NRNP 6552 Midterm Exam

An appropriate medication for Herpes Simplex virus is:

A. Acyclovir
B. Valacyclovir
C. Famciclovir
D. All of the above

 

Infertility related to ___________ is a common problem among women who are obese.

A. Depression and anxiety
B. Ovarian dysfunction and anovulation
C. Irregular menstrual bleeding
D. Dyspareunia

 

The following is an appropriate sexual health assessment question:

A. Do you masturbate?
B. Have you ever had an orgasm?
C. Are there any sexual problems or concerns that you would like to discuss with me today?
D. All of the above

 

mergency contraception therapy may be given to a woman who seeks treatment immediately following sexual assault. It may be given within ____________ hours of the assault.

A. 36
B. 60
C. 72
D. All of the above

 

Normal vaginal discharge has a pH of:

A. 3.5 to 4.5
B. 5.2 to 6.1
C. 6.3 to 7.3
D. None of the above

 

Approximately __________ of infertility cases are due to female factors and _________ are due to male factors.

A. 50%; 50%
B. 10%; 90%
C. 90%; 10%
D. 55%; 35%

 

The most common pathogen leading to urinary tract infection is:

A. Escherichia coli
B. Enterobacter
C. Pseudomonas
D. Proteus mirabilis

 

Uterine fibroids are also known as:

A. Myomas
B. Leiomyomatas
C. Cancerous tumors
D. A and B
E. All of the above

 

When performing a pain history, the term OLD CAARTS is an aid. This stands for:

A. Onset; location; duration; characteristics; alleviating or aggravating factors; associated symptoms; radiation; temporal; severity
B. Origination; location; duration; characteristics; assessment; aggravating factors; radiation; temporal; severity
C. Onset; level; duration; characteristics; alleviating or aggravating factors; assessment; reaction; temporal; severity
D. Origination; location; duration; character; aggravating factors; alleviating factors; radiation; temporal; severity

 

Most malignancies in breast tissue occur in:

A. The areolar area
B. The upper outer quadrant
C. The lower outer quadrant
D. None of the above

 

When conducting qualitative research, data can be derived from:

A. Fieldwork
B. Media
C. Interviews
D. A and C
E. A, B, and C

 

For women at high risk for breast cancer, National Comprehensive Cancer Network (NCCN)  recommends annual screening with mammography and ________ beginning at age 30.

A. Ultrasound
B. CT scan
C. MRI
D. Nuclear medicine testing

 

Patients identified as being at increased risk for Sexually Transmitted Infections need to receive information about risk factors and ways to reduce the likelihood of infection. This would include:

A. Use of latex condoms
B. Being mutually monogamous
C. Abstinence-only education
D. A and B

 

Endometriosis is:

A. The presence of endometrial glands and stroma on the lining of the uterus.
B. The presence of endometrial glands and stroma outside the lining of the uterus.
C. The presence of endometrial glands and stroma only lining the ovaries
D. None of the above

 

The ___________glands are oil-producing glands on the areola that protect and lubricate the nipple during lactation.

A. Montgomery
B. Skenes
C. Lactogenic
D. Sebum

 

The name of the act in the U.S. that addresses domestic violence, dating violence, sexual assault, stalking, and human trafficking is:

A. The Violence Against Women Act (VAWA)
B. The Megan Jones Act (MJA)
C. The Anti-Abuse Act (TAAA)
D. The No More Abuse Act (NMAA)

 

abnormal uterine bleeding can sometimes be caused by

A. Hypothyroidism
B. Hyperthyroidism
C. A and B
D. None of the above

 

Jenna comes in complaining of intense itching in the vaginal area. She also has some itching in the vulvar area. It is really bad after she has intercourse. In gathering her history, she tells you she had an ear infection a few weeks ago and took amoxicillin for it but otherwise, has been healthy. On exam, you note a thick, white, lumpy discharge with the consistency of cottage cheese. The vulva is red and swollen as are the labial folds. There is no strong odor. The most likely diagnosis is:

A. Bacterial vaginosis
B. Trichomoniasis
C. Urinary tract infection
D. Vulvovaginal candidiasis

 

Barriers for providers related to intimate partner violence screening include:

A. Discomfort with the topic
B. Having too much power that might be intimidating
C. Time constraints
D. A and C
E. A, B, and C

 

The _____________ is often considered the most important muscle of the pelvic floor.

A. Anococcygeal rapine
B. Urethrovaginal sphincter muscle
C. Urogenital diaphragm
D. Levator ani

 

An endometrial biopsy can be done in the office setting. It has a _________ overall accuracy in diagnosing endometrial cancer.

