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Exam (elaborations)

NUR 684- Test #1 Questions and Correct Answers the Latest Update

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  • Course
  • NUR 684
  • Institution
  • NUR 684

Normal vaginal secretions- characteristics -Clear/cloudy/white -Thin/mucoid -Nonirritating Leukorrhea (define) 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 leu...

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  • November 8, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 684
  • NUR 684
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NUR 684- Test #1 Questions and Correct
Answers the Latest Update
Normal vaginal secretions- characteristics

✓ -Clear/cloudy/white

✓ -Thin/mucoid

✓ -Nonirritating



Leukorrhea (define)

✓ 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?

✓ HPV



HPV- difference between types

✓ 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- symptoms/exam findings

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✓ -Single or multiple soft, fleshy, keratinized growths around vulvovaginal area, anus, or
penis

✓ -Painless



Condyloma acuminata- diagnostic tests

✓ 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

✓ -Cervical dysplasia/cancer with certain HPV serotypes

✓ -Transmission to infant during vaginal delivery



Condyloma acuminata- treatment (clinician-administered)

✓ -Cryotherapy with liquid nitrogen or cryoprobe Q 1-2 weeks

✓ -Trichloroacetic acid or bichloracetic acid

✓ -Surgical removal



Condyloma acuminata- treatment (patient-administered)

✓ -Podofilox 0.5% solution/gel

✓ -Imiquimod 3.75% or 5% cream

✓ -Sinecatechins 15% ointment




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Molluscum contagiosum- symptoms/exam findings

✓ -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

✓ Diagnosis based on clinical presentation!



Molluscum contagiosum- complications

✓ -Secondary infection



Genital herpes- symptoms (primary episode)

✓ -Painful, pruritic multiple vesicles

✓ -Dysuria, dyspareunia, watery vaginal discharge

✓ -Systemic symptoms (fever, HA, chills, malaise)



✓ ^duration 2-3 weeks



Genital herpes- symptoms (recurrent episodes)




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✓ -Prodrome often precedes eruption for 24 hours (itching, burning, tingling)

✓ -Less severe symptoms of shorter duration

✓ -No systemic symptoms



Genital herpes- diagnostic tests

✓ -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

✓ -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

✓ **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



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