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Worksheets2121 Exam 1 pt.7
Total questions: 36
Worksheet time: 18mins
A client reports symptoms that start a few days before menses and resolve a few days after onset of the cycle. Which diagnosis best fits?
Premenstrual syndrome (PMS)
Generalized anxiety disorder
Major depressive disorder
Bipolar I disorder
A nurse reviews PMDD. Which description best matches the notes?
A benign breast disorder
A mood disorder that interferes with ADLs and is cyclic/predictable
A uterine structural disorder
A bacterial overgrowth syndrome
The nurse is reinforcing PMS pathophysiology. The notes associate PMS with which cause?
Autoimmune destruction of ovarian follicles
Excess thyroid hormone secretion
Progesterone and estrogen imbalance
Chronic uterine infection
Which finding is listed as an expected manifestation of PMS?
Painless chancre
Vesicles that crust in 2 weeks
Right upper quadrant pain with jaundice
Fluid retention with headache/back pain and mood swings
Which risk factor is listed for PMS?
Obesity
Daily aerobic exercise
High HDL
Late menarche
Which history increases risk for PMDD per the notes?
Seasonal allergies
Bipolar disorder
Lactose intolerance
Prior appendectomy
PMS/PMDD diagnosis is supported by which approach in the notes?
Documenting pattern of manifestations for 3 months
One-time symptom report in one cycle
Pap test confirmation
Bone density scan
A client has PMS-related fluid retention. Which medication is listed to aid with fluid retention?
Ibuprofen
Spironolactone
Fluconazole
Ceftriaxone
Which medication is listed as a prostaglandin inhibitor for PMS physical symptoms?
Metformin
Sertraline
Ibuprofen (NSAID)
Penicillin G
Which medication class is listed as first-line/FDA-approved for PMDD symptoms?
Antifungals
Antivirals
Broad-spectrum antibiotics
SSRIs (e.g., citalopram/fluoxetine/sertraline)
Which nonpharmacologic interventions are listed for PMS/PMDD?
CBT, exercise, acupuncture/acupressure, reflexology, massage
Strict bedrest and fluid restriction
Daily douching
Long-term antibiotics
Which statement defines perimenopause per the notes?
Menopause for the first 12 months
Transitional period preceding menopause with irregular cycles and hormonal changes
Any missed period after childbirth
Permanent infertility after age 35
Which definition matches menopause in the notes?
6 months without menses
Any cycle >35 days
12 months of amenorrhea due to cessation of ovarian follicular activity
One year after last pregnancy
A perimenopausal client reports pain with intercourse. Which term matches this?
Dysuria
Dysmenorrhea
Amenorrhea
Dyspareunia
Which hormone pattern is expected post-menopause per the notes?
Estrogen and progesterone decreased; FSH increased
Estrogen increased; FSH decreased
Progesterone increased; LDL decreased
Prolactin increased; FSH decreased
Which lipid pattern is expected with menopause per the notes?
LDL decreases; HDL increases
LDL increases; HDL may decrease
HDL increases; LDL unchanged
Lipids are unaffected by estrogen
Why is progesterone included with estrogen therapy in a client who has a uterus?
It prevents BV recurrence
It increases FSH to normal range
It offsets uterine cancer risk
It treats ovarian cyst rupture
Which complication is emphasized as a menopause-related risk?
Acute pancreatitis
Pulmonary embolism only in teens
Nephrotic syndrome
Osteoporosis due to decreased bone mass → fracture risk
The notes emphasize increased embolism risk with hormone therapy particularly in clients who:
Smoke tobacco
Exercise regularly
Eat yogurt daily
Have seasonal allergies
The notes emphasize venous thrombosis risk is highest during which time of hormone therapy?
After 10 years
First year of therapy
Only after therapy stops
Only before menopause
Osteoporosis medication goals in the notes include:
Delay bone loss, increase bone mass, prevent fractures
Cure fractures within 24 hours
Eliminate need for calcium intake
Prevent all cancers
Which medication class (with key GI adverse effects like esophagitis/difficulty swallowing) is listed?
SSRIs
Antivirals
Bisphosphonates (e.g., alendronate)
Antifungals
Which osteoporosis medication is specifically listed and includes “take with water” teaching?
Sertraline
Risedronate
Metronidazole
Doxycycline
Which osteoporosis medication type is listed for high fracture risk?
Parathyroid hormone (teriparatide)
Clindamycin
Valacyclovir
Azithromycin
Raloxifene is listed as:
Contraindicated in all postmenopausal clients
Used only for gonorrhea
FDA approved for prevention/treatment in postmenopausal women only
A primary antifungal for candidiasis
Raloxifene is described in the notes as:
Strongly stimulating breast/uterine tissues
Preserving beneficial estrogen effects without stimulating breast/uterine tissues the same way
Eliminating need for weight-bearing exercise
Curing HPV
Infertility definition for women under 35 per the notes:
Inability to conceive after 12 months unprotected intercourse
Inability to conceive after 1 month
Inability to conceive after 24 months only
Inability to conceive after 3 months
Infertility definition for women over 35 per the notes:
12 months
18 months
6 months
3 years
Which emotional outcomes are specifically associated with infertility in the notes?
None—purely physiologic issue
Depression/anxiety/PTSD
Mania only
Delirium only
Male infertility: which is listed as the most common cause?
Varicocele
Ejaculatory dysfunction
Hypogonadotropic hypogonadism
Spermatogenesis defect
Semen analysis teaching: which instruction is correct per the notes?
Abstain from ejaculation 2–7 days prior
Use lubricants freely
Delay sample delivery for 6 hours
Collect only part of the ejaculate
Female infertility risk factors listed include:
High HDL and low LDL
Smoking, alcohol, weight loss, age, stress-related amenorrhea
Daily yogurt intake
HPV vaccination
Which test assesses fallopian tube obstruction per the notes?
Hysterosalpingogram
Mammography
Pap test
Wet mount
Ovulation assessment per the notes includes which lab?
Troponin
CA-125
Midluteal progesterone
HBsAg
Which medication is listed as a SERM used to induce ovulation?
Clomiphene citrate
Ceftriaxone
Fluconazole
Acyclovir
Which medication is listed as an aromatase inhibitor alternative to clomiphene?
Bromocriptine
Letrozole
Penicillin G
Metronidazole
