Nokea
Which statement is TRUE regarding diagnostic tests for cervical cancer?
- A. All persons who have a cervix remaining should be screened up to the age of 75.
- B. Cervical cancer screening should begin at 25 years of age
- C. Traditional Pap tests are less than 30% accurate in screening for cervical cell abnormalities
- D. False-positive and false-negative results rarely occur with traditional Pap diagnostic tests.
Correct Answer: B
Rationale: The American Cancer Society recommends that annual cervical cancer screening begin at 25 years of age. Pap tests are less than 100% accurate in screen for abnormalities.
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The young husband of a patient who has been scheduled for a hysterectomy because of the discovery of ovarian cancer in both ovaries says to the nurse, 'Please go talk to my wife. She is real upset and says she won't be a 'woman' anymore.' Which response from the nurse is most therapeutic?
- A. Don't be concerned. All young women get upset before this kind of surgery.'
- B. Certainly, I will be glad to tell her about hormone replacement.'
- C. She will get over this feeling soon.'
- D. No matter what I may say to her, it is you that needs to listen to her concerns and assure her.'
Correct Answer: D
Rationale: Assisting patients with recognizing and clarifying fears and with developing coping strategies for those fears by listening is helpful.
Which statement made by a patient who has been taught the technique of testicular self-examination indicates the need for further teaching?
- A. The testes feel smooth and egg-shaped.'
- B. The best time to perform TSE is after a shower.'
- C. I will examine my scrotum after every ejaculation.'
- D. The epididymis feels like a soft tube.'
Correct Answer: C
Rationale: It is not recommended for a patient to perform a testicular self-examination after every ejaculation. Perform testicular self-examination after a bath or shower when the scrotum is warm and most relaxed. The testes should feel smooth and be firm to the touch. The epididymis feels like a soft tube.
A ___ is performed to evaluate living tissue to establish or confirm a diagnosis or to follow the course of a disease.
Correct Answer: biopsy
Rationale: Biopsies are procedures in which samples of tissue are taken for evaluation to confirm or locate a lesion.
When the veins in the scrotum become dilated, and the scrotum becomes enlarged and dilated, the condition is called a ___
Correct Answer: varicocele
Rationale: A varicocele is a condition in which the scrotum becomes enlarged and dilated, from obstructed vessels.
A female patient, age 48, is undergoing a routine physical examination for the first time in 5 years. Which procedure would be included in this examination?
- A. Culdoscopy
- B. Colposcopy
- C. Cervical biopsy
- D. Papanicolaou smear
Correct Answer: D
Rationale: The American Cancer Society highly recommends that every woman begin annual Pap tests beginning at age 25. Women should be tested every year or every 3 years. Women age 30 years or older may choose to have Pap screening every 3 years or if combined with HPV screening, every 5 years. Women age 65 years or older who have had screening over the past 10 years with normal findings may decide to stop having cervical screenings altogether.