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NR 546 final exam week 7 reproductive questions with correct answers
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NR 546 final exam week 7 reproductive questions with correct answers
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NR 546 final exam week 7 reproductivequestions with correct answers
What are the five 5 P's - ANSWER: ➡ partners, practices, past history of STI,
protection, prevention of pregnancy (and pleasure)
hypospadias - ANSWER: ➡ abnormal congenital opening of the male urethra on the
undersurface of the penis
epispadias - ANSWER: ➡ congenital defect in which the urinary meatus is located
on the upper surface of the penis or on the side
nagele's rule - ANSWER: ➡ identify LMP, subtract 3 months, add 7 days and one
year
difference between presumptive and positive s/s - ANSWER: ➡ presumptive
(probable and noted on exam)
positive- directly linked to fetus
GTPAL - ANSWER: ➡ Gravida, Term, Preterm, Abortions, Living
diffrence between gravida and para - ANSWER: ➡ gravida- number of pregancies
the woman has had
para- number of births the woman has had
What does the T in GTPAL stand for? - ANSWER: ➡ term births- 37-42 weeks
gestation
what does the P stand for in GTPAL - ANSWER: ➡ preterm- 20-37
,what does the A in GTPAL stand for - ANSWER: ➡ spontaneous and/or elective
abortions
what does the L in GTPAL stand for? - ANSWER: ➡ living children
what is quickening? - ANSWER: ➡ maternal sensation of fetal movement
when can provider feel movements versus when mother can - ANSWER: ➡ provider-
after 24 weeks
mom- 18-24 weeks
When should fundal height be measured? - ANSWER: ➡ is gestational age is > 20
weeks= at this point fundus reaches umbilicus
1. A 44-year-old female mathematician presents to clinic with a complaint of a mass
in the right breast.Her partner noticed this mass 2 days ago, and the patient feels
guilty because she has only had onemammogram and does not engage in breast
self-examination (BSE) on any regular basis. She has nofamily history of breast
cancer, and her prior mammogram was ordered as a routine screening test atage
43 years after a brief discussion with her primary care provider. After a thorough
investigationreveals a benign cyst, what advice should be given to this patient
about screening for breast cancer inher age group? - ANSWER: ➡ This patient was
in compliance with the U.S. Preventive Services Task Force
(USPSTF)recommendations for her age group and risk factors prior to her current
complaint
A 42-year-old female website developer presents for an annual preventive
examination withquestions about breast cancer screening. She is concerned about
the radiation exposure associated withmammography and is interested in magnetic
resonance imaging (MRI) as a possible alternative forroutine screening. She is
otherwise healthy with no family history of breast, ovarian, or colon cancer.Which of
the following is true about MRI as a screening modality for breast cancer in the
generalpopulation? - ANSWER: ➡ Sensitivity of screening for breast cancer
increases with breast MRI at the expense of specificity.
A 35-year-old G0P0 woman presents to clinic with a complaint of bilateral nipple
discharge. Thisdischarge started several weeks ago and has occurred at irregular
intervals since that time. She does notcomplain of local tenderness, redness, fever,
, or any other systemic symptoms aside from slightlyirregular periods over the last
few months. On examination, she is able to express a small amount ofdischarge,
which is sent to the laboratory and found to be consistent with breast milk but
without anysigns of blood or pus. Screening laboratories are also sent, which reveal
a normal blood count, metabolicpanel, thyroid-stimulating hormone, and human
chorionic gonadotropin (HCG) level. Furtherlaboratories are still pending. Which of
the following is the most likely diagnosis? - ANSWER: ➡ Prolactinoma
A 22-year-old G0P0 undergraduate student presents to clinic after finding a breast
mass on breastself-examination (BSE) at home. The mass is nontender without skin
changes, erythema, or overlyingswelling. She has heard that most breast cancers
are found by patients themselves, and she is veryconcerned that she may have
breast cancer. Which of the following is true about BSE and self-detectionof breast
cancer - ANSWER: ➡ This patient is more likely to find a fibroadenoma than a
cancer on self-examination
A 48-year-old female psychologist presents to clinic with concerns about her breast
cancer risk afteran age-matched cousin was recently diagnosed with this disease.
This cousin is the third family memberon her father's side in as many years to be
diagnosed with breast cancer, including the patient's ownfather, who had surgery
and subsequent treatment 3 years ago for breast cancer. The patient has littleother
knowledge of her family history, only that her grandparents independently arrived
from EasternEurope near the end of World War II and were among very few
members of their family that survivedthe war. The patient has read about testing for
the breast cancer genes (BRCA1 and BRCA2) and desiresfurther information about
whether this would be appropriate for her. Which of the following is trueabout this
patient's indications for BRCA testing? - ANSWER: ➡ This patient carries several risk
factors that together justify BRCA testing
A 68-year-old former paleontologist presents to clinic with concerns about her
breast cancer risk. Her mother developed the disease in her 50s and died from it in
her 60s. A younger cousin developed the disease a few years ago before the age of
50 years, but this individual was not tested for the BRCA1 andBRCA2 genes. In
addition, the patient suffered from lymphoma in her 20s and had radiation to the
chest.She did take hormone replacement therapy for a few years before data
emerged that this may
contribute to breast cancer risk. She has had several abnormal mammograms in her
50s for persistently dense breasts with subtle findings, but follow-up biopsies never
showed any malignant pathology.Which of the following is true regarding magnetic
resonance imaging (MRI) screening of this patient - ANSWER: ➡ Regardless of
recommendations, the high sensitivity of breast MRI comes at the expense of
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