NURS617 EXAM 7 ACTUAL EXAM ACTUAL COMPLETE
160 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
normal vag pH + flora ✔✔CORRECT ANSWER✔✔-4.0-4.5; naturally
more acidic to protect against bacteria
-lactobacilli=normal vag bacteria; low=increased infection risk (abx=low
lactobacilli, increased risk of yeast infection)
Condylomata acuminata (genital warts) ✔✔CORRECT ANSWER✔✔-
caused by HPV; high risk strains (16 + 18)=increased risk of cervical
cancer, cervical hyperplasia, genital warts
-prevented w/ gardisil & cervarix vaccines, yearly pap smear
-incubation period=6 weeks-8mo, may be asymptomatic
-can resolve spontaneously & reactive years later
-warts can appear wherever contact with virus has occurred
-tx: cryotherapy, trichloroacetic acid, imiquimod cream
genital herpes ✔✔CORRECT ANSWER✔✔-caused by the herpes simplex
type II virus; F=increase risk of infection d/t greater mucosal surface
area
,-incubation=2-10 days; spread through asymptomatic shedding (no
warts=can still spread)
-first episode=worst, painful, more vesicles; recurrent=more mild
(remains dormant in sacral dorsal root ganglia)
-lesions can involve cervix, vag, urethra, anus, scrotum, and inguinal
lymph nodes
-tx: antivirals (valtrex)
Trichomoniasis: cause, s/s, dx, tx ✔✔CORRECT ANSWER✔✔-cause:
trichomonas vaginalis (protozoan); associated w/ high risk sexual
behaviors
-s/s: men=usually asymptomatic, women=vaginitis, frothy green/yellow
discharge w/ foul odor, strawberry spots on cervix
-dx: wet-mount; pH usually more on basic side (6.0+)
-tx: flagyl (metronidazole)
-increased risk of PID & infertility, premature births
Molluscum contagiosum ✔✔CORRECT ANSWER✔✔-wart-like growths
that look like small pimples filled with kernels of corn; express curd-like
material (infection risk)
-cause=poxvirus; transmitted skin to skin
-tx: imiquimod cream, cryo, laser, silver nitrate
,candidiasis: cause, s/s, dx, tx ✔✔CORRECT ANSWER✔✔-infection of the
skin, mouth, or vagina caused by the yeast-type fungus; not spread
sexually
-risk factors: ABX, HIV/immunodeficiency, uncontrolled DM
-s/s: pruitis, swelling, thick/white/odorless discharge (cottage cheese!!
yum), dysuria, dyspareunia
-dx: acidic pH (bacteria=more basic)
-tx: fluconazole, antifungal creams (clotrimazole, -zole)
Bacterial Vaginosis (BV): cause, s/s, dx, tx ✔✔CORRECT ANSWER✔✔-
cause: d/t low lactobacillus (normal bacteria) and overgrowth of other
organism(s)
-s/s: more basic pH, thin, white discharge w/ foul fishy odor; lack of
inflammation (not -itis)=no burning/pruitis
-tx: flagyl PO or topical, clindamycin cream
Chalmydia trachomatis: s/s, dx, tx ✔✔CORRECT ANSWER✔✔-
chlamydia; causes nongonococcal urethritis in men, PID in women
-s/s: M=urethritis + pruitis, meatal tenderness/erythema.
F=mucopurulent clear/white discharge; both can be asymptomatic
-reiter syndrome=if untreated, causes urethritis, conjuctivitis, arthritis
-dx: urine NG/CT (NAAT)
-tx: azithromycin or doxy
, gonorrhea: cause, s/s, dx, tx ✔✔CORRECT ANSWER✔✔-cause=
neisseria gonorrhoeae; can also cause conjuctivitis in newborns
(Erythromycin ophthalmic ointment=prophylactic)
-s/s: may be asymptomatic; discharge=THICKER THAN CHLAMYDIA
-M=urethral pain, creamy yellow or bloody discharge, chronically effects
prostate/epididymis/periurethral glands.
-F=dysuria, dyspareunia, chronic scarring of GU resulting in sterility
AND/OR PID
-complications: disseminated gonococcal infections (conjuctivitis, heart
valves, joint spaces)
-dx: urine NG/CT (NAAT)
-tx: ceftriaxone IM
3 stages of syphilis ✔✔CORRECT ANSWER✔✔1. Primary: Painless
chancre spontaneously gone w/i 8 wks; highly contagious during 1st
stafe
2. Secondary: Condyloma lata, Maculopapular rash red-brown color
(palms, soles of feet), LAD 6wks-18 months after infection
- Latent phase (years)
3. Tertiary: granuloma-like lesions form d/t localized destruction; can
cause dementia, blindness, ataxia, aortic valve insufficiency
syphilis: cause, risks, dx, tx ✔✔CORRECT ANSWER✔✔-cause:
treponema pallidum (spirochete); spread d/t direct contact w/ moist
lesion
