39 a nurse practitioner is screening a female for

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39. A nurse practitioner is screening a female for prescribing contraception fir the first time. Which of the following is an absolute contraindication for estrogen-containing contraception? Migraine headaches Hypertension Theomboembolisms Seizure disorder
40. Mrs. Jackson, age 37, has been on birth control pills for approximately 15 years. She is a smoker, has a blood pressure of 110/70mmHg and has lipid levels within normal limits. You advise that she should
41. A 24 year old woman presents with complaint of nontender mass in her breast that does not change with the menstrual cycle. On examination, you notice a freely movable, 0.5cm x 1cm, rubbery nontender mass. The most likely diagnosis is
42. Turner’s syndrome can be suspected when the patient has primary amenorrhea and Blind vaginal pouch with imperforate hymen Low IQ and visual disturbances
Short stature and webbed neck 43. Primary dysmenorrhea can best be treated with Dopamine agonists GnRh agonists Prostaglandin inhibitors Tricyclic antidepressants
44. What is the position of the uterus when the cervix is on the anterior vaginal wall?
45. According to ACOG guidelines, which of the following examination and screening tests should be a part of the routing well-woman visit every year for the females age 30 to 39 years?
46. A woman who is currently pregnant, has has two full-term deliveries, and has had one first trimester abortion would be considered Gravida 2 Para 2 Gravida 3 para 2 Gravida 3 para 3 Gravida 4 para 2 47. a vaginal pH less than 4.5 is expected finding in a Healthy reproductive age woman Menopausal woman with atropic vaginitis Reproductive age woman with trichomoniasis Healthy prepubertal age girl
48. a 68 year old had her last cervical cancer screening fone at age 65 and results were normal. She has no history of abnormal screenings. She has recently started having sexual intercourse with a new male partner and asks if she should start having cervical cancer screening again. An appropriate answer would be that she Does not need pap tests but should have HPV testing every five years
49. the new ACOG Pap smear guidelines reflect a change in all of the following except The age at which pap smears are initiated The frequency of pap smear screenings The follow-up to abnormal pap smear results The endpoint for pap smear tastings
50. During a vaginal examination, you observe bulging of the anterior wall when you ask the patient to bear down. This is most likely a Congenital abnormality

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