NUR 6111 – Advanced Practice Nursing I Exam 3
Original Study Guide & Practice (Women’s Health,
STIs, Menopause, GU, CV) William Paterson
University!
Exam Coverage (Typical Focus Areas)
Based on publicly posted summaries and study notes for NUR 6111 Exam 3, key domains
commonly include:
Women’s health & STIs: vaginitis (BV, candidiasis, trichomoniasis), cervicitis,
chlamydia/gonorrhea, syphilis, herpes; screening and treatment.
Reproductive life stages: perimenopause/menopause (hot flashes, atrophic
vaginitis), HRT considerations, cervical cancer screening intervals.
Urinary & prostate: uncomplicated cystitis, urinary incontinence types, BPH
basics.+1
Cardiovascular: hypertension pathophysiology, risk stratification, first-line meds,
special populations; atrial fibrillation basics (rate/rhythm, anticoagulation concepts).
Professional practice: patient teaching (e.g., metronidazole–alcohol),
guideline-based screening ages/intervals.
High-Yield Review Points (Original)
1) Vaginitis & STIs
Bacterial vaginosis (BV): thin gray-white discharge, fishy odor, pH >4.5, +whiff test;
treat with metronidazole or clindamycin.
Candidiasis: thick white “curdy” discharge, itching, normal pH; treat with
fluconazole (or topical azoles).
Trichomoniasis: frothy yellow-green discharge, irritation, “strawberry cervix”; treat
with metronidazole; counsel to avoid alcohol during therapy.
, Chlamydia: often asymptomatic; may cause mucopurulent cervicitis, dysuria,
discharge; treat patient and partners (e.g., doxycycline 100 mg BID x 7 days or
azithromycin).
Primary syphilis: classically a painless chancre; flu-like symptoms are not typical
of primary stage.
Genital herpes (primary): first-line options include acyclovir, valacyclovir, or
famciclovir for 7–10 days.
2) Cervical Cancer Screening (General Guideline Concepts)
Screening typically begins at age 21.
For many adults 30–65, co-testing (Pap + HPV) or primary HPV allows 5-year
intervals when normal; Pap alone often every 3 years.
3) Perimenopause / Menopause & HRT
Hot flashes are linked to fluctuating/declining estrogen.
Atrophic vaginitis: local/topical estrogen can help even when on systemic HRT if
symptoms persist.
Inverted nipple in an older adult warrants further evaluation for possible malignancy.
4) Uncomplicated Cystitis (Nonpregnant Adult Female)
Dysuria, frequency, urgency, no vaginal symptoms; dipstick +nitrites/+leukocytes.
First-line agents often include nitrofurantoin, TMP-SMX (if appropriate), or
fosfomycin.
5) Hypertension & Atrial Fibrillation (Core Concepts)
Emphasis on risk factors, accurate measurement, lifestyle + pharmacologic
therapy; common first-line classes: thiazides, ACEi/ARB, CCB.
Atrial fibrillation: recognize irregular pulse, consider stroke risk (e.g., CHA₂DS₂-VASc
concepts) and rate/rhythm strategies; anticoagulation decisions based on risk/bleed
profile.
Women’s Health & STIs (Q1–25)
, Q1. A 24-year-old has thin, gray-white vaginal discharge with a fishy odor; pH 5.1 and
positive whiff test. Best treatment?
A. Fluconazole
B. Metronidazole
C. Ceftriaxone
D. Doxycycline
E. Acyclovir
B. Metronidazole
These findings are classic for bacterial vaginosis.
Q2. A 28-year-old presents with thick, white, curd-like discharge and intense vulvar itching
after antibiotics. Best treatment?
A. Metronidazole
B. Fluconazole
C. Doxycycline
D. Azithromycin
E. Ceftriaxone
B. Fluconazole
Consistent with vulvovaginal candidiasis.
Q3. A 22-year-old has frothy, yellow-green discharge and cervical petechiae. Which
counseling point is essential if prescribing metronidazole?
A. Take with dairy
B. Avoid alcohol during therapy
C. Avoid sunlight
D. Increase vitamin K foods
E. No restrictions
B. Avoid alcohol during therapy
Alcohol can cause a disulfiram-like reaction with metronidazole.
