WHNP STI'S EXAM QUESTIONS AND
ANSWERS
If your patient is allergic to Rocephin or refuses to have an injection, what should the
NP order for the treatment of gonorrhea? - ANSWER-Cefixime (cephalosporin)
400mg po X1 dose
Brenda is pregnant and tests positive for chlamydia (cz) and gonorrhea (gc). You
treat Brenda appropriately. Should Brenda come back for a follow up visit? If so
when? - ANSWER-Yes. She should return for test-of-cure in 3 weeks.
Paula is in the ER and you receive a call to see her. After talking with Paula she
admits she has been feeling bad for 2 weeks. She reports sever abdominal and low
back pain, a virginal discharge, urine frequency, and she cant hold anything down.
Paula has been ruled out as having appendicitis and kidney stones. Her chart
indicated she had an abortion 1 month ago. Her temp is 101.5. What would you
suspect? Why? - ANSWER-PID. Her temp and her 1 month post abortion.
Paula is in the ER and you receive a call to see her. After talking with Paula she
admits she has been feeling bad for 2 weeks. She reports sever abdominal and low
back pain, a virginal discharge, urine frequency, and she cant hold anything down.
Paula has been ruled out as having appendicitis and kidney stones. Her chart
indicated she had an abortion 1 month ago. Her temp is 101.5. What labs/tests
would you order initially if you suspected PID? - ANSWER-CBC with SED rate and
an U/S
Ginger is 20 weeks pregnant and has PID. What would the NP do to treat Ginger
appropriately? - ANSWER-Admit her to the hospital for IV antibiotics.
Helen is in to see you for a bump on her vulva that she states is very painful. What
would you suspect? - ANSWER-Herpes
Kendra is here for a PAP. As you are inspecting her cervix, you notice a fresh-
colored papillary on her cervix that is not painful or bleeding. When you question her,
she states she has never been told of this before. What do you suspect? -
ANSWER-HPV, condylomata acuminate
Sassy is 35 week gestation. She comes in to see you complaining of itchiness in her
rectum area. She has also noticed a vaginal discharge change. She denies pain or
bleeding and she has no baby issues. After inspection, you notice small flesh-
colored finger-like protrusions on her rectum. What do you suspect? - ANSWER-
HPV (itching, discharge, flesh-colored)
Should the NP take a biopsy of a condyloma if she is relatively sure that the patient
has HPV? - ANSWER-No, only id treatment fails.
, What should all NPs recommend for females ages 9-26 to prevent the spread of
HPV? What are the dosing series? - ANSWER-Gardasil. 1st dose now, repeat in 2
months, then last dose in 6 months.
Jane is pregnant and due her second dose of Gardasil. What should the NP do? -
ANSWER-Not give the 2nd dose and reschedule after pregnancy. She does not
need to start over with the series.
Sarah is positive for HPV and has never gotten Gardasil. She is 25. What should the
NP do? - ANSWER-Schedule her Gardasil series now, 2 months, and 3rd injection at
6 months.
Gardasil is a quadrivalent vaccine. Quadra means 4. What 4 HPVs do Gardasil
protect both female and males from? - ANSWER-HPV 6,11,16,18
What two HPVs are cancer causing that Gardasil protect women from? - ANSWER-
16 & 18
Tally is pregnant and comes in for her checkup. She ask about the Gardasil vaccine.
She has never received the vaccine and wants to know if she can get Gardasil at her
next visit. What do you say? - ANSWER-No, she can be scheduled for Gardasil after
her pregnancy. She can even get the vaccine if she's breastfeeding. Make a note in
her chart to schedule after pregnancy.
Marjorie is 22 and wants to have the Gardasil vaccine. On her chart you notice she is
sensitive and should avoid yeast. What do you do? - ANSWER-Don't give if
someone is sensitive to yeast.
Marjorie has HPV and states she is not bothered by the virus. She has several
condyloma on her vulva and anal area. What would you advise? - ANSWER-
Nothing. If they do not bother her, then no treatment is required.
What age should ALL women be tested for STI's such as chlamydia and gonorrhea?
- ANSWER-All women 25 and younger annually if sexually active.
Christa is 35 and has multiple partners, both male and female. Should she be tested
annually for STI's? - ANSWER-Yes, any women 25 and older with risk factors should
be tested annually.
The NP is seeing Dylon for her annual exam. Dylon is due her PAP test. The NP
notices purulent cervical discharge and swelling in her labia. Upon the bimanual
exam Dylon complains of slight tenderness when the NP checks her adnexa. No
other symptoms exist. Dylon has not been sexually active for 3 months. She does
not use any form of contraception and has no health problems. What should the NP
test for? - ANSWER-STI's. This could be gonorrhea. Also test for chlamydia, syphilis,
and HIV.
The NP looks at the next patient to be seen. The patient is here for a STI work up. In
what order should the NP do her exam workup? - ANSWER-1. Check Vital sign.
