MDC III Exam 1 | Newest Questions and
Answers | 2026 Update | Expert Verified
• C. Syphilis . CORRECT ANSWER: A 20-year-old sexually active male reports
symptoms of a low-grade fever, headache, malaise, muscular aches, sore throat,
and a rash on his hands and feet. What condition does the nurse anticipate?
A. HIV
B. HPV
C. Syphilis
D. Gonorrhea
• Primary syphilis . CORRECT ANSWER: Which stage of syphilis is this?
▪ Ulcer called chancre develop at the site of entry and can occur anywhere.
▪ Highly infectious stage, begins as a small papule, then breaks down to a painless,
indurated, smooth weeping lesion
• Secondary syphilis . CORRECT ANSWER: Which stage of syphilis is this?
▪ Develops 6 weeks to 6 months, becomes systemic circulating in the blood.
▪ Commonly mistaken for the flu. Rash appears on the palmar surfaces of hands
and feet. Patchy alopecia
• ▪ Penicillin G
▪ What do you ask before giving? "Do you have any allergies?" . CORRECT
ANSWER: Treatment: *Syphilis*
,• Azithromycin single dose 1 g IM . CORRECT ANSWER: Treatment:
*Chlamydia*
• ▪ *Abstinence* (7 days) until treatment is completed
▪ *Expedited Partner Therapy (EPT)* - Educate the patient on the importance of
contacting their sexual partners to enable them to seek testing and possible
treatment. . CORRECT ANSWER: Patient Education: *Chlamydia*
• • Wear cotton underwear.
• Always wipe front to back after having a bowel movement or urinating.
• Do not douche or use feminine hygiene sprays.
• Do not use scented products.
• Use ice packs to help inflammation . CORRECT ANSWER: Prevention:
*Vulvovaginitis*
• ▪ iron levels
▪ CBC (H&H)
▪ hormone levels
▪ low blood pressure
S/S:
▪ dizziness
▪ weakness
▪ fatigue
▪ SOB . CORRECT ANSWER: Patient has heavy vaginal bleeding - What are you
checking and what manifestations do you expect?
, • ▪ Kegel exercises
▪ Bladder training
▪ No drinking after 5pm or 6pm
▪ Avoid foods or drinks with caffeine
▪ Skin care
▪ Proper hygiene . CORRECT ANSWER: Patient Education: *Urinary
Incontinence*
• ▪ distended bladder
▪ visible mass above the symphysis pubis
▪ **difficulty initiating urination**
▪ decreased urine stream
▪ diminished force of urinary stream
▪ urinary hesitancy
▪ urinary frequency
▪ urinary urgency
▪ urinary retention
▪ incontinence
▪ incomplete emptying of the bladder
▪ **dribbling post-voiding**
▪ nocturia
▪ hematuria
▪ straining with urination
▪ obstruction of urine flow
Answers | 2026 Update | Expert Verified
• C. Syphilis . CORRECT ANSWER: A 20-year-old sexually active male reports
symptoms of a low-grade fever, headache, malaise, muscular aches, sore throat,
and a rash on his hands and feet. What condition does the nurse anticipate?
A. HIV
B. HPV
C. Syphilis
D. Gonorrhea
• Primary syphilis . CORRECT ANSWER: Which stage of syphilis is this?
▪ Ulcer called chancre develop at the site of entry and can occur anywhere.
▪ Highly infectious stage, begins as a small papule, then breaks down to a painless,
indurated, smooth weeping lesion
• Secondary syphilis . CORRECT ANSWER: Which stage of syphilis is this?
▪ Develops 6 weeks to 6 months, becomes systemic circulating in the blood.
▪ Commonly mistaken for the flu. Rash appears on the palmar surfaces of hands
and feet. Patchy alopecia
• ▪ Penicillin G
▪ What do you ask before giving? "Do you have any allergies?" . CORRECT
ANSWER: Treatment: *Syphilis*
,• Azithromycin single dose 1 g IM . CORRECT ANSWER: Treatment:
*Chlamydia*
• ▪ *Abstinence* (7 days) until treatment is completed
▪ *Expedited Partner Therapy (EPT)* - Educate the patient on the importance of
contacting their sexual partners to enable them to seek testing and possible
treatment. . CORRECT ANSWER: Patient Education: *Chlamydia*
• • Wear cotton underwear.
• Always wipe front to back after having a bowel movement or urinating.
• Do not douche or use feminine hygiene sprays.
• Do not use scented products.
• Use ice packs to help inflammation . CORRECT ANSWER: Prevention:
*Vulvovaginitis*
• ▪ iron levels
▪ CBC (H&H)
▪ hormone levels
▪ low blood pressure
S/S:
▪ dizziness
▪ weakness
▪ fatigue
▪ SOB . CORRECT ANSWER: Patient has heavy vaginal bleeding - What are you
checking and what manifestations do you expect?
, • ▪ Kegel exercises
▪ Bladder training
▪ No drinking after 5pm or 6pm
▪ Avoid foods or drinks with caffeine
▪ Skin care
▪ Proper hygiene . CORRECT ANSWER: Patient Education: *Urinary
Incontinence*
• ▪ distended bladder
▪ visible mass above the symphysis pubis
▪ **difficulty initiating urination**
▪ decreased urine stream
▪ diminished force of urinary stream
▪ urinary hesitancy
▪ urinary frequency
▪ urinary urgency
▪ urinary retention
▪ incontinence
▪ incomplete emptying of the bladder
▪ **dribbling post-voiding**
▪ nocturia
▪ hematuria
▪ straining with urination
▪ obstruction of urine flow
