NR602 Final Exam- Test Questions and
Answers
Uterine Prolapse causes Correct Ans-Causes- pregnancy, large baby delivery, lower estrogen
level after menopause, obesity Common in postmenopausal and one or more childbirth
Uterine Prolapse symptom Correct Ans-Sx- heaviness or pulling into pelvis, tissue protruding
from vagina, urinary probs (leakage, retention), trouble having BM, feeling of sitting on small
ball, sexual concerns
chronic viral infection caused by HSV1 or HSV2, relapsing Correct Ans-Herpes Simplex
Herpes Simplex prevention Correct Ans-Prevention: consistent condom use b/c viral
shedding can occur in asymptomatic periods and can lead to transmission. W/ symptoms-
Valacyclovir 500 mg daily
Herpes Simplex sign and symptoms Correct Ans-Sx-multiple painful vesicular or ulcerative
lesion on genitals, can be absent. Virus lays dormant and can be reactivated
Herpes Simplex diagnosis Correct Ans-lays dormant and can be reactivated
Dx-cell culture and PCR
,Herpes Simplex treatment Correct Ans-Tx- systemic antiviral. Acyclovir 7-10 days for 1st
episode, suppressive 200 mg daily BID
Chancroid Correct Ans--Transmitted via sexual contact or on hands that have touched lesion.
Caused by Haemophillus ducreyi
-Reportable disease
Chancroid symptoms Correct Ans--Sx- erythematous papule that evolves into pustule and
degenerates into saucer shaped ragged ulcer that is circumscribed by inflammatory wheal.
Tender, heavy foul discharge that is contagious
Chancroid diagnosis Correct Ans-Dx-culture that grows H ducreyi
Chancroid treatment Correct Ans-Tx- Abx azithromycin 1 g PO one time, ceftriaxone 250 mg
IM 1 x, cipro 500 mg PO BID x3 days erythromycin 500 mg PO TID x7 days. Personal hygiene,
clean w/ soap and water, sitz bath
Syphilis Correct Ans--chronic, systemic disease caused by a sphirochete transmitted via
contact with infectious moist lesion. Sexually acquired or vertically transmitted from infected
mom. Reportable disease
Syphilis transmitted Correct Ans--Transmitted in primary and secondary stages
Primary-mucus mem 10-90 days later. Secondary- 2 wks-6mo after primary lesion then
generalized cutaneous eruption of secondary may appear. Latent- may last a lifetime
Syphilis prevention Correct Ans-Prevention- condom, wash w/ soap and water after sex,
screen ppl @ high risk (men that have sex with men, drug trafficers, correctional facilities)
, Syphilis symptoms Correct Ans-Sx- [Primary]- Chancre- indurated firm painless papule or
ulcer w/ raised borders, women can have cervical or vaginal lesion....on any mucus mem.
[Secondary}-viral syndrome w/ diffuse lymphadenopathy AEB dermatitis, papulosquamous
lesion on palms and soles. Lesions on trunk will be macular or maculopapular popular or
pustular other systemic include patchy alopecia, hepatitis, nephritis. [Latent]- resolution of
lesion of primary and secondary or finding of serologic test w/o therapy
Syphilis Diagnosis Correct Ans-Dx- T pallidum sphirochetes on dark field exam of cutaneous
lesion, serologic testsing antibody titers
Syphilis treatment Correct Ans-Penicillin G
Chlamydia trachomatis gold standard test Correct Ans-. Gold standard test is NAT, not culture
Chlamydia trachomatis symtoms Correct Ans-Sx- dyspuria, intramenstrural spotting,
postcoital bleeding, pain w/ sex, vag d/c purulent d/c reddened congested cervix or can be
asymptomatic.
Chlamydia trachomatis diagnoses Correct Ans-Dx-Urine or endocervix/vaginal swab
Chlamydia trachomatis tx Correct Ans-Tx- 1 gm Azithromycin OR doxy, erythro PLUS rocephin
250 or cefixime Complications- salpingitis and PID, perihepatitis,
Gonorrhea Correct Ans-STI, first causes cervical infection and ascend to endometrium and
fallopian tube. Reportable
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