NARM Latest Update Questions &
Answers with Rationales| 100% Correct | Grade.
What is the most prevalent sexually transmitted disease in the United States?
Answ >Chlamydia. 50% of women are asymptomatic. Increased incidence in women using OC, because
pills cause cervical ectopia and makes a woman more vulnerable. Symptoms are mucopurulent
discharge from the cervix, wet mount will revel a high WBC. Diagnosis is by cervical culture, treatment is
with antibiotics. High incidence of coexisting gonorrhea infection.
Quiz How long should you leave a diaphragm in after intercourse to maximize effectiveness?
Answ >6 hours
Quiz Approximately what percentage of women with untreated syphilis infection experience fetal or
neonatal loss?
Answ >40%
Quiz What test is diagnostic for syphilis?
,Answ >Positive darkfield microscopic examination of exudate (fluid) from a chancre - the painless
ulceration (sore) formed during the primary stage of syphilis.
Quiz What is the treatment for syphilis in pregnancy?
Answ >Parenteral penicillin G is the only drug effective and safe in pregnancy. Tetracycline and
doxycyclin are contraindicated in pregnancy, and erthromycin will not cure an infected fetus.
Quiz How is syphilis transmitted?
Answ >Direct contact with body fluids or blood transfusion. Perinatal transfer may occur
hematogenously through the placenta or during delivery.
Quiz What are the possible results of a syphilis infection in pregnancy?
Answ >SAB, stillbirth, premature delivery, nonimmune hydrops, generalized congenital disease, or
neonatal death. An infant is presumed infected if the mother had untreated syphilis at the time of
delivery.
Quiz Women presenting with gonorrheal infection should also be treated for...
Answ >Chlamydia
,Quiz A pattern of petechiae (bleeding under the skin can occur from broken blood vessels that form tiny
pinpoint red dots) on the vaginal walls and cervix, a condition referred to as "strawberry cervix" is
associated with....
Answ >Trichomoniasis
Quiz Name two vulvovaginal/cervical infections that are NOT usually transmitted sexually.
Answ >Candidiasis and Bacterial Vaginosis. Pregnancy almost doubles the incidence of candida, most
often in 3rd trimester.
Quiz Which one necessitates a C-Section if they are present when a woman goes into labor: Active HSV
(Herpes Simplex Virus) lesions or Condylomata Acuminata (genital warts, veneral warts) caused by
human papillomavirus (HPV)?
Answ >Active HSV
Quiz Which forms of birth control DECREASE the risk of PID (pelvic inflammatory disease)?
Answ >Diaphragms and cervical caps used with vaginal spermicides, and condoms.
Quiz Lower abdominal tenderness, bilateral adnexal tenderness, cervical motion tenderness and
vaginal/cervical mucopurulent discharge and increased leukocytes on wet mount are symptoms of ...
, Answ >PID- Pelvic Inflammatory Disease
Quiz What makes a tampon more likely to be indicated in TSS (Toxic Shock syndrome)?
Answ >The higher the absorbency of the tampon, the greater the risk.
Quiz What bacteria causes TSS (Toxic Shock Syndrome)?
Answ >A strain of Staphylococcus Aureus
Quiz What are the symptoms of TSS?
Answ >Sudden and severe fever of 102 degree of higher, vomiting, copious watery diarrhea, dizziness
and fainting or near fainting when standing. There may also be sore throat, headache, severe myalgia
(muscle pain), and bloodshot eyes. Uncared for, the disease can lead to cardiac dysfunction, respiratory
distress, and death within a week of onset.
Quiz If you do a bimanual exam and note that a woman's uterus bends backwards at the isthmus you
would classify it as...
Answ >Retro-flexed
Quiz Which Natural Family Planning Methods are the most effective?
Answers with Rationales| 100% Correct | Grade.
What is the most prevalent sexually transmitted disease in the United States?
Answ >Chlamydia. 50% of women are asymptomatic. Increased incidence in women using OC, because
pills cause cervical ectopia and makes a woman more vulnerable. Symptoms are mucopurulent
discharge from the cervix, wet mount will revel a high WBC. Diagnosis is by cervical culture, treatment is
with antibiotics. High incidence of coexisting gonorrhea infection.
Quiz How long should you leave a diaphragm in after intercourse to maximize effectiveness?
Answ >6 hours
Quiz Approximately what percentage of women with untreated syphilis infection experience fetal or
neonatal loss?
Answ >40%
Quiz What test is diagnostic for syphilis?
,Answ >Positive darkfield microscopic examination of exudate (fluid) from a chancre - the painless
ulceration (sore) formed during the primary stage of syphilis.
Quiz What is the treatment for syphilis in pregnancy?
Answ >Parenteral penicillin G is the only drug effective and safe in pregnancy. Tetracycline and
doxycyclin are contraindicated in pregnancy, and erthromycin will not cure an infected fetus.
Quiz How is syphilis transmitted?
Answ >Direct contact with body fluids or blood transfusion. Perinatal transfer may occur
hematogenously through the placenta or during delivery.
Quiz What are the possible results of a syphilis infection in pregnancy?
Answ >SAB, stillbirth, premature delivery, nonimmune hydrops, generalized congenital disease, or
neonatal death. An infant is presumed infected if the mother had untreated syphilis at the time of
delivery.
Quiz Women presenting with gonorrheal infection should also be treated for...
Answ >Chlamydia
,Quiz A pattern of petechiae (bleeding under the skin can occur from broken blood vessels that form tiny
pinpoint red dots) on the vaginal walls and cervix, a condition referred to as "strawberry cervix" is
associated with....
Answ >Trichomoniasis
Quiz Name two vulvovaginal/cervical infections that are NOT usually transmitted sexually.
Answ >Candidiasis and Bacterial Vaginosis. Pregnancy almost doubles the incidence of candida, most
often in 3rd trimester.
Quiz Which one necessitates a C-Section if they are present when a woman goes into labor: Active HSV
(Herpes Simplex Virus) lesions or Condylomata Acuminata (genital warts, veneral warts) caused by
human papillomavirus (HPV)?
Answ >Active HSV
Quiz Which forms of birth control DECREASE the risk of PID (pelvic inflammatory disease)?
Answ >Diaphragms and cervical caps used with vaginal spermicides, and condoms.
Quiz Lower abdominal tenderness, bilateral adnexal tenderness, cervical motion tenderness and
vaginal/cervical mucopurulent discharge and increased leukocytes on wet mount are symptoms of ...
, Answ >PID- Pelvic Inflammatory Disease
Quiz What makes a tampon more likely to be indicated in TSS (Toxic Shock syndrome)?
Answ >The higher the absorbency of the tampon, the greater the risk.
Quiz What bacteria causes TSS (Toxic Shock Syndrome)?
Answ >A strain of Staphylococcus Aureus
Quiz What are the symptoms of TSS?
Answ >Sudden and severe fever of 102 degree of higher, vomiting, copious watery diarrhea, dizziness
and fainting or near fainting when standing. There may also be sore throat, headache, severe myalgia
(muscle pain), and bloodshot eyes. Uncared for, the disease can lead to cardiac dysfunction, respiratory
distress, and death within a week of onset.
Quiz If you do a bimanual exam and note that a woman's uterus bends backwards at the isthmus you
would classify it as...
Answ >Retro-flexed
Quiz Which Natural Family Planning Methods are the most effective?
