Exam (elaborations)
2024 NURS 546 MIDTERM STUDY SET EXAM WITH CORRECT ANSWERS
- Course
- Institution
2024 NURS 546 MIDTERM STUDY SET EXAM WITH CORRECT ANSWERS
[Show more]
Content preview
2024 NURS 546 MIDTERM STUDYSET EXAM WITH CORRECT
ANSWERS
At what age should women begin cytology screening and what is the
interval? At what age should they begin co-testing with cytology and HPV
and what is the interval? - CORRECT-ANSWERSWomen 21-29: cytology alone
Q3 years
Women 30-65: cytology plus HPV co-testing Q5 years
What is the correct method of dealing with unsatisfactory cytology? -
CORRECT-ANSWERSIf no HPV testing, HPV neg, or HPV + with unknown
genotype:
repeat age based testing in 2-4 months
If HPV positive with 16 or 18 genotype:
colposcopy
Management of absent endocervical cells/transformation zone from cytology
- CORRECT-ANSWERSAge 21-29: continue age based screenings
Age 30-65: HPV testing and manage based on results. (If positive, repeat
HPV testing in 1 year or genotype)
What is the first choice for partner management therapy in partners of those
infected with trichomoniasis, gonorrhea, or chlamydia? - CORRECT-
ANSWERSAttempt to bring partners in for complete clinical evaluation, STD
testing, counseling, and treatment
Recommended treatment of partners with Chlamydia (but not Gonorrhea) -
CORRECT-ANSWERSAzithro 1g x1
Recommended treatment of partners with Gonorrhea - CORRECT-
ANSWERSCefixime (Suprax) 400 mg PO x1
PLUS Azithromycin(Zithromax) 1 gram PO x1
2 reasons why a woman who underwent a hysterectomy would continue
cervical screening: - CORRECT-ANSWERS1. hysterectomy was for a high
grade pre-cancerous or cancerous lesions (even if she does not retain her
cervix)
2. cervix was not removed during hysterectomy
,Reason a woman who had a hysterectomy would discontinue cervical
screening - CORRECT-ANSWERSHysterectomy was for a reason OTHER than
precancerous or cancerous cervical lesion AND her cervix was removed
What is the 9vHPV (Gardasil) vaccine composed of and how many strains
does it cover? - CORRECT-ANSWERSThe 9vHPV is comprised of virus-like
particles, and it prevents infection with 7 HPV types that cause cancer and 2
HPV types that cause genital warts
the HPV vaccine _____ recommended in pregnancy - CORRECT-ANSWERSis
not
Continue to offer the HPV vaccine to both men and women up to age ____,
after which the recommendation is to have a shared discussion with provider
regarding vaccination - CORRECT-ANSWERS26
______________ and __________—are the only class of medications that reliably
treat T. vaginalis infection - CORRECT-ANSWERSMetronidazole, Tinidazole
What initiates cramps leading to menses in the menstrual cycle? - CORRECT-
ANSWERSLoss of corpus luteum production of progesterone causes
the involution of the endometrium and shrinking of spiral arteries, enzyme
release between endometrial layers
prostaglandin release causes cramping/pain
What hormone causes the sloughing of the uterine lining? - CORRECT-
ANSWERSDrop in progesterone at end of luteal phase
What hormone causes breast tenderness? - CORRECT-ANSWERSEstrogen
FSH 2 main jobs - CORRECT-ANSWERSStimulates estrogen production
initiates follicular development
LH big job - CORRECT-ANSWERSLH surge causing ovulation
What is the leading cause of infertility and ectopic pregnancy? - CORRECT-
ANSWERSChlamydia
Management of an HSIL lesion - CORRECT-ANSWERScolposcopy with ECC or
LEEP
Management of an ASC-H lesion - CORRECT-ANSWERScolposcopy
, BV treatment - CORRECT-ANSWERSMetronidazole 500mg BID x 7 days
Metronidazole gel 0.75% 1 application (5g) daily QD x 5 days
Clindamycin cream 2% 1 application (5g) QD at bedtime x 7 days
BV treatment for recurrence - CORRECT-ANSWERSMay consider
Metronidazole 2x weekly 2-4 mo
OR
Nitroimidazole PO, f/b Boric Acid (NOT in pregnancy) and metronidazole
BV risk factors - CORRECT-ANSWERSmultiple sex partners
douching
lack of barrier use
hygiene
absence or dec in lactobacilli, or few H2O2 producing lactobacilli
BV treatment metronidazole education - CORRECT-ANSWERScaution against
drinking alcohol with use, during and 24 hours post use
stomach upset common
metallic taste
BV treatment clindamycin education - CORRECT-ANSWERScream is oil based,
may degrade latex condoms
inc risk of breakage within 72 hours of use
BV Amsel Criteria - CORRECT-ANSWERSDiagnose if 3 or 4 are present:
1. >pH (>4.5)
2. Positive whiff test
3. Clue cells on microscopy
4. Discharge
BV symptomology - CORRECT-ANSWERSodor (amine), discharge (milky
white, thin, "fishy")
usually vulva and cervix are not involved, may be asymptomatic
pH >4.5
positive whiff test
wet mount: clue cells >20% on sample
no or few WBC, few lactobacilli on slide
BV treatment in pregnancy - CORRECT-ANSWERSMetronidazole 500 mg twice
a day for 7 days
treat as early as possible, re-exam for recolonization in 1 month
Candidiasis (VVC) s/s - CORRECT-ANSWERSthickened, curd-like "cottage
cheese" white discharge
*pruritus*
vulva and labial swelling and erythema,
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Elitaa. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77333 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now