KAPLAN MN576 2018 September Unit 10 Final Exam Latest

MN576 Primary Care of the Womens Health

Unit 10 Final Exam  

Question 1                         

Increased folic acid intake before conception is likely to reduce the risk of which of the following birth defects?

Question options:

 

1)            congenital cataract

 

 

2)            pyloric stenosis

 

 

3)            clubfoot

 

 

4)            open neural tube defects

 

Question 2                         

Down syndrome is the clinical manifestation of trisomy ___.

Question options:

 

1)            13

 

 

2)            15

 

 

3)            18

 

 

4)            21

 

Question 3                         

Malignant thyroid nodules are more common in women than men.

Question options:

 

1) True

 

2) False

Question 4                         

Identify the corresponding characteristic of Goodell sign

Question options:

 

1)            blue–violet vaginal color

 

 

2)            softening of uterus isthmus

 

 

3)            softening of vaginal portion of the cervix

 

Question 5                         

Medications most commonly pass through the placenta via:

Question options:

 

1)            facilitated transport.

 

 

2)            passive diffusion.

 

 

3)            capillary pump action.

 

 

4)            mechanical carrier state.

 

Question 6                         

HDL levels are a better predictor of CAD in women than LDL.

Question options:

 

1) True

 

2) False

Question 7                         

Anxiety in response to a challenging life event is a natural response by the body to:

Question options:

 

1)            help a person focus on the issue at hand.

 

 

2)            diminish the fight-or-flight response.

 

 

3)            impair decision-making under duress.

 

 

4)            provide transient improvement in physical capabilities.

 

Question 8                         

In Down syndrome, which of the following is true?

Question options:

 

1)            Most infants affected with Down syndrome are born to women older than age 35 years.

 

 

2)            Down syndrome is noted in about 1 in 10,000 live births.

 

 

3)            Down syndrome is associated with decreased maternal serum AFP level.

 

 

4)            Antenatal serum analysis is sufficient to make the diagnosis.

 

Question 9                         

Physical examination of a 19-year-old woman with a 3-day history of vaginal itch reveals moderate perineal excoriation, vaginal erythema, and a white, clumping discharge. Expected microscopic examination findings include:

Question options:

 

1)            a pH greater than 6. 0.

 

 

2)            an increased number of lactobacilli.

 

 

3)            hyphae.

 

 

4)            an abundance of white blood cells.

 

Question 10                       

In Edwards syndrome, which of the following statements is true?

Question options:

 

1)            Edwards syndrome is more common than Down syndrome.

 

 

2)            Most affected infants with Edwards syndrome die during the first year of life.

 

 

3)            Edwards syndrome is unlikely to cause developmental disability.

 

 

4)            Edwards syndrome is associated with elevated AFP.

 

Question 11                       

Patient presentation possibly common to anxiety and depression includes:

Question options:

 

1)            feeling of worthlessness.

 

 

2)            psychomotor agitation.

 

 

3)            dry mouth.

 

 

4)            appetite disturbance.

 

Question 12                       

A patient has been prescribed adjuvant tamoxifen therapy following breast cancer. What common side effect might she experience?

Question options:

 

1)            nausea and vomiting

 

 

2)            vomiting, weight loss and hair loss

 

 

3)            hot flashes, weight gain and blood clots

 

 

4)            diarrhea

 

Question 13                       

Women who experienced gestational diabetes are at higher risk of developing Type 2 Diabetes later in life.

Question options:

 

1) True

 

2) False

Question 14                       

Use of St. John's wort is known to impact the effectiveness of all of the following medications except:

Question options:

 

1)            oral contraceptives.

 

 

2)            fluoroquinolones.

 

 

3)            cyclosporine.

 

 

4)            select antiretrovirals.

 

 

Question 15                       

Parotid Gland Enlargement is noted in:

Question options:

 

1)            Anorexia nervosa

 

 

2)            Bulimia nervosa

 

 

3)            Both anorexia nervosa and bulimia nervosa

 

Question 16                       

Identify the corresponding characteristic of Chadwick sign

Question options:

 

1)            blue–violet vaginal color

 

 

2)            softening of uterus isthmus

 

 

3)            softening of vaginal portion of the cervix

 

Question 17                       

In treating a person with panic disorder using an SSRI, the NP should consider that there is:

Question options:

 

1)            considerable abuse potential with these medications.

 

 

2)            no significant therapeutic advantage over TCAs.

 

 

3)            a reduction in number and severity of panic attacks.

 

 

4)            significant toxicity in overdose.

