WHNP STI's Exam Questions and Answers 100% Solved

WHNP STI's Exam Questions and Answers 100% Solved Christa comes in to the clinic c/o spotting and pain after intercourse. She states she has noticed that her periods are regular but longer and painful. She is sexually active and has had 2 partners in the past year and not using any form of contraception. What would the NP test for based on these findings? Chlamydia, gonorrhea, syphilis You test Christa for STI's. She is positive for chlamydia. What do you treat her with. She has no allergies. Azithromycin 1 gram. Take 1 tab po as a single dose. What would you treat Christa with if she was allergic to the first line of choice for chlamydia? doxycycline (tetracycline). take 1 tab po bid X 7 days. It is important to have Christa contact her partners for treatment of chlamydia. How long should Christa wait until she can resume intercourse once treated? 7 days after her treatment. When should Christa return for a follow up appointment after treatment of chlamydia? She is not pregnant. 3 months, but sooner if her symptoms do not improve. What age should ALL women be tested for STI's such as chlamydia and gonorrhea? All women 25 and younger annually if sexually active. Christa is 35 and has multiple partners, both male and female. Should she be tested annually for STI's? Yes, any women 25 and older with risk factors should be tested annually. The NP is seeing Dylon for her annual exam. Dylon is due her PAP test. The NP notices purulent cervical discharge and swelling in her labia. Upon the bimanual exam Dylon complains of slight tenderness when the NP checks her adnexa. No other symptoms exist. Dylon has not been sexually active for 3 months. She does not use any form of contraception and has no health problems. What should the NP test for? STI's. This could be gonorrhea. Also test for chlamydia, syphilis, and HIV. The NP looks at the next patient to be seen. The patient is here for a STI work up. In what order should the NP do her exam workup? 1. Check Vital sign. Esp. temp to r/o PID 2. Inspect skin for DGI (disseminated gonococcal infections) 3. Inspect back of throat 4. Assess cervical lymphadenopathy 5. Palpate abdomen for masses, tenderness, rebound pain (r/o PID) 6. Do speculum exam and look at walls of vaginal, ectopy (cervix protruding), and friability 7. Collect specimens for gc, cz, syphilis, and HIV 8. Perform bimanual