Community Health Nursing - Exam 2 questions and answers
LATEST UPDATE 2026 RATED A+
STDs - Bacterial:
Gonorrhea
Syphillis
Chlamydia
Viral:
HSV 2
HPV
HIV
Hep A and B
no cure for viral STDs...chronic...prevention is key!
STDs can lead to cervical cancer, poor pregnancy, etc.
One STD increases susceptibility/chance of getting another (b/c sores/rashes allow
easy entry for other pathogens; also people who participate in high risk behaviors)
Gonorrhea - Symptoms in men: no symptoms, purulent & copious urethral
drainage, dysuria
Symptoms in women: no symptoms, pelvic inflammatory disease (PID)
,Community Health Nursing - Exam 2 questions and answers
LATEST UPDATE 2026 RATED A+
Complications: salpingitis, epididymitis, systemic gonococcal infection, gonococcal
meningitis
Can be transmitted from mom to baby during vaginal birth.
Should be annual screenings for sexually active women <25 (otherwise they may
not know until they get PID), and men who have sex with men.
There's been an increase in multi-drug resistance gonorrhea.
Syphilis - "the great imitator"
can also get infected by mucous membranes, via hair follicles, through direct
contact with syphilis sore, or sex (all types)
tx: penicillin
Primary syphilis: chancre at site of entry; one or more open sores, last 3-6
months; can be transmitted during pregnancy
Secondary syphilis: enters lymph system and spreads; localized lesions, can have
pustules; hair loss; primary ulcerative lesion might still be present; skin rash on
hands and feet
,Community Health Nursing - Exam 2 questions and answers
LATEST UPDATE 2026 RATED A+
Tertiary syphilis: blindness, congenital damage, cardiovascular damage, syphilitic
psychoses; bacteria spreads further in body, goes undiagnosed; occurs within 12
months or more; can be latent...1-20 years later.
Chlamydia - -most common STD
-"the silent disease" because most people have no symptoms
-transmitted by sex, or mom to baby through vaginal birth
-treated by antibiotics
Symptoms in women: Dysuria, urinary frequency, Purulent vaginal discharge
Symptoms in men: Nongonococcal urethritis (NGU), Dysuria
Urethral discharge
Complications: Epididymitis, PID, Ectopic pregnancy, Infertility, Neonatal
complications
Herpes Simplex Virus 2 (genital herpes) - viral --> no cure
-HSV-2
-on genitals, upper thighs, buttocks
, Community Health Nursing - Exam 2 questions and answers
LATEST UPDATE 2026 RATED A+
-teach condom use, prevention of skin-to-skin contact
-symptoms: painful lesions lasting up to 2 weeks
-if asymptomatic, can still transmit
-pregnancy - if active lesion, should deliver by c-section
Human papilloma virus (HPV) - genital warts - -different types of HPV:
genital warts (low risk)
abnormal pap smear...cervical cancer
oropharyngeal cancer
-vaccine: Guardasil (2 shots)
-vaccinate girls 11 to 21, boys 9-26 (b/c they can carry it and oropharyngeal.
cancer affects mostly boys)
-there aren't enough people vaccinated for herd immunity, low vaccine rate...tell
parents it decreases kid's risk of cancer
Hepatitis B Virus (HBV) - -transmission: blood and body fluids
-highest prevalence: infection drug users, persons with STDs, multiple sex
partners, immigrants & refugees, health care workers, hemodialysis patients,
inmates
-virus can survive on a surface for at least a week at room temp.
LATEST UPDATE 2026 RATED A+
STDs - Bacterial:
Gonorrhea
Syphillis
Chlamydia
Viral:
HSV 2
HPV
HIV
Hep A and B
no cure for viral STDs...chronic...prevention is key!
STDs can lead to cervical cancer, poor pregnancy, etc.
One STD increases susceptibility/chance of getting another (b/c sores/rashes allow
easy entry for other pathogens; also people who participate in high risk behaviors)
Gonorrhea - Symptoms in men: no symptoms, purulent & copious urethral
drainage, dysuria
Symptoms in women: no symptoms, pelvic inflammatory disease (PID)
,Community Health Nursing - Exam 2 questions and answers
LATEST UPDATE 2026 RATED A+
Complications: salpingitis, epididymitis, systemic gonococcal infection, gonococcal
meningitis
Can be transmitted from mom to baby during vaginal birth.
Should be annual screenings for sexually active women <25 (otherwise they may
not know until they get PID), and men who have sex with men.
There's been an increase in multi-drug resistance gonorrhea.
Syphilis - "the great imitator"
can also get infected by mucous membranes, via hair follicles, through direct
contact with syphilis sore, or sex (all types)
tx: penicillin
Primary syphilis: chancre at site of entry; one or more open sores, last 3-6
months; can be transmitted during pregnancy
Secondary syphilis: enters lymph system and spreads; localized lesions, can have
pustules; hair loss; primary ulcerative lesion might still be present; skin rash on
hands and feet
,Community Health Nursing - Exam 2 questions and answers
LATEST UPDATE 2026 RATED A+
Tertiary syphilis: blindness, congenital damage, cardiovascular damage, syphilitic
psychoses; bacteria spreads further in body, goes undiagnosed; occurs within 12
months or more; can be latent...1-20 years later.
Chlamydia - -most common STD
-"the silent disease" because most people have no symptoms
-transmitted by sex, or mom to baby through vaginal birth
-treated by antibiotics
Symptoms in women: Dysuria, urinary frequency, Purulent vaginal discharge
Symptoms in men: Nongonococcal urethritis (NGU), Dysuria
Urethral discharge
Complications: Epididymitis, PID, Ectopic pregnancy, Infertility, Neonatal
complications
Herpes Simplex Virus 2 (genital herpes) - viral --> no cure
-HSV-2
-on genitals, upper thighs, buttocks
, Community Health Nursing - Exam 2 questions and answers
LATEST UPDATE 2026 RATED A+
-teach condom use, prevention of skin-to-skin contact
-symptoms: painful lesions lasting up to 2 weeks
-if asymptomatic, can still transmit
-pregnancy - if active lesion, should deliver by c-section
Human papilloma virus (HPV) - genital warts - -different types of HPV:
genital warts (low risk)
abnormal pap smear...cervical cancer
oropharyngeal cancer
-vaccine: Guardasil (2 shots)
-vaccinate girls 11 to 21, boys 9-26 (b/c they can carry it and oropharyngeal.
cancer affects mostly boys)
-there aren't enough people vaccinated for herd immunity, low vaccine rate...tell
parents it decreases kid's risk of cancer
Hepatitis B Virus (HBV) - -transmission: blood and body fluids
-highest prevalence: infection drug users, persons with STDs, multiple sex
partners, immigrants & refugees, health care workers, hemodialysis patients,
inmates
-virus can survive on a surface for at least a week at room temp.