NR602/ NR 602 FINAL EXAM NEWEST
ACTUAL EXAM WITH COMPLETE
QUESTIONS AND DETAILED ANSWERS
GRADED A | BRAND NEW!!!
What are some nonpharm treatment options for Bartholin's
gland cyst/abscess? - ✔✔✔ Correct Answer > -None needed if
only 1-2mm & asymptomatic
-Exclude possible carcinoma if >40yo
-Local moist heat
-Warm sitz baths/tepid water soak 3-4 times/day
-I&D w/Word cath of fluctuant abscess if refractory to initial
treatment (no sex until cath removed)
-Possible marsupialization (permanent surgical opening
allowing drainage)
What is the goal of treatment for Bartholin's gland
cyst/abscess? - ✔✔✔ Correct Answer > To facilitate drainage
of cyst contents
,What are some pharm options for Bartholin's gland
cyst/abscess? - ✔✔✔ Correct Answer > -If high risk/recurrent:
Augmentin for E. coli/Strep, clinda for Staph (incl. MRSA)
-Treat for any STD
-NSAIDs
When is consultation/referral recommended for Bartholin's
gland cyst/abscess? - ✔✔✔ Correct Answer > Surgical or gyn
consult if large cyst or unresponsive to treatment
What are follow up recommendations for Bartholin's gland
cyst/abscess? - ✔✔✔ Correct Answer > Re-eval in 7-10days
What is expected course of Bartholin's gland cyst/abscess? -
✔✔✔ Correct Answer > -Complete resolution w/appropriate
treatment
-1 of 10 will recur
What are possible complications of Bartholin's gland
cyst/abscess? - ✔✔✔ Correct Answer > Cellulitis
,What is description of breast cancer? - ✔✔✔ Correct Answer
> -Malignant breast tumors
-Primarily female, but can be in males
-Stratified into 1 of 5 subtypes based on histopathological
characteristics (Luminal A/B/B-like, HER2 positive, Triple
Negative)
Presence of _________________ and _____________________
gene mutations are associated with lifetime risk of breast ca
from 45-60%. - ✔✔✔ Correct Answer > BRCA 1, BRCA 2
What cancer is the most frequently diagnosed in females? -
✔✔✔ Correct Answer > Breast
Which ethnic group is more likely to develop breast ca? - ✔✔✔
Correct Answer > Caucasians
What are some risk factors for breast ca? - ✔✔✔ Correct
Answer > -Increasing age
-Dense breast tissue
-Prolonged estrogen exposure (menarche <12yo, 1st term
pregn >35yo, nulliparity, never breastfeeding, contraceptives
, w/exogenous hormones, menopause >55yo, postmenopausal
hormone therapy)
-Fam h/o breast ca (esp. 1st degree relative)
-Personal h/o breast ca
-H/o benign breast dz (nonproliferative = slight risk,
proliferative = high risk)
-Obesity in postmenopause
-Inherited gene mutations
-High dose radiation exposure to chest area at <20yo
->3 ETOH drinks/day
-Emerging/unclear risk factors (tobacco, phys. inactivity, high
fat diet, night shift)
What are some assessment findings in breast ca? - ✔✔✔
Correct Answer > -Painless, firm, fixed mass (most common
symptom; no changes in mass w/menstruation)
-Nipple discharge that's not breast milk
-Skin/nipple changes (dimpling, skin ulceration, lymphedema,
nipple retraction, scaly nipple lesion or eczematous rash i.e.
Paget's)
-Increased vascular pattern of breast
-Significant asymmetry of breasts
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