CMN 572 EXAM STUDY SHEET 2026
UPDATED QUESTIONS AND SOLUTIONS
◉ contraindications to Nexplanon use.
Answer: pregnancy, thromboembolic events, liver tumors/disease,
abnormal genital bleeding, breast cancer, progestin-sensitive caner,
allergic reaction to components on Nexplanon, use prior to
menarche or 21 days (3 wks) postpartum
◉ potential side effects of Nexplanon.
Answer: ectopic pregnancy, follicular development, jaundice, HTN,
irregular menses, headache, vaginitis, weight gain, acne, breast &
abd pain, pharyngitis
◉ teens & long-term contraceptive use.
Answer: Long-acting reversible contraceptives (LARC) have higher
efficacy, higher continuation rates, and higher satisfaction rates
compared with short-acting contraceptives among adolescents
New-onset abnormal uterine bleeding unrelated to initial placement
of a LARC should be evaluated similarly to abnormal bleeding in
non-LARC users.
,continue to follow standard guidelines for STI screening:advise
adolescents to use male or female condoms consistently (dual
method use)
Sexually active adolescents should be screened for gonorrhea and
chlamydial infection at the time of IUD insertion based on current
CDC guidelines
◉ Chlamydia risk factors.
Answer: Most frequently reported infectious disease in U.S.
Adolescence
New or multiple sex partners
History of STD infection
Presence of another STD
Oral contraceptive user
Lack of barrier contraception
◉ Transmission of Chlamydia.
Answer: sexual or vertical-Highly transmissible
Incubation period 7-21 days
Significant asymptomatic reservoir
Re-infection is common
,Perinatal transmission results in neonatal conjunctivitis in 30%-
50% of exposed babies
◉ local infections assoc with chlamydia.
Answer: conjunctivitis-men, women, children
urethritis, proctitis (men/women) , cervicitis (women)
pneumonitis, pharyngitis, rhinitis-infants
◉ Urethritis.
Answer: One cause of non-gonococcal urethritis (NGU)
Majority (>50%) asymptomatic
Symptoms/signs if present: mucopurulent, mucoid or clear urethral
discharge, dysuria
Incubation period unknown (probably 5-10 days in symptomatic
infection)
◉ associated complications of chlamydia infections in men.
Answer: Urethritis
, Epididymitis (inflammation of tube located at the back of the
testicles that stores and carries sperm, causing cause pain and
swelling)
Reiter's Syndrome (conjunctivitis, urethritis, and arthritis post
infection GI or urogenital)
*can lead to infertility & chronic arthritis
◉ symptoms of local infections caused by chlamydia in women:.
Answer: Cervicitis-Majority are asymptomatic
Local signs of infection, when present, include:
Mucopurulent endocervical discharge
Edematous cervical ectopy with erythema and friability
Urethritis-Usually asymptomatic
Signs/symptoms, when present, include dysuria, frequency, pyuria
*can lead to infertility, ectopic preg,
Pelvic Inflammatory Disease (PID)
Salpingitis (inflammation of the fallopian
)tubes
UPDATED QUESTIONS AND SOLUTIONS
◉ contraindications to Nexplanon use.
Answer: pregnancy, thromboembolic events, liver tumors/disease,
abnormal genital bleeding, breast cancer, progestin-sensitive caner,
allergic reaction to components on Nexplanon, use prior to
menarche or 21 days (3 wks) postpartum
◉ potential side effects of Nexplanon.
Answer: ectopic pregnancy, follicular development, jaundice, HTN,
irregular menses, headache, vaginitis, weight gain, acne, breast &
abd pain, pharyngitis
◉ teens & long-term contraceptive use.
Answer: Long-acting reversible contraceptives (LARC) have higher
efficacy, higher continuation rates, and higher satisfaction rates
compared with short-acting contraceptives among adolescents
New-onset abnormal uterine bleeding unrelated to initial placement
of a LARC should be evaluated similarly to abnormal bleeding in
non-LARC users.
,continue to follow standard guidelines for STI screening:advise
adolescents to use male or female condoms consistently (dual
method use)
Sexually active adolescents should be screened for gonorrhea and
chlamydial infection at the time of IUD insertion based on current
CDC guidelines
◉ Chlamydia risk factors.
Answer: Most frequently reported infectious disease in U.S.
Adolescence
New or multiple sex partners
History of STD infection
Presence of another STD
Oral contraceptive user
Lack of barrier contraception
◉ Transmission of Chlamydia.
Answer: sexual or vertical-Highly transmissible
Incubation period 7-21 days
Significant asymptomatic reservoir
Re-infection is common
,Perinatal transmission results in neonatal conjunctivitis in 30%-
50% of exposed babies
◉ local infections assoc with chlamydia.
Answer: conjunctivitis-men, women, children
urethritis, proctitis (men/women) , cervicitis (women)
pneumonitis, pharyngitis, rhinitis-infants
◉ Urethritis.
Answer: One cause of non-gonococcal urethritis (NGU)
Majority (>50%) asymptomatic
Symptoms/signs if present: mucopurulent, mucoid or clear urethral
discharge, dysuria
Incubation period unknown (probably 5-10 days in symptomatic
infection)
◉ associated complications of chlamydia infections in men.
Answer: Urethritis
, Epididymitis (inflammation of tube located at the back of the
testicles that stores and carries sperm, causing cause pain and
swelling)
Reiter's Syndrome (conjunctivitis, urethritis, and arthritis post
infection GI or urogenital)
*can lead to infertility & chronic arthritis
◉ symptoms of local infections caused by chlamydia in women:.
Answer: Cervicitis-Majority are asymptomatic
Local signs of infection, when present, include:
Mucopurulent endocervical discharge
Edematous cervical ectopy with erythema and friability
Urethritis-Usually asymptomatic
Signs/symptoms, when present, include dysuria, frequency, pyuria
*can lead to infertility, ectopic preg,
Pelvic Inflammatory Disease (PID)
Salpingitis (inflammation of the fallopian
)tubes