Q4. Which finding is NOT typical of primary syphilis?
Original Study Guide & Practice (Women’s Health,
STIs, Menopause, GU, CV) William Paterson
University!
Exam Coverage (Typical Focus Areas)
Based on publicly posted summaries and study notes for NUR 6111 Exam 3, key domains
commonly include:
Women’s health & STIs: vaginitis (BV, candidiasis, trichomoniasis), cervicitis,
chlamydia/gonorrhea, syphilis, herpes; screening and treatment.
Reproductive life stages: perimenopause/menopause (hot flashes, atrophic
vaginitis), HRT considerations, cervical cancer screening intervals.
Urinary & prostate: uncomplicated cystitis, urinary incontinence types, BPH
basics.+1
Cardiovascular: hypertension pathophysiology, risk stratification, first-line meds,
special populations; atrial fibrillation basics (rate/rhythm, anticoagulation concepts).
Professional practice: patient teaching (e.g., metronidazole–alcohol),
guideline-based screening ages/intervals.
High-Yield Review Points (Original)
1) Vaginitis & STIs
Bacterial vaginosis (BV): thin gray-white discharge, fishy odor, pH >4.5, +whiff test;
treat with metronidazole or clindamycin.
Candidiasis: thick white “curdy” discharge, itching, normal pH; treat with
fluconazole (or topical azoles).
Trichomoniasis: frothy yellow-green discharge, irritation, “strawberry cervix”; treat
with metronidazole; counsel to avoid alcohol during therapy.
, Chlamydia: often asymptomatic; may cause mucopurulent cervicitis, dysuria,
discharge; treat patient and partners (e.g., doxycycline 100 mg BID x 7 days or
azithromycin).
Primary syphilis: classically a painless chancre; flu-like symptoms are not typical
of primary stage.
Genital herpes (primary): first-line options include acyclovir, valacyclovir, or
famciclovir for 7–10 days.
2) Cervical Cancer Screening (General Guideline Concepts)
Screening typically begins at age 21.
For many adults 30–65, co-testing (Pap + HPV) or primary HPV allows 5-year
intervals when normal; Pap alone often every 3 years.
3) Perimenopause / Menopause & HRT
Hot flashes are linked to fluctuating/declining estrogen.
Atrophic vaginitis: local/topical estrogen can help even when on systemic HRT if
symptoms persist.
Inverted nipple in an older adult warrants further evaluation for possible malignancy.
4) Uncomplicated Cystitis (Nonpregnant Adult Female)
Dysuria, frequency, urgency, no vaginal symptoms; dipstick +nitrites/+leukocytes.
First-line agents often include nitrofurantoin, TMP-SMX (if appropriate), or
fosfomycin.
5) Hypertension & Atrial Fibrillation (Core Concepts)
Emphasis on risk factors, accurate measurement, lifestyle + pharmacologic
therapy; common first-line classes: thiazides, ACEi/ARB, CCB.
Atrial fibrillation: recognize irregular pulse, consider stroke risk (e.g., CHA₂DS₂-VASc
concepts) and rate/rhythm strategies; anticoagulation decisions based on risk/bleed
profile.
Women’s Health & STIs (Q1–25)
, Q1. A 24-year-old has thin, gray-white vaginal discharge with a fishy odor; pH 5.1 and
positive whiff test. Best treatment?
A. Fluconazole
B. Metronidazole
C. Ceftriaxone
D. Doxycycline
E. Acyclovir
B. Metronidazole
These findings are classic for bacterial vaginosis.
Q2. A 28-year-old presents with thick, white, curd-like discharge and intense vulvar itching
after antibiotics. Best treatment?
A. Metronidazole
B. Fluconazole
C. Doxycycline
D. Azithromycin
E. Ceftriaxone
B. Fluconazole
Consistent with vulvovaginal candidiasis.
Q3. A 22-year-old has frothy, yellow-green discharge and cervical petechiae. Which
counseling point is essential if prescribing metronidazole?
A. Take with dairy
B. Avoid alcohol during therapy
C. Avoid sunlight
D. Increase vitamin K foods
E. No restrictions
B. Avoid alcohol during therapy
Alcohol can cause a disulfiram-like reaction with metronidazole.
Q4. Which finding is NOT typical of primary syphilis?
