Ch10 The Female Reproductive System Full Test Bank

CHAPTER 10: ADVANCED ASSESSMENT OF THE FEMALE REPRODUCTIVE SYSTEM

1. The clinician is examining a woman for Pap smear and notes there is vaginal drainage that looks like cottage cheese. The patient also reports increased itching in the genitals. What should the clinician suspect?

a. Syphilis

b. Candida infection

c. Herpes

d. Gonorrhea

2. The clinician is examining a patient with a new diagnosis of endometriosis. The patient asks about the disease. In addition to significant pain during periods, what additional information should the clinician provide? Select all that apply.

a. Pregnancy is curative

b. Endometria tissue can grow outside uterus

c. Dyspareunia can occur

d. The pain lessens over time

e. Abdominal pain can occur

3. The clinician is evaluating a woman for complaints of vaginal discharge; notes a fishy odor and that the discharge is positive. What diagnosis should the clinician expect?

a. Gonorrhea

b. Bacterial vaginosis

c. Chlamydia

d. Herpes

4. A patient complains of a vaginal discharge that has musty odor and is green and frothy. She also complains of dyspareunia and dysuria. What diagnosis should the clinician expect?

a. Trichomoniasis

b. Gonorrhea

c. Bacterial vaginosis

d. Chlamydia

5. The clinician is evaluating a woman who is asymptomatic but has minor complaints of a vaginal discharge that is cloudy or yellowish. She also states that she experiences slight bleeding after intercourse. What diagnosis should the clinician expect?

a. Trichomoniasis

b. Gonorrhea

c. Bacterial vaginosis

d. Chlamydia

6. The clinician evaluates a patient who is complaining of wart-like growths that feel like sandpaper but are painless. What diagnosis should the clinician expect?

a. Human papilloma virus

b. Syphilis

c. Bacterial vaginosis

d. Chlamydia

7. A patient complains of intense itching and that gnats are crawling along her public hair. What diagnosis should the clinician expect?

a. Syphilis

b. Bacterial vaginosis

c. Pediculosis

d. Herpes

8. What diagnosis should the clinician expect for a patient who is complaining with discharge, postcoital bleeding, itching, burning, and or dysuria?

a. Cervicitis

b. Candidiasis

c. Syphilis

d. Bacterial vaginosis

9. The clinician is evaluating a woman who is experiencing a tender area of swelling on one labium. It is tender to touch and she can almost not tolerate wearing underwear. Which diagnosis should the clinician expect?

a. Herpes

b. Bartholin’s cyst

c. Syphilis

d. Cancer

10. Which of the following is the causative organism for Bartholin’s cysts?

a. Herpes

b. Escherichia coli

c. Candida albicans

d. Staphylococcus

11. The clinician sees a 65-year-old patient complaining of vaginal dryness, burning, vaginal itching, vaginal bleeding, or dyspareunia. Which diagnosis does the clinician expect?

a. Chlamydia

b. Candidiasis

c. Atrophic vaginitis

d. Fibroids

12. A patient is diagnosed with fibroids. Which symptoms should the clinician anticipate in this patient? Select all that apply.

a. Heavy bleeding during menstruation

b. Dyspareunia

c. Lower abdominal pain

d. Presence of a chancre

e. Urinary frequency

13. The clinician is performing a vaginal exam on an adolescent. This is the first time that the adolescent has had a vaginal exam. Outline the steps the clinician should employ to make the patient feel comfortable in this first experience?

14. Differentiate between the three techniques of assessment of the breasts.

Vertical strips technique: With the patient sitting up, begin palpating in a spiral motion at the medial portion of the chest wall and end just below the posterior aspect of breast tissue. Using the dominant hand, palpate downward and then upward without lifting the fingers from the breast. For larger breasts, place the nondominant hand under the breasts to hold it up and enhance ability to palpate effectively.

Circular technique: With the patient lying flat, ask her to raise the arm of the breast being examined behind the head to stretch the breast tissue against the chest wall. Starting at the nipple, palpate the breast using spiral motions, moving in circular pattern toward the periphery until all breast tissue is examined, including the tail.

Wedge or “spokes” of a wheel technique: With the patient in a lying or sitting position, the breast is separated into quadrants resembling the spokes in a wheel or wedge, with the nipple at the center of the “wheel.” Starting at the nipple, palpate outward toward the periphery of the wedge (section of the breast) that is being examined. Using the spiral motion with the pads of the fingers, palpate a few centimeters at a time in each wedge until the entire section is palpated. Move to the next wedge after the entire breast, its tail, and its outer edges have been palpated.

15. Differentiate between the clinical findings of syphilis versus gonorrhea.

16. A patient is seeking care because her breasts are tender and she has found a lump. She is fearful of carcinoma of the breast. Upon examination, the clinician determines the symptoms are related to fibrocystic breast changes. How did the clinician make this determination??

17. A patient’s periods have gotten very heavy with breakthrough bleeding. Upon examination, the clinician determines the symptoms are related to fibroids in the uterus. How did the clinician make this determination?

18. A 59-year-old patient has complaints of dryness of the vagina and dyspareunia. The clinician identifies a diagnosis of atrophic vaginitis. What factors led the clinician to this diagnosis?

19. Outline the expected findings when performing an internal and external female exam on a 70-year-old woman.

20. Describe the process for confirming pregnancy, including the “signs” of pregnancy.