1. Hot flashes that occur during peri menopause are thought to be related
to
*Answer√√ fluctuating estrogen level
2. Which of the following physical exam findings in a 65 year old woman
warrant further evaluation
*Answer√√ Inverted nipple
3. Which of the following is not representative of the presentation of primary
syphillis
*Answer√√ flu like symptoms
4. A patient diagnosed with trichomoniasis is being treated with metronida-
zole. When teaching the patient about this medication, which of the following
will the nurse practitioner include
*Answer√√ do not consume alcohol (reduce possibility of a disulfiram like reaction)
5. The recommended time to initiate screening for cervical cancer in women
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,is
*Answer√√ 21 years old
6. The NP recognizes the following assessment findings as being consistent
with Chalmydia (select all that apply)
*Answer√√ Vaginal discharge
Cervical changes
7. The NP is treating a 35 year old patient for primary herpes infection. The first
line treatment option for primary herpes infection include
A. Acyclovir 400mg TID for 7-10 days
B. Valacyclovir 1g daily for 3 days
C. Famciclovir 250mg BID for5 days
D. No treatment needed
*Answer√√ A. Acyclovir 400mg TID 7-10 days (genital herpes)
8. The NP examines a patient with complaints of foul smelling, frothy, copious
and pale yellow to gray green vaginal discharge On exam, vulvogaginal irrita-
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, tion and cervical petechiae is noted. Based on this the most likely tx includes
A. Fluconazole
B. Metronidazole
C. Clindamycin
D. Azithromycin
*Answer√√ B. Metronidazole
these findings are consistent with trichomoniasis, metronidazole is the first line tx of choice for protozoal infection
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