STI NCLEX Practice Questions With
Correct Answers
A 24-year-old woman presents with irregular vaginal bleeding and a
| | | | | | | | | |
yellow-green discharge but denies any pain. Her partner reports dysuria.
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What is the most appropriate next step in diagnosis?
| | | | | | | | |
A. Wet mount microscopy
| | |
B. Pap smear| |
C. Endocervical culture and chlamydia co-testing
| | | | |
D. Serum antibody test
| | |
C. Endocervical culture and chlamydia co-testing
| | | | |
- The symptoms suggest Gonorrhea, which often co-infects with
| | | | | | | | |
Chlamydia
- Diagnosis for females is best via endocervical culture, and co-testing
| | | | | | | | | | |
for Chlamydia is standard due to high coinfection rates
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,A patient in her second trimester is diagnosed with chlamydia. Which
| | | | | | | | | | |
antibiotic should be avoided and why?
| | | | |
A. Azithromycin - May cause cardiac toxicity
| | | | | |
B. Doxycycline - Risk of tooth discoloration in fetus
| | | | | | | |
C. Erythromycin - Not effective against Chlamydia
| | | | | |
D. Penicillin - Contraindicated in viral STIs
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B. Doxycycline – Risk of tooth discoloration in fetus
| | | | | | | |
- Doxycycline is contraindicated in the 2nd and 3rd trimester due to
| | | | | | | | | | | |
permanent discoloration of fetal teeth and bone growth inhibition
| | | | | | | |
Which STI has a latent stage with no visible symptoms but can still be
| | | | | | | | | | | | | |
diagnosed with serologic tests?
| | |
A. HPV |
B. Trichomoniasis
|
, C. HSV |
D. Syphilis
|
D. Syphilis
|
- Syphilis has a latent stage where symptoms are absent but serologic
| | | | | | | | | | | |
tests (RPR/VDRL) remain positive
| | |
A patient with known HIV presents for prenatal care. Her viral load is
| | | | | | | | | | | | |
1500 copies/mL at 38 weeks. What is the most appropriate delivery
| | | | | | | | | | |
plan?
A. Induction of labor with vaginal delivery
| | | | | |
B. Cesarean section with infant testing after first bath
| | | | | | | |
C. Expectant management and natural delivery
| | | | |
D. Vaginal delivery with intrapartum antibiotic prophylaxis
| | | | | |
B. Cesarean section with infant testing after first bath
| | | | | | | |
Correct Answers
A 24-year-old woman presents with irregular vaginal bleeding and a
| | | | | | | | | |
yellow-green discharge but denies any pain. Her partner reports dysuria.
| | | | | | | | |
What is the most appropriate next step in diagnosis?
| | | | | | | | |
A. Wet mount microscopy
| | |
B. Pap smear| |
C. Endocervical culture and chlamydia co-testing
| | | | |
D. Serum antibody test
| | |
C. Endocervical culture and chlamydia co-testing
| | | | |
- The symptoms suggest Gonorrhea, which often co-infects with
| | | | | | | | |
Chlamydia
- Diagnosis for females is best via endocervical culture, and co-testing
| | | | | | | | | | |
for Chlamydia is standard due to high coinfection rates
| | | | | | | |
,A patient in her second trimester is diagnosed with chlamydia. Which
| | | | | | | | | | |
antibiotic should be avoided and why?
| | | | |
A. Azithromycin - May cause cardiac toxicity
| | | | | |
B. Doxycycline - Risk of tooth discoloration in fetus
| | | | | | | |
C. Erythromycin - Not effective against Chlamydia
| | | | | |
D. Penicillin - Contraindicated in viral STIs
| | | | | |
B. Doxycycline – Risk of tooth discoloration in fetus
| | | | | | | |
- Doxycycline is contraindicated in the 2nd and 3rd trimester due to
| | | | | | | | | | | |
permanent discoloration of fetal teeth and bone growth inhibition
| | | | | | | |
Which STI has a latent stage with no visible symptoms but can still be
| | | | | | | | | | | | | |
diagnosed with serologic tests?
| | |
A. HPV |
B. Trichomoniasis
|
, C. HSV |
D. Syphilis
|
D. Syphilis
|
- Syphilis has a latent stage where symptoms are absent but serologic
| | | | | | | | | | | |
tests (RPR/VDRL) remain positive
| | |
A patient with known HIV presents for prenatal care. Her viral load is
| | | | | | | | | | | | |
1500 copies/mL at 38 weeks. What is the most appropriate delivery
| | | | | | | | | | |
plan?
A. Induction of labor with vaginal delivery
| | | | | |
B. Cesarean section with infant testing after first bath
| | | | | | | |
C. Expectant management and natural delivery
| | | | |
D. Vaginal delivery with intrapartum antibiotic prophylaxis
| | | | | |
B. Cesarean section with infant testing after first bath
| | | | | | | |
