Lowdermilk, Ch. 7, Sexually Transmitted and Other Infections –
Review Practice Test.
1. Syphilis is a complex disease that can ANS: D
lead to serious systemic illness and
even death if left untreated. Which Primary syphilis is characterized by a primary lesion
manifestation differentiates primary (the chancre), which appears 5 to 90 days after infec-
syphilis from secondary syphilis? tion. The chancre begins as a painless papule at the
site of inoculation and erodes to form a nontender,
a.Fever, headache, and malaise shallow, and clean ulcer several millimeters to cen-
timeters in size. Secondary syphilis occurs 6 weeks to
b.Widespread rash 6 months after the appearance of the chancre and is
characterized by a widespread maculopapular rash.
c.Identified by serologic testing The individual may also experience fever, headache,
and malaise. Latent syphilis are those infections that
d.Appearance of a chancre 2 months
lack clinical manifestations; however, they are detect-
after infection
ed by serologic testing.
2. The human papillomavirus (HPV), ANS: A
also known as genital warts, affects
79 million Americans, with an esti- Two vaccines for HPV are available—Cervarix and
mated number of 14 million new in- Gardasil—and other vaccines continue to be inves-
fections each year. The highest rate tigated. These vaccines protect against HPV types 6,
of infection occurs in young women, 11, 16, and 18. They are most ettective if administered
ages 20 to 24 years. Prophylactic vac- before the first sexual contact. Recommendations are
cination to prevent the HPV is now that vaccines be administered to 11- and 12-year-old
available. Which statement regard- girls and boys. The vaccine can be given to girls as
ing this vaccine is inaccurate? young as 9 years of age and young women ages 13
to 26 years in three doses over a 6-month period.
a. Only one vaccine for the HPV is
available.
b. The vaccine is given in three doses
over a 6-month period.
, Lowdermilk, Ch. 7, Sexually Transmitted and Other Infections –
Review Practice Test.
c.The vaccine is recommended for
both boys and girls.
d. Ideally, the vaccine is administered
before the first sexual contact.
3. Which sexually transmitted infection ANS: C
(STI) is the most commonly reported
in American women? Chlamydia is the most common and fastest spreading
STI among American women, with an estimated 3 mil-
a.Gonorrhea lion new cases each year. Infection rates are two and a
half times that of men. Gonorrhea is probably the old-
b.Syphilis est communicable disease in the United States and
second to Chlamydia in reported conditions. Syphilis
c.Chlamydia is the earliest described STI. Candidiasis is a relatively
common fungal infection.
d.Candidiasis
4. The Centers for Disease Control ANS: B
and Prevention (CDC) recommends
which therapy for the treatment of Available treatments are imiquimod, podophyllin, and
the HPV? podofilox. Miconazole ointment is used to treat ath-
lete's foot. Penicillin IM is used to treat syphilis.
a. Miconazole ointment Metronidazole is used to treat bacterial vaginosis.
b. Topical podofilox 0.5% solution or
gel
c. Two doses of penicillin adminis-
tered intramuscularly (IM)
d. Metronidazole by mouth
, Lowdermilk, Ch. 7, Sexually Transmitted and Other Infections –
Review Practice Test.
5.
, Lowdermilk, Ch. 7, Sexually Transmitted and Other Infections –
Review Practice Test.
A client exhibits a thick, white, lumpy, ANS: A
cottage cheese-like discharge, along
with white patches on her labia The client is experiencing a candidiasis infection.
and in her vagina. She complains of Fluconazole, metronidazole, and clotrimazole are the
intense pruritus. Which medication drugs of choice to treat this condition. Tetracycline
should the nurse practitioner order is used to treat syphilis. Clindamycin is used to treat
to treat this condition? bacterial vaginosis. Acyclovir is used to treat genital
herpes.
a.Fluconazole
b.Tetracycline
c.Clindamycin
d.Acyclovir
6. Which laboratory testing is used to ANS: B
detect the human immunodeficiency
virus (HIV)? The screening tool used to detect HIV is the enzyme
immunoassay, which tests for the presence of anti-
a. HIV screening bodies to the HIV. HIV-1 and HIV-2 antibody tests are
used to confirm the diagnosis. To determine whether
b. HIV antibody testing the HIV is present, the test performed must be able to
detect antibodies to the virus, not the virus itself. CD4
c. Cluster of differentiation 4 (CD4) counts are associated with the incidence of acquired
counts immunodeficiency syndrome (AIDS) in HIV-infected
individuals. CD8 counts are not performed to detect
d. Cluster of differentiation 8 (CD8)
HIV.
counts
7. Which condition is the most ANS: C
life-threatening virus to the fetus
and neonate? HBV is the most life-threatening viral condition to the
fetus and neonate. HAV is not the most threaten-
Review Practice Test.
