Maryville NURS 620 Exam 4

Maryville NURS 620 Exam 4 Questions and answers latest 2023&2024 1. 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 andhas had at least 10 sexual partners if not 12 partners since.Which conditionsdo you want to be alert for during her exam?:HPV 2. 20-year-old,sexually active female seen in the clinic because her boyfriendwas diagnosed with gonorrhea. What is the treatment of choice for gonor- rhea?: ceftriaxone 3. A 24-year-old female with complaints of dysuria,pain with sex,and mucop-urulent vaginal discharge. Her boyfriend was recently treated for nongono-coccal urethritis.What STIs has she most likely been exposed to?:Chlamydia 4. 45-year-old women with complaints of vaginal discharge.You identify cluecells on the vaginal smear.What diagnosis?: BV 5. Which of the following medications is the treatment of choice forTrich?: - Flagyl 6. A 26-year-old woman presents with complaints of irregular vaginal bleed-ing.Which of the following tests should be the first priority.: pregnancy test 7. A 36-year-old woman with complaints of vaginal itching, burning, and discharge. On the wet mount, you notice hyphae.Which treatment would beappropriate?: fluconazole 8. 21-year-old woman requesting birth control pills. Which of the following tests would be essential before prescribing any oral contraceptives?:HCG 9. A 40-year-old woman who sees you yearly for exams.She is single and notin a monogamous relationship. She smokes occasional and drinks 2 beers a day. Her BMI is 25. She is requesting birth control.Which is appropriate forher?: IUD 10. What is the most common cause of secondary amenorrhea?:Pregnancy 11. A 22-year-old woman diagnosed with PMS.Which of the following lifestylechanges to minimize symptoms?: getting regular exercise 12. A 25-year-old woman complaining of painful menstruation. Which pelvicpathology is the most common cause of dysmenorrhea?: endometriosis 13. A male patient comes in with complaints of painful penile lesions. Smallfluid-filled vesicles that are painful to the touch.Which treatment would yougive?: acyclovir 14. What is the most common serious gynecological complication inwomen?:PID 2 / 4 15. When providing education to a woman about the use of Plan B, the NPknows to tell the patient that the latest it can be used after intercourse andbe effective is?: 72 hours 16. Male patient presents with painful lesions on the penis.They are smallfluid-filled vesicles clustered to the shaft of his penis. What is the diagno-sis?: Herpes 17. Which medication would the NP prescribe for a patient diagnosed withprimary syphilis who has no known drug allergies?: penicillin G 18. What age should a woman receive her first pap smear regardless ofsexual activity?: 21 19. 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?: - azithromycin 20. A 45-year-old woman with complaints of vaginal discharge. On the wet mount, you notice clue cells. What medications would you use to treat thispatient?: flagyl 21. A 36-year-old woman with vaginal itching,burning,and discharge.On thewet mount, you notice hyphae. Based on clinical symptoms and findings what diagnosis do you suspect?: candida 22. A 25-year-old female with complaints of no menstrual cycle for 6 months.What test would be appropriate to order?: prolactin 23. Which of the following is contraindicated to estrogen-containing contra-ceptive methods: factor 5 Leiden mutation 24. You are counseling a patient on oral combination contraceptive treat-ment. She wants to know what to do if she misses a pill.: take last missedpill along with today's pill 25. In providing contraceptive counseling to a patient on Dilantin for a seizure disorder.Which contraceptive would you recommend?: Depo provera 26. Which of the following is a common side effect reported after one yearuse of depo?: weight gain 27. With a hormonal IUD, which of the following is commonly reported bypatients?: reduction in menstrual flow 3 / 4 28. A patient wants to become pregnant and wants to stop oral combinationcontraceptives.When is it safe for her to try and conceive?: Immediately 29. Perimenopause in women usually starts between what ages?: 40-45 30. When checking hormone levels in a 42-year-old woman who reports hotflashes and no menstrual cycle for 6 months. What would you expect to find?: increased LH 31. A patient has a 101.5F, abdominal pain and vaginal discharge for 3 days. Which medication would you likely prescribe? (PID): ceftriaxone with doxycy-cline 32. IV drug user presents for routine blood tests. Her HIV blood test isnegative today.What would you advise her to do?: repeat in one year 33. A nurse presents after an accidental needle stick.Her HIV test is negativetoday.What would you counsel her to do?: repeat in 2 months 34. A 33-year-old woman who had a negative pap smear last week, with twoprior negative paps.When would you have her return for a pap?: 5 yrs 35. Risk factors for HPV?: intercourse at an early age & multiple sex partners 36. A woman presents to discuss contraceptive options. She is breast feed-ing on demand. She wishes to continue. What is the most appropriate con-traceptive for her to use?: progesterone only oral contraceptive 37. What are some of the consequences of chlamydia/gonorrhea?: PID, infer-tility, ectopic pregnancy 38. Most common STI reported in the U.S.: Chlamydia 39. A patient is being treated with Metronidazole for Bacterial Vaginosis, why should you counsel them to avoid alcohol?: Mixing the two can cause,headache, nausea/vomiting, chest pain, and or hypertension. 40. Most common cause of vaginal odor and discharge?: BV 41. What does Protozoa on a vaginal smear mean?: Trichomoniasis 42. What does clue cells on a vaginal smear mean?: BV 43. What does hyphae on a vaginal smear mean?: candida yeast 44. At what age should a woman have her first pap regardless of sexual activity and how ofter there after?: 21; 21-29 Q 3 yrs; e 30 2 neg paps then Q 5 yrs; stop @ e 65 with e 3 neg in row & no abnorm in 10 yrs or after hyst NOT due tocancer