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NUR 684 Test 1 Updated Exam Questions And Answers

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NUR 684 Test 1 Updated Exam Questions And Answers Normal vaginal secretions- characteristics - answers-Clear/cloudy/white -Thin/mucoid -Nonirritating Leukorrhea (define) - answersAn increase in the amount of vaginal secretions; can be thin or thick, white discharge resulting from congestion...

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  • November 12, 2024
  • 37
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 684 1
  • NUR 684 1
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©JUSTTRACY EXAM SOLUTIONS
12/11/2024 10:01AM




NUR 684 Test 1 Updated Exam
Questions And Answers
Normal vaginal secretions- characteristics - answers✔✔-Clear/cloudy/white
-Thin/mucoid
-Nonirritating


Leukorrhea (define) - answers✔✔An increase in the amount of vaginal secretions; can be
thin or thick, white discharge resulting from congestion of the vaginal mucosa and an
increase in polymorphonuclear leukocytes (WBCs)


^may be a normal finding!


Most common STI in the USA? - answers✔✔HPV



HPV- difference between types - answers✔✔Types 6 & 11- common with genital warts


Types 16, 18, 31, 33, 35- associated with cervical dysplasia/cancer
^16 & 18 cause 70% of cervical cancer


Condyloma acuminata- symptoms/exam findings - answers✔✔-Single or multiple soft,
fleshy, keratinized growths around vulvovaginal area, anus, or penis
-Painless


Condyloma acuminata- diagnostic tests - answers✔✔Diagnosis usually based on clinical
presentation!


-Consider VDRL/RPR to exclude syphilis
-Biopsy only if atypical characteristics or no response to standard therapy

, ©JUSTTRACY EXAM SOLUTIONS
12/11/2024 10:01AM




Condyloma acuminata- complications - answers✔✔-Cervical dysplasia/cancer with certain
HPV serotypes
-Transmission to infant during vaginal delivery


Condyloma acuminata- treatment (clinician-administered) - answers✔✔-Cryotherapy with
liquid nitrogen or cryoprobe Q 1-2 weeks
-Trichloroacetic acid or bichloracetic acid
-Surgical removal


Condyloma acuminata- treatment (patient-administered) - answers✔✔-Podofilox 0.5%
solution/gel
-Imiquimod 3.75% or 5% cream
-Sinecatechins 15% ointment


Molluscum contagiosum- symptoms/exam findings - answers✔✔-1-5 mm smooth, round,
firm, shiny, flesh colored to pearly white papules with central umbilication
-Usually on trunk or anogenital areas
-White cheesy material expressed from papule
-Painless


Molluscum contagiosum- diagnostic tests - answers✔✔Diagnosis based on clinical
presentation!


Molluscum contagiosum- complications - answers✔✔-Secondary infection



Genital herpes- symptoms (primary episode) - answers✔✔-Painful, pruritic multiple vesicles
-Dysuria, dyspareunia, watery vaginal discharge
-Systemic symptoms (fever, HA, chills, malaise)

, ©JUSTTRACY EXAM SOLUTIONS
12/11/2024 10:01AM



^duration 2-3 weeks


Genital herpes- symptoms (recurrent episodes) - answers✔✔-Prodrome often precedes
eruption for 24 hours (itching, burning, tingling)
-Less severe symptoms of shorter duration
-No systemic symptoms


Genital herpes- diagnostic tests - answers✔✔-Clinical presentation with initial outbreak
-HSV tissue culture or PCR test of lesions for confirmation


-Serological type specific tests for HSV-1 and HSV-2 antibodies (several weeks after
exposure)


Genital herpes- complications - answers✔✔-Increased pregnancy loss & preterm labor of
initially infected during pregnancy
-Transmission to infant if active lesions at time of delivery
-Secondary infection of lesions, urethral strictures


Genital herpes- treatment - answers✔✔**Acyclovir 400 mg PO TID for 7-10 days**
-OR
-Famciclovir 250 mg PO TID for 7-10 days
-OR-
-Valacyclovir 1 gm PO BID for 7-10 days


Chlamydia- symptoms - answers✔✔Females:
-dysuria
-vaginal discharge
-abnormal bleeding/postcoital spotting
-PID symptoms

, ©JUSTTRACY EXAM SOLUTIONS
12/11/2024 10:01AM



Males:
-dysuria
-urethral discharge


Chlamydia- exam findings - answers✔✔Females:
-mucopurulent cervical discharge (yellow or green)
-endocervical friability
-cervical inflammation


Males:
-mucoid to purulent urethral discharge


Chlamydia- diagnostic tests - answers✔✔-Nucleic acid amplification test (NAAT)



Chlamydia- treatment - answers✔✔**Azithromycin 1 gm PO**
-OR-
-Doxycycline 100 mg PO BID for 7 days


Chlamydia- complications - answers✔✔-PID
-Infertility
-Ectopic pregnancy


Gonorrhea- symptoms - answers✔✔Females:
-vaginal discharge
-dysuria
-PID symptoms


Males:

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