Question

NU 391 – Pathophysiology II Final Exam Winter 2019-20 _____

1. In the menstrual cycle, what needs to happen to allow for release of a ripe ovum?

a. Rise in FSH, decrease in LH, resurgence of FSH which releases the ovum

b. Under the influence of LH, the mature follicle releases in preparation for fertilization

c. Estrogen influences FSH to be released from the anterior pituitary

d. FSH determines when the follicle will be released _____

2. Which hormone “prepares the body for pregnancy”?

a. Luteinizing hormone

b. Estrogen

c. Progesterone

d. Progestin _____

3. Endometriosis is a condition that presents in which part of the following female reproductive tracts?

a. Vaginaa

b. Vulva

c. Uterus

d. Fallopian tubes _____

4. Common organisms involved with pelvic inflammatory disease are:

a. Pseudomonas

b. E. coli

c. Chlamydia

d. Enterobacter _____

5. Components of abnormal uterine bleeding include all of the following EXCEPT:

a. Light blood flow

b. Dysmenorrhea

c. Premenstrual syndrome

d. Heavy bleeding ______

6. Menopause is defined as:

a. the first date of the last menstrual period

b. the last date of the most recent menstrual period

c. the first time a female has gotten her period

d. the one-year mark since a woman’s last period _____

7. True or false: Mastitis is the first stage of breast cancer _____

8. True or false: Progestin is the main hormone responsible for the advancement of breast cancer _____

9. True or false: Polycystic Ovarian Syndrome is where FSH exceeds LH and causes excessive estrogen production. _____

10. A male patient complains of pain in the scrotumm and a purulent discharge from his penis. He denies fever or any other medical presentation. Your provider offers him azithromycin and ceftriaxone as treatment. What do you as the registered nurse further instruct him to do?

a. No sex for seven days

b. Complete the antibiotic regimen as instructed

c. You’re cured so you’re good to go

d. Have your partner(s) follow up for testing and treatment

e. Three of the above

f. None of the above, as gonorrhea is a virus _____

11. Which syphilis study was instrumental in changing how we all carry forth medical research?

a. The Androgen Study

b. The Tuskegee Experiment

c. The South Beach Study

d. The Framingham Study _____

12. Your female patient presents with a neuropathic type of pain two days before they feel itching and irritation in their vulvar region. One day later, they present with vesicular lesions that eventually break and ulcerate. What is the most likely medical diagnosis of this presentation?

a. Chlamydia trachomatis

b. Neisseria gonorrhea

c. Trichomonas vaginalis

d. Herpes Simplex _____

13. Cervical motion tenderness and a fishy, frothy vaginal discharge are presumptive signs of which STI?

a. Candida albicans

b. Trichomonas vaginalis

c. Gardnerella vaginalis

d. Neisseria gonorrhea _____

14. Vesicular rashes appear as discrete or clustered groups of fluid filled lesions. Which of the following is a disease process presenting with vesicular lesions?

a. E. coli

b. Human Papilloma Virus

c. HSV I or II

d. Chlamydia trachomatis _____

15. One of the key take home reminders in STI prevention efforts includes:

a. Safe sex education

b. STI education

c. Monogamy

d. All of the above ______

16. Your middle aged patient presents to clinic with vesicular, painful lesions on their neck. They appear as small lesions following each other in a curved line and then cluster hear the supraclavicular region on the patient’s left side. When reporting your findings to the provider on call, what is the possible diagnosis you will present?

a. Herpes simplex

b. HPV

c. Shingles

d. Hepatitis A _____

17. Acne vulgaris presents as which of the following lesions:

a. Macules

b. Papules

c. Flat warts

d. Cysts

e. Two of the above _____

18. Your elderly patient is assessed and the determination is made that because she has not been turned on a schedule, she has now developed a pressure sore on her right greater trochanter. Which of the following is the highest priority when caring for this patient?

a. Making sure her repositioning schedule is modified

b. Apply barrier cream to the affected site

c. Adjust her diet to include high protein intake

d. Gather labs to determine her sodium and potassium intake _____

19. Your 22-year-old patient presents to clinic with sunburned, slightly painful areas. She indicates that “I do this one time per year” and “When I go on vacation, I really like to be in the sun.” When you assess her skin overall, what types of lesions will you be looking for?

a. Vesicles

b. Papules

c. Lesions that are irregularly shaped

d. Lesions that have two or more colors within them

e. All of the above f. None of the above _____

20. When examining lesions during a skin check, the “D” in the ABCDE refers to:

a. Depth

b. Diameter

c. Diligence

d. Discrepancy

Answer 1

11.(b) The Tuskego experiment.

Reason:

• Tuskego study of untreated syphilis is The Nigero mate was a clinical study conducted purpose a This study to observe The Natwal history & untreated syphilts,

12. ((d) Herpes simplex.

Reason:

Herpes Exuption and simplen virus causes resicular on The sker all over The area Eventualler break and warate.

13. ((b) Trichomonas vaginalis.

Reason;

@ Trichomonas Vaginale e causis Enflammation of vagina, presadeus cervical motion tenderness and a fishy frothy vaginal discharge

14. (c) herpes simplex virus 1 and 2.

Reason:

Herpes simplen viaus 1011 produce vesicular rashes approu as discrete or clustered group of fluid filled lessions.

15. (d) all the above.

Reason:

Seele sik Education, sexually Taginamilled Irfection Education, monogamy, au aze Thcluded the home reminders is seruall Transmited Injection,