 

Question 18                       

Gallbladder disease occurs primarily in healthy women 40 to 65 years of age.

Question options:

 

1) True

 

2) False

Question 19                       

Concerning the use of alcohol during pregnancy, which of the following statements is most accurate?

Question options:

 

1)            Although potentially problematic, maternal alcohol intake does not increase the risk of miscarriage.

 

 

2)            Risk to the fetus from alcohol exposure is greatest in the third trimester.

 

 

3)            No level or time of exposure is considered to be safe.

 

 

4)            Risk of fetal alcohol syndrome is present only if alcohol exposure has occurred throughout the pregnancy.

 

Question 20                       

The recommended frequency of prenatal visits in weeks 28 to 32 of pregnancy is every:

Question options:

 

1)            1 week.

 

 

2)            2 weeks.

 

 

3)            3 weeks.

 

 

4)            4 weeks.

 

Question 21                       

The most likely causative pathogen in a 23-year-old woman with PID is:

Question options:

 

1)            Escherichia coli.

 

 

2)            Enterobacteriaceae.

 

 

3)            trachomatis.

 

 

4)            Pseudomonas.

 

Question 22                       

A 25-year-old woman presents in the 10th week of gestation requesting antenatal screening for Down syndrome. What advice should the NP give?

Question options:

 

1)            Because of her age, no specific testing is recommended.

 

 

2)            She should be referred for second-trimester ultrasound.

 

 

3)            Screening that combines nuchal translucency measurement and biochemical testing is available.

 

 

4)            She should be referred to a genetic counselor.

 

Question 23                       

The typical female onset of hypothyroidism is between which ages?

Question options:

 

1)            20 and 30 years

 

 

2)            30 and 60 years

 

 

3)            over 60 years

 

Question 24                       

Identify the correct uterine size during the 8th week of pregnancy

Question options:

 

1)            Size of a baseball

 

 

2)            Size of a softball or grapefruit

 

 

3)            Size of a large lemon

 

 

4)            Size of a tennis ball or orange

 

Question 25                       

The presence of an adnexal mass in the woman with PID most likely indicates the presence of:

Question options:

 

1)            uterine fibroids.

 

 

2)            an ectopic pregnancy.

 

 

3)            ovarian malignancy.

 

 

4)            a tubo-ovarian abscess.

 

Question 26                       

Elevated inhibin-A is noted when a pregnant woman is at increased risk of having an infant with:

Question options:

 

1)            Down syndrome.

 

 

2)            Edwards syndrome.

 

 

3)            open neural tube defect.

 

 

4)            hemolytic anemia.

 

Question 27                       

Identify the correct uterine size during the 10th week of pregnancy

Question options:

 

1)            Size of a baseball

 

 

2)            Size of a softball or grapefruit

 

 

3)            Size of a large lemon

 

 

4)            Size of a tennis ball or orange

 

Question 28                       

Identify the corresponding characteristic of Hegar sign

Question options:

 

1)            blue–violet vaginal color

 

 

2)            softening of uterus isthmus

 

 

3)            softening of vaginal portion of the cervix

 

Question 29                       

Which of the following is an over-the-counter herbal preparation used to relieve symptoms of depression?

Question options:

 

1)            valerian root

 

 

2)            melatonin

 

 

3)            kava kava

 

 

4)            St. John's wort

 

Question 30                       

The most common form of acquired anemia during pregnancy is:

Question options:

 

1)            iron deficiency.

 

 

2)            folate deficiency.

 

 

3)            vitamin B12 deficiency.

 

 

4)            primary hypoproliferative.

 

Question 31                       

Hypokalemia is noted in:

Question options:

 

1)            Anorexia nervosa

 

 

2)            Bulimia nervosa

 

 

3)            Both anorexia nervosa and bulimia nervosa

 

Question 32                       

Identify the correct uterine size during the 12th week of pregnancy

Question options:

 

1)            Size of a baseball

 

 

2)            Size of a softball or grapefruit

 

 

3)            Size of a large lemon

 

 

4)            Size of a tennis ball or orange

 

Question 33                       

Examples of neural tube defects include all of the following except:

Question options:

 

1)            anencephaly.

 

 

2)            spina bifida.

 

 

3)            encephalocele.

 

 

4)            omphalocele.

 

Question 34                       

Maternal iron requirements are greatest during what part of pregnancy?

Question options:

 

1)            first trimester

 

 

2)            second and third trimesters

 

 

3)            equal throughout pregnancy

 

 

4)            preconception

 

Question 35                       

The NP is in an ideal position to provide counseling to both members of a couple involved in domestic violence, particularly if both members of the couple are members of the NP's practice panel.

