NSG 120 Pathophysiology Final Exam
Examn Questions And Answers
Chlamydia S/S - ANSWER- Most common STI in US. major cause of sterility and
leading cause of PID
Often asymptomatic
men--> urethritis, thin water discharge with burning and itching, scrotal swelling
women--> urethritis, cervicitis, dysuria, yellow vaginal discharge with burning/itching,
abdo pain, and dyspareunia (painful intercourse)
Gonorrhea - ANSWER- 2nd most common STI; infxn of urinary tract.
asymptomatic, purulent discharge, dysuria
Males: prostatitis, epididymitits.
Females: PID and infertility, conjunctivitis in neonates
Trichomoniasis s/s - ANSWER- Protozoal infxn--vaginal in women and urethral in men.
- asymptomatic
- urethritis, dysuria and itching, women: discharge
Chlamydia treatment and prevention - ANSWER- Treatment: Azithromycin and other
antibiotics
Prevention: Safe sex and absitnence
Gonorrhea treatment and prevention - ANSWER- Treatment: Antibacterial drugs
(penicillin or ceftriaxone + doxycycline) Some drug-resistant strains Retest for
eradication
-Ophthalmia neonatorum prevented by prophylactic treatment of eyes of all newborns
within 1 hour
-Required by law in U.S.
Trichomoniasis treatment - ANSWER- Metronidazole (Flagyl)
Gonorrhea prognosis - ANSWER- Good with prompt diagnosis and treatment.
chlamydia prognosis - ANSWER- -good with early treatment
, -if untreated: PID, infertility in females; epididymitis in males, sterility in both
endometriosis - ANSWER- a condition in which patches of endometrial tissue escape
the uterus and become attached to other structures in the pelvic cavity
Endometriosis Signs and Symptoms - ANSWER- Dysmenorrhea with pain in lower back
and vagina.
Infertility
Severity of pain is not indicative of extent of the disease.
Dyspareunia, dysuria, and sometimes painful defecation.
breast cancer prevention - ANSWER- diet, exercise, maintaining healthy body weight,
pregnancy and breastfeeding decisions, routine screenings--esp for women with a
family history
Hormones and Menstrual Cycle - ANSWER- - After menses, FSH is secreted and
causes ovarian follicle to mature. The follicle secretes estrogen, which thickens uterine
lining.
•Mid-way through the cycle, LH levels greatly increase and cause ovulation
•The ovarian follicle increases progesterone production to help the uterus to prepare for
a potential implantation of a fertilized ovum.
•If no fertilization, estrogen and progesterone levels drop and the uterine lining
degenerates, resulting in menstruation.
Cancer of the prostate - ANSWER- Leading cancer in older males; A hard area on the
prostate or hard, fixed, irregular nodules on the prostate suggest cancer. The median
sulcus may not be palpable.
S/S of prostate cancer - ANSWER- initally asymptomatic.
urinary obstuction-blood in urine or semen, painful ejaculation
symptoms are similar to BPH
benign prostatic hyperplasia (BPH) - ANSWER- enlargement of the prostate gland.
More common in older males
BPH s/s - ANSWER- hesitancy and straining during urination.
Decreased strength of the urine stream (weak flow).
Dribbling after urination.
Feeling that the bladder is not completely empty.
Examn Questions And Answers
Chlamydia S/S - ANSWER- Most common STI in US. major cause of sterility and
leading cause of PID
Often asymptomatic
men--> urethritis, thin water discharge with burning and itching, scrotal swelling
women--> urethritis, cervicitis, dysuria, yellow vaginal discharge with burning/itching,
abdo pain, and dyspareunia (painful intercourse)
Gonorrhea - ANSWER- 2nd most common STI; infxn of urinary tract.
asymptomatic, purulent discharge, dysuria
Males: prostatitis, epididymitits.
Females: PID and infertility, conjunctivitis in neonates
Trichomoniasis s/s - ANSWER- Protozoal infxn--vaginal in women and urethral in men.
- asymptomatic
- urethritis, dysuria and itching, women: discharge
Chlamydia treatment and prevention - ANSWER- Treatment: Azithromycin and other
antibiotics
Prevention: Safe sex and absitnence
Gonorrhea treatment and prevention - ANSWER- Treatment: Antibacterial drugs
(penicillin or ceftriaxone + doxycycline) Some drug-resistant strains Retest for
eradication
-Ophthalmia neonatorum prevented by prophylactic treatment of eyes of all newborns
within 1 hour
-Required by law in U.S.
Trichomoniasis treatment - ANSWER- Metronidazole (Flagyl)
Gonorrhea prognosis - ANSWER- Good with prompt diagnosis and treatment.
chlamydia prognosis - ANSWER- -good with early treatment
, -if untreated: PID, infertility in females; epididymitis in males, sterility in both
endometriosis - ANSWER- a condition in which patches of endometrial tissue escape
the uterus and become attached to other structures in the pelvic cavity
Endometriosis Signs and Symptoms - ANSWER- Dysmenorrhea with pain in lower back
and vagina.
Infertility
Severity of pain is not indicative of extent of the disease.
Dyspareunia, dysuria, and sometimes painful defecation.
breast cancer prevention - ANSWER- diet, exercise, maintaining healthy body weight,
pregnancy and breastfeeding decisions, routine screenings--esp for women with a
family history
Hormones and Menstrual Cycle - ANSWER- - After menses, FSH is secreted and
causes ovarian follicle to mature. The follicle secretes estrogen, which thickens uterine
lining.
•Mid-way through the cycle, LH levels greatly increase and cause ovulation
•The ovarian follicle increases progesterone production to help the uterus to prepare for
a potential implantation of a fertilized ovum.
•If no fertilization, estrogen and progesterone levels drop and the uterine lining
degenerates, resulting in menstruation.
Cancer of the prostate - ANSWER- Leading cancer in older males; A hard area on the
prostate or hard, fixed, irregular nodules on the prostate suggest cancer. The median
sulcus may not be palpable.
S/S of prostate cancer - ANSWER- initally asymptomatic.
urinary obstuction-blood in urine or semen, painful ejaculation
symptoms are similar to BPH
benign prostatic hyperplasia (BPH) - ANSWER- enlargement of the prostate gland.
More common in older males
BPH s/s - ANSWER- hesitancy and straining during urination.
Decreased strength of the urine stream (weak flow).
Dribbling after urination.
Feeling that the bladder is not completely empty.
