NURS 5432 Module 2- & 3-Women’s Health Exam Questions and Answers (Solved Papers) The failure of any menses to appear is termed "primary amenorrhea," and evaluation is commenced either (1) at age 14 years if neither menarche nor any breast development has occurred or if height is in the lowest 3% for ethnicity, or (2) at age 16 years if menarche has not occurred - Correct Answers ✅Primary Amenorrhea Secondary amenorrhea is defined as the absence of menses for 3 consecutive months in women who have passed menarche. - Correct Answers ✅Secondary Amenorrhea Patients with primary amenorrhea require a thorough history and physical examination to look for signs of the conditions noted above. Headaches or visual field abnormalities implicate a hypothalamic or pituitary tumor. Signs of pregnancy may be present. Blood pressure elevation, acne, and hirsutism should be noted. Short stature may be seen with an associated GH or thyroid hormone deficiency. Short stature with manifestations of gonadal dysgenesis indicates Turner syndrome. Olfactory deficits are seen in Kallmann syndrome. Obesity and short stature may be signs of Cushing syndrome. Tall stature may be due to eunuchoidism or acromegaly. Hirsutism or virilization suggests excessive testosterone.An external pelvic examination plus a rectal examination should be performed to assess hymen patency and the presence of a uterus. - Correct Answers ✅Primary Amenorrhea symptoms and physical exam 1 / 3
NURS 5432 Module 2- & 3-Women’s Health Exam Questions and Answers (Solved Papers) The initial endocrine evaluation should include serum FSH, LH, PRL, total and free testosterone, TSH, FT4, and beta-hCG (pregnancy test).Girls who have a normal uterus and high FSH without the classic features of Turner syndrome may require a karyotype to diagnose X chromosome mosaicism - Correct Answers ✅Primary Amenorrhea labs thyroid function tests, prolactin, FSH, LH, total testosterone, serum estradiol, Pregnancy test - Correct Answers ✅Secondary Amenorrhea labs
ACS start at 25:
Primary HPV alone q 5 years or co-testing q 5 years or cytology alone q 3 years
ACOG start at 21:
cytology alone q 3 years - Correct Answers ✅ACS and ACOG guidelines 21-29 years
ACS:
Primary HPV testing alone q 5 years or 2 / 3
NURS 5432 Module 2- & 3-Women’s Health Exam Questions and Answers (Solved Papers) co-testing q 5 years or cytology alone q 3 years
ACOG:
co-testing q 5 years or cytology alone q 3 years or primary HPV testing alone q 5 years - Correct Answers ✅ACS and ACOG guidelines 30-65 years not recommended and not recommended if hysterectomy - Correct Answers ✅Pap and HPV testing over 65 years Squamous cell abnormalities - Correct Answers ✅Bethesda Classification · ASCUS - atypical squamous cells of undetermined significance - Correct Answers ✅ASCUS · LSIL OR LGSIL - low grade squamous intraepithelial lesion
o CIN 1: HPV or mild dysplasia - Correct Answers ✅· LSIL
OR LGSIL
· HSIL or HGSIL - high grade squamous intraepithelial lesion
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