NURS 6551 Midterm Exam / NURS6551 Midterm Exam (LATEST 2020): Primary Care of Women
QUESTION 1
1. Which of the following is a diagnostic label that
... [Show More] is listed in the Diagnostic and Statistical Manual IV-TR? 2. 3. a. a. Premenstrual dysphoric disorder 4. 5. b. b. Premenstrual magnification 6. 7. c. c. Dysmenorrhea 8. 9. d. d. Premenstrual syndrome
QUESTION 2
About half of all pregnancies in the United States are unintended and occur most frequently in women who: 2. 3. a. a. Are married or divorced 4. 5. b. b.Have finished high school 6. 7. c. c. Are between the ages of 18 and 24 8. 9. d. d. Are members of the majority group
QUESTION 3
What is one factor that can reduce the risk for the development of ovarian cancer? a. Multiple pregnancies b. Transvaginal ultrasounds c. Identification of recurrence d. Weight loss
QUESTION 4
What percentage of toxic shock syndrome cases are related to menses? a. 50% b. 25% c. 75% d. 90%
QUESTION 5
Tubal sterilization for women who have completed their families is highly effective, but there are disadvantages such as: a. Women are less likely to use condoms or return for health services. b. There is a decreased risk of ovarian cancer and pelvic inflammatory disease. c. There is a high likelihood of complications and side effects. d. The surgery is not covered by insurance.
QUESTION 6
Women who report experiencing the most severe symptoms of PMS tend to be: 1. 2. a. a. In their late 40s 3. 4. b. b. In their early 20s 5. 6. c. c. In their late teens 7. 8. d. d. In their late 30s
QUESTION 7
What is the definition of primary amenorrhea? a. The cessation of menses for an interval of 6 months b. The failure to begin menses by age 14 c. The cessation of menses due to outflow tract obstruction d. The failure to begin menses by age 16
QUESTION 8
How many stages does the Tanner scale use to stage sexual maturity? a. 3 stages b. 5 stages c. 6 stages d. 8 stages
QUESTION 9
Which contraceptive methods have inherent failure rates? 1. 2. a. a.None 3. 4. b. b.Some 5. 6. c. c.All7. 8. d. d.All except sterilization
QUESTION 10
What is the most common type of menstrual dysfunction related to hyperandrogenism? a. Painful menstruation b. Absence of menses c. Irregular bleeding d. Early menopause
QUESTION 11
Combined oral contraceptives (COCs) are among the most extensively studied medications available. Which one of the following statements about their use has been found to be true? a. Broad-spectrum antibiotics may enhance their efficacy. b. They do not increase the risk of venous thromboembolism. c. They decrease the relative risk of ovarian and endometrial cancers. d. Among possible side effects are acne, hirsuitism, and benign breast conditions.
QUESTION 12
Many patients experiencing intimate partner violence (IPV) meet the criteria for diagnosing PTSD. Those criteria include all of the following except: 1. 2. a. a.Experiencing a traumatic event 3. 4. b. b.Reexperiencing the traumatic event 5. 6. c. c.Numbness and avoidance 7. 8. d. d.Hypovigilance
QUESTION 13
Which of the following is an ethical issue that is specifically associated with pre-implantation testing with ART? 1. 2. a. a.Ownership of frozen embryos after the couple has divorced 3. 4. b. b.A surrogate deciding she does not want to relinquish the infant 5. 6. c. c.Genetic engineering and the ability to reject embryos affected by inherited disorders 7. 8. d. d.The implantation of multiple embryos, which can create high risk for the embryos and the woman
QUESTION 14
The ________ is probably the most widely used intimate partner violence (IPV) screen. a. Three-QUESTION AAS (McFarlane et al., 1992) b. Campbell’s Danger Assessment (2003) c. Sheridan’s HARASS Instrument d. Helton’s nine-QUESTION AAS
QUESTION 15
What is the term for the absence of menses for 3 to 6 months in a woman who has previously menstruated and is not pregnant, breastfeeding, or menopausal? 1. 2. a. 3. Primary amenorrhea 4. 5. b. 6. Initial dysmenorrhea 7. 8. c. 9. Secondary amenorrhea 10. 11. d. 12. Primary dysmenorrhea
QUESTION 16
Among women age 55 years and older: a. Macromastia is the most common cause of breast masses. b. Breast masses are presumed malignant until proven otherwise. c. Most breast masses decrease in size over time and many resolve completely. d. Diagnostic imaging of a breast mass and tissue sampling should be deferred.
