NM 701 EXAM 7 2025/2026 COMPLETE QUESTIONS WITH CORRECT DETAILED ANSWERS || 100% GUARANTEED PASS BRAND NEW VERSION

NM 701 EXAM 7 2025/2026 COMPLETE QUESTIONS WITH CORRECT DETAILED ANSWERS || 100% GUARANTEED PASS BRAND NEW VERSION 1. burning on urination may be associated with - ANSWER - interstitial cystitis - UTI - primary outbreak of genital herpes - yeast vaginitis 2. urinary incontinence is ______ a normal aging change - ANSWER - not - may be common -- BUT it is not normal & deserves a full workup & management plan 3. syphilis is a - ANSWER - single painless lesion -- presents as a chancre 4. trich Sx - ANSWER - asymptomatic - discharge -- worsens after menstruation - vulva/vag inflammation - irritation - pruritis - dsyuria - dyspareunia 5. trich d/c - ANSWER - yellow green - frothy - mucopurulent - copious - malodorous 6. genital herpes outbreak Sx - ANSWER - blisters - watery d/c 7. these cx d/c - ANSWER - bacterial vaginosis - yeast vaginosis 8. most sexually transmitted infection in women are - ANSWER - silent 9. Tx of sexual partners is always indicated for BV - ANSWER - false -- unless lesbian 10. forensic examination of the woman who experiences sexual assault is within the general scope of practice of the CMN - ANSWER - false -- SANE provider 11. all women with dysuria & urinary frequency need a UA cross & sensitivity - ANSWER - false -- only with complicated UTI 12. urgency - ANSWER - strong desire to urinate that is difficult to postpone -- involuntary leakage associated with this - aging detrusor muscle & milimeters at bladder/urethral junction 13. mixed incontinence - ANSWER - involuntary leakage associated with Sx of both stress & urgency 14. normal vaginal d/c - ANSWER - clear or cloudy & non-irritating -- may leave a yellow cast when dry - slightly slimy (egg whites) & mild inoffensive odor -- white/clear/thin 15. gardasil prevents - ANSWER - HPV -- genital warts in addition to cervical cancer from HPV 16/18 16. approximately _______ of people infected with HSV-2 are unaware of their status - ANSWER - 85% 17. HSV primary infection lasts - ANSWER - about 3 wks 18. trich incubation period - ANSWER - 5-28 days - may not get Sx until much later 19. chancroid clinical presentation - ANSWER - painful genital ulcer - tender inguinal adenopathy - also test for HIV 20. granuloma inguinale clinical presentation - ANSWER - painless ulcerative lesion on genitals/perineum without regional lymphadenopathy - SQ granulomas - highly vascular lesions 21. lymphogranuloma venereum - ANSWER - tender inguinal lymphadenopathy - self-limiting genital ulcer or papule 22. candidiasis Tx - ANSWER - fluconazole/clotrimazole -- antifungal 23. BV, trich, PID Tx - ANSWER - metronidazole -- antibiotic & antiprotozoal 24. which vaginal infections need partner Tx - ANSWER - chlamydia - gonorrhea - trich - lice - syphilis - HSV - HPV -- only if develop Sx - chancroid - granuloma - lymph venereum 25. Tx is needed for _______ only if partner is woman - ANSWER - BV 26. Tx for ______ is needed for partner only if develop Sx - ANSWER HPV 27. prophylactic Tx for a women who experiences sexual assault - ANSWER - emergency contraception - Hep B - HPV vaccination - empiric antimicrobial regimen -- ceftriaxone + azithromycin + flagyl 28. 42-year-old woman is evaluated for a homogenous milky white vaginal d/c -- what findings most strongly suggest BV - ANSWER - wet mount with abundant bacterial clumping on borders of epithelial cells 29. 29-year-old woman with a malodorous, homogenous gray vaginal d/c is Dx with BV, she is not preg -- what is the recommended Tx - ANSWER - flagyl 500 mg PO bid x 7 days 30. 24-year-old woman with vaginal discharge is Dx with trich, she does not have an HIV infection & she is not preg -- what is a recommended Tx - ANSWER - tinidazole 2 gram PO single dose 31. what is true about trich & HIV - ANSWER - active infection with trich confers a 2-3 fold risk of acquiring HIV infection 32. 30-year-old woman is 28 wks preg & presents with severe vulvar itching & burning, along with thick white clumpy vaginal d/c -- what is recommended for her Tx - ANSWER - clotrimazole 1% cream x 7 days vaginally 33. in 2016 which racial group had the highest rate of primary & 2ndary cases of syphilis in US - ANSWER - black 34. what describes a primary syphilis (chancre) lesion - ANSWER - painless well-circumscribed ulcer that has a clean base & persists for 1-6 wks 35. What to do about mucopurulent cervicitis of woman in high risk group - ANSWER Treat that day! -while waiting for NAAT results -esp if risk of no f/u 36. Etiology of PID - ANSWER mainly gonorrhea and/or chlamydia other wide variety of bacteria, including those found in normal vaginal flora -Gardnerella, H. influenzae, M. genitalium 37. Who has highest risk for PID - ANSWER adolescents -decreased immunity -higher risk for CT and gonorrhea 38. 