NR 602 FINAL EXAM QUESTIONS AND ANSWERS
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Which one best describes lesions associated with condyloma
acuminatum?
a. Verruciform
b. Plaque-like
c. Vesicular
d. Bullous ANS >> a
39yo female has completed course of amok for strep throat. LMP was
2wks ago, says it was normal. On exam, there's erythema of extern.
genitalia w/small amount of white discharge. Micro wet prep reveals
few clue cells, but many budding hyphae. No WBCs. Which one would
be the most appropriate treatment?
,NR 602 FINAL EXAM
a. Metronidazole 500mg BID x7 days
b. OTC hydrocortisone 1% cream TID
c. Fluconazole tabs 150mg x1 dose
d. Erythromycin 500mg TID x10 days ANS >> c
Woman c/o vaginal itching, white discharge. She is in good health
except for recent abs for strep throat. Pelvic reveals tender vulvovaginal
area w/enema and no malodorous white patches. Which is the most
likely cause?
a. Bacterial vaginosis
b. Trichomonas
c. Lactobacillus overgrowth
d. Candidiasis ANS >> d
18yo female c/o secondary amenorrhea. On exam, there is normal
secondary sex characteristics and normal genitalia. Pregnancy is ruled
out. What would necessitate further eval?
a. Elevated blood cholesterol levels
b. Androgen deficiency
c. Galactorrhea
d. Hirsutism ANS >> c
,NR 602 FINAL EXAM
24yo female is d’s w/primary dysmenorrhea. Which med would be used
as first-line to help control symptoms?
a. Antianxiety meds
b. Progesterone-only contraception
c. Oral steroids
d. NSAIDs ANS >> d
Primary amenorrhea is best described as:
a. Cessation of menstruation x6mo
b. Failure of menstruation to occur by 17ho
c. Failure of menstruation to occur by 13yo
d. Cessation of menstruation x6mo after menarche ANS >> c
25yo female c/o vaginal irritation and discharge. On exam, cervix is
easily friable and erythematous. No adnexal tenderness. Wet prep
reveals mobile protozoa on NS slide. This most likely represents:
a. Trichomonas
b. Mucopurulent cervicitis
c. Bacterial vaginosis
, NR 602 FINAL EXAM
d. Gonorrhoea ANS >> a
16yo female has h/o secondary amenorrhea. Menarche at 10yo, regular
cycles x2yrs, has not menstruated x4yrs. What is most frequent
aetiology of this problem?
a. eating disorder
b. Pregnancy
c. Anovulatory cycles
d. Stress ANS >> a
Woman is experiencing vaginal discharge. Wet mount with KOH would
be used to confirm:
a. Herpes simplex
b. Gonorrhoea
c. Candidiasis
d. Chlamydia ANS >> c
Treatment options for condyloma acuminatum include:
a. Imiquimod (Aldora)
b. Azithromycin