NURS 546: Midterm Study Set
ANS-Metronidazole, Tinidazole—are the only classes of medications that effectively treat T.
vaginalis infections. ANS-90, 2 percent of HPV infections resolve within __ years. "ACHES" -
ANS-1, used with COC. Pain in the abdomen 2. Cough, SOB, or chest pain 3. numbness,
dizziness, or headaches 4. issues with the eyes, such as blurry vision or vision loss 5. severe
calf or thigh pain in the legs "PAINS" when using an IUD - ANS-1. A missed period, spotting, or
bleeding 2. Abdominal pain or pain during sexual activity 3. Exposure to infection 4. Fever or
chills, unhealthiness 5. Is the missing string shorter or longer? ANS-1. Hysterectomy was
performed for high-grade pre-cancerous or cancerous lesions (even if she does not retain her
cervix), which are two reasons why a woman would continue to undergo cervical screening. 2.
During the hysterectomy, the cervix was not removed. There are three ways Progestin-Only
methods prevent pregnancy: ANS-1. thickens cervical mucus, which makes it harder for sperm
to move. 2. impairs the tubal motility of smooth muscle 3. renders endometrium thin, less
suitable for implantation
The ANS-Ileum, pubis, and ischium are the three main parts of the pelvis. They are connected
by the sacrum and pubic symphysis. When should a woman who is 22 years old and had a
normal cytology test when she was 21 be rescreened? ANS-At age 24, using cytology alone,
three years after the previous test A 22-year-old woman's cytology testing came back with an
ASC-US result. What should be her treatment plan? - ANS-Preferred: she should have cytology
testing in a year. Acceptable: regardless of the outcome, the patient ought to undergo HPV
testing right away and a cytology screening in a year. In general, being diagnosed with HIV
increases your risk of STI co-infection, and vice versa - ANS-more Examining the Pelvis for
Vaginitis: Examine the discharge, erythema, and cervical involvement. pH: use pH paper to test
for vaginal secretion. wet mount: Under a microscope, observe vaginal secretion in KOH and
saline. The whiff test involves sniffing the mixture of vaginal secretions and KOH for a strong,
musty or fishy smell. When and how frequently should women begin cytology screening? When
and how long should they begin HPV co-testing with cytology? - ANS-Women 21-29: cytology
alone Q3 years Women aged 30 to 65: quarterly cytology and HPV co-testing Atypical
Squamous Cells, or ANS-ASC-US: mild changes frequently brought on by HPV infection
ASC-H: changes that are probably linked to precancerous abn Non-treponemal titer (RPR or
VDRL) must be used to monitor for a reinfection with syphilis because the antibodies detected in
treponemal tests typically remain detectable for life, even after successful treatment. broad
ligament - ANS The ligament that connects the uterus's lateral margins to the pelvic wall
stabilizes the pelvic cavity and keeps the uterus centered. BV Amsel Criteria - ANS-Diagnosis if
there are three or four of them: 1. >pH (>4.5)
2. Test of positive whiff 3. Using microscopy, clue cells 4. Discharge
Risk factors for BV—ANS—multiple partners in sex douching
absence of barrier use hygiene
, absence of lactobacilli or a low number of lactobacilli that produce H2O2 BV symptoms include
an amine-smelling odor and a milky, thin, "fishy" discharge. Usually, the vulva and cervix are not
involved, and patients may not experience any symptoms. pH >4.5
favorable whiff test wet mount: more than 20% of the sample's clue cells On the slide, there are
few lactobacilli and no WBC. ANS-Metronidazole 500 mg BID x 7 days is the BV treatment.
