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NR 546 FINAL EXAM WEEK 7 REPROCTIVE ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW!!.$17.89
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NR 546 FINAL EXAM WEEK 7 REPROCTIVE ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!.
A 42-year-old G2P1 arrives at clinic for a routine prenatal
visit late in her third trimester. On exam, the physician
notes a subtle murmur; on further auscultation, it becomes
apparent that the murmur occurs during the diastolic
phase. The patient has minimal complaints but does
reveal that she has had swelling in her feet and shortness
of breath. Because these symptoms have been only
slightly more severe than during her last pregnancy, she
assumed this was normal for pregnancy. Which of the
following is true about her presentation? - ✔✔ANSW✔✔...
A diastolic murmur during pregnancy is likely pathological
and should always be investigated.
A 42-year-old school teacher with a history of irregular
periods who underwent successful
intrauterineinsemination (IUI) on January 25th presents to
the clinic for care on March 19th. Her last menstrualperiod
(LMP) was November 11th of the previous year. Which of
the following is true about thegestational age of her
,pregnancy - ✔✔ANSW✔✔..t is determined by date of
insemination plus 2 weeks.
A 45-year-old driver's education instructor presents to the
clinic for heavy periods and pelvic painduring her menses.
She reached menarche at age 13 years and has had
regular periods except duringher pregnancies. She is a
G4P3013 and does not use birth control as her husband
has had a vasectomy.She states this has been going on
for about a year but seems to be getting worse. Her last
period was 1week ago. On bimanual exam, a large midline
mass halfway to the umbilicus is palpated. Each
adnexalarea is nonpalpable. Her rectal exam is normal.
Her body mass index (BMI) is 27. What is the
bestexplanation for her physical finding -
✔✔ANSW✔✔..fibroids
A 45-year-old female executive reports to her primary care
provider that she has recently experienced a change in the
patterns of her bowel movements. She expresses a great
concern as her family history includes a maternal aunt
who died of colon cancer at age 49 years; her mother has
had colonoscopies every 3 years with numerous
adenomatous polyps removed. Which of the following
historical elements would be the most concerning for colon
cancer in this patient? - ✔✔ANSW✔✔..recent onset of
small caliber stools
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? - ✔✔ANSW✔✔..This patient
carries several risk factors that together justify BRCA
testing
A 49-year-old customer service representative presents to
his gastroenterologist for follow-up of hislong-standing
inflammatory bowel disease (IBD). He was diagnosed with
ulcerative colitis (UC) at age 37years and has had
irregular care for this condition since then. His sole
colonoscopy was done at the timeof diagnosis 12 years
ago. His only relevant family history is of prostate cancer
in his father; his motherand sisters are healthy. Which of
the following is true about recommended screening for
colon cancer inthis patient? - ✔✔ANSW✔✔..The patient
should undergo colonoscopy for his bowel condition,
which confers risk of colon cancer.
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