NURS 546: Midterm Study Set questions
with correct answers
BV treatment - ...,.🔹VERIFIED ANSWER **✔✔Metronidazole
500mg BID x 7 days
Metronidazole gel 0.75% 1 application (5g) daily QD x 5 days
Clindamycin cream 2% 1 application (5g) QD at bedtime x 7 days
BV treatment for recurrence - ...,.🔹VERIFIED ANSWER
**✔✔May consider Metronidazole 2x weekly 2-4 mo
OR
Nitroimidazole PO, f/b Boric Acid (NOT in pregnancy) and
metronidazole
BV risk factors - ...,.🔹VERIFIED ANSWER **✔✔multiple sex
partners
douching
lack of barrier use
hygiene
absence or dec in lactobacilli, or few H2O2 producing lactobacilli
1 \\\\\\/ \\\\\\
38
,BV treatment metronidazole education - ...,.🔹VERIFIED
ANSWER **✔✔caution against drinking alcohol with use, during
and 24 hours post use
stomach upset common
metallic taste
BV treatment clindamycin education - ...,.🔹VERIFIED ANSWER
**✔✔cream is oil based, may degrade latex condoms
inc risk of breakage within 72 hours of use
BV Amsel Criteria - ...,.🔹VERIFIED ANSWER **✔✔Diagnose if 3
or 4 are present:
1. >pH (>4.5)
2. Positive whiff test
3. Clue cells on microscopy
4. Discharge
BV symptomology - ...,.🔹VERIFIED ANSWER **✔✔odor (amine),
discharge (milky white, thin, "fishy")
usually vulva and cervix are not involved, may be asymptomatic
2 \\\\\\/ \\\\\\
38
,pH >4.5
positive whiff test
wet mount: clue cells >20% on sample
no or few WBC, few lactobacilli on slide
BV treatment in pregnancy - ...,.🔹VERIFIED ANSWER
**✔✔Metronidazole 500 mg twice a day for 7 days
treat as early as possible, re-exam for recolonization in 1 month
Candidiasis (VVC) s/s - ...,.🔹VERIFIED ANSWER
**✔✔thickened, curd-like "cottage cheese" white discharge
*pruritus*
vulva and labial swelling and erythema,
erythematic vaginal walls
no odor
no common effect on cervix
pH usually <4.5
Dx of Candidiasis (VVC) - ...,.🔹VERIFIED ANSWER **✔✔wet
mount KOH will see pseudohyphae or spores
3 \\\\\\/ \\\\\\
38
, Tx of VVC - ...,.🔹VERIFIED ANSWER **✔✔OTC intravaginal
meds:
Butoconazole (Gynazole), Clotrimazole (Gyne-Lotrimin),
Miconazole (Monistat), Tioconazole (Vagistat) creams
Prescription intravaginal agents:
Nystatin (Mycostatin) vaginal tablet 100,000 unit for 14 days
Prescription oral agent:
Fluconazole (Diflucan) 150mg tablet PO once
Complicated VVC - ...,.🔹VERIFIED ANSWER **✔✔Recurrent
(RVVC) 4 or more episodes in one year
Severe - edema, excoriation, fissure formation
Non-albicans strain
Compromised host
Tx for RVVC - ...,.🔹VERIFIED ANSWER **✔✔7-14 days topical
therapy
PLUS
Fluconazole 100, 150 or 200mg given every 3rd day (1, 4, 7)
4 \\\\\\/ \\\\\\
38
with correct answers
BV treatment - ...,.🔹VERIFIED ANSWER **✔✔Metronidazole
500mg BID x 7 days
Metronidazole gel 0.75% 1 application (5g) daily QD x 5 days
Clindamycin cream 2% 1 application (5g) QD at bedtime x 7 days
BV treatment for recurrence - ...,.🔹VERIFIED ANSWER
**✔✔May consider Metronidazole 2x weekly 2-4 mo
OR
Nitroimidazole PO, f/b Boric Acid (NOT in pregnancy) and
metronidazole
BV risk factors - ...,.🔹VERIFIED ANSWER **✔✔multiple sex
partners
douching
lack of barrier use
hygiene
absence or dec in lactobacilli, or few H2O2 producing lactobacilli
1 \\\\\\/ \\\\\\
38
,BV treatment metronidazole education - ...,.🔹VERIFIED
ANSWER **✔✔caution against drinking alcohol with use, during
and 24 hours post use
stomach upset common
metallic taste
BV treatment clindamycin education - ...,.🔹VERIFIED ANSWER
**✔✔cream is oil based, may degrade latex condoms
inc risk of breakage within 72 hours of use
BV Amsel Criteria - ...,.🔹VERIFIED ANSWER **✔✔Diagnose if 3
or 4 are present:
1. >pH (>4.5)
2. Positive whiff test
3. Clue cells on microscopy
4. Discharge
BV symptomology - ...,.🔹VERIFIED ANSWER **✔✔odor (amine),
discharge (milky white, thin, "fishy")
usually vulva and cervix are not involved, may be asymptomatic
2 \\\\\\/ \\\\\\
38
,pH >4.5
positive whiff test
wet mount: clue cells >20% on sample
no or few WBC, few lactobacilli on slide
BV treatment in pregnancy - ...,.🔹VERIFIED ANSWER
**✔✔Metronidazole 500 mg twice a day for 7 days
treat as early as possible, re-exam for recolonization in 1 month
Candidiasis (VVC) s/s - ...,.🔹VERIFIED ANSWER
**✔✔thickened, curd-like "cottage cheese" white discharge
*pruritus*
vulva and labial swelling and erythema,
erythematic vaginal walls
no odor
no common effect on cervix
pH usually <4.5
Dx of Candidiasis (VVC) - ...,.🔹VERIFIED ANSWER **✔✔wet
mount KOH will see pseudohyphae or spores
3 \\\\\\/ \\\\\\
38
, Tx of VVC - ...,.🔹VERIFIED ANSWER **✔✔OTC intravaginal
meds:
Butoconazole (Gynazole), Clotrimazole (Gyne-Lotrimin),
Miconazole (Monistat), Tioconazole (Vagistat) creams
Prescription intravaginal agents:
Nystatin (Mycostatin) vaginal tablet 100,000 unit for 14 days
Prescription oral agent:
Fluconazole (Diflucan) 150mg tablet PO once
Complicated VVC - ...,.🔹VERIFIED ANSWER **✔✔Recurrent
(RVVC) 4 or more episodes in one year
Severe - edema, excoriation, fissure formation
Non-albicans strain
Compromised host
Tx for RVVC - ...,.🔹VERIFIED ANSWER **✔✔7-14 days topical
therapy
PLUS
Fluconazole 100, 150 or 200mg given every 3rd day (1, 4, 7)
4 \\\\\\/ \\\\\\
38