QUESTION 17
Both very young and elderly sexual assault victims: 1. 2. a. Are addressed in most state mandatory reporting laws 3. 4. b. never has any difficulty describing the incident and related symptoms 5. 6. c. Require the same equipment for proper examination that others do 7. 8. d. Have fewer injuries than victims of other age groups
QUESTION 18
What is the major source of normal vaginal secretions? a. Bartholin’s glands b. Apocrine glands c. Sebaceous glands d. Cervical mucosa
QUESTION 19
Which one of the following statements about intimate partner violence (IPV) is false? 1. 2. a. 3. It refers to an escalating pattern of abuse. 4. 5. b. 6. It includes emotional abuse, such as disregarding what a woman wants. 7. 8. c. 9. It includes using physical force to make a woman engage in a sexual act against her will. 10. 11. d. 12. It refers to a current or former spouse or dating partner of the opposite sex, not someone of the same sex.
QUESTION 20
How is being overweight defined on the BMI table? a. 18–29.9 b. 20–29.9 c. 25–29.9 d. 30 or greater
QUESTION 21
What has contributed to the decreased incidence of hepatitis B over the past 20 years? 1. 2. a. 3. The decrease in PID 4. 5. b. 6. The HBV vaccination 7. 8. c. 9. The increase in condom use 10. 11. d. 12. More precise screening methods
QUESTION 22
Which are the most common forms of hepatitis seen in women’s health practices? a. A and B b. A and D c. B, C, and D d. B and C
QUESTION 23
The factors that enable women to enjoy and control their sexual and reproductive lives, including a physical and emotional state of well-being and the quality of sexual and other close relationships, make up a woman’s: 1. 2. a. 3. Sexual health 4. 5. b. 6. Gender identity 7. 8. c. 9. Gender role behaviors 10. 11. d. 12. Psychosocial orientation
QUESTION 24
What test should be ordered for a woman who is experiencing abnormal uterine bleeding (AUB) as well as headaches and peripheral vision changes? a. Thyroid-stimulating hormone test b. Nucleic acid amplification test c. Complete blood count d. Prolactin level test
QUESTION 25
Surgical abortion represents an option for women who desire termination of pregnancy beyond: 1. 2. a. 3. 8 weeks’ gestation 4. 5. b. 6. 12 weeks’ gestation 7. 8. c. 9. 4 weeks’ gestation 10. 11. d. 12. 15 weeks’ gestation
QUESTION 26
What POPulation of women should be screened for signs and symptoms of thyroid dysfunction? 1. 2. a. 3. All women 4. 5. b. 6. Older women 7. 8. c. 9. Older women, smokers, and women with diabetes 10. 11. d. 12. Older women, postpartum women, and women with Down syndrome
QUESTION 27
All of the following diagnostic testing and procedures are now infrequently performed in clinical practice except: 1. 2. a. 3. Hysterosalpingogram 4. 5. b. 6. Sperm penetration assay 7. 8. c. 9. The postcoital test (PCT) 10. 11. d. 12. Endometrial biopsy (EMB)
QUESTION 28
The most common site for endometrial implants found in other parts of the body is: 1. 2. a. 3. The appendix 4. 5. b. 6. The uterus 7. 8. c. 9. The ovaries 10. 11. d. 12. The fallopian tubes
QUESTION 29
Women who have had toxic shock syndrome should be instructed not to use tampons or: a. Barrier contraception methods b. Hormonal contraception methods c. Intravaginal antibiotic cream d. Oral antibiotics
QUESTION 30
Cyclic mastalgia: a. More likely causes unilateral, localized pain that is sharp or burning in nature b. Has an increased risk of occurrence in women whose diets are low in fat c. Occurs most frequently in women who are 18 to 30 years old d. Is caused by hormonal changes associated with menstruation
QUESTION 31
The incidence of uterine fibroids: 1. 2. a. 3. Increases with age 4. 5. b. 6. Decreases with age 7. 8. c. 9. Is often caused by early menopause 10. 11. d. 12. Is related to the age of first menses
QUESTION 32
Patients presenting for STI treatment should be screened for HIV: a. At each visit b. At the end of treatment c. At the beginning of treatment d. Each year
