NR 509 APEA Exam – Women’s Health

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NR 509 APEA Exam – Women’s Health (Question and Answers with Explanation)

Question 1: When palpating the cervix during the bimanual exam, cervical motion tenderness (chandelier sign) is noted. This tenderness could be suggestive of:

Question 2: In a female diagnosed with a first-degree uterine prolapse, the cervix:

3: Daughters of women who took Diethylstilbestrol (DES) during pregnancy are at a high risk for developing all of the following abnormalities except:

4: A female patient presents with a profuse, yellowish, green vaginal discharge that is malodorous. This vaginal discharge is most consistent with:

5: The most common causes of sexual problems in females are …..

6: Chronic pelvic pain refers to pain that does not respond to therapy and:

7: In female patients with dyspareunia, superficial pain is most likely related to all of the following except:

8: If urethritis or inflammation of the paraurethral glands is suspected in a female patient, the index finger should be inserted into the vagina and:

9: Upon examination of the vagina, a swollen red ring is noted around the urethral opening. This finding is most consistent with a:

10: When performing a bimanual vaginal exam, a solid, nodular-like lesion is palpated over the right ovary. This finding is most consistent with:

11: Indications for performing a rectovaginal exam include all of the following except to:

12: Examination of a female patient’s right breast reveals a retraction of the nipple and areola. This finding is consistent with:

13: To assess pelvic floor muscle strength during the bimanual vaginal exam, have the patient squeeze around the inserted fingers for as long as possible. To consider full strength, snug compression should last for:

14: Upon examination of the vagina, a tense, hot, very tender abscess with labial swelling is noted. This finding is most consistent with a:

15: A female patient has a history of a retroverted uterus. This condition refers to:

16: Upon examination of the vagina, the entire anterior vaginal wall, together with the bladder and urethra create a bulge. This condition is most consistent with a:

17: Urethritis in a female patient may arise from all of the following organisms except:

18: To palpate the uterus during a bimanual exam, the examiner would lubricate the index and middle fingers of one hand and insert them into the vagina. The other hand would be placed on the abdomen:

19: When do the ovaries become non-palpable after menopause?

20: When performing a rectal exam on a female, a hard nodular rectal “shelf” is palpable at the tip of the examiner’s finger. This finding is suggestive of:

21: A twenty-year-old female complains of a milky discharge bilaterally from her breasts. This suggests:

22: A woman complains of infrequent menses with intervals greater than 35 days. This condition is …..

23: The most common cause of acute pelvic pain in women is:

24: When performing a vaginal exam with a speculum, the use of the upper blade as a retractor could expose a:

25: When preparing to perform a pelvic exam in an older female, vaginal atrophy is noted. Due to this finding, the speculum:

26: Upon examination of the cervix, a yellow drainage is visible around the cervical os. This finding is most likely suggestive of:

27: When examining the cervix, a bright, red, soft and fragile lesion is noted on the cervical surface. This finding is consistent with:

28: During examination of the vagina, a bulge in the upper two-thirds of the anterior vaginal wall is noted. This symptom is most consistent with a:

29: The most common type of hernia in women is the:

30: A female patient presents with a gray, thin, malodorous (fishy) vaginal discharge. These symptoms are most consistent with:

31: When performing a bimanual vaginal exam, a smooth and rather compressible non-tender lesion is palpated over the right ovary. This finding is most consistent with:

32: When performing the bimanual vaginal exam, a nodule on the anterior uterine surface could suggest a (an):

33: Cessation of the menses for 12 months is ….

34: A woman complains of experiencing uterine bleeding between expected menstrual cycles. This condition is …..

35: A 45-year old female presents to the nurse practitioner with complaints of postcoital bleeding (greater than spotting) unrelated to the menstrual cycle. What is the most likely cause?

36: When performing the bimanual vaginal exam, uterine enlargement is …… This enlargement could suggest:

37: In which of the following situations would it be difficult for the examiner to palpate an ovary during the bimanual vaginal exam?

38: Causes of post menopausal bleeding typically include all of the following except:

39: A 35-year-old female presents with complaints of swelling of her right breast. Findings reveal edema of the lower portion of her right breast. The skin appears thickened with enlarged pores. This condition is consistent with:

40: The shiny, pink area located around the cervical os is ….as nr 509 apea exam

41: During a speculum exam of the cervix the speculum is maintain in an open position by:

42: A female patient presents with a white and curd-like thin vaginal discharge. This discharge is most consistent with:

Question 43: Upon examination of the vagina, a bulge is …..in the lower posterior wall of the vagina. This finding is most consistent with a:

Question 44: Upon examination of the cervix, an irregular cauliflower-like growth was ….around the cervical os. This finding is most suggestive of:

45: Upon examination of the vagina, a small, red, benign tumor is …..at the posterior part of the urethral meatus. This finding is most consistent with a:

46: To palpate an indirect inguinal hernia in a woman, have her stand and palpate in the labia majora and:

47: An ulcerated vulvar lesion in an elderly woman may indicate nr 509 apea exam

48: Pelvic floor muscle weakness may be due to all of the following except:

49: In a female diagnosed with a third-degree uterine prolapse, the cervix:

50: A woman complains of abnormally heavy and prolonged menstrual periods that occur at regular intervals. This condition is most likely:

51: In a female diagnosed with a second-degree uterine prolapse, the cervix:

52: A woman complains of experiencing frequent menses with intervals of fewer than 21 days. This condition is …..

53: If performed correctly and in a timely fashion, which one of the following is most definitive for the diagnosis of breast cancer?

54: Retraction of the nipple and areola suggest:

55: The vaginal mucosa lies in transverse folds ……

56: The most important risk factor for cervical cancer is nr 509 apea exam

57: When performing a bimanual exam of the vagina, the examiner should lubricate the index and middle fingers of a gloved hand. From a standing position, the fingers should be ….into the vagina while exerting pressure primarily:

58: Fixed flattening of the nipple suggests:

59: Chronic pelvic pain may be secondary to all of the above except:

60: When discussing the female anatomy, the introitus is also ….as the nr 509 apea exam

61: When performing a breast exam, a mobile mass becomes fixed when the arm relaxes. This suggests that the mass is:

62: To palpate the right ovary when performing the bimanual vaginal exam, the abdominal hand should be on the right lower quadrant and the pelvic hand needs to be:

63: When performing an examination of the external genitalia of a female patient, a small, firm, round cystic nodule in the labia is …… This lesion is most consistent with:

64: Primary dysmenorrhea results from:

65: The deep red area located around the cervical os is ….as nr 509 apea exam

66: When examining the cervix, a translucent nodule is …..on the cervical surface. This finding is consistent with:

67: To palpate the left ovary when performing the bimanual vaginal exam, the abdominal hand should be on the left lower quadrant and the pelvic hand needs to be:

68: When performing a vaginal exam with a speculum, the use of the lower blade as a retractor during bearing down could expose an anterior wall defect such as a:nr 509 apea exam women's health

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