Metronidazole gel, 0.75 percent, one (5g) application daily QD for five days Clindamycin cream,
2%, one application (5g) at night, seven days a week Clindamycin education for BV treatment -
ANS-cream contains oil and may degrade latex condoms. including the possibility of breaking
within 72 hours of use BV treatment for recurrence: ANS may recommend Metronidazole twice
weekly for two to four months. OR
Metronidazole and nitroimidazole PO, f/b Boric Acid (not during pregnancy). Treatment for BV
during pregnancy: 500 mg of ANS-Metronidazole twice daily for seven days. treat as soon as
possible, and in one month, test again for recolonization. Metronidazole education for BV
treatment - ANS: avoid drinking alcohol before, during, and after treatment frequent stomach
discomfort metallic flavor Candidiasis (VVC) - white, curd-like "cottage cheese" discharge that is
ANS-thickened *pruritus*
erythema and swelling of the vulvae and labii, erythematous walls of the uterus no smell no
typical effect on the cervix pH typically below 4.5 Cervical biopsy - ANS - May be necessary for
pap tests with HSIL, ASC-H, or other results, as well as for visible exophytic lesions on the
cervix. Screening for Cervical Cancer Using the ANS-Screen for All Sexually Active Women
Over 21 from 21 to 30: third-quarter cytology from 30 to 65: cytology with HPV Q3 or Q5
Pregnancy: the age-appropriate screening HIV: once every six months for a year, then annually
Chlamydia s/s - ANS-1 rarely presents with symptoms. 2. Cervicitis with mucopurulent yellowing
3. Cervical friability chlamydia testing: ANS-women undergo a 25-point annual test Women over
25 who are at risk are screened for prn. Chlamydia treatment: 100 mg of ANS-Doxycycline
taken orally once every seven days (during pregnancy): one tablet of azithromycin ANS-2001
Bethseda System classification of cervical cellular abnormalities Instruction from COC for taking
missed pills - ANS: If you miss one pill, take two the next day. Take two pills the next two days if
you miss two. For the remainder of your cycle, use condoms if you miss three pills. *The higher
your chance of getting pregnant is the more you miss* Colposcopy - ANS - Based on a physical
exam or the results of a Pap test, either with or without HPV DNA test results Complex VVC -
ANS-Recurrent (RVVC) with four or more episodes per year or more Severe - edema, excision,
and formation of fissures Strain of non-albicans Host compromised ANS-Male condom efficacy:
82% 79% were women. Keep giving men and women the HPV vaccine until they are ____, after
which it is recommended to have a conversation about vaccination with a provider - ANS-26.
ANS recommends having a withdrawal bleeding about every three months for continuous
COCs. COC contraindications - ANS: Women over 35 who smoke more than 15 cigarettes per
day Women over 40 who smoke thromboembolic conditions (DVT) liver tumors and severe
cirrhosis Lupus
Vascular disease, complicated valvular dx, CVA hx, ischemic CAD, aura-based migraine
current cancer of the breast DM with neuropathy suspicion of pregnancy Copper IUD
contraindications: ANS: Abnormal uterine cavity Endometrial or cervical cancer Disease of the
trophoblast during pregnancy Present PID Abortion after septication suspicion of pregnancy
Infection with chlamydia or gonorrhea TB of the pelvis Vaginal bleeding that is not explained
ANS-Metronidazole, Tinidazole—are the only classes of medications that effectively treat T.
vaginalis infections. ANS-90, 2 percent of HPV infections resolve within __ years. "ACHES" -
ANS-1, used with COC. Pain in the abdomen 2. Cough, SOB, or chest pain 3. numbness,
dizziness, or headaches 4. issues with the eyes, such as blurry vision or vision loss 5. severe
calf or thigh pain in the legs "PAINS" when using an IUD - ANS-1. A missed period, spotting, or
bleeding 2. Abdominal pain or pain during sexual activity 3. Exposure to infection 4. Fever or
chills, unhealthiness 5. Is the missing string shorter or longer? ANS-1. Hysterectomy was
performed for high-grade pre-cancerous or cancerous lesions (even if she does not retain her
cervix), which are two reasons why a woman would continue to undergo cervical screening. 2.
During the hysterectomy, the cervix was not removed. There are three ways Progestin-Only
methods prevent pregnancy: ANS-1. thickens cervical mucus, which makes it harder for sperm
to move. 2. impairs the tubal motility of smooth muscle 3. renders endometrium thin, less
suitable for implantation
The ANS-Ileum, pubis, and ischium are the three main parts of the pelvis. They are connected
by the sacrum and pubic symphysis. When should a woman who is 22 years old and had a
normal cytology test when she was 21 be rescreened? ANS-At age 24, using cytology alone,
three years after the previous test A 22-year-old woman's cytology testing came back with an
ASC-US result. What should be her treatment plan? - ANS-Preferred: she should have cytology
testing in a year. Acceptable: regardless of the outcome, the patient ought to undergo HPV
testing right away and a cytology screening in a year. In general, being diagnosed with HIV
increases your risk of STI co-infection, and vice versa - ANS-more Examining the Pelvis for
Vaginitis: Examine the discharge, erythema, and cervical involvement. pH: use pH paper to test
for vaginal secretion. wet mount: Under a microscope, observe vaginal secretion in KOH and
saline. The whiff test involves sniffing the mixture of vaginal secretions and KOH for a strong,
musty or fishy smell. When and how frequently should women begin cytology screening? When
and how long should they begin HPV co-testing with cytology? - ANS-Women 21-29: cytology
alone Q3 years Women aged 30 to 65: quarterly cytology and HPV co-testing Atypical
Squamous Cells, or ANS-ASC-US: mild changes frequently brought on by HPV infection
ASC-H: changes that are probably linked to precancerous abn Non-treponemal titer (RPR or
VDRL) must be used to monitor for a reinfection with syphilis because the antibodies detected in
treponemal tests typically remain detectable for life, even after successful treatment. broad
ligament - ANS The ligament that connects the uterus's lateral margins to the pelvic wall
stabilizes the pelvic cavity and keeps the uterus centered. BV Amsel Criteria - ANS-Diagnosis if
there are three or four of them: 1. >pH (>4.5)
2. Test of positive whiff 3. Using microscopy, clue cells 4. Discharge
Risk factors for BV—ANS—multiple partners in sex douching
absence of barrier use hygiene
, absence of lactobacilli or a low number of lactobacilli that produce H2O2 BV symptoms include
an amine-smelling odor and a milky, thin, "fishy" discharge. Usually, the vulva and cervix are not
involved, and patients may not experience any symptoms. pH >4.5
favorable whiff test wet mount: more than 20% of the sample's clue cells On the slide, there are
few lactobacilli and no WBC. ANS-Metronidazole 500 mg BID x 7 days is the BV treatment.