Question options:

 

1) True

 

2) False

Question 36                       

In providing primary care for a patient with posttraumatic stress disorder (PTSD), you consider that all of the following are likely to be reported except:

Question options:

 

1)            agoraphobia.

 

 

2)            feeling of detachment.

 

 

3)            hyperarousal.

 

 

4)            poor recall of the precipitating event.

 

Question 37                       

IBS patients typically report

Question options:

 

1)            nausea

 

 

2)            heartburn

 

 

3)            dyspepsia

 

 

4)            All of the above

 

Question 38                       

Among the preferred first-line pharmacological treatment options for patients with PTSD include the use of:

Question options:

 

1)            methylphenidate (Ritalin®).

 

 

2)            oxazepam (Serax®).

 

 

3)            lithium carbonate.

 

 

4)            sertraline.

 

Question 39                       

Women with PID typically present with all of the following except:

Question options:

 

1)            dysuria.

 

 

2)            leukopenia.

 

 

3)            cervical motion tenderness.

 

 

4)            abdominal pain.

 

Question 40                       

The prevalence rate of hypertension is nearly equal between men and women ages 45 to 64, but after women have a much higher rate of hypertension.

Question options:

 

1) True

 

2) False

Question 41                       

Treatment of vulvovaginitis caused by Candida albicans includes:

Question options:

 

1)            metronidazole gel.

 

 

2)            clotrimazole cream.

 

 

3)            hydrocortisone ointment.

 

 

4)            clindamycin cream.

 

Question 42                       

Lanugo is noted in:

Question options:

 

1)            Anorexia nervosa

 

 

2)            Bulimia nervosa

 

 

3)            Both anorexia nervosa and bulimia nervosa

 

Question 43                       

Which of the following therapeutic agents is commonly used to help with sleep difficulties such as insomnia associated with PTSD?

Question options:

 

1)            duloxetine

 

 

2)            bupropion

 

 

3)            mirtazapine

 

 

4)            zolpidem

 

Question 44                       

In advising a perimenopausal woman about HT, you consider that it may:

Question options:

 

1)            reduce the risk of venous thrombotic events.

 

 

2)            significantly reduce serum triglyceride levels.

 

 

3)            worsen hypertension in most women.

 

 

4)            help preserve bone density.

 

Question 45                       

Women with bacterial vaginosis typically present with:

Question options:

 

1)            vulvitis.

 

 

2)            pruritus.

 

 

3)            dysuria.

 

 

4)            malodorous discharge.

 

Question 46                       

A transvaginal ultrasound in the woman with PID will likely show:

Question options:

 

1)            tubal thickening with or without free pelvic fluid.

 

 

2)            cervical thickening.

 

 

3)            endometrial thinning.

 

 

4)            inflammation of the ovaries.

 

Question 47                       

When initiating SSRI therapy for a patient with panic disorder, the NP should consider all of the following except:

Question options:

 

1)            start with a low dose and slowly escalate doses as necessary.

 

 

2)            preferable to use agents that are more energizing than less energizing.

 

 

3)            select agents with a low rate of insomnia and akathisia.

 

 

4)            SSRI therapy can precipitate panic attacks with early use.

 

Question 48                       

A 24-year-old woman presents with a 1-week history of thin, green-yellow vaginal discharge with perivaginal irritation. Physical examination findings include vaginal erythema with petechial hemorrhages on the cervix, numerous white blood cells, and motile organisms on microscopic examination. These findings most likely represent:

Question options:

 

1)            motile sperm with irritative vaginitis.

 

 

2)            trichomoniasis.

 

 

3)            bacterial vaginosis.

 

 

4)            condyloma acuminatum.

 

 

 

Question 49                       

A 24-year-old woman has a new onset of panic disorder. As part of her clinical presentation, you expect to find all of following except:

Question options:

 

1)            peak symptoms at 10 minutes into the panic attack.

 

 

2)            history of agoraphobia.

 

 

3)            report of chest pain during panic attack.

 

 

4)            history of thought disorder.

 

Question 50                       

A 45-year-old woman just had a normal Pap test result and has an absence of high-risk HPV. You recommend her next Pap test in:

Question options:

 

1)            1 year.

 

 

2)            3 years.

 

 

3)            5 years.

 

 

4)            7 years.

 

Question 51                       

Dysrhythmias is noted in:

Question options:

 

Anorexia nervosa

 

Bulimia nervosa

 

Both anorexia nervosa and bulimia nervosa