Maryville NURS 620 Exam 4 Questions and answers
2025
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? - ANS-HPV
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? - ANS-
ceftriaxone
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? - ANS-Chlamydia
45-year-old women with complaints of vaginal discharge. You identify clue cells on the
vaginal smear. What diagnosis? - ANS-BV
Which of the following medications is the treatment of choice for Trich? - ANS-Flagyl
A 26-year-old woman presents with complaints of irregular vaginal bleeding. Which of
the following tests should be the first priority. - ANS-pregnancy 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? - ANS-
fluconazole
21-year-old woman requesting birth control pills. Which of the following tests would be
essential before prescribing any oral contraceptives? - ANS-HCG
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? - ANS-IUD
What is the most common cause of secondary amenorrhea? - ANS-Pregnancy
A 22-year-old woman diagnosed with PMS. Which of the following lifestyle changes to
minimize symptoms? - ANS-getting regular exercise
A 25-year-old woman complaining of painful menstruation. Which pelvic pathology is the
most common cause of dysmenorrhea? - ANS-endometriosis
2025
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? - ANS-HPV
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? - ANS-
ceftriaxone
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? - ANS-Chlamydia
45-year-old women with complaints of vaginal discharge. You identify clue cells on the
vaginal smear. What diagnosis? - ANS-BV
Which of the following medications is the treatment of choice for Trich? - ANS-Flagyl
A 26-year-old woman presents with complaints of irregular vaginal bleeding. Which of
the following tests should be the first priority. - ANS-pregnancy 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? - ANS-
fluconazole
21-year-old woman requesting birth control pills. Which of the following tests would be
essential before prescribing any oral contraceptives? - ANS-HCG
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? - ANS-IUD
What is the most common cause of secondary amenorrhea? - ANS-Pregnancy
A 22-year-old woman diagnosed with PMS. Which of the following lifestyle changes to
minimize symptoms? - ANS-getting regular exercise
A 25-year-old woman complaining of painful menstruation. Which pelvic pathology is the
most common cause of dysmenorrhea? - ANS-endometriosis