QUESTION 33
1. What screening recommendation is similar across all groups for colorectal cancer? 2. 3. a. 4. Screening women age 76 to 85 based on risk factors 5. 6. b. 7. Screening only for those women at increased risk 8. 9. c. 10. Screening for all women starting at age 50 11. 12. d. 13. Against routine screening in adults age 76 and over
QUESTION 34
Approximately what percentage of vulvar cancers occur in women older than the age of 50? a. 50% b. 70% c. 85% d. 60%
QUESTION 35
Signs of endometrial or cervical cancer may present abnormal uterine bleeding, often as heavy, prolonged bleeding or: 1. 2. a. 3. Menometrorrhagia 4. 5. b. 6. Amenorrhea 7. 8. c. 9. Oligomenorrhea 10. 11. d. 12. Polymenorrhea
QUESTION 36
In the GTPAL system for recording pregnancy history, the “T” stands for: a. Term births b. Terminal pregnancies c. Total number of pregnancies d. Type of birth (spontaneous, assisted, or cesarean)
QUESTION 37
What is now thought to be the most important causative agent in cervical cancer? a. PCOS b. Vulvar cancer c. Herpes simplex d. HPV
QUESTION 38
The most common sites of metastatic spread of invasive breast cancer include all of the following except: 1. 2. a. 3. Bones 4. 5. b. 6. Lungs 7. 8. c. 9. Pituitary 10. 11. d. 12. Lymph nodes
QUESTION 39
Who should be screened regularly for STIs? a. Women who have more than one sexual partner b. Women over the age of 21 c. Women who are sexually active d. Women over the age of 15
QUESTION 40
What is a common vasomotor symptom of menopause? 1. 2. a. 3. Blood clots 4. 5. b. 6. Night sweats 7. 8. c. 9. Osteoporosis 10. 11. d. 12. Hysterectomy
QUESTION 41
What is the best definition of abnormal uterine bleeding (AUB)? a. Uterine bleeding for which no pelvic pathology is found b. Uterine bleeding that is irregular during a woman’s menstrual cycle c. Uterine bleeding that is irregular in amount or frequency d. Uterine bleeding that is related to systemic conditions
QUESTION 42
What should be the clinician’s first objective after learning the chief reason the woman desires care? a. To give the reason or problem a structural and chronological framework b. To probe for any additional concerns missed c. To take a family history related to the presenting concern d. To gain insight into the woman’s cultural and social influences
QUESTION 43
No risk factors other than age are identifiable in ______ of women with breast cancer. a. 100% b. 85% c. 60% d. 24%
QUESTION 44
The highest prevalence of human papillomavirus (HPV) is found among women ages: a. 18–20 b. 20–24 c. 25–30 d. 30–35
QUESTION 45
Although barrier contraception methods are less effective in preventing pregnancy than more modern methods, interest in them is on the rise because they: a. Can help protect against STIs, including HIV b. Are coitus dependent and require planning c. Are nonallergenic and male controlled d. Involve the use of hormone
QUESTION 46
What is now thought to be the most important causative agent in cervical cancer? a. PCOS b. Vulvar cancer c. Herpes simplex d. HPV
QUESTION 47
Women who have had toxic shock syndrome should be instructed not to use tampons or: a. Barrier contraception methods b. Hormonal contraception methods c. Intravaginal antibiotic cream d. Oral antibiotics
QUESTION 48
How many stages does the Tanner scale use to stage sexual maturity? a. 3 stages b. 5 stages c. 6 stages d. 8 stages
QUESTION 49
Which contraceptive methods have inherent failure rates? 1. 2. a. a.None 3. 4. b. b.Some 5. 6. c. c.All7. 8. d. d.All except sterilization
QUESTION 50
About half of all pregnancies in the United States are unintended and occur most frequently in women who: 2. 3. a. a. Are married or divorced 4. 5. b. b.Have finished high school 6. 7. c. c. Are between the ages of 18 and 24 8. 9. d. d. Are members of the majority group [Show Less]