Esp. temp to r/o PID
ANSWERS
If your patient is allergic to Rocephin or refuses to have an injection, what should the
NP order for the treatment of gonorrhea? - ANSWER-Cefixime (cephalosporin)
400mg po X1 dose
Brenda is pregnant and tests positive for chlamydia (cz) and gonorrhea (gc). You
treat Brenda appropriately. Should Brenda come back for a follow up visit? If so
when? - ANSWER-Yes. She should return for test-of-cure in 3 weeks.
Paula is in the ER and you receive a call to see her. After talking with Paula she
admits she has been feeling bad for 2 weeks. She reports sever abdominal and low
back pain, a virginal discharge, urine frequency, and she cant hold anything down.
Paula has been ruled out as having appendicitis and kidney stones. Her chart
indicated she had an abortion 1 month ago. Her temp is 101.5. What would you
suspect? Why? - ANSWER-PID. Her temp and her 1 month post abortion.
Paula is in the ER and you receive a call to see her. After talking with Paula she
admits she has been feeling bad for 2 weeks. She reports sever abdominal and low
back pain, a virginal discharge, urine frequency, and she cant hold anything down.
Paula has been ruled out as having appendicitis and kidney stones. Her chart
indicated she had an abortion 1 month ago. Her temp is 101.5. What labs/tests
would you order initially if you suspected PID? - ANSWER-CBC with SED rate and
an U/S
Ginger is 20 weeks pregnant and has PID. What would the NP do to treat Ginger
appropriately? - ANSWER-Admit her to the hospital for IV antibiotics.
Helen is in to see you for a bump on her vulva that she states is very painful. What
would you suspect? - ANSWER-Herpes
Kendra is here for a PAP. As you are inspecting her cervix, you notice a fresh-
colored papillary on her cervix that is not painful or bleeding. When you question her,
she states she has never been told of this before. What do you suspect? -
ANSWER-HPV, condylomata acuminate
Sassy is 35 week gestation. She comes in to see you complaining of itchiness in her
rectum area. She has also noticed a vaginal discharge change. She denies pain or
bleeding and she has no baby issues. After inspection, you notice small flesh-
colored finger-like protrusions on her rectum. What do you suspect? - ANSWER-
HPV (itching, discharge, flesh-colored)
Should the NP take a biopsy of a condyloma if she is relatively sure that the patient
has HPV? - ANSWER-No, only id treatment fails.
, What should all NPs recommend for females ages 9-26 to prevent the spread of
HPV? What are the dosing series? - ANSWER-Gardasil. 1st dose now, repeat in 2
months, then last dose in 6 months.
Jane is pregnant and due her second dose of Gardasil. What should the NP do? -
ANSWER-Not give the 2nd dose and reschedule after pregnancy. She does not
need to start over with the series.
Sarah is positive for HPV and has never gotten Gardasil. She is 25. What should the
NP do? - ANSWER-Schedule her Gardasil series now, 2 months, and 3rd injection at
6 months.
Gardasil is a quadrivalent vaccine. Quadra means 4. What 4 HPVs do Gardasil
protect both female and males from? - ANSWER-HPV 6,11,16,18
What two HPVs are cancer causing that Gardasil protect women from? - ANSWER-
16 & 18
Tally is pregnant and comes in for her checkup. She ask about the Gardasil vaccine.
She has never received the vaccine and wants to know if she can get Gardasil at her
next visit. What do you say? - ANSWER-No, she can be scheduled for Gardasil after
her pregnancy. She can even get the vaccine if she's breastfeeding. Make a note in
her chart to schedule after pregnancy.
Marjorie is 22 and wants to have the Gardasil vaccine. On her chart you notice she is
sensitive and should avoid yeast. What do you do? - ANSWER-Don't give if
someone is sensitive to yeast.
Marjorie has HPV and states she is not bothered by the virus. She has several
condyloma on her vulva and anal area. What would you advise? - ANSWER-
Nothing. If they do not bother her, then no treatment is required.
What age should ALL women be tested for STI's such as chlamydia and gonorrhea?
- ANSWER-All women 25 and younger annually if sexually active.
Christa is 35 and has multiple partners, both male and female. Should she be tested
annually for STI's? - ANSWER-Yes, any women 25 and older with risk factors should
be tested annually.
The NP is seeing Dylon for her annual exam. Dylon is due her PAP test. The NP
notices purulent cervical discharge and swelling in her labia. Upon the bimanual
exam Dylon complains of slight tenderness when the NP checks her adnexa. No
other symptoms exist. Dylon has not been sexually active for 3 months. She does
not use any form of contraception and has no health problems. What should the NP
test for? - ANSWER-STI's. This could be gonorrhea. Also test for chlamydia, syphilis,
and HIV.
The NP looks at the next patient to be seen. The patient is here for a STI work up. In
what order should the NP do her exam workup? - ANSWER-1. Check Vital sign.
Esp. temp to r/o PID
