APEA 3P Sexual Health Pre-Assessment Exam proficiency test Questions with Approved for Accuracy Answers updated 2024/2025
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APEA 3P
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APEA 3P
APEA 3P Sexual Health Pre-Assessment Exam proficiency test Questions with Approved for Accuracy Answers updated 2024/2025
Which of the following describes the most common clinical presentation of trichomonas in a male?
A. No clinical symptoms
B. Urethritis
C. Burning with urination
D. Testi...
APEA 3P Sexual Health Pre-Assessment Exam
proficiency test Questions with Approved for
Accuracy Answers updated 2024/2025
Which of the following describes the most common clinical
presentation of trichomonas in a male?
A. No clinical symptoms
B. Urethritis
C. Burning with urination
D. Testicular pain
A.
Trichomonas produces classic symptoms in females of itching
and discharge. In males, there are usually no symptoms. Less
than 10% of time, men present with symptoms. However, when
symptoms occur in males, they include urethritis with clear or
mucopurulent urethral discharge and dysuria. Metronidazole can
be used to treat this in symptomatic and asymptomatic patients.
Prostatodynia, also known as prostatitis, is an inflammation of
the prostate gland. Sometimes males with trichomonas infections
present with prostatodynia, but this is not the usual presentation.
In a private NP clinic, a patient presents with trichomonas. State
law requires reporting of STDs to the public health department.
The patient asks the NP not to report it because her husband
works in the public health department. How should this be
managed by the NP?
A. Respect the patient’s right to privacy and not report it
B. Tell the patient that it won’t be reported, but report it
anyway
C. Report it to public health as required by law.
D. Report it to public health but don’t divulge all the details
C.
If state law requires reporting of the STD, it should be reported.
Patient names or other identifying data are not part of the
reporting process, so the NP’s patient should not worry about
, being identified and associated with this finding. If the NP does
not report it, the NP has violated state law. If the NP reports it
but doesn’t tell the patient, the NP is not being honest with the
patient. Reporting data to public health with deliberate
elimination of required illness details is inaccurate reporting and
doesn’t meet state law.
Which risk factor has the greatest impact on HIV transmission?
A. Viral load
B. Type of sexual activity
C. Presence of other STDs
D. Patient gender
A.
Viral load at the time of infection is the greatest risk factor in
contracting HIV. It also is the greatest predictor of prognosis.
High levels of viremia correspond to higher rates of infection.
There are equal rates of transmission in sexual intercourse
between same and opposite sex couples. The presence of STDs at
the time of infection does increase risk of transmission, but not
to as great an extent as viral load.
A female patient has been diagnosed with chlamydia. How should
this be managed?
A. Treat with azithromycin
B. Treat with ceftriaxone by injection
C. Treat with doxycycline
D. Treat for gonorrhea also
A.
Chlamydia is commonly treated with a single dose of
azithromycin (1 gram). This patient should be screened for other
STDs now, including hepatitis B, C and HIV. According to the
2015 STD guidelines, this patient should not be treated for
gonorrhea unless this is diagnosed too.
A 26-year-old female patient has been diagnosed with gonorrhea.
How should she be managed?
A. Ceftriaxone only
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