A woman is interested in starting Depo-Provera injections for contraception.

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Question Description

 

Please answer the fallowing questions with references.

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Question 1

A woman is interested in starting Depo-Provera injections for contraception. What would be the most likely side effect that she should be educated about?

Question 1 options:

Irregular bleeding

Dysmenorrhea

Breast tenderness

Headache

Question 2

Lenore, fifty-five years old, comes in for evaluation of a breast mass. Which of the following assessment findings is/are associated with carcinoma of the breast? Select all that apply.

Question 2 options:

Scaly lesions similar to eczema on one areola and nipple

Peau d’orange dimpling of skin over one breast

Unilateral retraction and deviation of nipple

Discrete, smooth, and mobile lesion

Question 3

There are several phases to the menstrual cycle. What phase begins with ovulation and ends with menstruation?

Question 3 options:

Ovulatory phase

Follicular phase

Proliferative phase

Luteal phase

Question 4

Tanisha is a twenty-two-year-old woman who presents with extreme irritability and mood swings, bloating, constipation, fluid retention, and headache. She tearfully tells you, “This happens every month in my cycle. I get like a crazy woman, lashing out at everyone. I’m afraid I’ll lose my job if I can’t stop this. Sometimes, it’s so bad. I just want to quit living. I need help!” Tanisha’s symptoms are typical of what disorder?

Question 4 options:

Depression

Premenstrual syndrome (PMS)

Bipolar disorder

Premenstrual dysphoric disorder (PMDD)

Question 5

Sylvia is a forty-four-year-old woman with abnormal uterine bleeding (AUB) and is unable to use combined hormonal oral contraceptives. Which of the following medications can be used for management of AUB?

Question 5 options:

Ethinyl estradiol

Medroxyprogesterone

Musculoskeletal relaxants

Conjugated estrogen

Question

Your fifteen-year-old patient has been diagnosed with secondary amenorrhea. The urine human chorionic gonadotropin (HCG) is negative and Prolactin levels are within normal limits. The physical examination reveals growth of breast tissue and Tanner stage III. Which of the following medication regimes would be most appropriate?

Question 6 options:

Oral estrogen 1.25 mg daily for three weeks

Oral progestin 5 mg every other day for three cycles

Medrol 16 mg dose pack

Medroxyprogesterone acetate 5 to 10 mg daily for first 12 to 14 days of each cycle

Question

A female patient has been diagnosed with polycystic ovary syndrome (PCOS) and weighs 250 pounds. In addition to obesity, PCOS is associated with which of the following clinical manifestations? Select all that apply.

Question 7 options:

Unexplained weight loss

Dry, flaking skin

Menstrual irregularity

Hirsutism

Question 8

The nurse practitioner is counseling an eleven-year-old girl, Kayleigh, and her mother about the human papillomavirus vaccine (HPV), Gardasil. Kayleigh is Tanner stage IV at this visit. In counseling this family, the nurse practitioner tells them that the HPV vaccine ______.

Question 8 options:

is a series of three doses over a six month period

will protect Kayleigh from all strains of HPV

can cause seizures in some children

is not indicated in her age group as she is not yet sexually active

Question 9

The nurse practitioner understands that women with polycystic ovarian syndrome have an increased risk for:

Question 9 options:

is a series of three doses over a six month period

Adrenal tumors

Endometrial cancer

Endometriosis

Question 10

The nurse practitioner is instructing a patient on the proper use of the diaphragm, a barrier contraceptive method. Which of the following would the nurse practitioner include in the instructions?

Question 10 options:

The diaphragm should be removed within one hour after intercourse.

The diaphragm may be inserted up to twenty-four hours prior to intercourse

The diaphragm may be inserted up to twenty-four hours prior to intercourse

Douching is safe immediately upon removal of the diaphragm.

Question 11

Abnormal uterine bleeding (AUB) has multiple causes. When a woman presents and reports menstrual irregularity with amenorrhea, which is the most common cause of amenorrhea?

Question 11 options:

Ectopic pregnancy

Adenomyosis

Coagulopathy

Anovulation

Question 12 Polycystic ovaries predispose women to a higher incidence of:

Question 12 options:

Adrenal tumors

Ovarian cancer

Endometrial cancer

Endometriosis

Question 13

A well-woman visit for an adolescent should include which of the following? Select all that apply.

Question 13 options:

A general health history and physical examination, including a breast examination, pelvic with Pap smear, counseling, and assessment of risk factors

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

Screening tests and immunizations as indicated by the health history

External-only inspection of the genitalia

Question 14

A 42 year old female presents to your office with complaint of a palpable breast mass that she noticed while performing her breast self-examination. After taking her history, you perform a clinical breast examination which reveals a solitary, 3 cm, mobile, non-painful, rubbery mass. On the basis of her clinical breast examination, what is most likely her diagnosis?

Question 14 options:

Fibrocystic breast changes

Fibroadenoma

Intraductal papilloma

Invasive breast cancer

Question 15

Which of the following contraceptives would not be a reasonable method for a 40 year old patient that smokes 1 pack of cigarettes per day and has a history of hypertension?

Question 15 options:

Contraceptive patch

Depo-Provera

Mirena IUD

Nexplanon

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