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Exam (elaborations)

NARM questions with correct answers

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What is the most prevalent sexually transmitted disease in the United States? CORRECT ANSWER Chlamydia. 50% of women are asymptomatic. Increased incidence in women using OC, because pills cause cervical ectopia and makes a woman more vulnerable. Symptoms are mucopurulent discharge from the cervix, wet mount will revel a high WBC. Diagnosis is by cervical culture, treatment is with antibiotics. High incidence of coexisting gonorrhea infection. How long should you leave a diaphragm in after intercourse to maximize effectiveness? CORRECT ANSWER 6 hours Approximately what percentage of women with untreated syphilis infection experience fetal or neonatal loss? CORRECT ANSWER 40% What test is diagnostic for syphilis? CORRECT ANSWER Positive darkfield microscopic examination of exudate (fluid) from a chancre - the painless ulceration (sore) formed during the primary stage of syphilis. What is the treatment for syphilis in pregnancy? CORRECT ANSWER Parenteral penicillin G is the only drug effective and safe in pregnancy. Tetracycline and doxycyclin are contraindicated in pregnancy, and erthromycin will not cure an infected fetus. How is syphilis transmitted? CORRECT ANSWER Direct contact with body fluids or blood transfusion. Perinatal transfer may occur hematogenously through the placenta or during delivery. What are the possible results of a syphilis infection in pregnancy? CORRECT ANSWER SAB, stillbirth, premature del

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