NURP 502 2025/2026 COMPREHENSIVE EXAM
(QUESTIONS WITH 100% CORRRECT ANSWERS)
Is it recc to test prepubescent girl for Group A strep who present with vulvovaginitis? - Yes, this is a
common cause for that age group
What are other causes of vulvovaginitis in prepubescent girls? - Nonspecific causes like irritants
(perfumes, abuse)
Pin worms
Group A
What is the first line tx for vulvovaginitis? - Hygiene
Start with the lowest intervention
Look at causes like new clothes worn without being washed, new soap/detergent
Encourage gentle cleansing with water only
What blood clotting disorder might you test for in young women with heavy menstrual bleeding? -
Von Willebrand
Clotting factors 8, 9, 11, 12 are associated with what lab test? - PT, PTT
Intrinsic, extrinsic
What are common ped GU problems? - UTI
Vulvovaginitis
Labial adhesions
Anatomical differences in hymen
Sexual abuse
Amenorrhea primary vs secondary
Dysfunctional uterine bleeding
How does vulvovaginitis present? - Dysuria
Vulvovaginal pain/pruritis
Local erythema
, Discharge
What are differential dx for vulvovaginitis? - Nonspecific vulvovaginits (contact/irritant)
Candidal
Bacterial
UTI
Foreign body
Sexual abuse
Pinworms, GAS, shigella
What questions do you ask when taking a hx and suspect vulvovaginitis? - Dysuria, hematuria, abd
pain, flank pain, fever, N/V
Nocturnal enuresis
Discharge (amt, color, odor)
Hx of atopy/eczema
Abuse concern
What testing for vulvovaginitis? - UA and cx
Tape testing (pinworms)
Wet mount/KOH
STI (use caution)
Tx for vulvovaginitis? - Avoid irritants
Wash well with warm water
Low-potency corticosteroid/antifungal combo (max- 1 wk)
What is the first thing you do when getting abnormal labs and patient is completely asymptomatic? -
Redraw the labs
What is the ratio of AST:ALT? - We see a ratio of 2:1 in etiologically driven liver abnormalities
(QUESTIONS WITH 100% CORRRECT ANSWERS)
Is it recc to test prepubescent girl for Group A strep who present with vulvovaginitis? - Yes, this is a
common cause for that age group
What are other causes of vulvovaginitis in prepubescent girls? - Nonspecific causes like irritants
(perfumes, abuse)
Pin worms
Group A
What is the first line tx for vulvovaginitis? - Hygiene
Start with the lowest intervention
Look at causes like new clothes worn without being washed, new soap/detergent
Encourage gentle cleansing with water only
What blood clotting disorder might you test for in young women with heavy menstrual bleeding? -
Von Willebrand
Clotting factors 8, 9, 11, 12 are associated with what lab test? - PT, PTT
Intrinsic, extrinsic
What are common ped GU problems? - UTI
Vulvovaginitis
Labial adhesions
Anatomical differences in hymen
Sexual abuse
Amenorrhea primary vs secondary
Dysfunctional uterine bleeding
How does vulvovaginitis present? - Dysuria
Vulvovaginal pain/pruritis
Local erythema
, Discharge
What are differential dx for vulvovaginitis? - Nonspecific vulvovaginits (contact/irritant)
Candidal
Bacterial
UTI
Foreign body
Sexual abuse
Pinworms, GAS, shigella
What questions do you ask when taking a hx and suspect vulvovaginitis? - Dysuria, hematuria, abd
pain, flank pain, fever, N/V
Nocturnal enuresis
Discharge (amt, color, odor)
Hx of atopy/eczema
Abuse concern
What testing for vulvovaginitis? - UA and cx
Tape testing (pinworms)
Wet mount/KOH
STI (use caution)
Tx for vulvovaginitis? - Avoid irritants
Wash well with warm water
Low-potency corticosteroid/antifungal combo (max- 1 wk)
What is the first thing you do when getting abnormal labs and patient is completely asymptomatic? -
Redraw the labs
What is the ratio of AST:ALT? - We see a ratio of 2:1 in etiologically driven liver abnormalities
