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MARYVILLE NURS 620 EXAM 4 QUESTIONS AND ANSWERS
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Her history includes no pregnancies. Her first intercourse was at age 14 and has had at least 10 sexual partners if not 12 partners since. Which conditions do you want to be alert for during her exam? ANS HPV
was diagnosed with gonorrhea. What is the treatment of choice for gonor- rhea? ANS ceftriaxone
urulent vaginal discharge. Her boyfriend was recently treated for nongono- coccal urethritis. What STIs has she most likely been exposed to? ANS Chlamydia
cells on the vaginal smear. What diagnosis? ANS BV
Flagyl
ing. Which of the following tests should be the first priority. ANS pregnancy test
discharge. On the wet mount, you notice hyphae. Which treatment would be appropriate? ANS fluconazole
tests would be essential before prescribing any oral contraceptives? ANS HCG
in a monogamous relationship. She smokes occasional and drinks 2 beers a day. Her BMI is 25. She is requesting birth control. Which is appropriate for her? ANS IUD
ANS Pregnancy
changes to minimize symptoms? ANS getting regular exercise
pathology is the most common cause of dysmenorrhea? ANS endometriosis
fluid-filled vesicles that are painful to the touch. Which treatment would you give?
knows to tell the patient that the latest it can be used after intercourse and be effective is? ANS 72 hours
fluid-filled vesicles clustered to the shaft of his penis. What is the diagno- sis? ANS Herpes
primary syphilis who has no known drug allergies? ANS penicillin G
sexual activity? ANS 21
and mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal urethritis. What medication would you treat her with? ANS - azithromycin
mount, you notice clue cells. What medications would you use to treat this patient? ANS flagyl
wet mount, you notice hyphae. Based on clinical symptoms and findings what diagnosis do you suspect? ANS candida
What test would be appropriate to order? ANS prolactin
ceptive methods ANS factor 5 Leiden mutation
ment. She wants to know what to do if she misses a pill. ANS take last missed pill along with today's pill
seizure disorder. Which contraceptive would you recommend? ANS Depo provera
use of depo? ANS weight gain
patients? ANS reduction in menstrual flow
ing on demand. She wishes to continue. What is the most appropriate con- traceptive for her to use? ANS progesterone only oral contraceptive
ANS PID, infer- tility, ectopic pregnancy
ANS Chlamydia
why should you counsel them to avoid alcohol? ANS Mixing the two can cause, headache, nausea/vomiting, chest pain, and or hypertension.
ANS Trichomoniasis
ANS candida yeast
and how ofter there after? ANS 21; 21-29 Q 3 yrs; e 30 2 neg paps then Q 5 yrs; stop @ e 65 with e 3 neg in row & no abnorm in 10 yrs or after hyst NOT due to cancer
ANS candida
ANS 1) Topical estrogen in cream
ANS fever, chills, malaise, dysuria, multiple, painful vesicular lesions
ANS primary ANS classic chancre (pain- less); Secondary ANS Maculopapular rash palms and soles; Tertiary ANS neurologic and cardiac manifestations
ANS Penicillin G ; if allergic to penicillin, doxycycline or tetracycline