1. Syphilis is a complex disease that can ANS: D
lead to serious systemic illness and
even death if left untreated. Which Primary syphilis is characterized by a primary lesion
manifestation differentiates primary (the chancre), which appears 5 to 90 days after infec-
syphilis from secondary syphilis? tion. The chancre begins as a painless papule at the
site of inoculation and erodes to form a nontender,
a.Fever, headache, and malaise shallow, and clean ulcer several millimeters to cen-
timeters in size. Secondary syphilis occurs 6 weeks to
b.Widespread rash 6 months after the appearance of the chancre and is
characterized by a widespread maculopapular rash.
c.Identified by serologic testing The individual may also experience fever, headache,
and malaise. Latent syphilis are those infections that
d.Appearance of a chancre 2 months
lack clinical manifestations; however, they are detect-
after infection
ed by serologic testing.
2. The human papillomavirus (HPV), ANS: A
also known as genital warts, affects
79 million Americans, with an esti- Two vaccines for HPV are available—Cervarix and
mated number of 14 million new in- Gardasil—and other vaccines continue to be inves-
fections each year. The highest rate tigated. These vaccines protect against HPV types 6,
of infection occurs in young women, 11, 16, and 18. They are most ettective if administered
ages 20 to 24 years. Prophylactic vac- before the first sexual contact. Recommendations are
cination to prevent the HPV is now that vaccines be administered to 11- and 12-year-old
available. Which statement regard- girls and boys. The vaccine can be given to girls as
ing this vaccine is inaccurate? young as 9 years of age and young women ages 13
to 26 years in three doses over a 6-month period.
a. Only one vaccine for the HPV is
available.
b. The vaccine is given in three doses
over a 6-month period.
, Lowdermilk, Ch. 7, Sexually Transmitted and Other Infections –
Review Practice Test.
c.The vaccine is recommended for
both boys and girls.
d. Ideally, the vaccine is administered
before the first sexual contact.
3. Which sexually transmitted infection ANS: C
(STI) is the most commonly reported
in American women? Chlamydia is the most common and fastest spreading
STI among American women, with an estimated 3 mil-
a.Gonorrhea lion new cases each year. Infection rates are two and a
half times that of men. Gonorrhea is probably the old-
b.Syphilis est communicable disease in the United States and
second to Chlamydia in reported conditions. Syphilis
c.Chlamydia is the earliest described STI. Candidiasis is a relatively
common fungal infection.
d.Candidiasis
4. The Centers for Disease Control ANS: B
and Prevention (CDC) recommends
which therapy for the treatment of Available treatments are imiquimod, podophyllin, and
the HPV? podofilox. Miconazole ointment is used to treat ath-
lete's foot. Penicillin IM is used to treat syphilis.
a. Miconazole ointment Metronidazole is used to treat bacterial vaginosis.
b. Topical podofilox 0.5% solution or
gel
c. Two doses of penicillin adminis-
tered intramuscularly (IM)
d. Metronidazole by mouth
, Lowdermilk, Ch. 7, Sexually Transmitted and Other Infections –
Review Practice Test.
5.
, Lowdermilk, Ch. 7, Sexually Transmitted and Other Infections –
Review Practice Test.
A client exhibits a thick, white, lumpy, ANS: A
cottage cheese-like discharge, along
with white patches on her labia The client is experiencing a candidiasis infection.
and in her vagina. She complains of Fluconazole, metronidazole, and clotrimazole are the
intense pruritus. Which medication drugs of choice to treat this condition. Tetracycline
should the nurse practitioner order is used to treat syphilis. Clindamycin is used to treat
to treat this condition? bacterial vaginosis. Acyclovir is used to treat genital
herpes.
a.Fluconazole
b.Tetracycline
c.Clindamycin
d.Acyclovir
6. Which laboratory testing is used to ANS: B
detect the human immunodeficiency
virus (HIV)? The screening tool used to detect HIV is the enzyme
immunoassay, which tests for the presence of anti-
a. HIV screening bodies to the HIV. HIV-1 and HIV-2 antibody tests are
used to confirm the diagnosis. To determine whether
b. HIV antibody testing the HIV is present, the test performed must be able to
detect antibodies to the virus, not the virus itself. CD4
c. Cluster of differentiation 4 (CD4) counts are associated with the incidence of acquired
counts immunodeficiency syndrome (AIDS) in HIV-infected
individuals. CD8 counts are not performed to detect
d. Cluster of differentiation 8 (CD8)
HIV.
counts
7. Which condition is the most ANS: C
life-threatening virus to the fetus
and neonate? HBV is the most life-threatening viral condition to the
fetus and neonate. HAV is not the most threaten-
