NSG 6330 Final EXAM Study Guide
QUESTIONS AND ANSWERS
How is HIV transmitted?
Vertical transmission from a mother to her baby, blood transfusion, or
exchange of any blood products
HIV risk factors are all of these except:
Unprotected sex or trauma with sexual activity or multiple partners
IV drug use, including shared syringes
Exchange of saliva
Whether you order diagnostic testing or refer the patient to an HIV-specific facility, laboratory confirmation for documentation for appropriate care rendered.
The test confirming HIV infection is _____________.
HIV-1/2 Ag/Ab combination immunoassay Treatment, although not curative, is critical for the best outcome possible. One important principle of antiretroviral therapy is:
Response to drug therapy is monitored by HIV RNA levels.
The HIV is positive, and the chest X-ray reflects bilateral infiltrates. The radiologist telephones you with a diagnosis of pneumonia. Further evaluation and report are sent to you with a diagnosis of pneumocystis pneumonia. What stage is this HIV presentation?
AIDS
Women often tend to reschedule a well-woman visit, but they don't do so often with a problem such as pelvic pain. This symptom can present as an acute, or chronic, insult. When a woman presents with pelvic pain, the term
can encompass many possibilities. Differentiating acute from chronic assists with narrowing down the possibilities but nonetheless can originate from more than one system as a referred pain or discomfort. The focus here will be of reproductive/pelvic origin.
As you know, the most common cause of pelvic pain can be noted as endometriosis. But you also know that the most acute causes of pelvic pain
are probably:
Salpingo-oophoritis (fallopian tube/ovary)
A twenty-five-year-old presents with a report of a very tender area just near
her introitus and to the left of her perineum. Very painful sex is how she knew "something wasn't right." She showered and when washing, she felt a
"pea-sized" painful lump on the left side of her "bottom." She tells you she looked at it with a mirror and it was very small, but now it is the size of a ping-pong ball and getting worse.
When you inspect her external genitalia, you are amazed at the size and appearance of the "lump."
You note what appears to be an abscess on the left medial side of the labia
minora, and there is some edema extending into the perineum. Your diagnosis for this presentation is: Bartholin's cyst
You explain to this young woman what this "lump" is and let her know you will be referring her to a gynecologist you consult with regularly. You explain to her the likely treatment as follows: She will need to take sitz baths three times per day and a broad-spectrum antibiotic.
This is likely a fatty tumor and will need to be surgically removed.
A possible incision might be necessary and a catheter placed for two to four weeks to allow for drainage and appropriate healing.
This is a folliculitis that has become infected and needs a needle aspiration and broad-spectrum antibiotic treatment.
A possible incision might be necessary and a catheter placed for two to four weeks to allow for drainage and appropriate healing.
Bartholin's Cyst
If a Bartholin duct gets blocked, fluid builds up in the gland. The blocked gland is called a Bartholin gland cyst
You are at the office and a thirty-year-old woman presents with an abrupt onset of pain when attempting to urinate. She is also complaining of frequency and urgency and thinks she may have seen some blood as well.You take her history and she tells you she had sex three days ago with
QUESTIONS AND ANSWERS
How is HIV transmitted?
Vertical transmission from a mother to her baby, blood transfusion, or
exchange of any blood products
HIV risk factors are all of these except:
Unprotected sex or trauma with sexual activity or multiple partners
IV drug use, including shared syringes
Exchange of saliva
Whether you order diagnostic testing or refer the patient to an HIV-specific facility, laboratory confirmation for documentation for appropriate care rendered.
The test confirming HIV infection is _____________.
HIV-1/2 Ag/Ab combination immunoassay Treatment, although not curative, is critical for the best outcome possible. One important principle of antiretroviral therapy is:
Response to drug therapy is monitored by HIV RNA levels.
The HIV is positive, and the chest X-ray reflects bilateral infiltrates. The radiologist telephones you with a diagnosis of pneumonia. Further evaluation and report are sent to you with a diagnosis of pneumocystis pneumonia. What stage is this HIV presentation?
AIDS
Women often tend to reschedule a well-woman visit, but they don't do so often with a problem such as pelvic pain. This symptom can present as an acute, or chronic, insult. When a woman presents with pelvic pain, the term
can encompass many possibilities. Differentiating acute from chronic assists with narrowing down the possibilities but nonetheless can originate from more than one system as a referred pain or discomfort. The focus here will be of reproductive/pelvic origin.
As you know, the most common cause of pelvic pain can be noted as endometriosis. But you also know that the most acute causes of pelvic pain
are probably:
Salpingo-oophoritis (fallopian tube/ovary)
A twenty-five-year-old presents with a report of a very tender area just near
her introitus and to the left of her perineum. Very painful sex is how she knew "something wasn't right." She showered and when washing, she felt a
"pea-sized" painful lump on the left side of her "bottom." She tells you she looked at it with a mirror and it was very small, but now it is the size of a ping-pong ball and getting worse.
When you inspect her external genitalia, you are amazed at the size and appearance of the "lump."
You note what appears to be an abscess on the left medial side of the labia
minora, and there is some edema extending into the perineum. Your diagnosis for this presentation is: Bartholin's cyst
You explain to this young woman what this "lump" is and let her know you will be referring her to a gynecologist you consult with regularly. You explain to her the likely treatment as follows: She will need to take sitz baths three times per day and a broad-spectrum antibiotic.
This is likely a fatty tumor and will need to be surgically removed.
A possible incision might be necessary and a catheter placed for two to four weeks to allow for drainage and appropriate healing.
This is a folliculitis that has become infected and needs a needle aspiration and broad-spectrum antibiotic treatment.
A possible incision might be necessary and a catheter placed for two to four weeks to allow for drainage and appropriate healing.
Bartholin's Cyst
If a Bartholin duct gets blocked, fluid builds up in the gland. The blocked gland is called a Bartholin gland cyst
You are at the office and a thirty-year-old woman presents with an abrupt onset of pain when attempting to urinate. She is also complaining of frequency and urgency and thinks she may have seen some blood as well.You take her history and she tells you she had sex three days ago with
