SOLUTIONS@@ Maryville NURS 620; Exam 4 for a pass

SOLUTIONS@@ Maryville NURS 620; Exam 4 for a pass 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 and has had at least 10 sexual partners if not 12 partners since. Which conditions do you want to be alert for during her exam? - ANSWERSHPV 20-year-old, sexually active female seen in the clinic because her boyfriend was diagnosed with gonorrhea. What is the treatment of choice for gonorrhea? - ANSWERSceftriaxone A 24-year-old female with complaints of dysuria, pain with sex, and mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal urethritis. What STIs has she most likely been exposed to? - ANSWERSChlamydia 45-year-old women with complaints of vaginal discharge. You identify clue cells on the vaginal smear. What diagnosis? - ANSWERSBV Which of the following medications is the treatment of choice for Trich? - ANSWERSFlagyl A 26-year-old woman presents with complaints of irregular vaginal bleeding. Which of the following tests should be the first priority. - ANSWERSpregnancy test A 36-year-old woman with complaints of vaginal itching, burning, and discharge. On the wet mount, you notice hyphae. Which treatment would be appropriate? - ANSWERSfluconazole 21-year-old woman requesting birth control pills. Which of the following tests would be essential before prescribing any oral contraceptives? - ANSWERSHCG A 40-year-old woman who sees you yearly for exams. She is single and not in a monogamous relationship. She smokes occasional and drinks 2 beers a day. Her BMI is 25. She is requesting birth control. Which is appropriate for her? - ANSWERSIUD What is the most common cause of secondary amenorrhea? - ANSWERSPregnancy A 22-year-old woman diagnosed with PMS. Which of the following lifestyle changes to minimize symptoms? - ANSWERSgetting regular exercise A 25-year-old woman complaining of painful menstruation. Which pelvic pathology is the most common cause of dysmenorrhea? - ANSWERSendometriosis A male patient comes in with complaints of painful penile lesions. Small fluid-filled vesicles that are painful to the touch. Which treatment would you give? - ANSWERSacyclovir What is the most common serious gynecological complication in women? - ANSWERSPID When providing education to a woman about the use of Plan B, the NP knows to tell the patient that the latest it can be used after intercourse and be effective is? - ANSWERS72 hours Male patient presents with painful lesions on the penis. They are small fluid-filled vesicles clustered to the shaft of his penis. What is the diagnosis? - ANSWERSHerpes Which medication would the NP prescribe for a patient diagnosed with primary syphilis who has no known drug allergies? - ANSWERSpenicillin G What age should a woman receive her first pap smear regardless of sexual activity? - ANSWERS21 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? - ANSWERSazithromycin 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 this patient? - ANSWERSflagyl A 36-year-old woman with vaginal itching, burning, and discharge. On the wet mount, you notice hyphae. Based on clinical symptoms and findings what diagnosis do you suspect? - ANSWERScandida A 25-year-old female with complaints of no menstrual cycle for 6 months. What test would be appropriate to order? - ANSWERSprolactin Which of the following is contraindicated to estrogen-containing contraceptive methods - ANSWERSfactor 5 Leiden mutation You are counseling a patient on oral combination contraceptive treatment. She wants to know what to do if she misses a pill. - ANSWERStake last missed pill along with today's pill In providing contraceptive counseling to a patient on Dilantin for a seizure disorder. Which contraceptive would you recommend? - ANSWERSDepo provera