NUR 612 – EXAM Questions with Correct Answers 100% Verified By Experts| Latest Update
Guaranteed Success
screen all babies for hearing loss no later than 1 month, recommended before leaving hospital
after birth, if baby does not pass, get full hearing test no later than 3 months of age hearing
screen parameters
malodorous thin milky white vaginal discharge, fishy odor after intercourse; wet prep - clue
cells; KOH and positive Whiff test - fishy odor released; pH >4.5; treatment = Flagyl or
Clindamycin as alternative bacterial vaginosis
frothy, gray or yellow/green malodorous discharge; cervical petechiae "strawberry cervix"; pH
>4.5; Whiff test often positive; wet mount shows motile flagellated protozoa; treatment =
Flagyl 2 gm PO x1 or tinidazole 2 gm PO x1 (fewer GI SE, more expensive) Trichomoniasis
unilateral palpable round oval mass found on cervical exam; abscess will be very tender
fluctuant mass Bartholin gland cysts/abscesses
3 IM injections: dose 1, dose 2 = 1-2 months later, dose 3 = 6 months after 2nd dose HPV
vaccination schedule
Haemophilus ducreyi - bacterial infection; uncommon in the US, ask about recent travel to
Africa or Caribbean, genital ulcer; treatment = Azithromycin or Rocephin Chancroid
an infestation with lice in the pubic hair and pubic region; treatment = Permethrin 1% cream
left on for 10 min and rinsed off Pediculosis pubis
symptoms when present: vaginal spotting, bleeding after sex, purulent discharge, dysuria,
lower abd pain; should be screened for annually <25 yo; treatment = Azithromycin 1 gm PO x1
OR Doxy 100 mg PO BID x7 days (retest in 3 mo) Chlamydia
,symptoms when present: dyspareunia, change in vaginal discharge, unilateral labial pain and
swelling, lower abd discomfort; later symptoms: purulent discharge, rectal pain/discharge,
menstrual irregularities with increased pain, fever, N/V, joint pain, upper abd pain; should be
screened for annually <25 yo; treatment = Rocephin 250 mg IM x1 OR Cefixime 400 mg PO x1
PLUS Azithromycin 1 gm PO x1 or Doxy 100 mg PO BID x7 days (retest in 3 mo) Gonorrhea
may see abdominal pain after menses****, low back pain, abnormal vaginal discharge,
postcoital bleeding, urinary frequency, N/V; treatment broad spectrum abx = Cefotetan plus
Doxy OR Rocephin plus doxy with/without Flagyl pelvic inflammatory disease (PID)
systemic disease; STI; primary - chancre; secondary - widespread symmetrical rash on hands
and soles, generalized lymphadenopathy, fever, headache, malaise, condyloma-like lesions;
latent - asymptomatic; tertiary - cardiovascular, dermatologic, skeletal, and neuro symptoms
Syphilis
parenteral Penicillin G (all stages); single dose - primary, secondary, early latent; weekly
treatment x3 - late latent, tertiary, or unknown duration; repeat clinical eval and serologic
testing at 1, 12, and 24 months; watch for rare Jarisch-Herxheimer reaction (1st 24 hours of tx)
treatment for syphilis
Syphilis—overaggressive treatment of an asymptomatic patient that causes symptoms due to
rapid lysis (flu like symptoms) Jarisch-Herxheimer reaction
painful menstruation dysmenorrhea
excessive menstrual bleeding menorrhagia
bleeding between periods metrorrhagia
the occurrence of menstrual cycles more frequently than is normal polymenorrhea
, menstrual periods >35 days apart oligomenorrhea
no period >6 months amenorrhea
bleeding after intercourse, always consider cervical cancer Postcoital bleeding
will use 4 months to avoid effects of unopposed estrogen if using Estrogen only oral
contraceptive MPA (medroxyprogesterone)
must be ruled out before medical therapy is initiated in postmenopausal/perimenopausal
bleeding uterine cancer and endometrial hyperplasia
failure of menarche and the absence of menstruation by 13 years of age without the
development of secondary sex characteristics or by 15 years of age, regardless of the presence
or absence of secondary sex characteristics Primary amenorrhea
the cessation of menstruation at some time after menarche Secondary amenorrhea
if more than one 1st degree relative with this cancer, the risk increases >50%; risk factors
include eastern european or Ashkanazi Jewish background, have endometriosis, have never
given birth or had difficulty getting pregnant ovarian cancer
immunizations are what kind of preventative measure? PRIMARY
the INITIAL step in SECONDARY preventative services is... assessment (obtaining patient
history, performing a PE, and evaluating lab data)
breast development (ages 10-11) thelarche
