MARYVILLE NURS 620 EXAM 4 QUESTIONS
AND ANSWERS LATEST 2025-2026 UPDATE
Male patient presents with painful lesions on the penis. They are small
fluid-filled vesicles clustered to the shaft of his penis. What is the
diagnosis? - Answer-Herpes
Which medication would the NP prescribe for a patient diagnosed with
primary syphilis who has no known drug allergies? - Answer-penicillin
G
What age should a woman receive her first pap smear regardless of
sexual activity? - Answer-21
A 24-year-old female comes in with complaints of dysuria, pain with
sex, and mucopurulent vaginal discharge. Her boyfriend was recently
treated for nongonococcal urethritis. What medication would you treat
her with? - Answer-azithromycin
A 45-year-old woman with complaints of vaginal discharge. On the wet
mount, you notice clue cells. What medications would you use to treat
this patient? - Answer-flagyl
, A 36-year-old woman with vaginal itching, burning, and discharge. On
the wet mount, you notice hyphae. Based on clinical symptoms and
findings what diagnosis do you suspect? - Answer-candida
A 25-year-old female with complaints of no menstrual cycle for 6
months. What test would be appropriate to order? - Answer-prolactin
Which of the following is contraindicated to estrogen-containing
contraceptive methods - Answer-factor 5 Leiden mutation
You are counseling a patient on oral combination contraceptive
treatment. She wants to know what to do if she misses a pill. - Answer-
take last missed pill along with today's pill
In providing contraceptive counseling to a patient on Dilantin for a
seizure disorder. Which contraceptive would you recommend? -
Answer-Depo provera
Which of the following is a common side effect reported after one year
use of depo? - Answer-weight gain
With a hormonal IUD, which of the following is commonly reported by
patients? - Answer-reduction in menstrual flow
A patient wants to become pregnant and wants to stop oral combination
contraceptives. When is it safe for her to try and conceive? - Answer-
Immediately
,Perimenopause in women usually starts between what ages? - Answer-
40-45
When checking hormone levels in a 42-year-old woman who reports hot
flashes and no menstrual cycle for 6 months. What would you expect to
find? - Answer-increased LH
A patient has a 101.5F, abdominal pain and vaginal discharge for 3
days. Which medication would you likely prescribe? (PID) - Answer-
ceftriaxone with doxycycline
IV drug user presents for routine blood tests. Her HIV blood test is
negative today. What would you advise her to do? - Answer-repeat in
one year
A nurse presents after an accidental needle stick. Her HIV test is
negative today. What would you counsel her to do? - Answer-repeat in 2
months
A 33-year-old woman who had a negative pap smear last week, with
two prior negative paps. When would you have her return for a pap? -
Answer-5 yrs
Risk factors for HPV? - Answer-intercourse at an early age & multiple
sex partners
, A woman presents to discuss contraceptive options. She is breast
feeding on demand. She wishes to continue. What is the most
appropriate contraceptive for her to use? - Answer-progesterone only
oral contraceptive
What are some of the consequences of chlamydia/gonorrhea? - Answer-
PID, infertility, ectopic pregnancy
Most common STI reported in the U.S. - Answer-Chlamydia
A patient is being treated with Metronidazole for Bacterial Vaginosis,
why should you counsel them to avoid alcohol? - Answer-Mixing the
two can cause, headache, nausea/vomiting, chest pain, and or
hypertension.
Most common cause of vaginal odor and discharge? - Answer-BV
What does Protozoa on a vaginal smear mean? - Answer-
Trichomoniasis
What does clue cells on a vaginal smear mean? - Answer-BV
What does hyphae on a vaginal smear mean? - Answer-candida yeast
At what age should a woman have her first pap regardless of sexual
activity and how ofter there after? - Answer-21; 21-29 Q 3 yrs; ≥ 30 2
AND ANSWERS LATEST 2025-2026 UPDATE
Male patient presents with painful lesions on the penis. They are small
fluid-filled vesicles clustered to the shaft of his penis. What is the
diagnosis? - Answer-Herpes
Which medication would the NP prescribe for a patient diagnosed with
primary syphilis who has no known drug allergies? - Answer-penicillin
G
What age should a woman receive her first pap smear regardless of
sexual activity? - Answer-21
A 24-year-old female comes in with complaints of dysuria, pain with
sex, and mucopurulent vaginal discharge. Her boyfriend was recently
treated for nongonococcal urethritis. What medication would you treat
her with? - Answer-azithromycin
A 45-year-old woman with complaints of vaginal discharge. On the wet
mount, you notice clue cells. What medications would you use to treat
this patient? - Answer-flagyl
, A 36-year-old woman with vaginal itching, burning, and discharge. On
the wet mount, you notice hyphae. Based on clinical symptoms and
findings what diagnosis do you suspect? - Answer-candida
A 25-year-old female with complaints of no menstrual cycle for 6
months. What test would be appropriate to order? - Answer-prolactin
Which of the following is contraindicated to estrogen-containing
contraceptive methods - Answer-factor 5 Leiden mutation
You are counseling a patient on oral combination contraceptive
treatment. She wants to know what to do if she misses a pill. - Answer-
take last missed pill along with today's pill
In providing contraceptive counseling to a patient on Dilantin for a
seizure disorder. Which contraceptive would you recommend? -
Answer-Depo provera
Which of the following is a common side effect reported after one year
use of depo? - Answer-weight gain
With a hormonal IUD, which of the following is commonly reported by
patients? - Answer-reduction in menstrual flow
A patient wants to become pregnant and wants to stop oral combination
contraceptives. When is it safe for her to try and conceive? - Answer-
Immediately
,Perimenopause in women usually starts between what ages? - Answer-
40-45
When checking hormone levels in a 42-year-old woman who reports hot
flashes and no menstrual cycle for 6 months. What would you expect to
find? - Answer-increased LH
A patient has a 101.5F, abdominal pain and vaginal discharge for 3
days. Which medication would you likely prescribe? (PID) - Answer-
ceftriaxone with doxycycline
IV drug user presents for routine blood tests. Her HIV blood test is
negative today. What would you advise her to do? - Answer-repeat in
one year
A nurse presents after an accidental needle stick. Her HIV test is
negative today. What would you counsel her to do? - Answer-repeat in 2
months
A 33-year-old woman who had a negative pap smear last week, with
two prior negative paps. When would you have her return for a pap? -
Answer-5 yrs
Risk factors for HPV? - Answer-intercourse at an early age & multiple
sex partners
, A woman presents to discuss contraceptive options. She is breast
feeding on demand. She wishes to continue. What is the most
appropriate contraceptive for her to use? - Answer-progesterone only
oral contraceptive
What are some of the consequences of chlamydia/gonorrhea? - Answer-
PID, infertility, ectopic pregnancy
Most common STI reported in the U.S. - Answer-Chlamydia
A patient is being treated with Metronidazole for Bacterial Vaginosis,
why should you counsel them to avoid alcohol? - Answer-Mixing the
two can cause, headache, nausea/vomiting, chest pain, and or
hypertension.
Most common cause of vaginal odor and discharge? - Answer-BV
What does Protozoa on a vaginal smear mean? - Answer-
Trichomoniasis
What does clue cells on a vaginal smear mean? - Answer-BV
What does hyphae on a vaginal smear mean? - Answer-candida yeast
At what age should a woman have her first pap regardless of sexual
activity and how ofter there after? - Answer-21; 21-29 Q 3 yrs; ≥ 30 2
