NURS 620 Maryville EXAM 3 QUESTIONS WELL ANSWERED GRADED A+
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What can a wet mount identify? presence of Gardnerella-clue cells, Trichomonas, or atrophic vaginitis. What is a KOH wet mount used to identify? for presence of Candida What is a gram ... stain used to test for? the presence of gonorrhea. What do you use a urinalysis for? to rule out UTI. What is the treatment for Chlamydia? azithromycin 1 g in a single dose or doxycycline 100 mg BID x 7 days. What is the treatment for Gonorrhea? ceftriaxone 250 mg IM x1, or cefixime 400 mg x1, or ciprofloxacin 500 mg x1 What is the treatment for genital herpes? suppressive: acyclovir 400 mg BID or valcyclovir 500 mg daily. episodic: acyclovir 400 mg TID x 5 days or valcyclovir 500 mg BID x 3 days What is the treatment of primary and secondary syphilis? Penicillin G- 2.4 million units IM or doxycycline 100 mg BID x 14 days (if PCN allergy). What is the treatment of tertiary syphilis? Penicillin G 7.2 million units total administered as 3 doses of 2.4 million units IM at 1 week intervals. What is the treatment for Trichomoniasis and bacterial vaginosis? metronidazole 500 mg PO 2 times daily for 7 days. What is the treatment for Candidiasis? vaginal creams ending in azole. Can also take fluconazole 150 mg PO x1 for uncomplicated and 150 mg every 72 hours x2 doses; or 150 mg weekly x 6 months. What are the S&S of Candidiasis? pruritus, dyspareunia, vulvar erythem and edema, thick whit floccular nonadherent vaginal discharge, pH < 4.5, no amine odor, KOH exam: pseudohyphae. What are the S&S of bacterial vaginosis caused by Gardnerella? malodorous, gray-yellow-green watery or thick adherent vaginal discharge. Burning with urination, no dyspareunia, pH > 4.5, amine odor present, KOH exam is positive, clue cells on microscopy. What are S&S of Trichomoniasis? homogeneous, malodorous purulent, green-yellow, thick, frothy vaginal discharge. Strawberry cervix, vulvovaginal erythem, itching, burning on urination, dyspareunia, pH is 5-6. Amine odor is absent, KOH exam is negative, there are motile trichomads. [Show More]
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