Download APEA Women's Health Exam Questions and Answers: A Comprehensive Guide for Students and more Exams Health sciences in PDF only on Docsity!
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A female patient complains of dysuria with vaginal discharge. How should she be managed? - - - correct answer ✅Perform an abdominal exam, urinalysis, and pelvic exam Three of the following interventions are appropriately used to prevent osteoporosis after menopause. Which one is not? - - - correct answer ✅Estrogen replacement therapy The clinical syndrome resulting from replacement of normal vaginal flora with anaerobic bacteria is: - - - correct answer ✅bacterial
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vaginosis. A 30-year-old woman presents with complaints of abnormal uterine bleeding. If the patient has leiomyomas, the NP will likely find which of the following when performing the bimanual exam? - - - correct answer ✅Tenderness with uterine mobility Which of the following is NOT a manifestation seen in women with polycystic ovarian syndrome? - - - correct answer ✅Pelvic pain A 25-year-old man presents to be tested for STDs. He reports that his girlfriend recently tested positive for Chlamydia. They both report no other partners and
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experiences: - - - correct answer ✅nausea. Which of the following statements is true of vulvovaginal candidiasis? - - - correct answer ✅Vaginal pH is typically normal (4-4.5) in the presence of Candida infection. When considering treatment for a 20-year- old nonpregnant woman with bacterial vaginosis, the nurse practitioner knows that: - - - correct answer ✅oral or vaginal metronidazole and clindamycin have similar efficacy.
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A 15-year-old female has been sexually active since she was 12 years old. She presents today with concerns of pregnancy. How should this be managed? - - - correct answer ✅Pregnancy test should be performed today. A 16-year-old female is diagnosed with primary dysmenorrhea. She has taken over-the-counter ibuprofen in 800-mg increments every 8 hours during menses for the past 3 months, with minimal relief of symptoms. What intervention will provide greatest relief of dysmenorrhea symptoms? - - - correct answer ✅Combined oral contraceptives
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Which the following statements about emergency contraception is true? - - - correct answer ✅The copper intrauterine device is effective as EC. Sally, a 40-year-old black woman, presents with complaints of "spotting" in between menses. She reports that the bleeding is in small amounts and may occur for 2-3 days, then subside. Every 28- 30 days, she has a cycle that lasts 5 days, with the first 2 days producing heavy flow. The most common structural cause of abnormal uterine bleeding is: - - - correct answer ✅endometrial polyps.
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Which of the following is NOT true about the progestin-only minipill? - - - correct answer ✅Fertility returns approximately 6 months after stopping the pill. A 42-year-old woman presents with complaints of abnormally heavy bleeding. She reports that her cycles occur every 28 days, but are really heavy and last anywhere from 10-14 days. This condition is referred to as: - - - correct answer ✅menorrhagia. A nurse practitioner identifies the following image during a microscopic exam of vaginal discharge. These are
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Clue cells are found in patients who have: - - - correct answer ✅bacterial vaginosis. A 17-year-old presents with complaints of dysmenorrhea. Which finding below suggests that this is secondary dysmenorrhea? - - - correct answer ✅Dysmenorrhea is not limited to menses When performing a pelvic exam on a 45- year-old woman, a second-degree uterine prolapse is observed. Risk factors associated with pelvic organ prolapse do NOT include: - - - correct answer ✅black race. A clinical diagnosis of osteoporosis may
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be made when the patient has: - - - correct answer ✅a decreased T- score. Which of the following medications is considered an antiandrogen and is used in the treatment of hirsutism in women with polycystic ovarian syndrome? - - - correct answer ✅Spironolactone (Aldactone) A 28-year-old woman presents with a thin, grayish, malodorous "fishy" vaginal discharge. She reports that the smell is worse after coitus. To differentiate between bacterial vaginosis and trichomoniasis in the office, the nurse practitioner should: - - - correct answer ✅perform a saline microscopy.
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A patient who takes oral contraceptive pills is at increased risk of: - - - correct answer ✅gallbladder disease. Which of the following is NOT a steroidal progestin found in contraceptives? - - - correct answer ✅Prednisolone A 50-year-old female believes that she is menopausal. She complains of hot flashes and has not had menses in 12 months. Which of the following test results would be expected during menopause? - - - correct answer ✅Increased follicle- stimulating hormone What choice below has no precautions for
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oral contraceptive pill use? - - - correct answer ✅Varicose veins A 17-year-old woman presents with complaints of vaginal discharge and itching. The nurse practitioner takes a vaginal swab and prepares microscopy using: - - - correct answer ✅potassium hydroxide. The MOST concerning complication of untreated chlamydial infection is: - - - correct answer ✅pelvic inflammatory disease. Athletic amenorrhea increases the risk of: - - - correct answer ✅osteoporosis.
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even if bleeding is from the cervix. A 52 year old female presents to your clinic with a palpable mass in her right breast. Her last normal mammogram was 6 months ago. What is true about this lump? - - - correct answer ✅It is probably a benign lesion. The first-line measure for restoring ovulatory function and improving metabolic risk in a patient with polycystic ovarian syndrome is: - - - correct answer ✅weight loss. Women who use diaphragms for contraception have an increased
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incidence of: - - - correct answer ✅urinary tract infection. An initial pharmacologic approach to a patient who is diagnosed with primary dysmenorrhea could be: - - - correct answer ✅NSAIDs at the time symptoms begin or onset of menses. A 19-year-old woman is diagnosed with polycystic ovarian syndrome (PCOS). Which of the following is LEAST likely to be included in further evaluation of this patient? - - - correct answer ✅Serum insulin level
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dizziness and headaches. The NP's first step should be to: - - - correct answer ✅send the patient to the emergency room. A 21-year-old woman presents with complaints of irregular menses for the last few years, acne, and hirsutism. She has a blood pressure of 139/87 mm Hg, pulse 83, RR 20, and BMI of 35. The nurse practitioner suspects polycystic ovarian syndrome. This diagnosis can be confirmed by: - - - correct answer ✅history and physical. A 24-year-old patient presents to your clinic with intermittent nausea and
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vomiting for the past 5 days. She feels well otherwise. What should the nurse practitioner order initially? - - - correct answer ✅Electrolytes and qualitative beta hCG A 30-year-old female presents with lower abdominal pain. The nurse practitioner immediately considers an ectopic pregnancy as the cause. Which factor listed below does NOT increase her risk of an ectopic pregnancy? - - - correct answer ✅Age A 51-year-old female patient presents with a 2-cm palpable breast mass. How should this be evaluated to determine whether it is solid or cystic in nature? - - - correct answer ✅Ultrasound
