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Exam l 1: l NU664D/ l NU l 664 D l (NEW l 2025/ l
2026 l Update) l Primary l Care l Adult l
Woman l I l Guide| l Questions l & l Answers| l
Grade l A| l 100% l Correct l (Verified l
Solutions)- l Regis
QUESTION
Whatl tol dol ifl al vaginall ringl fallsl out Answer: ifl lessl thanl 3 l hours,l canl rinsel offl andl replace ifl itl hasl beenl greaterl thanl 3 l hours:
- ifl itl isl withinl 2 l weekl ofl thel nextl cycle,l re-insertl thel ringl andl usel backl upl contraceptionl for.l 7days
- ifl itl hasl fallenl outl withinl weekl 3 l ofl thel cycle,l canl insertl al brandl newl ringl insteadl butl stilll needl backupl forl 7 l days
QUESTION
howl tol usel vaginall ringl (4l steps) Answer: 1.l insertl intol vaginal b/wl daysl 1 - 5 l ofl period 2.l wearl forl 3 l wks 3.l removel forl 1 l wk 4.l replacel withl newl ring
QUESTION
whatl typesl ofl patientsl isl al POPl goodl for? Answer:
- patientsl whol cannotl takel estrogenl duel tol contraindications
QUESTION
Intermittentl Asthma Answer:
- <2l days/weekl ofl symptoms
- <2l days/monthl ofl symptoms
- FEVl >80%
QUESTION
Mildl intermittentl asthma Answer:
2l days/weekl ofl symptoms,l butl lessl thanl onel dayl al week
2l days/monthl ofl symptoms
- FEVl >80%
QUESTION
moderatel persistentl asthma Answer:
- dailyl symptoms
- nocturnall symptomsl >1l timel perl month
- Exacerbationsl 2xl daily
- Exacerbationsl affectl ADLsl
- FEVl >60l butl <80%
QUESTION
severel persistentl asthma Answer:
- dailyl S/Sl continuous
- Nocturnall s/sl frequentl
- Exacerbationsl frequent
- Exacerbationsl affectl andl limitl ADLs
- FEVl <60%
FEV1/FVCl valuel ofl <0.
QUESTION
GOLDl 1 Answer:
- Mildl severity
- FEV1l 80%l orl greater
QUESTION
GOLDl 2 Answer:
- moderatel severity
- FEV1l 50 - 79%
QUESTION
GOLDl 3 Answer:
QUESTION
GOLDl 4 Answer:
QUESTION
Treatmentl forl COPDl classl A Answer: bronchodilatorl only
QUESTION
Treatmentl forl COPDl B Answer: LABAl orl LAMA
QUESTION
Treatmentl forl COPDl C Answer: LAMA
QUESTION
Treatmentl forl COPDl D Answer: optionl b/w
- LAMA
- LAMAl +l LABA
- ICSl +l LABA
QUESTION
POPl (minipill)l MOA? Answer:
- inhibitl ovulation
- thickenl cervicall mucus
- causesl thel endometriuml tol thin/atrophy
- alteredl tuball transport,l contractility,l histology
QUESTION
POPl benefits Answer:
Checkl colorl andl consistencyl tol determinel fertilel times
- aroundl ovulation,l mucusl isl abundant,l clear,l slippery,l stretchable
- thisl isl thel mostl dangerousl time,l sperml canl livel upl tol 5 l days
- dryl daysl withl nol cervixl dischargel isl thel onlyl safel time
QUESTION
Emergencyl Contraceptives Answer: 1.l Levonorgestrel 2.l Ulipristall (rxl only)l - l Ella,l morel effectivel thanl levonorgestrel 3.l Copperl IUD
QUESTION
firstl linel treatmentl hypothyroidism Answer: levothyroxine startingl dosel ofl 1.6mcg/kg/day
QUESTION
s/sl ofl hypothyroidism Answer:
- Fatigue
- Weightl gain
- Constipation
- Depression
- Coldl intolerance
- Decreasedl metabolism
- Dryl skinl andl hair
- Brittlel nails
- Changel inl menstruall cycle
