NURS 8024 MANUAL 2025 QUESTIONS AND ANSWERS
RATED A+
✔✔education for someone who is starting depo and wants to know how it can affect
fertility? - ✔✔can take anywhere from 15-49 weeks for fertility to return
✔✔who should not use a diaphragm? - ✔✔HIV- diaphragm can disrupt vaginal
epithelium and make infection easier to pass on/get
✔✔education about a diaphragm - ✔✔insert just prior to or up to 2 hours before sex
leave in place for 6 hours after sex
✔✔mechanism of action of subdermal implant birth control (nexplanon) - ✔✔inhibits
ovulation
✔✔does nexplanon contain estrogen? - ✔✔NO
remember, only COC's, patch, ring do!
✔✔side effects of nexplanon - ✔✔irregular menstrual bleeding
pain/bruising/infection at insertion site
✔✔EDUCATION for a patient using the transdermal patch for birth control... - ✔✔skin
irritation can occur at application site
rotate site (butt, belly, back, upper arm)
apply new patch on same day each week for 3 weeks, then no patch for 4th week for
bleed
✔✔education for a patient using the nuvaring for birth control... - ✔✔insert ring for 3
weeks, remove for bleed, insert new ring 7 days later
✔✔fertility awareness-based methods - ✔✔contraceptive or family planning method that
involves identifying a fertile period in a woman's cycle and either avoiding intercourse or
using contraception during this time - 24% failure rate
✔✔what is meant by monophasic oral contraceptive? - ✔✔Each pill is designed to
deliver the same level of hormone throughout the entire pill pack. That's why it's called
"monophasic," or single phase
Junel, Yaz
✔✔what is meant by multiphasic oral contraceptive? - ✔✔alter the ratio of progestin to
estrogen and the doses during the 21-day cycle
OrthoTriCyclen (triphasic)
,✔✔what is meant by extended-cycle oral contraceptive? - ✔✔taking a pill for longer
than the typical 21 days -and not taking the placebo pills, constant hormone (usually
results in a period every 3 months or so)
Seasonique, Seasonale
✔✔what is the CDC first line treatment for gonorrhea? - ✔✔Ceftriaxone 500mg IM x 1
if cant r/o coinfection- doxy 100mg PO BID x7 days
✔✔Symptoms of Gonorrhea - ✔✔discharge and painful urination (often asymptomatic
or mistaken for a UTI)
✔✔education for patient with gonorrhea - ✔✔both partners need treated!
TOC 7-14 days ONLY if throat infection
untreated can cause PID (infertility, ectopic's, pain)
✔✔incubation period for gonorrhea - ✔✔1-14 days
✔✔what is the CDC's first line treatment for chlamydia? - ✔✔doxycycline 100mg BID x
7 days
azithromycin 1g PO x1 dose
✔✔what are the symptoms of chlamydia? - ✔✔dysuria, itching, irritation of the genital
area, discharge
✔✔education for a patient with chlamydia: - ✔✔BOTH partners need treated!
abstain from sex for 7 days after treatment is complete
untreated can lead to PID
TOC 4 weeks after treatment if pregnant
TOC 3 months after treatment if not pregnant
high rate of reinfection*
✔✔incubation period of chlamydia - ✔✔7-21 days
✔✔first line CDC treatment for syphillis? - ✔✔Benzathine penicillin G 2.4 million units IM
in a single dose
✔✔Primary syphilis symptoms - ✔✔painless chancre
✔✔secondary syphilis symptoms - ✔✔-Rash on palms/soles
-Lymphadenopathy
-Condylomata lata
-Malaise
,-Fever
✔✔Latent syphilis symptoms - ✔✔-No outward symptoms
(only evidence is positive serologic test)
✔✔tertiary syphilis symptoms - ✔✔Painful swollen tumors (gummas) develop in liver,
skin, bone, and/or cartilage; may cause serious tissue damage
Worst case scenarios:
---Cardiovascular syphilis (fatal)
---Neurosyphilis (pain, blindness, dementia)
✔✔education for a patient with syphilis? - ✔✔Clinical and serologic evaluation should
be performed at 6 and 12 months after treatment*
partners need treated if sex <90 days before diagnosis
✔✔possible reaction that may occur when treating for syphilis? - ✔✔Jarisch-Herxheimer
(H/A, myalgia, fever)
✔✔incubation period for syphilis - ✔✔10-90 days (avg 21)
-- point of this: person won't present immediately after high-risk sexual encounter
✔✔CDC's first line treatment of trichomoniasis? - ✔✔Metronidazole 500 mg 2 times/day
for 7 days * (rec)
Metronidazole 2 g orally in a single dose (pregnancy)
Tinidazole 2 g orally in a single dose
✔✔Symptoms of Trichomoniasis - ✔✔Green, yellow, gray, frothy, vaginal discharge
strawberry spots on cervix
✔✔education for a patient with trichomoniasis? - ✔✔DO NOT DRINK ALCOHOL
DURING TREATMENT (can experience a disulfiram-like reaction- abd pain, N/V, HA)
sex partners need treated too!
