Download Exam 2: NU665D/ NU 665D (NEW 2025/ 2026 Updates BUNDLE) Guide| 100% Correct- Regis and more Exams Nursing in PDF only on Docsity!
Exam l 2 : 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
femalel evall forl infertility Answer:
- physicall exam
- normall ovulatoryl dysfunction?
- ovarianl reservel testing
- laboratoryl work
- hyserosalpingogram
- SIS
- laparoscopyl ifl indicated
QUESTION
howl tol checkl forl normall ovulatoryl functionl inl female Answer: checkl seruml progesteronel mid-luteall phasel (1l weekl beforel menses)
QUESTION
normall mid-luteall progesteronel level Answer:
3ng/mL
QUESTION
howl tol checkl ovarianl reserve Answer: checkl FSHl onl dayl 3 l ofl menses
QUESTION
normall dayl 3 l FSH Answer: <10mU/mL
QUESTION
clomiphenel citratel (CLOMID)l challengel testl alsol knownl asl CCCT Answer:
- checkl estrogenl andl FSHl onl cyclel dayl 3
- takel 100 l MGl Clomidl dailyl onl daysl cyclel daysl 5 - 9 l
- re-drawl FSHl onl cyclel dayl 10
QUESTION
normall dayl 3 l estradiol Answer: <80l pg/mL
QUESTION
normall resultsl CCCT Answer: <10l mU/mLl dayl 3 l andl 10 l FSH
howl tol performl semenl analysis Answer: collectl betweenl 2 - 7 l daysl afterl completel abstinence
QUESTION
semenl isl analyzedl for: Answer:
- pH
- amount
- sperml morphology
- sperml count
- sperml motility
- leukocytel count
- immaturel germl celll count
- presencel ofl debrisl andl celll agglutination
QUESTION
normall TSH Answer: 0.4-4.
QUESTION
Normall prolactinl levels Answer: 3 - 30 l ng/mL
QUESTION
AMHl valuel associatedl withl goodl prognosis Answer:
QUESTION
normall AMH Answer: 1.0l ng/mL
QUESTION
treatmentl ofl infertility,l ovulatoryl dysfunction Answer:
- aromatasel inhibitorsl (letrozole)
- clomid:l increasesl circulatingl FSHl andl LH
- gonadotropins
- metformin:l treatl insulinl resistance
QUESTION
clomidl education Answer: givel onl cyclel dayl 5 l followingl inducedl orl spontaneousl menses havel intercoursel everyl otherl dayl forl onel weekl beginningl 5 l daysl afterl thel lastl dayl ofl medication. usel ovulatationl kitsl atl homel onl daysl 5 - 12 l afterl administrationl hotl flashes,l moodl swings,l depression,l HAl arel commonl sidel effects
QUESTION
typesl ofl vulvarl dermatoses Answer: lichenl sclerosus lichenl planus lichenl simplexl chronicus
QUESTION
riskl factorsl forl lichenl sclerosus Answer: lowl estrogenl states:l e.g.l postmenopausall andl pre-pubertall women
QUESTION
clinicall manifestationsl ofl endometriall cancer Answer:
- abnormall uterinel bleeding
- abnormall cervicall cytology
- thickenedl endometriall liningl inl postmenopausall women
QUESTION
normall endometriall thicknessl inl postmenopausall women Answer: <4l mm
QUESTION
riskl factorsl forl endometriall cancer Answer:
- Tamoxifenl therapy
- Obesity
- Latel menopause
- Nulliparity
- HRT
- Earlyl menarche
- Chronicl anovulationl (PCOS)
- Age
- Estrogenl secretingl tumors
- Lynchl syndrome
QUESTION
riskl factorsl forl ovarianl cancer
Answer:
- Earlyl menarche
- Latel menopause
- HRT
- Familyl hxl ofl ovarianl cancer
- Lynchl syndrome
- Endometriosisl hx
- PIDl hx
- BRCAl mutation
- Caucasian,l westernizedl andl industrializedl colonies
- Jewishl descent
QUESTION
riskl factorsl forl vulvarl cancer Answer:
- HPV
- Hxl ofl lichenl sclerosus
- Smoking
- Obesity
- Immunosuppression
QUESTION
riskl factorsl forl vaginall cancer Answer:
- Smoking
- Immunosuppression
- Age
- HPV
- DESl exposure
- Manyl sexl partners
QUESTION
riskl factorsl forl cervicall cancer Answer:
signsl andl symptomsl ofl vulvarl cancer Answer: Lumpl orl ulcerationl ofl vulva Itching** Vulvarl irritation** Locall bleeding** Vaginall discharge Dysuria Dyspareunia Darkl discolorationl ofl skin Changesl tol Bartholin'sl gland
QUESTION
signsl andl symptomsl ofl endometriall cancer Answer:
- abnormall uterinel bleeding
- postmenopausall bleeding
- pelvicl pain
- enlarged,l tenderl uterus
- abnormall cervicall cytology
QUESTION
mostl commonl typel ofl endometriall cancer Answer: endometrioidl (akal adenocarcinoma) leastl invasive.l goodl prognosis
QUESTION
diagnosticsl ofl vulvarl cancer Answer: vulvarl punchl biopsyl isl definitivel dx colposcopyl forl visualization
QUESTION
treatmentl ofl vulvarl cancer Answer: LEEP excision Vulvectomy chemol andl radiationl forl mets
QUESTION
signsl andl symptomsl ofl cervicall cancer Answer:
- asymptomatic
- irregularl orl heavyl bleeding
- postcoitall bleeding
- dyspareunia
- vaginall dischargel thatl isl watery*,l mucoid,l purulent
QUESTION
diagnosticsl ofl vaginall cancer Answer:
- vaginall cytology
- colposcopyl withl aceticl acidl andl Lugoll stain
- vaginall biopsy
QUESTION
diagnosticsl ofl ovarianl cancer Answer:
- TVUS
- labs:l CA
- additionall imagingl withl concernsl forl metsl (e.g.l CT,l MRI)
- paracentesisl orl thoracentesisl forl ascites,l pleurall effusion
Answer:
- medications
- sperml productionl disorders
- hypogonadotropicl hypogonadism
- sperml transportl disorders
- idiopathicl malel infertility
QUESTION
femalel factorsl associatedl withl infertility Answer:
- ovulatoryl dysfunction
- uterinel abnormalities
- endometriosis
- pelvicl orl fallopianl tubel adhesions
- cervicall factors
QUESTION
examplesl ofl ovulatoryl dysfunction-relatedl infertility Answer: §l PCOS §l Intensel exercise,l eatingl disorders,l stress §l Hyperprolactinemia §l Pituitaryl abnormality §l Lactationall amenorrhea §l Thyroidl disorders §l Cushing'sl disease §l Androgenl insensitivityl syndrome §l POF §l Turnerl disease §l Liverl orl kidneyl disease §l Meds:l COC,l progestins,l antidepressants,l corticosteroids,l chemo §l Oocytel aging
QUESTION
howl doesl endometriosisl leadl tol infertility?
