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CNM BOARD EXAM REVIEW EXAM (ACTUAL EXAM) WITH CORRECT 150+ QUESTIONS WITH WELL ANSWERED ANSWERS WITH GOOD GRADE GUARANTEED LATEST 2024 – 2025 ALREADY GRADED A+$13.99
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CNM BOARD EXAM REVIEW EXAM
(ACTUAL EXAM) WITH CORRECT 150+
QUESTIONS WITH WELL ANSWERED
ANSWERS WITH GOOD GRADE
GUARANTEED LATEST 2024 – 2025
ALREADY GRADED A+
what is a TDLU? - ANSWERS-TDLU: terminal duct lobular units
* consists of the intralobular duct along whose lumen and end protrude blunt or
round saccules called ductules, which differentiate into the secretory units or
acini during lactation.
* TDLUs are embedded in specialized, hormonally responsive connective tissue
stroma, the intralobular stroma
which connective tissue in the breast is denser: the interlobar stroma or the
intralobar stroma - ANSWERS-density:
interlobar stroma > intralobar stroma
what 2 cell types are form ductules in the mammary gland? - ANSWERS-1) luminal
epithelial cells
,2) myoepithelial cells
what is the gross appearance of the cervical transformation zone on colposcopy? -
ANSWERS-application of acetic acid reveals transition zone as white
what are the layers of cervical squamous epithelium? - ANSWERS-basal to apical:
* basal
* parabasal
* intermediate
* superficial
what is the 2nd leading cause of death in women ages 20-39 worldwide? -
ANSWERS-invasive cervical carcinoma
what is the purpose of the pap smear? - ANSWERS-* to detect treatable
precancerous lesions in the cervix
* used for screening and diagnosis (complementary to biopsy)
what are the normal histological appearances of the various layers of cervical
squamous epithelium? - ANSWERS-* basal: more cuboidal, dark blue, large
nucleus
* parabasal: beginning to flatten out, more visible cytoplasm, still blue
* intermediate: flattened, squamous, shrunken nucleus, lighter blue
,* superficial: very flat, nucleus disappearing, pink
what is a koilocyte? what does one look like/ - ANSWERS-A Koilocyte is a
squamous epithelial cell that has undergone a number of structural changes,
which occur as a result of infection of the cell by HPV:
* Nuclear enlargement
* Irregularity of the nuclear membrane contour
* A darker than normal nucleus (Hyperchromasia)
* A clear area around the nucleus (perinuclear halo)
in describing cervical cells, what terms are used in pap smear cytology?
biopsy/histology? - ANSWERS-* pap smear cytology: LSIL, HSIL
* biopsy/histology: CIN 1 (mild dysplasia), CIN 2 (moderate dysplasia), CIN 3
(severe dysplasia to carcinoma in situ)
what does LSIL look like on pap smear cytology? - ANSWERS-* koilocytes
what does HSIL look like on pap smear cytology? - ANSWERS-* more
undifferentiated koilocytes
what does squamous cell carcinoma look like on pap smear cytology? - ANSWERS-
* lymphocytes
* fibroblasts
* old blood
, what test should be done for a woman whose pap smear indicates LSIL? -
ANSWERS-* colposcopy
how should a patient with a pap smear indicating HSIL be treated? - ANSWERS-
either
a) immediate loop electrosurgical excision, or
b) colposcopy
how do LSIL and HSIL appear on colposcopy and biopsy? - ANSWERS-
what is the treatment for a woman with a biopsy indicating CIN 3? - ANSWERS-
excision!
what proportion of CIN1 regress? what proportion of CIN 3 progress to cancer? -
ANSWERS-CIN 1: 57% regress spontaneously
CIN 3: >12% progress to cancer
what is ASC-US? what test should automatically follow a pap smear indicating
ASC-US? - ANSWERS-ASC-US: atypical squamous cells of undetermined
significance (Borderline or atypical abnormalities on Pap smear that do not fit into
normal, LSIL, HSIL, or cancer categories)
* follow up: HPV test
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