18 May Question DescriptionPlease answer the fallowing qu
Question DescriptionPlease answer the fallowing questions with references.Question 1A woman is interested in starting Depo-Provera injections for contraception. What would be the most likely side effect that she should be educated about?Question 1 options:Irregular bleedingDysmenorrheaBreast tendernessHeadacheQuestion 2Lenore, fifty-five years old, comes in for evaluation of a breast mass. Which of the following assessment findings is/are associated with carcinoma of the breast? Select all that apply.Question 2 options:Scaly lesions similar to eczema on one areola and nipplePeau d’orange dimpling of skin over one breastUnilateral retraction and deviation of nippleDiscrete, smooth, and mobile lesionQuestion 3There are several phases to the menstrual cycle. What phase begins with ovulation and ends with menstruation?Question 3 options:Ovulatory phaseFollicular phaseProliferative phaseLuteal phaseQuestion 4Tanisha is a twenty-two-year-old woman who presents with extreme irritability and mood swings, bloating, constipation, fluid retention, and headache. She tearfully tells you, This happens every month in my cycle. I get like a crazy woman, lashing out at everyone. I’m afraid I’ll lose my job if I can’t stop this. Sometimes, it’s so bad. I just want to quit living. I need help! Tanisha’s symptoms are typical of what disorder?Question 4 options:DepressionPremenstrual syndrome (PMS)Bipolar disorderPremenstrual dysphoric disorder (PMDD)Question 5Sylvia is a forty-four-year-old woman with abnormal uterine bleeding (AUB) and is unable to use combined hormonal oral contraceptives. Which of the following medications can be used for management of AUB?Question 5 options:Ethinyl estradiolMedroxyprogesteroneMusculoskeletal relaxantsConjugated estrogenQuestionYour fifteen-year-old patient has been diagnosed with secondary amenorrhea. The urine human chorionic gonadotropin (HCG) is negative and Prolactin levels are within normal limits. The physical examination reveals growth of breast tissue and Tanner stage III. Which of the following medication regimes would be most appropriate?Question 6 options:Oral estrogen 1.25 mg daily for three weeksOral progestin 5 mg every other day for three cyclesMedrol 16 mg dose packMedroxyprogesterone acetate 5 to 10 mg daily for first 12 to 14 days of each cycleQuestionA female patient has been diagnosed with polycystic ovary syndrome (PCOS) and weighs 250 pounds. In addition to obesity, PCOS is associated with which of the following clinical manifestations? Select all that apply.Question 7 options:Unexplained weight lossDry, flaking skinMenstrual irregularityHirsutismQuestion 8The nurse practitioner is counseling an eleven-year-old girl, Kayleigh, and her mother about the human papillomavirus vaccine (HPV), Gardasil. Kayleigh is Tanner stage IV at this visit. In counseling this family, the nurse practitioner tells them that the HPV vaccine ______.Question 8 options:is a series of three doses over a six month periodwill protect Kayleigh from all strains of HPVcan cause seizures in some childrenis not indicated in her age group as she is not yet sexually activeQuestion 9The nurse practitioner understands that women with polycystic ovarian syndrome have an increased risk for:Question 9 options:is a series of three doses over a six month periodAdrenal tumorsEndometrial cancerEndometriosisQuestion 10The nurse practitioner is instructing a patient on the proper use of the diaphragm, a barrier contraceptive method. Which of the following would the nurse practitioner include in the instructions?Question 10 options:The diaphragm should be removed within one hour after intercourse.The diaphragm may be inserted up to twenty-four hours prior to intercourseThe diaphragm may be inserted up to twenty-four hours prior to intercourseDouching is safe immediately upon removal of the diaphragm.Question 11Abnormal uterine bleeding (AUB) has multiple causes. When a woman presents and reports menstrual irregularity with amenorrhea, which is the most common cause of amenorrhea?Question 11 options:Ectopic pregnancyAdenomyosisCoagulopathyAnovulationQuestion 12 Polycystic ovaries predispose women to a higher incidence of:Question 12 options:Adrenal tumorsOvarian cancerEndometrial cancerEndometriosisQuestion 13A well-woman visit for an adolescent should include which of the following? Select all that apply.Question 13 options:A general health history and physical examination, including a breast examination, pelvic with Pap smear, counseling, and assessment of risk factorsA general health history focusing on reproductive and sexual health concerns (menses, gynecologic, and pregnancy related) and psychosocial (family related, peer related, emotional, and physical as well as related to abuse, drug use, and alcohol use) concernsScreening tests and immunizations as indicated by the health historyExternal-only inspection of the genitaliaQuestion 14A 42 year old female presents to your office with complaint of a palpable breast mass that she noticed while performing her breast self-examination. After taking her history, you perform a clinical breast examination which reveals a solitary, 3 cm, mobile, non-painful, rubbery mass. On the basis of her clinical breast examination, what is most likely her diagnosis?Question 14 options:Fibrocystic breast changesFibroadenomaIntraductal papillomaInvasive breast cancerQuestion 15Which of the following contraceptives would not be a reasonable method for a 40 year old patient that smokes 1 pack of cigarettes per day and has a history of hypertension?Question 15 options:Contraceptive patchDepo-ProveraMirena IUDNexplanon
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