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Exam (elaborations)

AG-ACNP – Renal Questions and Answers

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AG-ACNP – Renal Questions and Answers

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AG-ACNP – Renal Questions and
Answers
Allergy to assess prior to treating syphillis Correct Ans-PCN



PCN G 2.4 million units IM



Syphillis management if PCN allergy Correct Ans-Doxycycline 100 mg PO BID

Erythromycin 500 mg PO QID



most common bacterial STD in United States Correct Ans-Chlamydia




Chlamydia Correct Ans-bacterial STD

Chlamydia trachomatis



Chlamydia s/s women Correct Ans-ASYMPTOMATIC

dyspareunia

dysuria

postcoital bleeding



Chlamydia s/s men Correct Ans-ASYMPTOMAMTIC

Dysuria

,Thick, cloudy penile discharge



STDs that present often asymptomatic Correct Ans-Gonorrhea

Chlamydia



Female Dyspareunia Differentials Correct Ans-Chlamydia

Pelvic Inflammatory Disease

Trichomonas

Menopause



Definitive test for chlamydia Correct Ans-Culture - 3-9days




Diagnostics for chlamydia Correct Ans-Culture

Enzyme immunoassay (EIA)



Chlamydia treatment Correct Ans-ceftriaxone (Rocephin) 250 mg IM x 1 dose - gonorrhea

azithromycin (Zithromax) I gram PO x 1 dose - chlamydia



OR

Doxycycline

Erithromycin

levofloxacin (Levaquin)

, Vulvovaginitis Correct Ans-Inflammation or infection of the VULVA and vagina

Most commonly bacterial, fungal, parastitic



Trichomonas s/s Correct Ans-STD



Malodorous, frothy yellowish-greenish discharge

pruritis

strawberry patches on cervix

dysparunia

dysuria



Strawberry patches on cervix Correct Ans-Trichomonas




Bacterial Vaginosis Correct Ans-Fishy smelling discharge

Vaginal spotting



Candidiasis Correct Ans-Thick, white, curd-like discharge

Pruritis



Vulvovaginitis diagnosis Correct Ans-microscopic wet prep

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