Maryville NURS 620 Exam 4 Questions and Answers Graded A

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23-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 par... tners since. Which conditions do you want to be alert for during her exam? - ANSWER 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? - ANSWER 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? - ANSWER Chlamydia 45-year-old women with complaints of vaginal discharge. You identify clue cells on the vaginal smear. What diagnosis? - ANSWER BV Which of the following medications is the treatment of choice for Trich? - ANSWER Flagyl A 26-year-old woman presents with complaints of irregular vaginal bleeding. Which of the following tests should be the first priority. - ANSWER 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? - ANSWER fluconazole 21-year-old woman requesting birth control pills. Which of the following tests would be essential before prescribing any oral contraceptives? - ANSWER 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? - ANSWER IUD What is the most common cause of secondary amenorrhea? - ANSWER Pregnancy A 22-year-old woman diagnosed with PMS. Which of the following lifestyle changes to minimize symptoms? - ANSWER getting regular exercise A 25-year-old woman complaining of painful menstruation. Which pelvic pathology is the most common cause of dysmenorrhea? - ANSWER 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? - ANSWER acyclovir What is the most common serious gynecological complication in women? - ANSWER 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? - ANSWER 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? - ANSWER Herpes Which medication would the NP prescribe for a patient diagnosed with primary syphilis who has no known drug allergies? - ANSWER penicillin G What age should a woman receive her first pap smear regardless of sexual activity? - ANSWER 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? - ANSWER 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? - ANSWER flagyl A 36-year-old woman with vaginal itching, burning, and discharge. On the wet mount, you notice hyphae. Based on clinical symptoms and findings what diagnosis do you suspect? - ANSWER candida A 25-year-old female with complaints of no menstrual cycle for 6 months. What test would be appropriate to order? - ANSWER prolactin Which of the following is contraindicated to estrogen-containing contraceptive methods - ANSWER factor 5 Leiden mutation You are counseling a patient on oral combination contraceptive treatment. She wants to know what to do if she misses a pill. - ANSWER take last missed pill along with today's pill In providing contraceptive counseling to a patient on Dilantin for a seizure disorder. Which contraceptive would you recommend? - ANSWER Depo provera Which of the following is a common side effect reported after one year use of depo? - ANSWER weight gain With a hormonal IUD, which of the following is commonly reported by patients? - ANSWER reduction in menstrual flow A patient wants to become pregnant and wants to stop oral combination contraceptives. When is it safe for her to try and conceive? - ANSWER Immediately Perimenopause in women usually starts between what ages? - ANSWER 40-45 When checking hormone levels in a 42-year-old woman who reports hot flashes and no menstrual cycle for 6 months. What would you expect to find? - ANSWER increased LH A patient has a 101.5F, abdominal pain and vaginal discharge for 3 days. Which medication would you likely prescribe? (PID) - ANSWER ceftriaxone with doxycycline IV drug user presents for routine blood tests. Her HIV blood test is negative today. What would you advise her to do? - ANSWER repeat in one year A nurse presents after an accidental needle stick. Her HIV test is negative today. What would you counsel her to do? - ANSWER repeat in 2 months A 33-year-old woman who had a negative pap smear last week, with two prior negative paps. When would you have her return for a pap? - ANSWER 5 yrs Risk factors for HPV? - ANSWER intercourse at an early age & multiple sex partners A woman presents to discuss contraceptive options. She is breast feeding on demand. She wishes to continue. What is the most appropriate contraceptive for her to use? - ANSWER progesterone only oral contraceptive What are some of the consequences of chlamydia/gonorrhea? - ANSWER PID, infertility, ectopic pregnancy [Show More]

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