APEA 3P EXAM PREP2 SEXUAL
HEALTH QUESTIONS WITH CORRECT
ANSWERS AND EXPLANATIONS.
A 24-year-
,
old female presents with abdominal pain. What ad
, , , , , , ,
ditional finding supports a diagnosis of pelvic infla
, , , , , , ,
mmatory disease (PID)? , , ,
Dysuria ,
Vaginal discharge , ,
Positive RPR , ,
Cervical motion tenderne , ,
ss D. ,, ,
PID is difficult to diagnose and often goes unrecog
, , , , , , , ,
nized because of the varied presenting signs and s
, , , , , , , ,
ymptoms in women who have it. Delay in diagnosis , , , , , , , ,
contributes to inflammatory sequelae in the upper
, , , , , , , ,
reproductive tract. Consequently, PID is usually di , , , , , ,
agnosed on imprecise clinical findings. The CDC r
, , , , , , ,
,ecommends that healthcare providers maintain a l , , , , , ,
ow threshold for diagnosis of PID.
, , , , , ,
Presumptive treatment should be initiated in sexu , , , , , ,
ally active women if they are experiencing pelvic or
, , , , , , , , ,
low abdominal pain (without another identifiable s
, , , , , ,
ource of illness), and if one or more of the following
, , , , , , , , , , ,
criteria are present on pelvic exam: cervical motio
, , , , , , ,
n tenderness, uterine tenderness, or adnexal tend
, , , , , ,
erness. ,
A male patient presents with dysuria and penile dis
, , , , , , , ,
charge. He states that his female partner has an S
, , , , , , , , ,
TD, but he is not sure which one. Which of these sh
, , , , , , , , , , ,
ould be part of the differential?
, , , , , ,
Bacterial vaginosis and trichomonas , , , ,
Chlamydia and gonorrhea , , ,,
HIV and herpes Syp
, , ,
hilis and chlamydia , , ,
B. ,
, Bacterial vaginosis and HIV are not associated wit , , , , , , ,
h dysuria or penile discharge in male patients. Her
, , , , , , , ,
pes produces lesions that are painful. HIV is not sp
, , , , , , , , ,
ecifically associated with dysuria. Syphilis produc , , , , ,
es a painless lesion. Chlamydia and gonorrhea ar
, , , , , , ,
e usually associated with dysuria and discharge. T
, , , , , , ,
richomonas is often asymptomatic in males, but ca , , , , , , ,
n produce dysuria.
, , ,
,
A patient being treated for trichomoniasis receives
, , , , , , ,
a prescription for metronidazole. What instruction
, , , , ,
s should she be given?
, , , , ,
Take this medication with food , , , , ,
Do not take this medication if you are pregnant
, , , , , , , , ,
Take this medication on an empty stomach
, , , , , , ,
Alcohol should be avoided when taking this medic , , , , , , ,
ation D. ,, ,
Metronidazole may be associated with a disulfira , , , , , ,
m reaction when mixed with alcohol. Advice that sh
, , , , , , , ,
ould be given to all patients who take metronidazol
, , , , , , , ,
HEALTH QUESTIONS WITH CORRECT
ANSWERS AND EXPLANATIONS.
A 24-year-
,
old female presents with abdominal pain. What ad
, , , , , , ,
ditional finding supports a diagnosis of pelvic infla
, , , , , , ,
mmatory disease (PID)? , , ,
Dysuria ,
Vaginal discharge , ,
Positive RPR , ,
Cervical motion tenderne , ,
ss D. ,, ,
PID is difficult to diagnose and often goes unrecog
, , , , , , , ,
nized because of the varied presenting signs and s
, , , , , , , ,
ymptoms in women who have it. Delay in diagnosis , , , , , , , ,
contributes to inflammatory sequelae in the upper
, , , , , , , ,
reproductive tract. Consequently, PID is usually di , , , , , ,
agnosed on imprecise clinical findings. The CDC r
, , , , , , ,
,ecommends that healthcare providers maintain a l , , , , , ,
ow threshold for diagnosis of PID.
, , , , , ,
Presumptive treatment should be initiated in sexu , , , , , ,
ally active women if they are experiencing pelvic or
, , , , , , , , ,
low abdominal pain (without another identifiable s
, , , , , ,
ource of illness), and if one or more of the following
, , , , , , , , , , ,
criteria are present on pelvic exam: cervical motio
, , , , , , ,
n tenderness, uterine tenderness, or adnexal tend
, , , , , ,
erness. ,
A male patient presents with dysuria and penile dis
, , , , , , , ,
charge. He states that his female partner has an S
, , , , , , , , ,
TD, but he is not sure which one. Which of these sh
, , , , , , , , , , ,
ould be part of the differential?
, , , , , ,
Bacterial vaginosis and trichomonas , , , ,
Chlamydia and gonorrhea , , ,,
HIV and herpes Syp
, , ,
hilis and chlamydia , , ,
B. ,
, Bacterial vaginosis and HIV are not associated wit , , , , , , ,
h dysuria or penile discharge in male patients. Her
, , , , , , , ,
pes produces lesions that are painful. HIV is not sp
, , , , , , , , ,
ecifically associated with dysuria. Syphilis produc , , , , ,
es a painless lesion. Chlamydia and gonorrhea ar
, , , , , , ,
e usually associated with dysuria and discharge. T
, , , , , , ,
richomonas is often asymptomatic in males, but ca , , , , , , ,
n produce dysuria.
, , ,
,
A patient being treated for trichomoniasis receives
, , , , , , ,
a prescription for metronidazole. What instruction
, , , , ,
s should she be given?
, , , , ,
Take this medication with food , , , , ,
Do not take this medication if you are pregnant
, , , , , , , , ,
Take this medication on an empty stomach
, , , , , , ,
Alcohol should be avoided when taking this medic , , , , , , ,
ation D. ,, ,
Metronidazole may be associated with a disulfira , , , , , ,
m reaction when mixed with alcohol. Advice that sh
, , , , , , , ,
ould be given to all patients who take metronidazol
, , , , , , , ,