,10/24/24, 9:46 AM MSN 621 Final Exam | 2024-2025 UPDATE COMPREHENSIVE MOST FREQUENTLY TESTED QUESTIONS AND VERIFIE…
A 35-year-old woman 4
presents with the chief
complaint of pelvic pain.
She has a history of
secondary infertility and
has had 1 live birth via
Caesarean section. Since
childbirth, her symptoms
of pelvic pain have
worsened. She functions
normally with her tasks of
daily living except for the
inability to comfortably
place a tampon and have
pain-free vaginal
intercourse. The provider
performs a pelvic exam
and obtains a sample to
screen for sexually
transmitted infections.
Which of the following is
the most appropriate
next step in
management?
1. Refer to a pelvic floor
physical therapist for
further evaluation
2. Order an ultrasound to
detect endometriosis
3. Prescribe vaginal
estrogen therapy and
plan for follow-up in 1
month
4. Perform a Q-tip test as
well as a neuromuscular
exam of the pelvis
,10/24/24, 9:46 AM MSN 621 Final Exam | 2024-2025 UPDATE COMPREHENSIVE MOST FREQUENTLY TESTED QUESTIONS AND VERIFIE…
A 51-year-old woman 3
presents with irregular,
heavy menstrual
bleeding for the past 6
months. She reports
previously regular cycles
every 30 days, lasting 4
to 6 days, with medium
flow. She says her cycles
are now occurring every
30 to 45 days, lasting 5 to
12 days, with heavy flow
and occasional passing
of clots. Her BMI is 30.2
kg/m2, and her vital signs
are within normal limits.
What is the most
appropriate next step in
evaluating this patient?
1. Luteinizing and follicle-
stimulating hormone
levels
2. Sonohysterography
3. Endometrial sampling
4. Gonorrhea and
chlamydia testing
, 10/24/24, 9:46 AM MSN 621 Final Exam | 2024-2025 UPDATE COMPREHENSIVE MOST FREQUENTLY TESTED QUESTIONS AND VERIFIE…
A 17-year-old girl 4
presents with heavy
menstrual cycles that are
28 days apart and last 7
to 8 days. She reports the
passage of clots and, on
her heaviest days, having
to change her pads every
1 to 2 hours. She is not
sexually active and
denies any significant
past medical history. She
does admit to an episode
of heavy bleeding after
tooth extraction for
braces when she was 13.
The physical exam
findings are
unremarkable except for
scattered ecchymoses on
her bilateral shins. What is
the most appropriate
next step in the
evaluation of this patient?
1. Endometrial biopsy
2. Thyroid function
studies
3. Pelvic ultrasound
4. Coagulopathy studies
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 CodedNurse. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