TOC is rec 3 months after completion of tx
✔✔incubation period of trichomoniasis - ✔✔5-28 days
✔✔CDC first line treatment of condyloma acuminata? - ✔✔Patient-applied:
Imiquimod 3.75% or 5% cream†
Provider-administered:
Cryotherapy with liquid nitrogen
OR
, Surgical removal
OR
Trichloroacetic acid (TCA)
✔✔what are the symptoms of condyloma accuminata? - ✔✔Small, skin-colored or gray
spots in your genital area that are raised or flat.
Several warts close together that are shaped like a cauliflower**
HPV 6/11
✔✔incubation period of condyloma acuminata - ✔✔2 weeks-8 months (avg 2-3 mos)
✔✔CDC's first line treatment for herpes (HSV)? - ✔✔Acyclovir† 400 mg orally 3
times/day for 7-10 days
OR
Famciclovir 250 mg orally 3 times/day for 7-10 days
OR
Valacyclovir 1 gm orally 2 times/day for 7-10 days
suppressive therapy is available to prevent breakouts
✔✔HSV-1 - ✔✔cold sores (1 mouth)
✔✔HSV-2 - ✔✔genital herpes (2 lips)
✔✔incubation period of herpes - ✔✔2-12 days
✔✔first line treatment for HPV? - ✔✔THERE IS NO TREATMENT - prevention is key
(Gardasil vaccine)
✔✔is the HPV vaccine recommended for those >26 years old? - ✔✔NO
✔✔what is the incubation period for HPV? - ✔✔2-3 months (can range from 1-20
months for warts, and up to TEN YEARS for high-risk HPV to become cancer)
✔✔what is the CDC's first line treatment for HIV? - ✔✔there is NO cure
***antiretroviral treatment (to suppress viral load)
want to keep tcell count >400-500
✔✔what are the options for prevention of HIV? - ✔✔PrEP (pre exposure prophylaxis)
PEP (post exposure prophylaxis)
✔✔incubation period of HIV - ✔✔2wks-6mos after contact w/ virus
RATED A+
✔✔education for someone who is starting depo and wants to know how it can affect
fertility? - ✔✔can take anywhere from 15-49 weeks for fertility to return
✔✔who should not use a diaphragm? - ✔✔HIV- diaphragm can disrupt vaginal
epithelium and make infection easier to pass on/get
✔✔education about a diaphragm - ✔✔insert just prior to or up to 2 hours before sex
leave in place for 6 hours after sex
✔✔mechanism of action of subdermal implant birth control (nexplanon) - ✔✔inhibits
ovulation
✔✔does nexplanon contain estrogen? - ✔✔NO
remember, only COC's, patch, ring do!
✔✔side effects of nexplanon - ✔✔irregular menstrual bleeding
pain/bruising/infection at insertion site
✔✔EDUCATION for a patient using the transdermal patch for birth control... - ✔✔skin
irritation can occur at application site
rotate site (butt, belly, back, upper arm)
apply new patch on same day each week for 3 weeks, then no patch for 4th week for
bleed
✔✔education for a patient using the nuvaring for birth control... - ✔✔insert ring for 3
weeks, remove for bleed, insert new ring 7 days later
✔✔fertility awareness-based methods - ✔✔contraceptive or family planning method that
involves identifying a fertile period in a woman's cycle and either avoiding intercourse or
using contraception during this time - 24% failure rate
✔✔what is meant by monophasic oral contraceptive? - ✔✔Each pill is designed to
deliver the same level of hormone throughout the entire pill pack. That's why it's called
"monophasic," or single phase
Junel, Yaz
✔✔what is meant by multiphasic oral contraceptive? - ✔✔alter the ratio of progestin to
estrogen and the doses during the 21-day cycle
OrthoTriCyclen (triphasic)
,✔✔what is meant by extended-cycle oral contraceptive? - ✔✔taking a pill for longer
than the typical 21 days -and not taking the placebo pills, constant hormone (usually
results in a period every 3 months or so)
Seasonique, Seasonale
✔✔what is the CDC first line treatment for gonorrhea? - ✔✔Ceftriaxone 500mg IM x 1
if cant r/o coinfection- doxy 100mg PO BID x7 days
✔✔Symptoms of Gonorrhea - ✔✔discharge and painful urination (often asymptomatic
or mistaken for a UTI)
✔✔education for patient with gonorrhea - ✔✔both partners need treated!
