APEA 3P EXAM PREP2 SEXUAL HEALTH
QUESTIONS WITH CORRECTANSWERS AND
EXPLANATIONS
A 24-year-old female presents with abdominal pain. Whatadditional finding supports
a diagnosis of pelvic inflammatory disease (PID)?
Dysuria
Vaginal discharge
Positive RPR
Cervical motion tendernessD.
PID is difficult to diagnose and often goes unrecognized because of the varied
presenting signs and symptoms inwomen who have it. Delay in diagnosis contributes
to inflammatory sequelae in the upper reproductive tract.
Consequently, PID is usually diagnosed on imprecise clinical findings. The CDC
recommends that healthcareproviders maintain a low threshold for diagnosis of
PID.
,Presumptive treatment should be initiated in sexually active women if they are
experiencing pelvic or low abdominal pain (without another identifiable source of
illness), and if one or more of the following criteria arepresent on pelvic exam:
cervical motion tenderness, uterine tenderness, or adnexal tenderness.
A male patient presents with dysuria and penile discharge.He states that his female
partner has an STD, but he is not sure which one. Which of these should be part of
the differential?
Bacterial vaginosis and trichomonasChlamydia and gonorrhea
HIV and herpes Syphilis and
chlamydiaB.
Bacterial vaginosis and HIV are not associated with dysuria or penile discharge in
male patients. Herpes produces lesions that are painful. HIV is not specifically
associated with dysuria. Syphilis produces a painless lesion. Chlamydia and
gonorrhea are usually associated
, with dysuria and discharge. Trichomonas is oftenasymptomatic in males, but can
produce dysuria.
A patient being treated for trichomoniasis receives a prescription for
metronidazole. What instructions shouldshe be given?
Take this medication with food
Do not take this medication if you are pregnantTake this
medication on an empty stomach
Alcohol should be avoided when taking this medicationD.
Metronidazole may be associated with a disulfiram reaction when mixed with
alcohol. Advice that should begiven to all patients who take metronidazole is to
avoid alcohol entirely while this medication is being taken.
Additionally, alcohol should be avoided for 24 hours after the last dose of medication.
The disulfiram reaction is characterized by fever, abdominal pain, nausea, vomiting,
and headache. This reaction is called the “Antabuse” reaction.
QUESTIONS WITH CORRECTANSWERS AND
EXPLANATIONS
A 24-year-old female presents with abdominal pain. Whatadditional finding supports
a diagnosis of pelvic inflammatory disease (PID)?
Dysuria
Vaginal discharge
Positive RPR
Cervical motion tendernessD.
PID is difficult to diagnose and often goes unrecognized because of the varied
presenting signs and symptoms inwomen who have it. Delay in diagnosis contributes
to inflammatory sequelae in the upper reproductive tract.
Consequently, PID is usually diagnosed on imprecise clinical findings. The CDC
recommends that healthcareproviders maintain a low threshold for diagnosis of
PID.
,Presumptive treatment should be initiated in sexually active women if they are
experiencing pelvic or low abdominal pain (without another identifiable source of
illness), and if one or more of the following criteria arepresent on pelvic exam:
cervical motion tenderness, uterine tenderness, or adnexal tenderness.
A male patient presents with dysuria and penile discharge.He states that his female
partner has an STD, but he is not sure which one. Which of these should be part of
the differential?
Bacterial vaginosis and trichomonasChlamydia and gonorrhea
HIV and herpes Syphilis and
chlamydiaB.
Bacterial vaginosis and HIV are not associated with dysuria or penile discharge in
male patients. Herpes produces lesions that are painful. HIV is not specifically
associated with dysuria. Syphilis produces a painless lesion. Chlamydia and
gonorrhea are usually associated
, with dysuria and discharge. Trichomonas is oftenasymptomatic in males, but can
produce dysuria.
A patient being treated for trichomoniasis receives a prescription for
metronidazole. What instructions shouldshe be given?
Take this medication with food
Do not take this medication if you are pregnantTake this
medication on an empty stomach
Alcohol should be avoided when taking this medicationD.
Metronidazole may be associated with a disulfiram reaction when mixed with
alcohol. Advice that should begiven to all patients who take metronidazole is to
avoid alcohol entirely while this medication is being taken.
Additionally, alcohol should be avoided for 24 hours after the last dose of medication.
The disulfiram reaction is characterized by fever, abdominal pain, nausea, vomiting,
and headache. This reaction is called the “Antabuse” reaction.
