NURS 620
Comprehensive Resource To Help You Ace 2026-2027
Exams Includes Frequently Tested Questions With
ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
1. Lab testing for vulvovaginitis - Correct Answer: •Saline wet mount of
vaginal discharge to determine presence of Gardnerella, Trichomonas, or
atrophic vaginitis
•KOH wet mount for presence of Candida
•Gram stain for presence of gonorrhea
•Urinalysis to rule out UTIs
2. Bacterial vaginosis - Correct Answer: •Caused by increased anaerobic
bacteria
•Most prevalent cause of discharge
•May be asymptomatic
•Risk factors- address those if asymptomatic
•Diagnosis
•Associated complications
•Treatment
•Management of sex partners
3. Bacterial vaginosis treatment - Correct Answer: •Flagyl 500mg BID for 7
days
•Metrogel 0.75%, for 5 nights
Make sure patient knows she cannot drink with the oral antibiotics.
Do not need to treat the sex partner.
,4. Vulvovaginal Candidiasis - Correct Answer: •Caused by C. albicans or
other Candida
•Typical symptoms
•Differential diagnosis
•Diagnosed with vaginal microscopy
•What are predisposing factors? does the patient have diabetes?
5. Vulvovaginal Candidiasis Management - Correct Answer: •Treated
topically with azoles ie. Clotrimazole, Miconazole, Terconazole
-Diflucan (Fluconazole) 150 mg po or if recurrent 100-400mg qd for 1 to 5
days
-Ketoconazole 200mg qd for 5 days
•Alternatives therapies: yogurt, boric acid tablets- there is some evidence
this works..
6. Trichomoniasis - Correct Answer: •Caused by protozoan T. vaginalis, this
is an STI
•Symptoms for women and men: symptoms men are asymptomatic,
women tend to have itchy and discharge and ordor. Frothy green yellow
discharge in copious amounts. Red inflamed cervic.
7. •Diagnosed with vaginal microscopy- can see the protzoa floating around.
- Correct Answer: •Treatment
-Flagyl (Metronidazole) 2gm PO, single dose
•Management of sex partners- they must also be treated.
,8. Trichomoniasis treatment - Correct Answer: -Flagyl (Metronidazole)
2gm PO, single dose
•Management of sex partners- they must also be treated.
9. STI testing - Correct Answer: -60%-80% are asymptomatic
-Most are detected on routine exam- recommend one yearly even if patient
is in a steady relationship
-Some present with burning, itching, and a vaginal discharge
-Primary lesions may be painless and blister-like, or the patient may have
severe pain
-All ulcerative or wart-like lesions should be serologically tested for syphilis
10.Chlamydia - Correct Answer: •Caused by Chlamydia trachomatis
•Most commonly reported STI in the U. S.
•Particularly prevalent among adolescent girls and young women
•Symptoms - vaginal discharge, pelvic pain, dysuria, penile discharge
•Physical Exam - may reveal mucopurulent discharge, friabile bleeding
cervic, adnexal tenderness (cervical tenderness)
•Diagnostic tests - wet mount, DNA testing of urine and vaginal secretions
11.Chlamydia treatment - Correct Answer: •Treatment
-1st line: Azithromycin 1 gram in a single dose OR
-2nd line: Doxycycline 100 mg BID x 7 days
•Alternative treatments
-Erythromycin 500 mg QID x 7 days OR
-Ofloxacin 300mg BID x 7 days OR
-Levofloxacin 500 mg daily x 7 days
12.Gonorrhea - Correct Answer: •Caused by Neisseria gonorrhoeae
, •Symptoms similar to chlamydia-may also include menstrual irregularities
•Physical exam-purulent discharge, erythema and friability of the
endocervix
•Diagnostic tests - wet mount and DNA testing
13.Gonorrhea treatment - Correct Answer: •Treatment
-Ceftriaxone 250 mg IM in a single dose OR
-Cefixime 400 mg in a single dose OR
-Ciprofloxacin 500 mg in a single dose
Also treat them for chlamydia
14.Genital herpes stats - Correct Answer: •Chronic, life-long viral infection
•At least 50 million people in the U.S. have genital herpes
•Two types have been identified - HSV-1 and HSV-2
-The majority of cases of recurrent genital herpes are caused by HSV-2
studies show that spreading is done by skin to skin contact, doesnt matter if
lesions are all healed.