QUESTION
firstl linel treatmentl forl hyperthyroidism
Answer: methimazolel (MMI)
QUESTION
S/Sl ofl hyperthyroidism Answer:
- Anxiety
- Palpitations
- Heatl intolerance
- Jitteriness
- Diarrhea
- Goiter
- Oilyl skinl andl hair
- Exophthalmosl
- Lidl lag
QUESTION
riskl factorsl forl thyroidl nodule Answer:
- ETOHl use
- Obesity
- Smoking
- Uterinel fibroids
- Age
QUESTION
hypothyroidisml labs Answer: Lowl FT4l andl T3,l highl TSH
QUESTION
hyperthyroidisml labs
Normall ferritinl levels Answer: Female:l 24 - 307 l ng/mL Male:l 24 - 336 l ng/mL
QUESTION
normall hematocritl levels Answer: Male:l 42 - 50% Female:l 37 - 47%
QUESTION
Normall MCVl range Answer: 80 - 98
QUESTION
Normall reticulocytel count Answer: 0.5-1.5%l ofl RBCs
QUESTION
normall RBC Answer: 4 - 6 l million
QUESTION
normall platelets Answer:
QUESTION
normall RDW Answer: 9.0-14.5%
QUESTION
normall TIBCl levels Answer: 250 - 310 l mcg/dL
QUESTION
Riskl factorsl forl breastl cancer Answer:
- smoking
- obesity
- alcoholl use
- increasingl age
- familyl historyl ofl breastl orl ovarianl cancer
- Ashkenazil Jewishl descent
- youngerl agel atl menarche
- olderl agel atl firstl birth
QUESTION
riskl factorsl forl cervicall cancer Answer:
- infectionl withl HPV
- highl riskl sexuall behaviors,l multiplel partners
- smoking
- <18l y.o.l firstl timel havingl sex
- personall hxl ofl cervicall dysplasial orl dysplasial ofl thel vagina
- Immunocompromised
lowl gradel squamousl intraepitheliall lesion
- oftenl encompassesl HPV,l mildl dysplasia
- typicallyl resolvesl onl it'sl own
- CIN
QUESTION
HSIL
Answer: high-gradel squamousl intraepitheliall lesion
- morel severel dysplasia
- demonstratesl CIN2l orl CIN3,l orl evenl carcinomal inl situ
- CANl LEADl TOl CERVICALl CANCER
QUESTION
copperl IUDl MOA Answer:
- IUDl placementl (foreignl body)l leadsl tol inflammatoryl processl thatl isl toxicl tol sperm
- copperl enhancesl thel cytotoxicl environmentl forl sperml tol livel in
- impairedl sperml viability,l migration
QUESTION
copperl IUDl contraindications Answer: IUDl inl general
- cervicall dysplasia/cancer
- cervicitis
- currentl infectionl w/l gonorrhea,l chlamydial
- distortedl uterinel cavity
- currentl PID
- pregnancy
- unexplainedl vaginall bleeding COPPER
QUESTION
LNG-IUDl advantages Answer:
- l decreasedl ectopicl risk
- l decreasedl endometriosisl pain
- decreasedl dysmenorrhea
- longl lasting
- reversible
- veryl effectivel --reducedl riskl forl cervical,l endometrial,l andl ovarianl cancers
QUESTION
LNGl IUDl complications Answer:
- l PIDl riskl transientlyl increasedl afterl insertionl -->l highestl inl 1stl 20 l daysl
- l uterinel perforationl
- devicel expulsionl (withinl firstl year)
QUESTION
copperl IUDl complications Answer:
- l PIDl
- l uterinel perforationl
- l expulsion
QUESTION
Copperl IUDl advantages Answer:
- l longl term/longl acting
- l reversible
- l goodl forl thosel thatl can'tl orl dol notl wantl tol usel hormonesl
QUESTION
DMPAl advantages Answer:
- Nol estrogen
- lightl mensesl orl amenorrhea
- fewl systemicl symptoms
- improvel menstruall symptoms,l dysmenorrhea