Answer: §l Anatomicl distortionl ofl uterusl froml adhesions §l Ovarianl tissuel damagel byl endometriomas
QUESTION
uterinel abnormalitiesl thatl leadl tol infertility Answer: §l Submucosall orl cavitaryl fibroids §l Uterinel anomaliesl (congenital,l Müllerian,l endometriall polyps) §l Intrauterinel adhesions
QUESTION
causesl ofl pelvicl andl fallopianl tubel adhesionsl re:l femalel infertility Answer: §l PID §l Otherl abdominopelvicl infectionsl suchl asl appendicitis,l TB §l IBD §l Hydrosalpinx
QUESTION
howl dol cervicall factorsl affectl femalel infertility? Answer:
- inabilityl forl cervixl tol producel normall mucusl tol aidl oocytel transport
- stenoticl os examples:l congenitall malformationsl orl trauma
QUESTION
whatl isl adenomyosis? Answer: endometriall tissuel thatl growsl inl thel myometrium
QUESTION
managementl ofl adenomyosis Answer:
- NSAIDs
- Progesteronel IUD
- COCs
- Depol Provera
- GnRHl agentsl (elagolix,l relugolix)
- Danazol
- hyserectomy
- uterinel arteryl embolization/ablation
- uterusl sparingl resection:l onlyl forl focall adenomyosis
QUESTION
vaginismus Answer: involuntaryl vaginall musclel spasml withl penetration symptoml underl thel umbrellal ofl genitopelvicl pain/penetrationl disorder
QUESTION
primaryl vaginismus Answer:
- lifetimel condition
- painl alwaysl present
- discoveredl duringl firstl attemptl atl intercourse
QUESTION
secondaryl vaginismus Answer:
- developsl afterl alreadyl experiencingl normall sexuall functionl priorl inl life
- Mayl bel d/tl infectionl (BV,l yeast,l UTI),l menopause,l traumaticl sexuall event,l medicall condition,l gynl surgery,l orl childbirth
QUESTION
manifestationsl vaginismus Answer:
- dyspareunia
- painl uponl tamponl insertion
- burningl orl stinging
- difficultyl withl penetration
QUESTION
treatmentl ofl vaginismus Answer:
- pelvicl floorl PT
- CBT
- botox
- pelvicl desenstization
- vaginall dilators
- sexl therapy,l couplesl counseling
QUESTION
endocervicall polyps Answer: polypsl thatl forml withinl thel cervicall canal,l endocervix
QUESTION
clinicall manifestationsl endocervicall polyps Answer:
- abnormall uterinel bleeding
- postcoitall bleeding
- intermenstruall bleeding
- dyspareunia
- incidentallyl foundl onl imagingl orl cervicall cytology
QUESTION
diagnosticsl endometriall polyp Answer:
- TVUS
- hysteroscopyl orl SIS
- endometriall biopsy/samplingl vial D&Cl (notl reliable)
QUESTION
riskl factorsl ofl endometriall polyp Answer:
- obesity
- Tamoxifenl therapy
- HRT
- Lynchl orl Cowdenl syndrome
QUESTION
protectivel factorsl againstl endometriall polyps,l hyperplasia Answer:
QUESTION
managementl ofl endometriall polyp Answer:
- EMB
- polypectomyl underl hysteroscopy
QUESTION
whenl tol removel endometriall polyps
Answer:
- symptomatic
- asymptomaticl butl riskl factorsl forl endometriall carcinoma
- asymptomaticl butl largel and/orl multiplel polyps
- asymptomatic,l butl strugglingl withl infertility
QUESTION
riskl factorsl forl endometriall hyperplasial andl cancerl arel thel same Answer:
- Lynchl syndrome
- Cowdenl syndrome
- earlyl menarche
- latel menopause
- obesity
- Tamoxifenl therapy
- increasingl age
- chronicl anovulation
- nulliparity
- DM
- unopposedl estrogen*
QUESTION
preventionl ofl endometriall hyperplasia Answer:
- progesteronel IUD
- COCs
- neverl usel unopposedl estrogen
QUESTION
endometriall hyperplasial withl atypia Answer: EHl withl endometriall intraepitheliall neoplasia
