow
for drainage and appropriate healing.
A client at the women's health clinic complains of swelling of the labia and throbbing pain in the labial area after
sexual intercourse. For what condition does the nurse anticipate the client will be treated?
25yo female c/o tender area near her introitus and to the L of her perineum. Very painful sex was first sign. Initially
bump was very small, but now is ping-pong ball size. On exam, abscess is present on L medial side of labia minora
and there's edema extending into perineum. What is dx?
Which of the following choices represents a disorder of the reproductive tract that causes pain, erythema,
dyspareunia, and a perineal mass?
A nurse practitioner instructor is reviewing the anatomy of the external genitalia. At the opening of the vagina are
the Bartholin's glands. Which of the following describes the function of these glands?
Production of alkaline secretions for sperm viability
CDC recommendations regarding STDs and PID
Cervical cancer screening
A 23-year-old women presents to your practice with a chief complaint of postcoital bleeding. Which of the
following would NOT be included in the initial assessment of this patient?
a nurse practitioner is educating a woman who has a colposcopy ordered. Which of the following most accurately
describes a colposcopy?
A procedure that visualizes the vaginal, vulvar or cervical epithelium with magnification to
identify abnormal areas that may need to be biopsied
Nr 602 wk 8 poss questions
A 33-year-old women presents to your clinic complaining of a dark brown watery vaginal discharge and postcoital
bleeding. There is a strong history of multiple unprotected sexual encounters. Which of the following findings on
examination would be suspicious for cervical cancer?
A very firm, easily friable cervix
A 23-year-old woman comes to the clinic for a Pap smear. After the examination, the client confides that her mother
died of endometrial cancer 1 year ago and says that she is afraid that she will die of the same cancer. Which risk
factor stated by the client after an education session on risk factors indicates that further teaching is needed?
Late onset menarche
The frequency for cervical screening depends on the patient and her age. What is the longest recommended time
interval between cervical screens for patients who are 65 years-old or younger?
What is the leading cause of death from a gynecologic malignancy in American women?
A 49-year-old female patient presents with a chief complaint of dark, watery brown vaginal discharge. Part of the
differential diagnosis includes that of cervical cancer. Which of the following best describes what might be
Ulcerated firm cervix
A nurse practitioner is completing a speculum exam on a female patient. Which of the following findings world be
considered a normal surface characteristic of the cervix?
Small, yellow, raised around area on the cervix
In collection of a specimen for a PAP smear, how is the endocervical specimen collected?
After the ectocervical specimen with a brush
Treatment options for patients with condyloma acuminatum include:
Which of the following best describes lesions associated with condyloma acuminatum?
Treatment options for patients with condyloma acuminatum include all of the following except:
All of the following findings are associated with secondary stage of an infection by the organism Treponema
pallidum except :
Patient education for condylomata acuminata should include all the following except:
Treatment and elimination of visible warts is a sign of cure, and transmission will not
Jenna was evaluated and diagnosed with condyloma acuminatum. Treatment options for Jenna will include all of
the following except:
Which condyloma do we see in syphilis?
the cytology (Pap smear) result for a 21-year-old sexually active student whose partner uses condoms inconsistently
shows a large amount of inflammation. Which of the following is the best follow-up?
Call the patient and tell her that she needs return to the clinic for chlamydia and gonorrhea
A college freshman who is using oral contraceptives calls the nurse practitioner's office asking for advice. She forgot
to take her pills 2 days in a row during the second week of the pill cycle and wants to know what to do. What is the