ExamI4:INURSI620/INURS620I(LatestI2024
/I2025IUpdate)IAdult/GerontologyIHealth
ICareIIIGuideI|IQsI&IAs|I100%ICorrect|
IGradeIAI(VerifiedIAnswers)-IMaryville
I
Q:IVulvovagintiis
Answer:
•InflammationIofItheIvulvaIandIvagina
•VaginalIitching,Iburning,IandIvaginalIdischarge
•ResultIofIinfection
•NoninfectiousIcausesIincludeIallergicIreactions,IforeignIbody,IatrophicIorItraumaticIvaginitis,I
orIcollagenIvascularIdisease
I•BacterialIvaginosis
•VulvovaginalIcandidiasis
•Trichomoniasis
Q:IVulvovaginitis:ICauses
Answer:
•InfectionIfromIbacteria,Iyeast,IorIparasites
•Gardnerella,IwhichIcausesIbacterialIvaginosisI(BV),IaccountsIforI50%IofIallIinfections
•DiagnosisIbasedIonItype,Iamount,Icolor,Iodor,IandIpHIofIdischarge
•PhysicalIexamIforIpresenceIofIlesions,Idischarge,Ierythema,IorIatrophy
Q:IVaginalIhygieneImeasures
Answer:
•WhatImeasuresIhelpIpreventIvaginalIinfectionsIinIwomen?
,-Clothing
-Soaps,Isprays,IfeminineIproducts-
InoIbubbleIbaths,ItubIbaths,IdoveIsoapIisIonlyIrecommended,IalsoInoIcleaningIintoItheIvault.I
-Yogurt?INotIEBPIbutImightIbeIuseful
-WhatIisItheIevidenceIonIdouching?
-CulturalIissues
Q:ILabItestingIforIvulvovaginitis
Answer:
•SalineIwetImountIofIvaginalIdischargeItoIdetermineIpresenceIofIGardnerella,ITrichomonas,Ior
IatrophicIvaginitis
•KOHIwetImountIforIpresenceIofICandida
•GramIstainIforIpresenceIofIgonorrhea
•UrinalysisItoIruleIoutIUTIs
Q:IBacterialIvaginosis
Answer:
•CausedIbyIincreasedIanaerobicIbacteria
•MostIprevalentIcauseIofIdischarge
•MayIbeIasymptomatic
•RiskIfactors-IaddressIthoseIifIasymptomatic
•Diagnosis
•AssociatedIcomplications
•Treatment
•ManagementIofIsexIpartners
Q:IBacterialIvaginosisItreatment
Answer:
•FlagylI500mgIBIDIforI7Idays
•MetrogelI0.75%,IforI5Inights
,MakeIsureIpatientIknowsIsheIcannotIdrinkIwithItheIoralIantibiotics.I
DoInotIneedItoItreatItheIsexIpartner.
Q:IVulvovaginalICandidiasis
Answer:
•CausedIbyIC.IalbicansIorIotherICandida
•TypicalIsymptoms
•DifferentialIdiagnosis
•DiagnosedIwithIvaginalImicroscopy
•WhatIareIpredisposingIfactors?IdoesItheIpatientIhaveIdiabetes?
Q:IVulvovaginalICandidiasisIManagement
Answer:
•TreatedItopicallyIwithIazolesIie.IClotrimazole,IMiconazole,ITerconazole
-DiflucanI(Fluconazole)I150ImgIpoIorIifIrecurrentI100-400mgIqdIforI1ItoI5Idays
-KetoconazoleI200mgIqdIforI5Idays
•AlternativesItherapies:Iyogurt,IboricIacidItablets-IthereIisIsomeIevidenceIthisIworks..
Q:ITrichomoniasis
Answer:
•CausedIbyIprotozoanIT.Ivaginalis,IthisIisIanISTI
•SymptomsIforIwomenIandImen:IsymptomsImenIareIasymptomatic,IwomenItendItoIhaveIitchy
IandIdischargeIandIordor.IFrothyIgreenIyellowIdischargeIinIcopiousIamounts.IRedIinflamedIce
rvic.I
, •DiagnosedIwithIvaginalImicroscopy-IcanIseeItheIprotzoaIfloatingIaround.
Q:I
Answer:
•Treatment
-FlagylI(Metronidazole)I2gmIPO,IsingleIdose
•ManagementIofIsexIpartners-ItheyImustIalsoIbeItreated.
Q:ITrichomoniasisItreatment
Answer:
-FlagylI(Metronidazole)I2gmIPO,IsingleIdose
•ManagementIofIsexIpartners-ItheyImustIalsoIbeItreated.
Q:ISTIItesting
Answer:
-60%-80%IareIasymptomatic
-MostIareIdetectedIonIroutineIexam-
IrecommendIoneIyearlyIevenIifIpatientIisIinIaIsteadyIrelationshipI
-SomeIpresentIwithIburning,Iitching,IandIaIvaginalIdischarge
-PrimaryIlesionsImayIbeIpainlessIandIblister-like,IorItheIpatientImayIhaveIsevereIpain
-AllIulcerativeIorIwart-likeIlesionsIshouldIbeIserologicallyItestedIforIsyphilis
Q:IChlamydia
Answer:
