Download Exam 1: NU665D/ NU 665D (NEW 2025/ 2026 Updates BUNDLE) Guide| 100% Correct- Regis and more Exams Nursing in PDF only on Docsity!
Exam l 1: l NU665D/ l NU l 665 D l (NEW l 2025/ l
2026 l Update) l Primary l Care l Adult l
Woman l II l Guide| l Questions l & l Answers| l
Grade l A| l 100% l Correct l (Verified l
Solutions)- l Regis
QUESTION
diagnosisl ofl fibroids Answer:
- TVUS
- Pelvicl MRI:l 2ndl linel tol betterl visualizel thel fibroid
- sonohysterogram
QUESTION
objectivel findingsl fibroids Answer:
- irregularl contourl ofl uterus
- enlargedl uterus
- vaginall bleeding
- pelvicl tenderness
- mobilel pelvicl mass
QUESTION
intramurall fibroid Answer: locatedl withinl uterinel wall
QUESTION
submucosall fibroid Answer: growsl outwardl andl distortsl uterus growsl intol uterinel wall derivel froml myometrium
QUESTION
subserosall fibroid Answer: pedunculatedl base hangsl offl thel outsidel ofl thel uterus originatel inl myometriuml butl basel inl serosall layer
QUESTION
cervicall fibroid Answer: locatedl inl thel cervix uncommonl type
QUESTION
clinicall manifestationsl ofl ovarianl torsion Answer:
- acutel onsetl ofl severel abd/pelvicl pain
- painl mayl radiativel tol thel back,l flank,l groin
- painl mayl bel sharp,l dull,l colicky,l achy
- nauseal andl vomiting
- historyl ofl recentl vigorousl activityl withl pelvicl pressure
- lowl gradel fever
QUESTION
riskl factorsl forl ovarianl torsion
QUESTION
clinicall manifestationsl ofl episcleritis Answer:
- abruptl onsetl ofl redness,l irritation,l wateringl ofl onel orl bothl eyes
- painless
- visionl isl normal
QUESTION
riskl factorsl forl macularl degeneration Answer:
- oldl age
- smoking
- genetics
- lowl dietaryl intakel ofl antioxidants
QUESTION
riskl factorsl forl cataracts Answer:
- smoking
- ETOH
- oldl age
- HTN
- diabetes
- exposurel tol UVl B
- historyl ofl eyel trauma
- systemicl steroidl use
QUESTION
riskl factorsl forl glaucoma Answer:
- diabetes
- migrainel HA
- Africanl American
QUESTION
whatl isl glaucoma? Answer: increasedl intraocularl pressurel duel tol blockagesl thatl leadl tol buildl upl ofl aqeuousl humor leadsl tol progressivel blindness
QUESTION
Sxsl ofl acutel anglel closurel glaucoma? Answer:
- suddenl extremel pain
- blurredl vision
- redl eye
- steamyl cornea
- pupill nonl reactivel tol light OPTHALMOLOGICl EMERGENCY!!!
QUESTION
Sx'sl ofl closedl anglel glaucoma Answer:
- insidious
- asymptomaticl inl earlyl stages
- laterl on:l halosl aroundl eyes,l constrictionl ofl visuall fields
QUESTION
whatl isl macularl degeneration Answer: maculal (photoreceptorsl inl centerl ofl retina)l degenerates,l leadsl tol lossl ofl centrall vision
QUESTION
objectivel findingsl cataract Answer:
- decreasedl visuall acuity
- difficultyl visualizingl retina
- eyel mayl bel deformed
QUESTION
retinall detachmentl sxs Answer:
- sudden,l painlessl lossl ofl visionl inl onel eye
- "curtain"l vision,l darknessl ofl vision
- increasel inl floaters,l flashesl inl vision
QUESTION
sxsl otitisl media Answer: earl infection
- bulgingl TM
- fever
- hxl ofl recentl URI
- decreasedl hearing
QUESTION
sxsl otitisl externa Answer: swimmer'sl ear
- erythema,l edema,l andl tendernessl ofl thel auricle/tragus/pinna/externall canal
- edemal ofl thel internall earl canal
- hearingl loss/impairment
- fever
- discharge
QUESTION
first-linel txl otitisl media Answer: Amoxcillinl Augmentinl 2ndl line
QUESTION
first-l linel txl otitisl externa Answer: topicall ciprofloxacinl - l hydrocortisone POl abxl ifl severel casel (fluoroquinolone)
QUESTION
txl ofl virall conjunctivitis Answer: supportivel
- salinel eyel drops
- infectionl prevention
QUESTION
sxsl virall conjunctivitis Answer:
- stringy/wateryl eyel discharge
- pruritusl
- followsl al recentl URI
- redl conjunctivae/l injection
QUESTION
QUESTION
Txl baceriall sinusitis,l andl whatl abxl inl pregnancy? Answer: Samel treatmentl inl pregnancyl asl alll patients:l Amoxicillinl orl Augmentinl firstl line canl alsol usel cephalosporinl w/l orl w/ol clindamycin 5 - 7 l days
QUESTION
sxsl rhinitis Answer: Sneezing Rhinorrhea Nasall congestion Nasall itching cough postnasall drip
QUESTION
sxsl sinusitis Answer:
- faciall pressure
- faciall edema
- pressurel worsel whenl bendingl over
- rhinorrhea
- cough
- headache
- maxillaryl discomfort/sensitivity
- fever
- fatigue
- halitosis
- diminishedl smell/taste
QUESTION
sxsl allergisl rhinitis Answer:
