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NR602 Final Exam- Test Questions and Answers
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NR602 Final Exam- Test Questions and Answers
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NR602 Final Exam- Test Questions andAnswers
Uterine Prolapse causes Correct Ans-Causes- pregnancy, large baby delivery, lower estrogen
level after menopause, obesity Common in postmenopausal and one or more childbirth
Uterine Prolapse symptom Correct Ans-Sx- heaviness or pulling into pelvis, tissue protruding
from vagina, urinary probs (leakage, retention), trouble having BM, feeling of sitting on small
ball, sexual concerns
Uterine Prolapse prevention Correct Ans-Prevention- kegels, treat constipation, correct
lifting, avoid wt gain
uterine prolapse treatment Correct Ans-Tx- pessary
chronic viral infection caused by HSV1 or HSV2, relapsing Correct Ans-Herpes Simplex
Herpes Simplex prevention Correct Ans-Prevention: consistent condom use b/c viral
shedding can occur in asymptomatic periods and can lead to transmission. W/ symptoms-
Valacyclovir 500 mg daily
Herpes Simplex sign and symptoms Correct Ans-Sx-multiple painful vesicular or ulcerative
lesion on genitals, can be absent. Virus lays dormant and can be reactivated
Herpes Simplex diagnosis Correct Ans-lays dormant and can be reactivated
Dx-cell culture and PCR
,Herpes Simplex treatment Correct Ans-Tx- systemic antiviral. Acyclovir 7-10 days for 1st
episode, suppressive 200 mg daily BID
Chancroid Correct Ans--Transmitted via sexual contact or on hands that have touched lesion.
Caused by Haemophillus ducreyi
-Reportable disease
Chancroid symptoms Correct Ans--Sx- erythematous papule that evolves into pustule and
degenerates into saucer shaped ragged ulcer that is circumscribed by inflammatory wheal.
Tender, heavy foul discharge that is contagious
Chancroid diagnosis Correct Ans-Dx-culture that grows H ducreyi
Chancroid treatment Correct Ans-Tx- Abx azithromycin 1 g PO one time, ceftriaxone 250 mg
IM 1 x, cipro 500 mg PO BID x3 days erythromycin 500 mg PO TID x7 days. Personal hygiene,
clean w/ soap and water, sitz bath
Syphilis Correct Ans--chronic, systemic disease caused by a sphirochete transmitted via
contact with infectious moist lesion. Sexually acquired or vertically transmitted from infected
mom. Reportable disease
Syphilis transmitted Correct Ans--Transmitted in primary and secondary stages
Primary-mucus mem 10-90 days later. Secondary- 2 wks-6mo after primary lesion then
generalized cutaneous eruption of secondary may appear. Latent- may last a lifetime
Syphilis prevention Correct Ans-Prevention- condom, wash w/ soap and water after sex,
screen ppl @ high risk (men that have sex with men, drug trafficers, correctional facilities)
, Syphilis symptoms Correct Ans-Sx- [Primary]- Chancre- indurated firm painless papule or
ulcer w/ raised borders, women can have cervical or vaginal lesion....on any mucus mem.
[Secondary}-viral syndrome w/ diffuse lymphadenopathy AEB dermatitis, papulosquamous
lesion on palms and soles. Lesions on trunk will be macular or maculopapular popular or
pustular other systemic include patchy alopecia, hepatitis, nephritis. [Latent]- resolution of
lesion of primary and secondary or finding of serologic test w/o therapy
Syphilis Diagnosis Correct Ans-Dx- T pallidum sphirochetes on dark field exam of cutaneous
lesion, serologic testsing antibody titers
Syphilis treatment Correct Ans-Penicillin G
Chlamydia trachomatis gold standard test Correct Ans-. Gold standard test is NAT, not culture
Chlamydia trachomatis Correct Ans-negative whiff w/ mucupurulent d/c and + clue
cells.
Chlamydia trachomatis symtoms Correct Ans-Sx- dyspuria, intramenstrural spotting,
postcoital bleeding, pain w/ sex, vag d/c purulent d/c reddened congested cervix or can be
asymptomatic.
Chlamydia trachomatis diagnoses Correct Ans-Dx-Urine or endocervix/vaginal swab
Chlamydia trachomatis tx Correct Ans-Tx- 1 gm Azithromycin OR doxy, erythro PLUS rocephin
250 or cefixime Complications- salpingitis and PID, perihepatitis,
Gonorrhea Correct Ans-STI, first causes cervical infection and ascend to endometrium and
fallopian tube. Reportable
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