3 Cardinal signs of PID - ANSWER -cervical motion tenderness -adnexal tenderness -uterine tenderness if any are present, treat presumptively for PID 39. Health complications associated with PID - ANSWER acute and chronic reproductive sequalae -tubo-ovarian abscess, ectopic pg, infertility, chronic pelvic and abd pain, dyspareunia, recurrent PID 40. Tx for PID - ANSWER ceftriaxone 250mg IM once plus doxycline 100mg po BID x14 days may add: metronidazole 500mg po BID x14 days *treat those at risk if 1 or more cardinal signs and/or unexplained lower abd/pelvic pain* 41. Trichomoniasis - ANSWER Trichomonas vaginalis - protozoa -does not ascend into uterus and tubes == no PID -highly curable -worsens during and after menstruation -often asymptomatic -higher rates among *Black women, incarcerated women, and those at STI clinics* -does make it easier to give or get HIV ---screen HIV + women for trich regularly 42. Clinical presentation of trich (if symptomatic) - ANSWER -frothy, green or yellow d/c with odor strawberry spots on cervix (not common), irritated cervix -spotting after intercourse -dysuria -dyspareunia -vulvar irritation, itching, or erythema 43. Dx of trich - ANSWER -wet prep not very sensitive - requires immediate eval of slide - visualize flagellate trichomonads -paps have a lot of false positive -NAAT (need lab) -OSOM (in office) 44. Diffs for trich - ANSWER anything else causing vaginal d/c -candidiasis, BV, CT, gonorrhea 45. Tx of trich - ANSWER metronidazole 2g *po* in single dose or tinidazole 2g *po* in single dose *no topicals*, not effective treat partner concurrently, abstain from sex until both are treated retest women in 3 months 46. Antibacterial -azoles - ANSWER metronidazole tinidazole *will cause disulfiram reaction* 47. Condyloma accuminata - ANSWER Genital warts -strains 6 and 11 of HPV -Gardasil protects -approx. 15% of Americans age 15 to 49 are currently infected -nearly all sexually active, unvaccinated people will contract HPV at some point -asymptomatic transmission, too 48. Clinical presentation of genital warts - ANSWER -cauliflowery, single or multiple -flat, papular, or pedunculated -skin tone or close -usually asymptomatic -can be uncomfortable if very large lesions -some have itching, burning, or vaginal d/c 49. Diffs for genital warts - ANSWER -syphilitic condyloma lata (flat, broad, round - not cauliflowery) -molluscum contagiosum -carcinoma 50. Dx of genital warts - ANSWER -by inspection -biopsy only for atypical or worrisome warts ---unusually large, bleeding, ulcerated no HPV testing for warts or vinegar test 51. Tx of genital warts - ANSWER *treat to remove warts, not eradication of virus* imiquimod 5% cream or Podofilox 0.5% solution or gel or Sinecatechin 15% ointment or cryotherapy, surgical removal, TCA, or BCA use one at a time, not concurrent 52. Genital herpes - ANSWER most HSV 2, HSV 1 do cause, too 53. Clinical presentation of genital herpes - ANSWER -erythematous papules--vesicles with clear fluid--painful, shallow ulcers -single, a few, or widespread -primary outbreaks include systemic viral syndrome (flu-like) -most have no or mild symptoms -can easily be mistaken for a yeast infection 54. Diff dx for genital herpes - ANSWER -syphilitic chancre (painless ulcer) -contact dermatitis -aphthous ulcers -Behcet's disease (look identical, can occur without sexual contact) -chancroid 55. Dx of genital herpes - ANSWER *do not dx by clinical presentation* Lab studies: viral culture of vesicle fluid (painful to break vesicle) ---not as good on ulcerated or crusted lesions -PCR test highly sensitive serology not the best, but do it when: ---recurrent or atypical ---clinical dx without lab confirmation ---partner has genital herpes ---high risk for STIs, esp HIV 56. Tx of genital herpes - ANSWER acyclovir, valacyclovir, or famciclovir primary outbreak: higher dose x7 to 10 days suppressive therapy: daily in smaller dose episodic: keep med on hand to treat at time of outbreak 57. Counseling for genital herpes - ANSWER -viral shedding possible between outbreaks -condoms help but not 100% -symptoms of impending outbreak