NSGl 554/l NSG554l Examl 4l –l Nursel
Practitionersl inl Primaryl Carel Il Review|l
Wilkesl (Latestl 2026/l 2027l Update)l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Abnormall premenstruall bleeding:l Laboratoryl studies
Answer:
-CBC,l pregnancyl test,l thyroidl tests.
-Vaginall andl urinel samplesl forl PCRl orl culturel tol r/ol chlamydia
Q:l Vaginitis
Answer:
-inflammationl andl infectionl ofl thel vaginal
-causedl byl al varietyl ofl pathogens,l allergicl reactionsl tol contraceptivesl orl otherl products,l
vaginall atrophy,l frictionl duringl coitus
-normall pHl isl 4.5l orl less
Q:l Vaginitis:l Clinicall findings
Answer:
-vaginall irritation,l pain,l unusuall orl malodorousl dischargel
-Hxl includingl LMP,l recentl sexuall activity,l usel ofl contraceptives,l tampons,l douches,l
recentl changesl inl medsl orl usel ofl abx,l presencel ofl burning,l pain,l pruritus,l profusel
discharge
,Q:l Vaginitis:l PE
Answer:
-inspectionl ofl vulval
-speculuml examl ofl vagina,l cervix
-vaginal/cervical/urinel samplel forl detectionl ofl chlamydia
-dischargel inspectedl underl microscopel inl al dropl ofl 0.9%l salinel solutionl tol lookl forl
trichomonadsl orl cluel cellsl andl inl al dropl ofl 10%l potassiuml hydroxidel tol lookl forl
candida
-pHl shouldl bel tested:l ifl >4.5l infectionsl d/tl trichomonadsl orl bacteriall vaginosisl
-bimanuall examl tol lookl forl evidencel ofl pelvicl infectionl **l cervicall motionl tenderness
Q:l Vulvovaginall candidiasis
Answer:
-R/Fl includel pregnancy,l DM,l usel ofl broadl spectruml abxl orl corticosteroids
-Heat,l moisture,l occlusivel clothingl increasel risk
Q:l Vulvovaginall candidiasis:l S&S
Answer:
-pruritusl
-vulvovaginall erythema
-white,l curdl likel dischargel notl malodorousl
-Microscopicl examl withl 10%l potassiuml hydroxide=l hyphael andl spores
-culturel swabl withl Nickersonl mediuml orl forl PCRl testingl ifl candidal isl suspectedl butl
notl demonstrated
, Q:l Trichomonasl vaginalisl vaginitis
Answer:
-STIl protozoall flagellatel infectsl vaginal,l skenel ducts,l lowerl urinaryl tractl inl women;l
lowerl genitourinaryl tractl inl men
Q:l Trichomonasl vaginalisl vaginitis:l S&S
Answer:
-pruritus
-malodorous,l frothy,l yellow/greenl discharge
-diffusel vaginall erythemal andl redl macularl lesionsl onl cervixl inl severel casesl (strawberryl
cervix)
-motilel organismsl withl flagellal arel seenl withl salinel solutionl wetl mount
Q:l Bacteriall vaginosis
Answer:
-polymicrobiall dxl notl sexuallyl transmittedl
-overgrowthl ofl gardnerellal andl otherl anaerobicl
-associatedl withl malodorousl dischargel w/ol vulvitisl orl vaginitisl
-dischargel isl grayish,l canl bel frothy
-pHl ofl 5-5.5
Q:l Bacteriall vaginosis:l S&S
Practitionersl inl Primaryl Carel Il Review|l
Wilkesl (Latestl 2026/l 2027l Update)l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Abnormall premenstruall bleeding:l Laboratoryl studies
Answer:
-CBC,l pregnancyl test,l thyroidl tests.
-Vaginall andl urinel samplesl forl PCRl orl culturel tol r/ol chlamydia
Q:l Vaginitis
Answer:
-inflammationl andl infectionl ofl thel vaginal
-causedl byl al varietyl ofl pathogens,l allergicl reactionsl tol contraceptivesl orl otherl products,l
vaginall atrophy,l frictionl duringl coitus
-normall pHl isl 4.5l orl less
Q:l Vaginitis:l Clinicall findings
Answer:
-vaginall irritation,l pain,l unusuall orl malodorousl dischargel
-Hxl includingl LMP,l recentl sexuall activity,l usel ofl contraceptives,l tampons,l douches,l
recentl changesl inl medsl orl usel ofl abx,l presencel ofl burning,l pain,l pruritus,l profusel
discharge
,Q:l Vaginitis:l PE
Answer:
-inspectionl ofl vulval
-speculuml examl ofl vagina,l cervix
-vaginal/cervical/urinel samplel forl detectionl ofl chlamydia
-dischargel inspectedl underl microscopel inl al dropl ofl 0.9%l salinel solutionl tol lookl forl
trichomonadsl orl cluel cellsl andl inl al dropl ofl 10%l potassiuml hydroxidel tol lookl forl
candida
-pHl shouldl bel tested:l ifl >4.5l infectionsl d/tl trichomonadsl orl bacteriall vaginosisl
-bimanuall examl tol lookl forl evidencel ofl pelvicl infectionl **l cervicall motionl tenderness
Q:l Vulvovaginall candidiasis
Answer:
-R/Fl includel pregnancy,l DM,l usel ofl broadl spectruml abxl orl corticosteroids
-Heat,l moisture,l occlusivel clothingl increasel risk
Q:l Vulvovaginall candidiasis:l S&S
Answer:
-pruritusl
-vulvovaginall erythema
-white,l curdl likel dischargel notl malodorousl
-Microscopicl examl withl 10%l potassiuml hydroxide=l hyphael andl spores
-culturel swabl withl Nickersonl mediuml orl forl PCRl testingl ifl candidal isl suspectedl butl
notl demonstrated
, Q:l Trichomonasl vaginalisl vaginitis
Answer:
-STIl protozoall flagellatel infectsl vaginal,l skenel ducts,l lowerl urinaryl tractl inl women;l
lowerl genitourinaryl tractl inl men
Q:l Trichomonasl vaginalisl vaginitis:l S&S
Answer:
-pruritus
-malodorous,l frothy,l yellow/greenl discharge
-diffusel vaginall erythemal andl redl macularl lesionsl onl cervixl inl severel casesl (strawberryl
cervix)
-motilel organismsl withl flagellal arel seenl withl salinel solutionl wetl mount
Q:l Bacteriall vaginosis
Answer:
-polymicrobiall dxl notl sexuallyl transmittedl
-overgrowthl ofl gardnerellal andl otherl anaerobicl
-associatedl withl malodorousl dischargel w/ol vulvitisl orl vaginitisl
-dischargel isl grayish,l canl bel frothy
-pHl ofl 5-5.5
Q:l Bacteriall vaginosis:l S&S
