Nursing 6430 Week 9 Comprehensive Questions and Answers. Graded A+

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A fifty-two-year-old female patient comes in for her annual well-woman examination. Her LMP was fourteen months ago without any breakthrough bleeding. She has also developed some hirsutism. You would ... document this as . Question 1 options: secondary amenorrhea menopause perimenopause polycystic ovary syndrome (PCOS) Save Question 2 (2 points) A 24 year-old female presents to the office with a complaint of vaginal itching in addition to thick mucoid discharge. She also has some mild urinary discomfort. A wet mount preparation using potassium hydroxide (KOH) reveals a negative whiff test and no clue cells. There were no trichomonads visualized but the WBCs were too numerous to count. Which of the following would be the most likely diagnosis in this patient? Question 2 options: Bacterial vaginosis Trichomoniasis Chlamydia Cystitis Save Question 3 (2 points) Nakia is a 65 year-old obese female with type II diabetes mellitus. She presents to your office with a complaint of vaginal itching and burning for two weeks now. She has not been sexually active for five years since her partner died of heart failure. She has tried douching and OTC Vagisil cream with no relief. On physical examination, the vulva is deep red with some thick white discharge. Which of the following conditions would be the most likely cause of her symptoms? Question 3 options: Trichomoniasis Lichen simplex Atrophic vaginitis Candidiasis Save Question 4 (2 points) The nurse practitioner is caring for a 42 year-old patient who had a total hysterectomy due to multiple uterine fibroids and is now experiencing severe vasomotor symptoms. Which of the following hormone replacement options should be considered for this patient? Question 4 options: Estrogen alone Estrogen and progesterone Progesterone and testosterone Testosterone alone Save Question 5 (2 points) A patient has been diagnosed with trichomoniasis. Which of the following treatment options would be appropriate? Question 5 options: Doxycycline 100 mg i po BID x 7 days Azithromycin 1 gm po x 1 dose Metrogel .75% vaginal gel, i applicator vaginally BID x 5 days Metronidazole 500 mg i po BID x 7 days Save Question 6 (2 points) The nurse practitioner is teaching a community class on HIV. Topics of discussion include routes of transmission, risk factors, and testing. Which of the following statements by the nurse practitioner is/are true? Select all that apply: Question 6 options: HIV is transmitted by kissing HIV is not transmitted through oral sex The Western blot is a confirmatory test for HIV Maternal transmission of HIV may be reduced with planned cesarean birth Save Question 7 (2 points) The nurse practitioner understands that non-pharmacologic treatments for urinary incontinence include: Select all that apply. Question 7 options: Kegel exercises Oxybutynin (Ditropan) Weight loss if obese Pessaries Save Question 8 (2 points) Anticholinergic medications are a type of treatment for which type of urinary incontinence? * Question 8 options: Urge incontinence Stress incontinence Vulvodynia Urethritis Save Question 9 (2 points) You are at the office and a thirty-year-old woman presents with an abrupt onset of pain when attempting to urinate, frequency, urgency, and she thinks she may have seen some blood as well. You take her history and she tells you she had sex three days ago with her long-term significant other, but she realized she left her diaphragm in until today when these symptoms occurred. Her BP is unremarkable, pulse is 90, temperature is 99.8, no costovertebral angle tenderness (CVAT), and she is experiencing slight suprapubic discomfort. You review her urine dip and you note 2+ blood, +nitrates, +leukocyte esterase. You send the urine for culture and sensitivity but your management plan is: Question 9 options: Await the urine culture and sensitivity results before treatin Advise her to drink cranberry juice and you will give her a pain medication. Treat now for a UTI while culture results are pending; screen for STIs if applicable. Refer to a urologist Save Question 10 (2 points) A woman comes to the clinic with the chief complaint of involuntary leakage of urine. The nurse practitioner understands that which of the following is not associated with an increased incidence of urinary incontinence? Question 10 options: Obesity Pregnancy Vaginal delivery Cesarean section Save Question 11 (2 points) The most common cause of chronic pelvic pain for women in the prime of their reproductive years is: Question 11 options: PID Fibroids Endometriosis Endometritis Save Question 12 (2 points) A definitive diagnosis of endometriosis cannot be made until which of these is completed? Question 12 options: CT scan Transvaginal ultrasound Exploratory laparoscopy MRI Save Question 13 (2 points) A patient has been diagnosed with Chlamydia. Which of the following single dose medications would be the best option? Question 13 options: Azithromycin 1 g Rocephin 250 mg Doxycycline 500 mg Metronidazole 2 g Save Question 14 (2 points) Cynthia, a 42-year-old female, presents with a painless, indurated ulcer on her labia. An inspection of her body reveals no other lesions, and she cannot recall any recent illness. You prescribe the patient benzathine intramuscularly in a single dose. What stage of syphilis are you most likely treating? Question 14 options: Primary Secondary Latent Tertiary Save Question 15 (2 points) The National Osteoporosis Foundation recognizes which of the following risk factors for osteoporosis as modifiable? Select all that apply. Question 15 options: Advanced age Caucasian Race Cigarette Smoking Corticosteroid Use https://www.coursehero.com/file/p3kdfjt0/Risk-screening-Immunizations-Medication-management- Points-Received-0-of-4/ Week 9 quiz: I got a 28/30, which is 93%. I didn’t figure out which one I got wrong as I was just trying to remember these questions. 1. Female with one solitary, nonpainful lesion on labia. syphilis treated with benzathine IM x1. Which stage are you treating? -primary 2. female with retained diaphragm w fever and s/s of UTI. UA with positive nitrates, blood, and leukocyte. Culture sent to lab. What do you do? -Treat for UTI 3. Female with LMP 14 months ago. Now s/s of hirsutism. What is your dx? -menopause 4. Obese female with hx of DM x2 has complaints of vaginal discharge and itching. What is likely dx? -candidiasis 5. Teaching class about HIV. What is true? Select all: (it’s the last 2 answers) -can be spread by kissing - can’t be spread through oral sex (not 100% this is the option) - -can decrease spread to baby with planned C-section 6. Which type of incontinence does anticholinergics tx? -stress -URGE -this is the right answer 7. Which are associated with increased risk of incontinence? (select all)- it’s the first 3 answers -obesity -pregnancy -vaginal birth -c-section 8. Which are considered modifiable risk factors for osteoporosis? (select all) it is the last 2 answers -advanced age - caucasian -smoking/tobacco use -corticosteroid use 9. Trichomoniasis. What is tx? -metronidazole PO BID x7 days 10. Tx for chlamydia -azithromycin 11. Female with thick mucoid vaginal discharge. KOH with neg whiff test, no clue cells, only increased WBC noted. What is likely dx? -chlamydia 12. Osteoporosis?? 13. Most common cause of chronic pelvic pain? -endometriosis 14. Definitive diagnosis for endometriosis? -laparoscopy 15. Female with history of hysterectomy is now experiencing vasomotor symptoms. What type of hormone replacement do you consider? -estrogen only [Show More]

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