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Exam (elaborations)

Exam (elaborations) NSG 120 Pathophysiology

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,Chlamydia S/S - CORRECT ANSWERS-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 - CORRECT ANSWERS-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 - CORRECT ANSWERS-Protozoal infxn--vaginal in women and
urethral in men.

- asymptomatic
- urethritis, dysuria and itching, women: discharge

Chlamydia treatment and prevention - CORRECT ANSWERS-Treatment: Azithromycin
and other antibiotics
Prevention: Safe sex and absitnence

Gonorrhea treatment and prevention - CORRECT ANSWERS-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 - CORRECT ANSWERS-Metronidazole (Flagyl)

Gonorrhea prognosis - CORRECT ANSWERS-Good with prompt diagnosis and
treatment.

chlamydia prognosis - CORRECT ANSWERS--good with early treatment
-if untreated: PID, infertility in females; epididymitis in males, sterility in both

endometriosis - CORRECT ANSWERS-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 - CORRECT ANSWERS-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 - CORRECT ANSWERS-diet, exercise, maintaining healthy
body weight, pregnancy and breastfeeding decisions, routine screenings--esp for
women with a family history

Hormones and Menstrual Cycle - CORRECT ANSWERS-- 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 - CORRECT ANSWERS-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 - CORRECT ANSWERS-initally asymptomatic.
urinary obstuction-blood in urine or semen, painful ejaculation

symptoms are similar to BPH

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