Question 1. 1. A pathology report has been returned on a woman’s breast mass

malignancy. The most common type of invasive breast cancer is ______________.

(Points : 2)

 lobular

 infiltrating ductal

 infiltrating papillary

 medullary

Question : Suzanne, a forty-six-year-old client, reports shortened menstrual

cycles for one year. The most likely diagnosis is __________.

Student Answer:

anovulatory bleeding

menopause

perimenopause

breakthrough bleeding

Points Received: 2 of 2

Comments:

Question 3. Question : Sally, a sixty-one-year-old Caucasian female, presents to your

practice for a well-woman examination. She remarks that she

feels like she is shrinking over the past year, despite keeping

active and incorporating sources of calcium in her diet. Which of

the following is not a risk factor for osteoporosis?

Student Answer:

Smoking

History of maternal osteoporosis

Excessive use of alcohol or caffeine

Use of combined oral contraception

Points Received: 2 of 2

Comments:

Question 4. Question : You are seeing a twenty-two-year-old pregnant woman for routing

antepartal care. She discloses that she forgets to take her

prenatal vitamins. Which of the following would not be part of

your counseling and education?

Student Answer:

Try putting them next to your toothbrush and taking them at

night when you brush before going to bed.

Using an OTC stool softener and drinking plenty of water

can help with constipation.

You can just take a regular multivitamin in place of the

prenatals.

Prenatal vitamins are specially formulated to prevent anemia

in you and your baby.

Points Received: 0 of 2

Comments:

Question 5. Question : A thirty-nine-year-old female has not had menses for over six

months and has a negative pregnancy test. Which of the following

characteristics puts her at risk for an early menopause?

Student Answer:

Obesity (BMI 30)

Current smoker

Early menarche

Nulliparity

Points Received: 2 of 2

Comments:

Question 6. Question : You are performing a pelvic exam on a forty-seven-year-old

woman when you notice a large, soft bulge in the vaginal floor.

The primary diagnosis is ________________.

Student Answer:

enterocele

rectocele

rectal tumor

fecal impaction

Points Received: 2 of 2

Comments:

Question 7. Question : A young woman presents to your practice with vaginal itching and

a white discharge. She denies sexual activity or douching. She

has been in good health except for a recurrent strep throat. Pelvic

examination reveals a tender vulvovaginal area with edema and

white patches; no odor is detected. Which of the following is the

most likely cause of this problem?

Student Answer:

Bacterial vaginosis

Diabetes mellitus

Allergy to personal hygiene product

Candidiasis after antibiotic treatment

Points Received: 2 of 2

Comments:

Question 9. Question : The nurse practitioner is prescribing an oral contraception to

Sally. She is concerned about having one that has “two

hormones” as the active ingredients. You instruct her that adding

progestin to estrogen therapy will decrease the risk of

___________.

Student Answer:

breast cancer

withdrawal bleeding

endometrial cancer

osteoporosis