NU 665D -Exam 1 Questions With Complete Solutions
Alternative Treatment options: Atrophic Vaginitis Correct
Answers -OTC lubricants - Ky Jelly, Astroglide
-OTC vaginal moisturizers - Lubrin, KY longlasting, Replens.
----Allow water to be retained in the tissues - not during sex.
-Vaseline, Aquaphor, Vit E oil - externally (can damage
condoms)
-Mild soaps (Dove unscented bar soap), warm soaks with baking
soda
-Sex - can keep vaginal tissues healthy, soft, elastic and prevent
stenosis
-Laser treatment - reduces vulvovaginal symptoms and restores
vaginal mucosa; 3 treatments every 4-6 weeks
AntiHBc Correct Answers -Hep B core antibodies - present
after pt responds to Hep B infection
-Subtypes: IgG or IgM
-IgM: Acute infections
-IgG: Chronic Infection
Cholecystitis: Diagnostic approach Correct Answers -RUQ
pain, epigastric pain, fever, leukocytosis, positive Murphy's sign
-US: We need to also see: gallbladder wall thickening ( more
than 4-5mm) & sonographic murphys sign.
-HIDA scan and MRI if needed
Labs: lipase, amylase, electrolytes, AST, ALT, bilirubin,
calcium, and albumin
Chron's disease symptoms Correct Answers -Blood in stool
and diarrhea
,-RLQ pain
Chron's disease: Location Correct Answers chronic
inflammation of the intestinal tract
-Can be seen in the distal illeum and cecum
-Can also be seen in the oral mucosa or perianal area
conjuctivitis (bacterial) Correct Answers -Mucopurulent
discharge
-Eyelids stuck together, swollen, red
-Unilateral
-Cause: Staph, Haemophilus, pneumoccoal organisms
Conjunctivitis ( allergic) Correct Answers -watery and profuse
discharge
-Bilateral
-Assoc w/ asthma
-Itchy eyes & swollen eye lids
Conjunctivitis ( viral) Correct Answers -watery discharge
-Impacts eyes bilaterally, unless HSV
-Abrupt onset
-Associated with adenovirus
conjunctivitis: Correct Answers -Normal pupil
-Mild pain
-Normal vision
-Mild: Feels like foreign body
-May follow an URI
, Diagnosis of endometriosis Correct Answers Gold standard to
diagnose--Direct visualization: laparoscopy
-Can use US/CT/MRI to look for masses. But Laproscopy is the
standard for diagnosis.
Endometriosis and Fertility Correct Answers --Surgical
resection and ablation ( the first time) can increase postoperative
pregnancy rates compared with diagnostic laparoscopy only.
-Natural conception: if they're stage I or II. Can get pregnant 1-6
mos after surgery
-Stage III or IV, 35yrs>, other infertility factors: May need to
use IUI after surgery, but lower chance of fertility.
endometriosis treatment Correct Answers 1. NSAIDs
2. Progesterone or OCP
3. Testosterone (Danocine, Danazol(acne, oily skin))
4. GnRH analogs (Lupron, Leuprolide (hot flashes,
osteoporosis))
Endometriosis: Common Subjective complaints Correct
Answers -dysmenorrhea
-Menorrhagia
-chronic pelvic pain
-severe dyspareunia
-painful defecation during menses
-infertility or an ovarian mass
-Some are asymptomatic
Episcleritis/Scleritis Correct Answers -Abrupt onset of redness,
irritation, and watering of the eye, often without pain (except in
Alternative Treatment options: Atrophic Vaginitis Correct
Answers -OTC lubricants - Ky Jelly, Astroglide
-OTC vaginal moisturizers - Lubrin, KY longlasting, Replens.
----Allow water to be retained in the tissues - not during sex.
-Vaseline, Aquaphor, Vit E oil - externally (can damage
condoms)
-Mild soaps (Dove unscented bar soap), warm soaks with baking
soda
-Sex - can keep vaginal tissues healthy, soft, elastic and prevent
stenosis
-Laser treatment - reduces vulvovaginal symptoms and restores
vaginal mucosa; 3 treatments every 4-6 weeks
AntiHBc Correct Answers -Hep B core antibodies - present
after pt responds to Hep B infection
-Subtypes: IgG or IgM
-IgM: Acute infections
-IgG: Chronic Infection
Cholecystitis: Diagnostic approach Correct Answers -RUQ
pain, epigastric pain, fever, leukocytosis, positive Murphy's sign
-US: We need to also see: gallbladder wall thickening ( more
than 4-5mm) & sonographic murphys sign.
-HIDA scan and MRI if needed
Labs: lipase, amylase, electrolytes, AST, ALT, bilirubin,
calcium, and albumin
Chron's disease symptoms Correct Answers -Blood in stool
and diarrhea
,-RLQ pain
Chron's disease: Location Correct Answers chronic
inflammation of the intestinal tract
-Can be seen in the distal illeum and cecum
-Can also be seen in the oral mucosa or perianal area
conjuctivitis (bacterial) Correct Answers -Mucopurulent
discharge
-Eyelids stuck together, swollen, red
-Unilateral
-Cause: Staph, Haemophilus, pneumoccoal organisms
Conjunctivitis ( allergic) Correct Answers -watery and profuse
discharge
-Bilateral
-Assoc w/ asthma
-Itchy eyes & swollen eye lids
Conjunctivitis ( viral) Correct Answers -watery discharge
-Impacts eyes bilaterally, unless HSV
-Abrupt onset
-Associated with adenovirus
conjunctivitis: Correct Answers -Normal pupil
-Mild pain
-Normal vision
-Mild: Feels like foreign body
-May follow an URI
, Diagnosis of endometriosis Correct Answers Gold standard to
diagnose--Direct visualization: laparoscopy
-Can use US/CT/MRI to look for masses. But Laproscopy is the
standard for diagnosis.
Endometriosis and Fertility Correct Answers --Surgical
resection and ablation ( the first time) can increase postoperative
pregnancy rates compared with diagnostic laparoscopy only.
-Natural conception: if they're stage I or II. Can get pregnant 1-6
mos after surgery
-Stage III or IV, 35yrs>, other infertility factors: May need to
use IUI after surgery, but lower chance of fertility.
endometriosis treatment Correct Answers 1. NSAIDs
2. Progesterone or OCP
3. Testosterone (Danocine, Danazol(acne, oily skin))
4. GnRH analogs (Lupron, Leuprolide (hot flashes,
osteoporosis))
Endometriosis: Common Subjective complaints Correct
Answers -dysmenorrhea
-Menorrhagia
-chronic pelvic pain
-severe dyspareunia
-painful defecation during menses
-infertility or an ovarian mass
-Some are asymptomatic
Episcleritis/Scleritis Correct Answers -Abrupt onset of redness,
irritation, and watering of the eye, often without pain (except in
