What is the most likely diagnosis for the abnormality of her cervix?
A 28-year-old married clothing sales clerk comes to your clinic for her annual examination. She requests a refill on her birth control pills. Her only complaint is painless bleeding after intercourse. She denies any other symptoms. Her past medical history consists of two spontaneous vaginal deliveries. Her past six Pap smears have all been normal. She is married and has two children. Her mother is in good health and her father has high blood pressure. On examination you see a young woman appearing healthy and relaxed. Her vital signs are unremarkable and her head, eyes, ears, throat, neck, cardiac, lung, and abdominal examinations are normal. Visualization of the perineum shows no lesions or masses. Speculum examination shows a red mass at the os. On taking a Pap smear the mass bleeds easily. Bimanual examination shows no cervical motion tenderness and both ovaries are palpated and nontender.
A) Carcinoma of the cervix
B) Mucopurulent cervicitis
C) Cervical polyp
D) Retention cyst
C) Cervical polyp
Cervical polyps are polyps of endometrial cells arising from either the uterus or the cervix. They are benign and usually painless but can bleed during intercourse.
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The nurse manager is creating the budget for the next fiscal year. Because the client census has been higher in the past year, more supplies were used. This cost was reflected as:
1. Fixed costs. 2. Variable costs. 3. Direct costs. 4. Indirect costs.
What method for financing healthcare is based on the ability to keep clients healthy and out of the hospital through periodic screening, health education, and preventive services?
A) Managed care B) Preferred provider organization C) Health maintenance organization D) Point-of-service organization
The primary reason that leg exercises are ordered after surgery is to
A. prevent blood clots. B. prevent contractures. C. maintain the patient's ability to walk. D. avoid pressure ulcers.
Neurotransmitter(s) include: (Select all that apply.)
a. gamma aminobutyric acid. b. acetylcholine. c. serotonin. d. glucose. e. histamine. f. epinephrine.