Maryville NURS 620 Exam 4 Questions and answers latest 2021&2022

23-year-old, sexually active female who presents for her first pap smear. Her history includes no pregnancies. Her first intercourse was at age 14 and has had at least 10 sexual partners if not 12 partners since. Which conditions do you want to be alert for during her exam? Correct Answer- HPV 20-year-old, sexually active female seen in the clinic because her boyfriend was diagnosed with gonorrhea. What is the treatment of choice for gonorrhea? Correct Answer- ceftriaxone A 24-year-old female with complaints of dysuria, pain with sex, and mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal urethritis. What STIs has she most likely been exposed to? Correct Answer- Chlamydia 45-year-old women with complaints of vaginal discharge. You identify clue cells on the vaginal smear. What diagnosis? Correct Answer- BV Which of the following medications is the treatment of choice for Trich? Correct Answer- Flagyl A 26-year-old woman presents with complaints of irregular vaginal bleeding. Which of the following tests should be the first priority. Correct Answer- pregnancy test A 36-year-old woman with complaints of vaginal itching, burning, and discharge. On the wet mount, you notice hyphae. Which treatment would be appropriate? Correct Answer- fluconazole 21-year-old woman requesting birth control pills. Which of the following tests would be essential before prescribing any oral contraceptives? Correct Answer- HCG A 40-year-old woman who sees you yearly for exams. She is single and not in a monogamous relationship. She smokes occasional and drinks 2 beers a day. Her BMI is 25. She is requesting birth control. Which is appropriate for her? Correct Answer- IUD What is the most common cause of secondary amenorrhea? Correct Answer- Pregnancy A 22-year-old woman diagnosed with PMS. Which of the following lifestyle changes to minimize symptoms? Correct Answer- getting regular exercise A 25-year-old woman complaining of painful menstruation. Which pelvic pathology is the most common cause of dysmenorrhea? Correct Answer- endometriosis A male patient comes in with complaints of painful penile lesions. Small fluid-filled vesicles that are painful to the touch. Which treatment would you give? Correct Answer- acyclovir What is the most common serious gynecological complication in women? Correct Answer- PID When providing education to a woman about the use of Plan B, the NP knows to tell the patient that the latest it can be used after intercourse and be effective is? Correct Answer- 72 hours Male patient presents with painful lesions on the penis. They are small fluid-filled vesicles clustered to the shaft of his penis. What is the diagnosis? Correct Answer- Herpes Which medication would the NP prescribe for a patient diagnosed with primary syphilis who has no known drug allergies? Correct Answer- penicillin G What age should a woman receive her first pap smear regardless of sexual activity? Correct Answer- 21 A 24-year-old female comes in with complaints of dysuria, pain with sex, and mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal urethritis. What medication would you treat her with? Correct Answer- azithromycin