TOC 7-14 days ONLY if throat infection
untreated can cause PID (infertility, ectopic's, pain)
✔✔incubation period for gonorrhea - ✔✔1-14 days
✔✔what is the CDC's first line treatment for chlamydia? - ✔✔doxycycline 100mg BID x
7 days
azithromycin 1g PO x1 dose
✔✔what are the symptoms of chlamydia? - ✔✔dysuria, itching, irritation of the genital
area, discharge
✔✔education for a patient with chlamydia: - ✔✔BOTH partners need treated!
abstain from sex for 7 days after treatment is complete
untreated can lead to PID
TOC 4 weeks after treatment if pregnant
TOC 3 months after treatment if not pregnant
high rate of reinfection*
✔✔incubation period of chlamydia - ✔✔7-21 days
✔✔first line CDC treatment for syphillis? - ✔✔Benzathine penicillin G 2.4 million units IM
in a single dose
✔✔Primary syphilis symptoms - ✔✔painless chancre
✔✔secondary syphilis symptoms - ✔✔-Rash on palms/soles
-Lymphadenopathy
-Condylomata lata
-Malaise
,-Fever
✔✔Latent syphilis symptoms - ✔✔-No outward symptoms
(only evidence is positive serologic test)
✔✔tertiary syphilis symptoms - ✔✔Painful swollen tumors (gummas) develop in liver,
skin, bone, and/or cartilage; may cause serious tissue damage
Worst case scenarios:
---Cardiovascular syphilis (fatal)
---Neurosyphilis (pain, blindness, dementia)
✔✔education for a patient with syphilis? - ✔✔Clinical and serologic evaluation should
be performed at 6 and 12 months after treatment*
partners need treated if sex <90 days before diagnosis
✔✔possible reaction that may occur when treating for syphilis? - ✔✔Jarisch-Herxheimer
(H/A, myalgia, fever)
✔✔incubation period for syphilis - ✔✔10-90 days (avg 21)
-- point of this: person won't present immediately after high-risk sexual encounter
✔✔CDC's first line treatment of trichomoniasis? - ✔✔Metronidazole 500 mg 2 times/day
for 7 days * (rec)
Metronidazole 2 g orally in a single dose (pregnancy)
Tinidazole 2 g orally in a single dose
✔✔Symptoms of Trichomoniasis - ✔✔Green, yellow, gray, frothy, vaginal discharge
strawberry spots on cervix
✔✔education for a patient with trichomoniasis? - ✔✔DO NOT DRINK ALCOHOL
DURING TREATMENT (can experience a disulfiram-like reaction- abd pain, N/V, HA)
sex partners need treated too!
TOC is rec 3 months after completion of tx
✔✔incubation period of trichomoniasis - ✔✔5-28 days
✔✔CDC first line treatment of condyloma acuminata? - ✔✔Patient-applied:
Imiquimod 3.75% or 5% cream†
Provider-administered:
Cryotherapy with liquid nitrogen
OR
, Surgical removal
OR
Trichloroacetic acid (TCA)
✔✔what are the symptoms of condyloma accuminata? - ✔✔Small, skin-colored or gray
spots in your genital area that are raised or flat.
Several warts close together that are shaped like a cauliflower**
HPV 6/11
✔✔incubation period of condyloma acuminata - ✔✔2 weeks-8 months (avg 2-3 mos)
✔✔CDC's first line treatment for herpes (HSV)? - ✔✔Acyclovir† 400 mg orally 3
times/day for 7-10 days
OR
Famciclovir 250 mg orally 3 times/day for 7-10 days
OR
Valacyclovir 1 gm orally 2 times/day for 7-10 days
suppressive therapy is available to prevent breakouts
✔✔HSV-1 - ✔✔cold sores (1 mouth)
✔✔HSV-2 - ✔✔genital herpes (2 lips)
✔✔incubation period of herpes - ✔✔2-12 days
✔✔first line treatment for HPV? - ✔✔THERE IS NO TREATMENT - prevention is key
(Gardasil vaccine)
✔✔is the HPV vaccine recommended for those >26 years old? - ✔✔NO
✔✔what is the incubation period for HPV? - ✔✔2-3 months (can range from 1-20
months for warts, and up to TEN YEARS for high-risk HPV to become cancer)
✔✔what is the CDC's first line treatment for HIV? - ✔✔there is NO cure
***antiretroviral treatment (to suppress viral load)
want to keep tcell count >400-500
✔✔what are the options for prevention of HIV? - ✔✔PrEP (pre exposure prophylaxis)
PEP (post exposure prophylaxis)
✔✔incubation period of HIV - ✔✔2wks-6mos after contact w/ virus
