MVU NURS 620 Exam 4 Gremminger Review

23-year-old, sexually active female who presents for her first pap smear. Her history includes no pregnancies. Her first intercourse was at age 14 and has had at least 10 sexual partners if not 12 partners since. Which conditions do you want to be alert for during her exam? A. PCOS B. Endometrial hyperplasia C. HPV - correct answer-C 20-year-old, sexually active female seen in the clinic because her boyfriend was diagnosed with gonorrhea. What is the treatment of choice for gonorrhea? A. flagyl B. acyclovir C ceftriaxone - correct answer-C A 24-year-old female with complaints of dysuria, pain with sex, and mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal urethritis. What STIs has she most likely been exposed to? A. HPV B. Chlamydia C. Trich - correct answer-B 45-year-old women with complaints of vaginal discharge. You identify clue cells on the vaginal smear. What diagnosis? A. trich B. HPV C. BV - correct answer-C Which of the following medications is the treatment of choice for Trich? A. flagyl B. doxycycline C. diflucan - correct answer-A A 26-year-old woman presents with complaints of irregular vaginal bleeding. Which of the following tests should be the first priority. A. endometrial bx B. pregnancy test C. ultrasound - correct answer-B A 36-year-old woman with complaints of vaginal itching, burning, and discharge. On the wet mount, you notice hyphae. Which treatment would be appropriate? A. doxycycline B. flagyl C. fluconazole - correct answer-C 21-year-old woman requesting birth control pills. Which of the following tests would be essential before prescribing any oral contraceptives? A. CBC B. TSH C. HCG - correct answer-C A 40-year-old woman who sees you yearly for exams. She is single and not in a monogamous relationship. She smokes occasional and drinks 2 beers a day. Her BMI is 25. She is requesting birth control. Which is appropriate for her? A. withdraw method B. combination C. IUD - correct answer-C What is the most common cause of secondary amenorrhea? A. pituitary disfunction B. genetic disorder C. pregnancy - correct answer-C A 22-year-old woman diagnosed with PMS. Which of the following lifestyle changes to minimize symptoms? A. green tea daily B. vitamin A C. getting regular exercise - correct answer-C A 25-year-old woman complaining of painful menstruation. Which pelvic pathology is the most common cause of dysmenorrhea? A. PID B. Ovarian cyst C. endometriosis - correct answer-C A male patient comes in with complaints of painful penile lesions. Small fluid-filled vesicles that are painful to the touch. Which treatment would you give? A. acyclovir B. azithromycin C. penicillin - correct answer-A What is the most common serious gynecological complication in women? A. herpes B. cervicitis C. PID - correct answer-C