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NUR 684- Test 1 Questions And 100% Correct Answers
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NUR 684- Test 1 Questions And 100%Correct Answers
Normal vaginal secretions-characteristics - ANSWER -Clear/cloudy/white
-Thin/mucoid
-Nonirritating
Leukorrhea (define) - ANSWER An increase in the amount of vaginal secretions; can be
thin or thick, white discharge resulting from congestion of the vaginal mucosa and an
increase in polymorphonuclear leukocytes (WBCs)
^may be a normal finding!
Most common STI in the USA? - ANSWER HPV
HPV- difference between types - ANSWER Types 6 & 11- common with genital warts
Types 16, 18, 31, 33, 35- associated with cervical dysplasia/cancer
^16 & 18 cause 70% of cervical cancer
Condyloma acuminata- sx/exam findings - ANSWER -Single or multiple soft, fleshy,
keratinized growths around vulvovaginal area, anus, or penis
-Painless
Condyloma acuminata- diagnostic tests - ANSWER Diagnosis usually based on clinical
presentation!
,-Consider VDRL/RPR to exclude syphilis
-Biopsy only if atypical characteristics or no response to standard therapy
Condyloma acuminata- complications - ANSWER -Cervical dysplasia/cancer with certain
HPV serotypes
-Transmission to infant during vaginal delivery
Condyloma acuminata- treatment (clinician-administered) - ANSWER -Cryotherapy with
liquid nitrogen or cryoprobe Q 1-2 weeks
-Trichloroacetic acid or bichloracetic acid
-Surgical removal
Condyloma acuminata- treatment (patient-administered) - ANSWER -Podofilox 0.5%
solution/gel
-Imiquimod 3.75% or 5% cream
-Sinecatechins 15% ointment
Molluscum contagiosum- symptoms/exam findings - ANSWER -1-5 mm smooth, round,
firm, shiny, flesh colored to pearly white papules with central umbilication
-Usually on trunk or anogenital areas
-White cheesy material expressed from papule
-Painless
Molluscum contagiosum-diagnostic tests-ANSWER Diagnosis based on clinical
presentation!
Molluscum contagiosum- complications -ANSWER -Secondary infection
Genital herpes- symptoms (primary episode)-ANSWER -Painful, pruritic multiple
,vesicles
-Dysuria, dyspareunia, watery vaginal discharge
-Systemic symptoms (fever, HA, chills, malaise)
^duration 2-3 weeks
Genital herpes- symptoms (recurrent episodes)-ANSWER -Prodrome often precedes
eruption for 24 hours (itching, burning, tingling)
-Less severe symptoms of shorter duration
-No systemic symptoms
Genital herpes- diagnostic tests - ANSWER -Clinical presentation with initial outbreak
-HSV tissue culture or PCR test of lesions for confirmation
-Serological type specific tests for HSV-1 and HSV-2 antibodies (several weeks after
exposure)
Genital herpes- complications - ANSWER -Increased pregnancy loss & preterm labor of
initially infected during pregnancy
-Transmission to infant if active lesions at time of delivery
-Secondary infection of lesions, urethral strictures
Genital herpes- treatment - ANSWER **Acyclovir 400 mg PO TID for 7-10 days**
-OR-
-Famciclovir 250 mg PO TID for 7-10 days
-OR-
-Valacyclovir 1 gm PO BID for 7-10 days
, Chlamydia- symptoms - ANSWER Females:
-dysuria
-vaginal discharge
-abnormal bleeding/postcoital spotting
-PID symptoms
Males:
-dysuria
-urethral discharge
Chlamydia- exam findings - ANSWER Females:
-mucopurulent cervical discharge (yellow or green)
-endocervical friability
-cervical inflammation
Males:
-mucoid to purulent urethral discharge
Chlamydia- diagnostic tests - ANSWER -Nucleic acid amplification test (NAAT)
Chlamydia- treatment - ANSWER **Azithromycin 1 gm PO**
-OR-
-Doxycycline 100 mg PO BID for 7 days
Chlamydia- complications - ANSWER -PID
-Infertility
-Ectopic pregnancy
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