Metronidazole gel, 0.75 percent, one (5g) application daily QD for five days Clindamycin cream,
2%, one application (5g) at night, seven days a week Clindamycin education for BV treatment -
ANS-cream contains oil and may degrade latex condoms. including the possibility of breaking
within 72 hours of use BV treatment for recurrence: ANS may recommend Metronidazole twice
weekly for two to four months. OR
Metronidazole and nitroimidazole PO, f/b Boric Acid (not during pregnancy). Treatment for BV
during pregnancy: 500 mg of ANS-Metronidazole twice daily for seven days. treat as soon as
possible, and in one month, test again for recolonization. Metronidazole education for BV
treatment - ANS: avoid drinking alcohol before, during, and after treatment frequent stomach
discomfort metallic flavor Candidiasis (VVC) - white, curd-like "cottage cheese" discharge that is
ANS-thickened *pruritus*
erythema and swelling of the vulvae and labii, erythematous walls of the uterus no smell no
typical effect on the cervix pH typically below 4.5 Cervical biopsy - ANS - May be necessary for
pap tests with HSIL, ASC-H, or other results, as well as for visible exophytic lesions on the
cervix. Screening for Cervical Cancer Using the ANS-Screen for All Sexually Active Women
Over 21 from 21 to 30: third-quarter cytology from 30 to 65: cytology with HPV Q3 or Q5
Pregnancy: the age-appropriate screening HIV: once every six months for a year, then annually
Chlamydia s/s - ANS-1 rarely presents with symptoms. 2. Cervicitis with mucopurulent yellowing
3. Cervical friability chlamydia testing: ANS-women undergo a 25-point annual test Women over
25 who are at risk are screened for prn. Chlamydia treatment: 100 mg of ANS-Doxycycline
taken orally once every seven days (during pregnancy): one tablet of azithromycin ANS-2001
Bethseda System classification of cervical cellular abnormalities Instruction from COC for taking
missed pills - ANS: If you miss one pill, take two the next day. Take two pills the next two days if
you miss two. For the remainder of your cycle, use condoms if you miss three pills. *The higher
your chance of getting pregnant is the more you miss* Colposcopy - ANS - Based on a physical
exam or the results of a Pap test, either with or without HPV DNA test results Complex VVC -
ANS-Recurrent (RVVC) with four or more episodes per year or more Severe - edema, excision,
and formation of fissures Strain of non-albicans Host compromised ANS-Male condom efficacy:
82% 79% were women. Keep giving men and women the HPV vaccine until they are ____, after
which it is recommended to have a conversation about vaccination with a provider - ANS-26.
ANS recommends having a withdrawal bleeding about every three months for continuous
COCs. COC contraindications - ANS: Women over 35 who smoke more than 15 cigarettes per
day Women over 40 who smoke thromboembolic conditions (DVT) liver tumors and severe
cirrhosis Lupus
Vascular disease, complicated valvular dx, CVA hx, ischemic CAD, aura-based migraine
current cancer of the breast DM with neuropathy suspicion of pregnancy Copper IUD
contraindications: ANS: Abnormal uterine cavity Endometrial or cervical cancer Disease of the
trophoblast during pregnancy Present PID Abortion after septication suspicion of pregnancy
Infection with chlamydia or gonorrhea TB of the pelvis Vaginal bleeding that is not explained
