NR 602 Midterm Exam Q&A & Critical Study
Points
9 y/o female has completed course of amox 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?
a. Metronidazole 500mg BID x7 days
b. OTC hydrocortisone 1% cream TID
c. Fluconazole tabs 150mg x1 dose
d. Erythromycin 500mg TID x10 days
Woman c/o vaginal itching, white discharge. She is in good health
except for recent abx for strep throat.
Pelvic reveals tender vulvovaginal area w/edema and
nonmalodorous white patches. Which is the most likely cause?
a. Bacterial vaginosis
b. Trichomonas
c. Lactobacillus overgrowth
d. Candidiasis
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
evaluation?
a. Elevated blood cholesterol levels
b. Androgen deficiency
c. Galactorrhea
d. Hirsutism
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
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
Treatment options for condyloma acuminatum include:
a. Imiquimod (Aldera)
49yo female c/o dark, watery brown vaginal discharge. Which
best describes what might be seen on physical exam in pt's with
cervical cancer?
a. Ulcerated firm cervix
, 22yo female c/o pelvic pain. Exam reveals cervical motion and
uterine tenderness. Which supports PID dx?
a. Temp <100F
b. Absence of WBCs in vag fluid
c. Mucopurulent vag discharge
28yo female c/o breast tenderness, fatigue, abd bloating, fluid
retention, irritability 1wk before her menses onset. What is most
important info to obtain from this pt to determine if the pt has
PMS?
a. Severity of symptoms
b. Occurrence of symptoms in menstrual cycle
What phase of menstrual cycle begins with menses cessation and
ends w/ovulation?
a. Ovulatory phase
b. Follicular phase
What phase of menstrual cycle begins with ovulation and ends
w/menstruation?
a. Ovulatory phase
b. Follicular phase
c. Proliferative phase
Points
9 y/o female has completed course of amox 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?
a. Metronidazole 500mg BID x7 days
b. OTC hydrocortisone 1% cream TID
c. Fluconazole tabs 150mg x1 dose
d. Erythromycin 500mg TID x10 days
Woman c/o vaginal itching, white discharge. She is in good health
except for recent abx for strep throat.
Pelvic reveals tender vulvovaginal area w/edema and
nonmalodorous white patches. Which is the most likely cause?
a. Bacterial vaginosis
b. Trichomonas
c. Lactobacillus overgrowth
d. Candidiasis
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
evaluation?
a. Elevated blood cholesterol levels
b. Androgen deficiency
c. Galactorrhea
d. Hirsutism
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
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
Treatment options for condyloma acuminatum include:
a. Imiquimod (Aldera)
49yo female c/o dark, watery brown vaginal discharge. Which
best describes what might be seen on physical exam in pt's with
cervical cancer?
a. Ulcerated firm cervix
, 22yo female c/o pelvic pain. Exam reveals cervical motion and
uterine tenderness. Which supports PID dx?
a. Temp <100F
b. Absence of WBCs in vag fluid
c. Mucopurulent vag discharge
28yo female c/o breast tenderness, fatigue, abd bloating, fluid
retention, irritability 1wk before her menses onset. What is most
important info to obtain from this pt to determine if the pt has
PMS?
a. Severity of symptoms
b. Occurrence of symptoms in menstrual cycle
What phase of menstrual cycle begins with menses cessation and
ends w/ovulation?
a. Ovulatory phase
b. Follicular phase
What phase of menstrual cycle begins with ovulation and ends
w/menstruation?
a. Ovulatory phase
b. Follicular phase
c. Proliferative phase