QUESTION
DMPAl sidel effects Answer:
- WEIGHTl GAIN
- cannotl d/cl immediately
- menstruall irregularitiesl (unscheduledl bleeding,l amenorrhea)
- headache
- moodl chxl (espl inl ptsl w/l hxl ofl depression)
QUESTION
DMPAl complications Answer: REDUCTIONl OFl BONEl DENSITYl AFTERl 2 l YEARSl OFl USE-l BLACKl BOX PTl ADVISEDl TOl INCREASEl CALCIUM,l VITAMINl D,l EXERCISE,l AVOIDl CIGARETTES
QUESTION
DMPAl frequency Answer: Everyl 12 l weeks'
QUESTION
Missedl DMPA Answer:
- therel isl al 2 l weekl gracel period,l thereforel ifl withinl thatl periodl canl justl receivel nextl dose
- ifl >15l weeks:l rulel outl pregnancy,l administerl nextl dose,l usel back-upl contraceptionl forl 7 l days
QUESTION
Spermicidesl MOA Answer: reducel sperml motilityl andl activity
QUESTION
howl longl tol leavel spermicidesl postl coitus Answer: atl leastl 6 l hours
QUESTION
howl earlyl shouldl youl placel spermicidesl beforel sex Answer: 10 - 15 l min
QUESTION
vaginall sponge,l cervicall cap,l diaphragml MOA Answer:
- barrierl forl sperml tol reachl thel cervix
- requiresl usel ofl spermicidesl :l thereforel alsol killl andl decreasel functionl ofl sperm
QUESTION
QUESTION
howl longl shouldl al cervicall capl bel keptl inl place Answer: mustl keepl inl placel minimuml 6 - 8 l hrsl mustl reapplyl spermicidel everyl 6 l hoursl ifl youl continuel tol havel sex
QUESTION
MOAl ofl combinedl contraceptives Answer:
- l Suppressesl FSHl &l LHl
- l Progesteronel suppressesl LHl tol preventl thel mid-cyclel surgel (stopsl ovulation)
- l Progesteronel alsol thickensl cervicall mucus
- l Estrogenl suppressesl FSHl tol preventl thel selectionl andl emergencel ofl al dominantl follicle
QUESTION
Howl tol usel contraceptivel patch Answer:
- applyl al newl patchl (buttocks,l upperl torso,l abdomen)
- wearl al patchl forl 3 l weeks,l applyingl al newl onel atl thel samel day/timel weeklyl
- removel thel patchl forl 1 l hormonel freel week
QUESTION
contraindicationsl tol al contraceptivel patch Answer: anyl contraindicationsl ofl eitherl estrogenl orl progesterone
30l BMI
QUESTION
contraindicationsl ofl estrogenl therapy
Answer:
- historyl ofl DVT
- hxl ofl uncontrolledl hypertension,l CVl diseasel orl stroke
- hxl ofl migrainel w/l aura
- olderl thanl 35 l yearsl andl smokingl >15l cigsl daily
- liverl disease
- breastl cancer
- pregnancy
- lactationl orl lessl thanl 6 l weekl (21l days)l postpartum
- diabetesl withl complicationsl (nephropathy,l neuropathy,l retinopathy)
QUESTION
contraindicationsl ofl progesterone Answer:
- pregnancy
- knownl orl suspectedl breastl cancer
- undiagnosedl abnormall uterinel bleeding
- benignl orl malignantl liverl tumors,l cirrhosis,l acutel liverl disease
QUESTION
Breastl cancerl screening Answer: Thel USPSTFl recommendsl screeningl mammographyl forl women,l withl orl withoutl clinicall breastl examination,l everyl 1 l tol 2 l yearsl forl womenl agel 40 l yearsl andl older
QUESTION
follow-upl forl unsatisfactoryl papl results Answer: returnl forl anotherl papl inl 2 - 4 l months
QUESTION
follow-upl ofl normall papl results
