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NSG6020 Week 7 Questions and Answers with
Solutions UPDATED!!!
A 24-year-old travel agent comes to your clinic, complaining of
pain and swelling in her vulvar area. She states that 2 days
earlier she could feel a small tender spot on the left side of her
vagina but now it is larger and extremely tender. Her last period
was 1 year ago and she is sexually active. She uses the Depo-
Provera shot for contraception. She denies any nausea,
vomiting, constipation, diarrhea, pain with urination, or fever.
Her past medical history is
significant for ankle surgery. Her mother is healthy and her
father has type 2 diabetes. On examination she appears her
stated age and is standing up. She states she cannot sit down
without excruciating pain. Her blood pressure, temperature,
and pulse are unremarkable. On visualization of her perineum,
a large, red, tense swelling is seen to the left of her introitus.
Palpation of the mass causes a great deal of pain. What
disorder of the vulva is most likely - ANSWER Bartholin's gland
infection
A 48-year-old high school librarian comes to your clinic,
complaining of 1 week of heavy discharge causing severe
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itching. She is not presently sexually active and has had no
burning
with urination. The symptoms started several days after her last
period. She just finished a course of antibiotics for a sinus
infection. Her past medical history consists of type 2 diabetes
and high
blood pressure. She is widowed and has three children. She
denies tobacco, alcohol, or drug use. Her mother has high blood
pressure and her father died of diabetes complications. On
examination you see a healthy-appearing woman. Her blood
pressure is 130/80 and her pulse is 70. Her head, eyes, ears,
nose, throat, cardiac, lung, and abdominal examinations are
unremarkable. Palpation of the inguinal lymph nodes is
unremarkable. On visualization of the vulva, a thick, white,
curdy discharge is seen at the introitus. On speculum
examination ther - ANSWER Candida vaginitis
Which of the following represents metrorrhagia? - ANSWER
bleeding between periods
A 42-year-old realtor comes to your clinic, complaining of
"growths" in her vulvar area. She is currently undergoing a
divorce and is convinced she has a sexually transmitted disease.
NSG6020 Week 7 Questions and Answers with
Solutions UPDATED!!!
A 24-year-old travel agent comes to your clinic, complaining of
pain and swelling in her vulvar area. She states that 2 days
earlier she could feel a small tender spot on the left side of her
vagina but now it is larger and extremely tender. Her last period
was 1 year ago and she is sexually active. She uses the Depo-
Provera shot for contraception. She denies any nausea,
vomiting, constipation, diarrhea, pain with urination, or fever.
Her past medical history is
significant for ankle surgery. Her mother is healthy and her
father has type 2 diabetes. On examination she appears her
stated age and is standing up. She states she cannot sit down
without excruciating pain. Her blood pressure, temperature,
and pulse are unremarkable. On visualization of her perineum,
a large, red, tense swelling is seen to the left of her introitus.
Palpation of the mass causes a great deal of pain. What
disorder of the vulva is most likely - ANSWER Bartholin's gland
infection
A 48-year-old high school librarian comes to your clinic,
complaining of 1 week of heavy discharge causing severe
, Page |2
itching. She is not presently sexually active and has had no
burning
with urination. The symptoms started several days after her last
period. She just finished a course of antibiotics for a sinus
infection. Her past medical history consists of type 2 diabetes
and high
blood pressure. She is widowed and has three children. She
denies tobacco, alcohol, or drug use. Her mother has high blood
pressure and her father died of diabetes complications. On
examination you see a healthy-appearing woman. Her blood
pressure is 130/80 and her pulse is 70. Her head, eyes, ears,
nose, throat, cardiac, lung, and abdominal examinations are
unremarkable. Palpation of the inguinal lymph nodes is
unremarkable. On visualization of the vulva, a thick, white,
curdy discharge is seen at the introitus. On speculum
examination ther - ANSWER Candida vaginitis
Which of the following represents metrorrhagia? - ANSWER
bleeding between periods
A 42-year-old realtor comes to your clinic, complaining of
"growths" in her vulvar area. She is currently undergoing a
divorce and is convinced she has a sexually transmitted disease.
