NSG 504 Exam 3 Complete Questions
with Detailed Correct Answers
1. What is Asherman syndrome? - ANSWER Intrauterine scarring or
adhesions
2. What is a varicocele? - ANSWER swelling of veins that drain the testicles
3. What is the most important factor in female fertility? - ANSWER age
4. What are the basic evaluations for infertility for males? - ANSWER labs
genetic screening
semen analysis
5. What are the basic evaluations for infertility for females? - ANSWER labs
P4 for ovulation
US for antrafollicule count (10-20 normal)
SIS or HSG to clean tubes
genetic testing
6. What are the complex evaluations for infertility for males? - ANSWER
testicular sperm extraction
,7. What are the complex evaluations for infertility for females? - ANSWER
endometrial biopsy (assess for endometritis)
endometrial receptivity testing (mock cycle
8. If a pregnant mother has gonorrhea, what other STI should they evaluate
for? - ANSWER chlamydia
9. What is the treatment for syphilis? - ANSWER primary & secondary:
Benzathine penicillin G 2.4 million units IM in a single dose
latent/tertiary: Benzathine penicillin G; 3 doses of 2.4 million units IM each at
1-week intervals
10.What happens if the patient has syphilis and they have a penicillin allergy? -
ANSWER -pregnant women must be desensitized
they will receive doxycycline, azithromycin, or tetracycline
11.What are the perinatal impacts of syphilis? - ANSWER *DOES cross
placenta*
-SAB, IUFD, preterm labor
-congenital syphilis (fever, irritability, saddle nose, Hutchinson's teeth)
12.What is the perinatal treatment for syphilis? - ANSWER Aqueous
crystalline penicillin G IV every 12 hours during the first 7 days of life and
Q8 hours after for a total of 10 days
OR
Procaine penicillin G IM in a single dose for 10 days
,13.What is the treatment for pelvic inflammatory disease? - ANSWER
*parental tmt*
- Cefotetan 2 gIV OR
Cefoxitin IV 2g + Doxycyline 100 mg po or IV
*oral tmt*
- Ceftriaxone + 250 mg IM + Doxycycline 100 mg w/ or w/o
Metronidazole 500 mg BID x 14 days
14.What are some possible mechanisms/manifestations from congenital
infections in-utero to infants? - ANSWER trans-placental IUGR, LBW,
congenital malformations, fetal loss, stillbirths
15.What are some examples of organisms for congenital infections? -
ANSWER toxoplasma gondii
VZV
Neisseria gonorrhoeae
CMV
HSV
Treponema pallidum (syphilis)
HIV
Zika virus
16.What are some possible mechanisms/manifestations from perinatal
infections during labor and delivery to infants? - ANSWER exposure to
ano-genital secretions & blood, meningitis, septicemia, pneumonia, PTL
, 17.What are some examples of organisms for perinatal infections? - ANSWER
neisseria gonorrhoeae
chlamydia trachomatis
HSV
GBS
E. coli
Listeria monocytogenes
18.What are some possible mechanisms/manifestations from postnatal/neontal
infections after birth to infants? - ANSWER direct contact, breastfeeding,
nosocomial exposure, meningitis, septicemia, conjunctivitis, pneumonitis
19.What happens when a women has a cystocele? - ANSWER -bulging in the
anterior part of vagina
difficulty urinating
appears as a rugated vagina
20.What happens when a women has a retocele? - ANSWER -bulging in
posterior part of vagina
difficulty having a BM
feels like something is in vagina
21.For fibroids, explain what they are and s/s. When do they appear? -
ANSWER -leading indicator for hysterectomy
-heavy menstrual bleeding
-during childbearing years
with Detailed Correct Answers
1. What is Asherman syndrome? - ANSWER Intrauterine scarring or
adhesions
2. What is a varicocele? - ANSWER swelling of veins that drain the testicles
3. What is the most important factor in female fertility? - ANSWER age
4. What are the basic evaluations for infertility for males? - ANSWER labs
genetic screening
semen analysis
5. What are the basic evaluations for infertility for females? - ANSWER labs
P4 for ovulation
US for antrafollicule count (10-20 normal)
SIS or HSG to clean tubes
genetic testing
6. What are the complex evaluations for infertility for males? - ANSWER
testicular sperm extraction
,7. What are the complex evaluations for infertility for females? - ANSWER
endometrial biopsy (assess for endometritis)
endometrial receptivity testing (mock cycle
8. If a pregnant mother has gonorrhea, what other STI should they evaluate
for? - ANSWER chlamydia
9. What is the treatment for syphilis? - ANSWER primary & secondary:
Benzathine penicillin G 2.4 million units IM in a single dose
latent/tertiary: Benzathine penicillin G; 3 doses of 2.4 million units IM each at
1-week intervals
10.What happens if the patient has syphilis and they have a penicillin allergy? -
ANSWER -pregnant women must be desensitized
they will receive doxycycline, azithromycin, or tetracycline
11.What are the perinatal impacts of syphilis? - ANSWER *DOES cross
placenta*
-SAB, IUFD, preterm labor
-congenital syphilis (fever, irritability, saddle nose, Hutchinson's teeth)
12.What is the perinatal treatment for syphilis? - ANSWER Aqueous
crystalline penicillin G IV every 12 hours during the first 7 days of life and
Q8 hours after for a total of 10 days
OR
Procaine penicillin G IM in a single dose for 10 days
,13.What is the treatment for pelvic inflammatory disease? - ANSWER
*parental tmt*
- Cefotetan 2 gIV OR
Cefoxitin IV 2g + Doxycyline 100 mg po or IV
*oral tmt*
- Ceftriaxone + 250 mg IM + Doxycycline 100 mg w/ or w/o
Metronidazole 500 mg BID x 14 days
14.What are some possible mechanisms/manifestations from congenital
infections in-utero to infants? - ANSWER trans-placental IUGR, LBW,
congenital malformations, fetal loss, stillbirths
15.What are some examples of organisms for congenital infections? -
ANSWER toxoplasma gondii
VZV
Neisseria gonorrhoeae
CMV
HSV
Treponema pallidum (syphilis)
HIV
Zika virus
16.What are some possible mechanisms/manifestations from perinatal
infections during labor and delivery to infants? - ANSWER exposure to
ano-genital secretions & blood, meningitis, septicemia, pneumonia, PTL
, 17.What are some examples of organisms for perinatal infections? - ANSWER
neisseria gonorrhoeae
chlamydia trachomatis
HSV
GBS
E. coli
Listeria monocytogenes
18.What are some possible mechanisms/manifestations from postnatal/neontal
infections after birth to infants? - ANSWER direct contact, breastfeeding,
nosocomial exposure, meningitis, septicemia, conjunctivitis, pneumonitis
19.What happens when a women has a cystocele? - ANSWER -bulging in the
anterior part of vagina
difficulty urinating
appears as a rugated vagina
20.What happens when a women has a retocele? - ANSWER -bulging in
posterior part of vagina
difficulty having a BM
feels like something is in vagina
21.For fibroids, explain what they are and s/s. When do they appear? -
ANSWER -leading indicator for hysterectomy
-heavy menstrual bleeding
-during childbearing years