15.Genital herpes S/S - Correct Answer: •Symptoms -
-Primary herpes - fever, chills, malaise, dysuria, multiple, painful vesicular
lesions
-Recurrent herpes - recurrent outbreak of lesions, less painful , but
preceded by prodromal symptoms
Comprehensive Resource To Help You Ace 2026-2027
Exams Includes Frequently Tested Questions With
ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
1. Lab testing for vulvovaginitis - Correct Answer: •Saline wet mount of
vaginal discharge to determine presence of Gardnerella, Trichomonas, or
atrophic vaginitis
•KOH wet mount for presence of Candida
•Gram stain for presence of gonorrhea
•Urinalysis to rule out UTIs
2. Bacterial vaginosis - Correct Answer: •Caused by increased anaerobic
bacteria
•Most prevalent cause of discharge
•May be asymptomatic
•Risk factors- address those if asymptomatic
•Diagnosis
•Associated complications
•Treatment
•Management of sex partners
3. Bacterial vaginosis treatment - Correct Answer: •Flagyl 500mg BID for 7
days
•Metrogel 0.75%, for 5 nights
Make sure patient knows she cannot drink with the oral antibiotics.
Do not need to treat the sex partner.
,4. Vulvovaginal Candidiasis - Correct Answer: •Caused by C. albicans or
other Candida
•Typical symptoms
•Differential diagnosis
•Diagnosed with vaginal microscopy
•What are predisposing factors? does the patient have diabetes?
5. Vulvovaginal Candidiasis Management - Correct Answer: •Treated
topically with azoles ie. Clotrimazole, Miconazole, Terconazole
-Diflucan (Fluconazole) 150 mg po or if recurrent 100-400mg qd for 1 to 5
days
-Ketoconazole 200mg qd for 5 days
•Alternatives therapies: yogurt, boric acid tablets- there is some evidence
this works..
6. Trichomoniasis - Correct Answer: •Caused by protozoan T. vaginalis, this
is an STI
•Symptoms for women and men: symptoms men are asymptomatic,
women tend to have itchy and discharge and ordor. Frothy green yellow
discharge in copious amounts. Red inflamed cervic.
7. •Diagnosed with vaginal microscopy- can see the protzoa floating around.
- Correct Answer: •Treatment
-Flagyl (Metronidazole) 2gm PO, single dose
•Management of sex partners- they must also be treated.
,8. Trichomoniasis treatment - Correct Answer: -Flagyl (Metronidazole)
2gm PO, single dose
•Management of sex partners- they must also be treated.
9. STI testing - Correct Answer: -60%-80% are asymptomatic
-Most are detected on routine exam- recommend one yearly even if patient
is in a steady relationship
-Some present with burning, itching, and a vaginal discharge
-Primary lesions may be painless and blister-like, or the patient may have
severe pain
-All ulcerative or wart-like lesions should be serologically tested for syphilis
10.Chlamydia - Correct Answer: •Caused by Chlamydia trachomatis
•Most commonly reported STI in the U. S.
•Particularly prevalent among adolescent girls and young women
•Symptoms - vaginal discharge, pelvic pain, dysuria, penile discharge
•Physical Exam - may reveal mucopurulent discharge, friabile bleeding
cervic, adnexal tenderness (cervical tenderness)
•Diagnostic tests - wet mount, DNA testing of urine and vaginal secretions
11.Chlamydia treatment - Correct Answer: •Treatment
-1st line: Azithromycin 1 gram in a single dose OR
-2nd line: Doxycycline 100 mg BID x 7 days
•Alternative treatments
-Erythromycin 500 mg QID x 7 days OR
-Ofloxacin 300mg BID x 7 days OR
-Levofloxacin 500 mg daily x 7 days
12.Gonorrhea - Correct Answer: •Caused by Neisseria gonorrhoeae
, •Symptoms similar to chlamydia-may also include menstrual irregularities
•Physical exam-purulent discharge, erythema and friability of the
endocervix
•Diagnostic tests - wet mount and DNA testing
13.Gonorrhea treatment - Correct Answer: •Treatment
-Ceftriaxone 250 mg IM in a single dose OR
-Cefixime 400 mg in a single dose OR
-Ciprofloxacin 500 mg in a single dose
Also treat them for chlamydia
14.Genital herpes stats - Correct Answer: •Chronic, life-long viral infection
•At least 50 million people in the U.S. have genital herpes
•Two types have been identified - HSV-1 and HSV-2
-The majority of cases of recurrent genital herpes are caused by HSV-2
studies show that spreading is done by skin to skin contact, doesnt matter if
lesions are all healed.
15.Genital herpes S/S - Correct Answer: •Symptoms -
-Primary herpes - fever, chills, malaise, dysuria, multiple, painful vesicular
lesions
-Recurrent herpes - recurrent outbreak of lesions, less painful , but
preceded by prodromal symptoms
