CMN 572 UNIT 1 TRAINING COURSES QUESTIONS AND ANSWERS
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Course
CMN 572
Institution
CMN 572
CMN 572 UNIT 1 TRAINING COURSES QUESTIONS AND ANSWERS
What are the 2 types of tests used to detect syphillis? - Answer-treponemal and nontreponemal
What is the primary tx of choice for primary, secondary, and early latent syphillis? What can be used for pcn allergic patients? - Answer-Benzathi...
CMN 572 UNIT 1 TRAINING
COURSES QUESTIONS
AND ANSWERS
What are the 2 types of tests used to detect syphillis? - Answer-treponemal and
nontreponemal
What is the primary tx of choice for primary, secondary, and early latent syphillis? What
can be used for pcn allergic patients? - Answer-Benzathine PCN 2.4 mill units x 1 IM
For pcn allergic patient use tetracycline and doxycycline
What type of reaction should patients be warned about when tx syphillis with pcn? -
Answer-Jarisch-herxheimer (Fever, malaise, nausea/vomiting; may be associated with
chills and exacerbation of secondary rash)
Don't confuse with pcn allergy
All patients who have syphillis should be tested for what? - Answer-HIV
When should sex partners of patients with syphillis be treated? - Answer-If sexual
contact within 90 days
When should women be screened for syphillis? - Answer-at first prenatal visit. In high
prevalence areas screen twice at during the third trimester, at 28 weeks and at delivery
Any woman who delivers a stillborn after 20 weeks should be screened for what? -
Answer-syphillis
What test can be used to detect changes of the cervix when cancer or precancerous
changes of the cervix or vaginal mucosa are suspected? - Answer-Schiller test
HSV is usually diagnosed by what test? - Answer-PCR
Chlamydia and gonorrhea is usually diagnosed by what test? - Answer-NAAT
What criteria must be present to diagnose PMS? - Answer-Must occur in the second
half of the menstrual cycle (luteal phase), must be a symptom-free period of at least 7
days in the first half of the cycle, must occur in 2 consecutive cycles
, What treatments may be recommended that could help some women with pms? -
Answer-limit caffeine, alcohol, tobacco, and chocolate. Eat small frequent meals high in
complex carbs. Decrease sodium intake
What medications may help with severe pms? - Answer-SSRIs such as sertraline and
fluoxetine or oral contraceptives
Describe the pain associated with endometriosis? - Answer-usually begins 1-2 weeks
before menses, peaks 1-2 days before start, and is relieved at onset
What is the diagnostic gold standard used in evaluating the pathology in the uterine
cavity? - Answer-hysteroscopy
What is the most common nonneoplastic epithelial vulvar disorder? - Answer-Lichen
sclerosus
What are the s/s of lechen sclerosus and whom does it usually affect? - Answer-intense
pruritis resulting in erosions, fissures, subepithelial hemorhages from scratching; the
vulvar skin is thin, wrinkled, white, with areas of thickened skin. Usually occurs in
women over 60
What is required in the diagnosing of lechen sclerosus? - Answer-biopsy
What general measures of hygiene should patients with lechen sclerosus be instructed
to perform? - Answer-avoid tight undergarments, cleanse daily with mild soap, and dry
the vulvar skin with a hair dryer
What cream can be given to aid in symptom management of lechen sclerosus? -
Answer-clobetasole
A primary HSV outbreak is usually preceded by what? - Answer-a prodrome of burning,
itching, and flu-like symptoms lasting 2-4 weeks
What is the gold standard for diagnosing HSV? - Answer-viral culture
When does the most frequent shedding occur with HSV? - Answer-during the year after
the first episode
What is the most frequent cause of a vulvar ulcer? - Answer-HSV
What oral tx regimen is given for primary outbreak of HSV? - Answer-Acyclovir or
Famciclovir
What oral tx regimen is given for recurrent HSV outbreaks? - Answer-Acyclovir
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