Term 1 of 177
A prescription is being written by the nurse practitioner for birth control pills. When
completing patient education, which of the following would be an accurate statement about
oral contraceptive use?
It is unnecessary to double up on missed pills for combined oral contraception.
Oral contraceptives do not provide protection against sexually transmitted diseases
(STDs), including human immunodeficiency virus (HIV).
Most women will not notice a change in their periods once they go on the pill.
The pill provides added protection against cervical and uterine cancer.
Term 2 of 177
A twenty-seven-year old comes in to see you for a consultation. She has been in a committed
relationship for five years now and wants to become pregnant. She is seeking information on
the menstrual cycle and her "fertile period." Her cycle is every twenty-eight days and is
regular; she and her partner have used condoms consistently to avoid pregnancy. Which of the
following would be most valuable to her initially?
The viability period for sperm is twelve hours
Ovulation occurs on day 7 +/- 2 days
Taking her temperature at midcycle will tell her when she is fertile
Cervical mucus evaluation can be used to determine fertility
,Term 3 of 177
You are completing a pelvic exam on thirty-two-year-old Nancy. You detect a left adnexal
mass on the bimanual exam. With an adnexal mass, the practitioner must always suspect ________
until proven otherwise.
Pelvic inflammatory disease (PID)
Malignancy
Pregnancy
Polycystic ovary disease
Term 4 of 177
A pathology report has been returned on a woman's breast mass malignancy. The most
common type of invasive breast cancer is ______________.
lobular
infiltrating ductal
infiltrating papillary
medullary
Term 5 of 177
A fifty-one-year-old postmenopausal patient presents with renewed onset of vaginal bleeding.
She had not menstruated for more than one year. Physical examination, including abdominal
and pelvic examination appears grossly normal. Your initial treatment for this patient would
include which of the following?
Observe the patient and have her return of the bleeding continues
Medroxyprogesterone acetate 5 to 10 mg daily to control bleeding
Monophasic oral contraceptives for three months and then reassess
Referral to a gynecologist for consideration for endometrial biopsy
,Term 6 of 177
When reviewing the risk factors for breast cancer with your patient, which of the following
would not be a contributing factor?
Early menarche
High fat diet
Early menopause
Advanced age
Term 7 of 177
A woman presents to the office seeking the birth control measure that is 100% effective. When
counseling a woman on effectiveness of these methods, which of the following fulfills this
requirement?
Implanon
Combined oral contraceptive
Abstinence
Intrauterine device (IUD)
Term 8 of 177
A twenty-five-year-old presents with a report of a very tender area just near her introitus and
to the left of her perineum. Very painful sex is how she knew "something wasn't right." She
showered and when washing, she felt a "pea-sized" painful lump on the left side of her
"bottom." She tells you she looked at it with a mirror and it was very small, but now it is the size
of a ping-pong ball and getting worse.
When you inspect her external genitalia, you are amazed at the size and appearance of the
"lump."
You note what appears to be an abscess on the left medial side of the labia minora, and there
is some edema extending into the perineum. Your diagnosis for this presentation is:
Lipoma
Dermoid cyst
Bartholin's cyst
Skene's duct cyst
, Term 9 of 177
A diagnosis has been formulated on a patient as premenstrual syndrome (PMS). Which of the
following medication regimes is the best treatment for the PMS?
Vitamin B6, Antiprostaglandins, and Diuretics
Calcium, Antidepressants, and Vitamin D
Vitamin B6, Calcium, and Acetaminophen
Evening Primrose Oil, Ginkgo Biloba, and Antidepressants
Term 10 of 177
A nurse practitioner has just completed education with a female adolescent about intrauterine
contraceptive devices. Which of the following statements by the patient would suggest that
further education is needed?
They are only indicated for women with stable monogamous relationships.
It is not commonly used for nulliparous women as there are better options.
They are contraindicated in women with a past history of pelvic inflammatory disease.
They may be used by a woman who has had a previous ectopic pregnancy.
Term 11 of 177
An adolescent female patient is considering starting contraception. She reports that she has
asthma that is well controlled on inhaled corticosteroids. You would advise this patient that ____.
the use of oral contraceptives is contraindicated in patients with asthma
injectable methods of contraception are best for patients with asthma
all methods of contraception may be used by patients with asthma
the use of hormone patches is indicated for patients with asthma
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller selftest. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.00. You're not tied to anything after your purchase.