COMPREHENSIVE WHNP BOARD EXAM PREPARATION: WOMEN'S
HEALTH NURSE PRACTITIONER CERTIFICATION GUIDE EXAM NEW
VERSION UPDATED 2025
Treatment for BV - ✔✔ANSW✔✔..metronidazole gel one
applicator for 5 days
oral metronidazole (flagyl) 500 mg BID for 7 days
clindamycin vaginally for 7 days
treatment for atrophic vaginitis (menopause) -
✔✔ANSW✔✔..topical or vaginal estrogen only if
symptomatic, recurrent UTI
not oral estrogen
treatment for first episode of genital herpes -
✔✔ANSW✔✔..first episode - acyclovir 400 mg PO TID x 7-10
days, famciclovir 250 mg PO TID x 7-10 days, valacyclovir 1
g PO BID for 7-10 days, extend treatment if healing
incomplete after 10 days
treatment for Nongonoccocal urethritis and cervicitis -
✔✔ANSW✔✔..CHLAMYDIA
azithromycin 1g PO
alternative - doxy, erythromycin, ofloxacin, levofloxacin
treatment for gonococcal urethritis and vaginitis -
✔✔ANSW✔✔..Ceftriaxone 250 mg IM once + azithromycin 1
g PO
alternative option - cefixime 500 mg PO + azithro
treatment for trichomoniasis - ✔✔ANSW✔✔..oral
metronidazole 2g once or tinidazole 2g once
alt - metronidazole 500 mg PO BID for 7 days
alcohol and metronidazole or tinidazole -
✔✔ANSW✔✔..abstience of alcohol 24 hours after
completion for metronidazole, 72 hours for tinidazole
treatment for genital warts - ✔✔ANSW✔✔..HPV 6 & 11
Podofilox, liquid nitrogen cyroprobe, TCA, surgical removal,
imiquimod (external only)
pregnancy - only TCA or surgical removal
Minimum criteria for initiating treatment for PID -
✔✔ANSW✔✔..presence of one or more:
CMT
uterine tenderness
adnexal tenderness
Parenteral treatment for PID - ✔✔ANSW✔✔..Cefotetan 2 g
IV every 12 hours plus doxy 100 mg PO or IV every 12 hours
OR
Cefoxitin 2g IV every 6 hours plus doxycycline 100 mg PO or
IV every 12 hours
OR
Clinda 900 mg IV every 8 hours plus gentamicin loading
dose IV or IM (2mg/kg) followed by a maintenance dose
(1.5mg/kg) every 8 hours; single daily dosing (3-5 mg/kg)
can be substituted
,Outpatient treatment for PID - ✔✔ANSW✔✔..Ceftriaxone 250
mg IM in a single dose plus doxy 100 mg PO BID for 14 days
with or without metronidazole 500 mg PO BID for 14 days
OR
Cefoxitin 2g IM in a single dose and probenecid 1 g PO
administered concurrently in a single dose plus doxy 100
mg PO BID for 14 days with or without metronidazole 500
mg PO BID for 14 days
Criteria for hospitalization for PID - ✔✔ANSW✔✔..Pregnant
pelvic absess
surgical emergency cannot be r/o - ectopic, appendicitis
severe illness, high fever, nausea, and vomiting
failure of outpatient therapy
PID follow up - ✔✔ANSW✔✔..must follow up within 72 hours
Hep A
route of transmission
IZ?
PEP?
sequelae? - ✔✔ANSW✔✔..fecal-oral
Yes IZ
PEP with IG for close contacts
sequelae - none, survive or die
Disease markers for Hep A
Acute
Chronic
Disease in past, IZ
, What is EBP? - ✔✔ANSW✔✔..The delivery of individualized
healthcare on the basis of an awareness of the impact and
strength of related scientific evidence
When can you treat a minor without parental consent? -
✔✔ANSW✔✔..pregnant and consents to treatment related
to pregnancy, other than abortion
consent to diagnosis and treatment of STDS that must be
reported to Texas Dept of health
consent to examination or treatment for chemical addiction,
dependency, or any other condition related to chemical use
consent for counseling for suicide prevention, chemical
addiction or dependency, pr for sexual, physical or
emotional abuse
***Parental consent is not required for minors to receive
information about family planning. Texas laws require
minors to get parental permission to receive contraception.
When parental consent is required the parent must sign
both the general consent for treatment and method specific
consent for for a prescription method of contraception.
Under federal law, minors may give consent and receive
confidential family planning services if the funding source is
Medicaid or Title Family Planning Program
MVP S&S - ✔✔ANSW✔✔..CO usually uncompromised -
usually goes unnoticed by patient
TYPICALLY BENIGN
tugging chest pain, dyspnea if severe regurge, can have
tachycardia or palpitations
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