A. Low
B. Average
C. High
D. None of the above; it is not a good test for diagnosis of endometrial cancer

 

Angela just adopted an 11-year-old from another country. Unfortunately, there are no records of previous immunizations on this child. When discussing immunizations, you mention that the child needs several, including the MMR. Angela asks you what MMR stands for. You tell her:

A. Measles, Meningococcal, and Rubeola
B. Measles, Meningococcal, and Rubella
C. Measles, Mumps, and Rubella
D. Mumps, Meningococcal, and Rubella

 

In women, fertility declines gradually beginning at age ___________ and more rapidly after age _______.

A. 25; 30
B. 32; 37
C. 35; 40
D. 45; 52

 

The majority of female infertility is due to:

A. Ovulatory dysfunction and tubal and peritoneal pathology
B. Uterine pathology
C. Low sperm count
D. None of the above

 

The following are risk factors for endometrial cancer.

A. Age 40 years or older
B. Tamoxifen therapy
C. Unopposed estrogen stimulation of the endometrium
D. A and C
E. A, B, and C

 

Infected hair follicles on the vulvar skin that are small and scattered often occur because of:

A. Oral sex
B. Masturbation
C. Shaving the pubic hair
D. Pediculosis

 

The most common symptoms of uterine cancer are:

A. Amenorrhea and cramping
B. Abnormal uterine bleeding and postmenopausal bleeding
C. Sudden expulsion of blood clots from the vagina with pain
D. Abnormal pap results

 

Margaret has several risk factors for osteoporosis. She is 72 years old, is a 30-pack year smoker, and has never had children. Which one of these risk factors was nonmodifiable?

A. Advanced age
B. Cigarette smoking
C. Nulliparity
D. All of the above

 

he USPTF, ACOG, and ACS all recommend pap tests to begin at:

A. Onset of sexual activity
B. Age 18
C. Age 21
D. Age 30

 

An umbrella term that describes all people with non-heterosexual gender identities is:

A. Queer
B. Intersex
C. Transgender
D. Binary

 

When concerned about ectopic pregnancy in a patient with abdominal pain, two diagnostic aids include:

A. CT scan and HCG
B. HCG and ultrasound
C. HCG and MRI
D. HCG and pelvic exam

 

The new guideline for systolic blood pressure cut-off for hypertension is:

A. 150
B. 140
C. 130
D. 120

 

he test for the fishy odor that occurs in bacterial vaginosis is called the:

A. Smell test
B. Odor test
C. Sniff test
D. Whiff test

 

Symptoms of Polycystic Ovary Syndrome (PCOS) include all of the following except:

A. Acne
B. Menstrual irregularity
C. Hirsutism
D. Hypopigmentation of the extremities

 

Martha is a 65-year-old woman who is a new patient to you. In telling you her history, she states that she has a history of a rare type of breast cancer. She cannot remember the name of it but tells you that it also involved itchy eczema-like nipple changes. With this info and your knowledge of breast cancer, you surmise that she may be referring to:

A. Bowen’s disease
B. Lobular neoplasia
C. Paget’s disease
D. Wernicke’s disease

 

The act that was established that mandated every American to carry health insurance is called:

A. Health Insurance Portability and Accountability Act (HIPAA
B. Healthy People 2020
C. The Insurance Requirement Act (IRA)
D. The Affordable Care Act (ACA)

 

The American Cancer Society (ACS) has recently updated its colorectal cancer screening guidelines. The new guidelines recommend screening average-risk patients for that disease at age ________

A. 40
B. 45
C. 50
D. 55

 

The most common STI in the United States is:

A. HPV
B. Gonorrhea
C. Chlamydia
D. HIV

 

Pelvic muscle exercises, where the woman performs a repetitive pelvic floor muscle contraction regimen are known as:

A. Knack Skills
B. Kegel Exercises
C. Reverse Bladder exercises
D. Barrier exercises

 

Lichen planus is typically treated with:

A. Antibiotics
B. Lubricant ointments
C. Hormone therapy
D. Corticosteroids

 

“A movement to end sexism, sexist exploitation, and oppression” is a definition for:

A. Homophobia
B. Sexism
C. Feminism
D. Classism

 

Female orgasmic disorder is present when there is a marked delay in, marked infrequency of, or absence of orgasm or reduced intensity of orgasm sensations that last more than _________.

A. 1 month
B. 6 months
C. 1 year
D. 5 years

 

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