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NSG 6020 Final 1 (Latest 2024 / 2025) Questions & Answers with rationales
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NSG 6020 Final 1 (Latest 2024 / 2025) Questions & Answers with rationales
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SUBSCRIBE NSG 6020 Final 1 1. Cyclic mastalgia: Answer 30-50 years old Beguins in luteal phase, subsides with menses, bilateral pain, poorly localized aching. pregnancy test-may be sign mammography - with breast mass or family history cancer. 2. Non cyclic mastalgia: Answer 40's unrelated to menstration, constant or intermittent, unilateral pain, localized sharp/burning pain. 3. Amsel Criteria: Clinical diagnosis of BV is based on the presence of three out of four of the following Amsel Criteria:: Answer Ë White, thin adherent vaginal discharge Ë pH 4.5 or greater Ë Positive whiff/KOH test Ë Clue cells on microscopic examination (more than 20% of epithelial cells are clue cells) 4. Differences between vaginitis and vaginosis: Answer Vaginitis is an inflammation of the vagina characterized by an increased vaginal discharge containing numerous white blood cells. In contrast, vaginosis is not associated with an increase in white blood cells. 5. Secondary dysmenorrhea: Answer Ï Primary dysmenorrhea is menstrual pain that is caused by myometrial contractions occurring in the absence of pelvic pathology and is associated with ovulatory cycles. Secondary dysmenorrhea is painful menses that is associated with underlying pelvic pathology, such as endometriosis or uterine fibroids. SUBSCRIBE 6. PMS treatment: Answer NSAIDS - 1-2 days before start of cycle; therma -care heart wraps, physical acitivty. Calcium may help treat PMS, genetic component, COC and depo, progesterone peaks in luteal phase. 7. ÏDifferentials and timing-mental health, fibromyalgia diff. dx. of PMDD: Answer The patterns and severity of symptoms are the best guide for determining whether a woman has PMS or PMDD and whether there is underlying etiology. The defining characteristic of PMD is timing —the cyclical onset of symptoms occurring after ovulation followed by a complete resolution by the end of menses. Without attention to timing, the presenting symptoms may suggest other conditions. Other psychiatric disorders, such as substance abuse and eating disorders, worsen during the luteal phase of the menstrual cycle. Musculoskeletal pain syndromes, such as arthralgias, arthritis, and fibromyalgia, can cause symptoms that mimic those of PMD (e.g., generalized pain, fatigue, sleep disturbances, or cognitive impairment) and may be misdiagnosed or undiagnosed in women with moderate to severe PMD. 8. Dosing Regimens of SSRIs for Treatment of PMS/PMDD: Answer Continuous: Daily dosing every day of the cycle; used for women with concomitant mood disorder, difficulty adhering to nondaily dosing, or cycles that vary greatly in length Intermittent: Begin daily dosing of medication with ovulation and continue through the first 1 to 2 days of menses; used for women with predictable cycles who prefer to avoid daily dosing, possibly due to side effects Semi -intermittent: Daily dosing with lower daily dose outside of luteal phase; used for women who prefer or benefit from daily dosing and who want to minimize dose-dependent side effects Symptom -onset dosing: Begin daily dosing of medication with onset of symptoms and continuing until the onset of menses; this is the most individually tailored regimen Refer if these are note effective. 9. Anovulation bleeding treatment:
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