pubic hair growth, peak height velocity adrenarche
Guaranteed Success
screen all babies for hearing loss no later than 1 month, recommended before leaving hospital
after birth, if baby does not pass, get full hearing test no later than 3 months of age hearing
screen parameters
malodorous thin milky white vaginal discharge, fishy odor after intercourse; wet prep - clue
cells; KOH and positive Whiff test - fishy odor released; pH >4.5; treatment = Flagyl or
Clindamycin as alternative bacterial vaginosis
frothy, gray or yellow/green malodorous discharge; cervical petechiae "strawberry cervix"; pH
>4.5; Whiff test often positive; wet mount shows motile flagellated protozoa; treatment =
Flagyl 2 gm PO x1 or tinidazole 2 gm PO x1 (fewer GI SE, more expensive) Trichomoniasis
unilateral palpable round oval mass found on cervical exam; abscess will be very tender
fluctuant mass Bartholin gland cysts/abscesses
3 IM injections: dose 1, dose 2 = 1-2 months later, dose 3 = 6 months after 2nd dose HPV
vaccination schedule
Haemophilus ducreyi - bacterial infection; uncommon in the US, ask about recent travel to
Africa or Caribbean, genital ulcer; treatment = Azithromycin or Rocephin Chancroid
an infestation with lice in the pubic hair and pubic region; treatment = Permethrin 1% cream
left on for 10 min and rinsed off Pediculosis pubis
symptoms when present: vaginal spotting, bleeding after sex, purulent discharge, dysuria,
lower abd pain; should be screened for annually <25 yo; treatment = Azithromycin 1 gm PO x1
OR Doxy 100 mg PO BID x7 days (retest in 3 mo) Chlamydia
,symptoms when present: dyspareunia, change in vaginal discharge, unilateral labial pain and
swelling, lower abd discomfort; later symptoms: purulent discharge, rectal pain/discharge,
menstrual irregularities with increased pain, fever, N/V, joint pain, upper abd pain; should be
screened for annually <25 yo; treatment = Rocephin 250 mg IM x1 OR Cefixime 400 mg PO x1
PLUS Azithromycin 1 gm PO x1 or Doxy 100 mg PO BID x7 days (retest in 3 mo) Gonorrhea
may see abdominal pain after menses****, low back pain, abnormal vaginal discharge,
postcoital bleeding, urinary frequency, N/V; treatment broad spectrum abx = Cefotetan plus
Doxy OR Rocephin plus doxy with/without Flagyl pelvic inflammatory disease (PID)
systemic disease; STI; primary - chancre; secondary - widespread symmetrical rash on hands
and soles, generalized lymphadenopathy, fever, headache, malaise, condyloma-like lesions;
latent - asymptomatic; tertiary - cardiovascular, dermatologic, skeletal, and neuro symptoms
Syphilis
parenteral Penicillin G (all stages); single dose - primary, secondary, early latent; weekly
treatment x3 - late latent, tertiary, or unknown duration; repeat clinical eval and serologic
testing at 1, 12, and 24 months; watch for rare Jarisch-Herxheimer reaction (1st 24 hours of tx)
treatment for syphilis
Syphilis—overaggressive treatment of an asymptomatic patient that causes symptoms due to
rapid lysis (flu like symptoms) Jarisch-Herxheimer reaction
painful menstruation dysmenorrhea
excessive menstrual bleeding menorrhagia
bleeding between periods metrorrhagia
the occurrence of menstrual cycles more frequently than is normal polymenorrhea
, menstrual periods >35 days apart oligomenorrhea
no period >6 months amenorrhea
bleeding after intercourse, always consider cervical cancer Postcoital bleeding
will use 4 months to avoid effects of unopposed estrogen if using Estrogen only oral
contraceptive MPA (medroxyprogesterone)
must be ruled out before medical therapy is initiated in postmenopausal/perimenopausal
bleeding uterine cancer and endometrial hyperplasia
failure of menarche and the absence of menstruation by 13 years of age without the
development of secondary sex characteristics or by 15 years of age, regardless of the presence
or absence of secondary sex characteristics Primary amenorrhea
the cessation of menstruation at some time after menarche Secondary amenorrhea
if more than one 1st degree relative with this cancer, the risk increases >50%; risk factors
include eastern european or Ashkanazi Jewish background, have endometriosis, have never
given birth or had difficulty getting pregnant ovarian cancer
immunizations are what kind of preventative measure? PRIMARY
the INITIAL step in SECONDARY preventative services is... assessment (obtaining patient
history, performing a PE, and evaluating lab data)
breast development (ages 10-11) thelarche
pubic hair growth, peak height velocity adrenarche
