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NURS 620 Exam 4 – Questions & Answers - Maryville
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NURS 620 Exam 4 – Questions & Answers - Maryville23-year-old, sexually active female who presents for her first pap smear. Her
history includes no pregnancies. Her first intercourse was at age 14 and has
had at least 10 sexual partners if not 12 partners since. Which conditions do
you want to be alert for during her exam? Right Ans - HPV
20-year-old, sexually active female seen in the clinic because her boyfriend
was diagnosed with gonorrhea. What is the treatment of choice for
gonorrhea? Right Ans - ceftriaxone
A 24-year-old female with complaints of dysuria, pain with sex, and
mucopurulent vaginal discharge. Her boyfriend was recently treated for
nongonococcal urethritis. What STIs has she most likely been exposed to?
Right Ans - Chlamydia
45-year-old women with complaints of vaginal discharge. You identify clue
cells on the vaginal smear. What diagnosis? Right Ans - BV
Which of the following medications is the treatment of choice for Trich?
Right Ans - Flagyl
A 26-year-old woman presents with complaints of irregular vaginal bleeding.
Which of the following tests should be the first priority. Right Ans -
pregnancy test
A 36-year-old woman with complaints of vaginal itching, burning, and
discharge. On the wet mount, you notice hyphae. Which treatment would be
appropriate? Right Ans - fluconazole
21-year-old woman requesting birth control pills. Which of the following tests
would be essential before prescribing any oral contraceptives? Right Ans -
HCG
A 40-year-old woman who sees you yearly for exams. She is single and not in a
monogamous relationship. She smokes occasional and drinks 2 beers a day.
Her BMI is 25. She is requesting birth control. Which is appropriate for her?
Right Ans - IUD
, What is the most common cause of secondary amenorrhea? Right Ans -
Pregnancy
A 22-year-old woman diagnosed with PMS. Which of the following lifestyle
changes to minimize symptoms? Right Ans - getting regular exercise
A 25-year-old woman complaining of painful menstruation. Which pelvic
pathology is the most common cause of dysmenorrhea? Right Ans -
endometriosis
A male patient comes in with complaints of painful penile lesions. Small fluid-
filled vesicles that are painful to the touch. Which treatment would you give?
Right Ans - acyclovir
What is the most common serious gynecological complication in women?
Right Ans - PID
When providing education to a woman about the use of Plan B, the NP knows
to tell the patient that the latest it can be used after intercourse and be
effective is? Right Ans - 72 hours
Male patient presents with painful lesions on the penis. They are small fluid-
filled vesicles clustered to the shaft of his penis. What is the diagnosis?
Right Ans - Herpes
Which medication would the NP prescribe for a patient diagnosed with
primary syphilis who has no known drug allergies? Right Ans - penicillin G
What age should a woman receive her first pap smear regardless of sexual
activity? Right Ans - 21
A 24-year-old female comes in with complaints of dysuria, pain with sex, and
mucopurulent vaginal discharge. Her boyfriend was recently treated for
nongonococcal urethritis. What medication would you treat her with?
Right Ans - azithromycin
A 45-year-old woman with complaints of vaginal discharge. On the wet mount,
you notice clue cells. What medications would you use to treat this patient?
Right Ans - flagyl
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