- allergicl shiner
- nasall crease
- postnasall drip
- wateryl eyes
- itchyl nose
- rhinorrhea
- sneezing
QUESTION
firstl linel txl strepl throat Answer: Penicillinl orl Amoxicillin
QUESTION
2ndl linel txl strepl throat Answer: Cephalosporinl drugs ifl allergicl tol cephalosporinsl canl usel Zithromax
QUESTION
contraindicationsl forl HRT Answer:
- Hxl ofl breastl cancer
- Hxl ofl VTEl (PEl orl DVT)
- Hxl CAD,l heartl disease
- Hxl strokel orl MIl withinl pastl year
- Unexplainedl vaginall bleeding
- Hxl ofl activel liverl disease
QUESTION
- increasel inl adiposel tissue,l decreasel musclel mass
QUESTION
diagnosticl testingl forl postmenopausall bleeding Answer:
- TVUS
- EMbx
- physicall exam:l lookl forl fissures,l trauma,l ecchymoses,l cervicall lesions,l polyps,l atrophy
QUESTION
menopausel investigation:l <45l yearsl oldl withl <12l monthsl amenorrhea Answer: fulll workup:
QUESTION
menopausel investigation:l >45l yearsl oldl withl >12l monthsl amenorrhea Answer: clinicall menopause
QUESTION
menopausel investigation:l >45l yearsl oldl withl <12l monthsl amenorrhea Answer: "menopausall transition"
QUESTION
menopausel investigation:l <40l yearsl oldl withl >12l monthsl amenorrhea
Answer:
- studiesl tol determinel irregularl menses.l potentiallyl TVUS
- FSH
- TSH
- PRL
- HCG
- Estradiol investigatel forl POI
QUESTION
whatl tol dol ifl al womanl isl stilll takingl hormonall BCl atl 50 - 51 Answer:
- stopl takingl birthl controll
- measurel FSHl andl estradioll 2 - 4 l weeksl later
- ifl FSHl >25:l likelyl enteredl menopausall transition
QUESTION
diagnosisl ofl menopausel postl hystl orl ablation Answer: Needl tol usel supportivel datal tol establishl menopause: symptoms
- FSHl >25l isl latel menopausall transition
- FSHl 70 - 100 l isl postmenopausal
QUESTION
treatmentl ofl vulvovaginall atrophyl r/tl menopause Answer:
- OTCl waterl solublel lubricants
- coconutl oil
- vaginall estrogenl products:l cream,l tablet,l ring
QUESTION
QUESTION
Hepatitisl Bl transmission Answer: Bloodl andl bodilyl fluids,l perinatal
QUESTION
Hepatitisl Cl transmission Answer: Bloodl andl bodyl fluids
QUESTION
Hepatitisl Dl transmission Answer: Blood
QUESTION
Hepatitisl El transmission Answer: Fecall orall route
QUESTION
Whichl typesl ofl Hepatitisl arel oftenl together Answer: Hepatitisl Bl andl D
QUESTION
Mostl severel typel ofl hepatitis Answer: Hepatitisl C
QUESTION
HBsAg Answer: hepatitisl Bl surfacel antigen proteinl thatl isl heldl outl onl thel surfacel ofl thel hepl Bl virus
QUESTION
HBcAg Answer: hepatitisl Bl corel antigen notl actuallyl detectablel vial serologicall testing
QUESTION
HBeAG Answer: hepatitisl Bl envelopl antigen producedl inl responsel tol corel antigens indicatesl highl ratesl ofl replication thel virusl isl highlyl transmissible
QUESTION
Anti-HBc Answer: antibodyl producedl tol fightl offl hepatitisl Bl corel antigen
QUESTION
Anti-HBs Answer: antibodiesl producedl tol fightl offl surfacel antigens
whatl doesl al positivel HBeAgl indicate? Answer: Virall replication VERYl highl transmisibility
QUESTION
whatl doesl positivel anti-HBsl indicate? Answer: antibodiesl producedl againl surfacel antigens indicatesl immunity immunityl canl eitherl meanl duel tol naturall infectionl orl immunization
QUESTION
whatl doesl positivel anti-HBcl meanl (inl general) Answer: Patientl hadl anl previousl orl ongoingl HBVl infection
QUESTION
IgMl anti-HAVl positivel means Answer: Hepatitisl Al infection Detectablel duringl infectionl andl forl upl tol 3 - 6 l monthsl postl infection
QUESTION
IgGl anti-HAVl positivel means Answer: Indicatel priorl illnessl withl HAV Detectablel duringl recoveryl phasel Remainsl detectablel forl decades Lifelongl protectedl immunity
QUESTION
positivel IgGl anti-HAVl withl negativel IgMl anti-HAVl means Answer: Pastl infectionl ofl Hepl A Vaccination
QUESTION
whatl testl resultl isl indicativel ofl hepatitisl Cl infection Answer: anti-HCVl testing HCVl RNAl testing
QUESTION
positivel HCVl antibodyl butl negativel HCVl RNAl means Answer: mayl indicatel acutel infectionl orl priorl infection recommendedl tol retestl HCVl RNAl inl 12 l weeks
QUESTION
positivel HCVl antibodyl andl positivel HCVl RNAl means Answer: acutel orl chronicl HCVl infectionl isl present.l furtherl historyl neededl tol establishl acutel vl chronic
QUESTION
negativel HCVl antibodyl andl positivel HCVl RNAl means Answer: active,l acutel HCVl infection
QUESTION
