Adv. Assessment Test 3 --> Case Studies
Study online at https://quizlet.com/_j5sect
1. Ms. M.S. is a 30 y.o. white female who was referred to Endometriosis
the gynecology clinic by her PCP after complaining of
irregular periods and pain to lower abdomen and low-
er back radiating into both legs. She has pain starting a
week before her period should start and notices heavy
bleeding with clots. She states she has attempted get-
ting pregnant for two years without success.
2. Anne Drew is a 34-year-old woman who comes in Genital Warts
stating that she wants to get "checked out" because
Jonathan, her sex partner, has small solid "bumps" on
the skin at the base of his penis.
3. A 48-year-old HIV-infected man comes in for routine Molluscum Contagiosum
care and evaluation of skin lesions on his face. His
most recent labs showed a CD4 count of 38 cells/mm3
and HIV RNA of 87,000 copies/ml. He is an active in-
travenous heroin user and has not been able to stay
on antiretroviral therapy. The patient describes a 2
to 3 month history of persistent papules on his face
that have gradually increased in number and size. The
lesions have not responded to over-the-counter acne
therapies
4. 21-year-old male who has sex with men Syphilitic Chancre
Past medical history notable for HIV infection; he is
currently not taking antiretroviral medications and his
CD4+ count is 43. Review of systems is notable only for
recent fevers in association with a new painless ulcer
on the penis after a recent sexual encounter without
barrier protection
, Adv. Assessment Test 3 --> Case Studies
Study online at https://quizlet.com/_j5sect
5. A 34-year-old homosexual man was referred to a der- Condyloma Latum
matologist for evaluation of a nonpruritic skin rash.
The rash had appeared on his abdomen 3 weeks ear-
lier and, over 1 week, had spread to his entire body.
During the first week of the rash, he had visited a
walk-in clinic, where he received a diagnosis of guttate
psoriasis and was prescribed a topical steroid cream.
When the rash progressed, he sought another opinion.
He had no history of travel, fever, joint pains, or med-
ication or illicit drug use. He admitted to having per-
formed unprotected fellatio with a new partner about
6 weeks before the onset of his lesions. Five years
earlier, the patient had tested negative for HIV, but had
not been retested since and he admitted to not having
practised safe sex.
6. 22 yr old Caucasian Australian female. Presented with Genital warts
a single vulval plaque on the outer aspect of the left
labia minora, increasing in size over 3 weeks, very ten-
der, not blistering.
7. A 66-year-old woman (gravida 7, para 6) presented to Vaginal Carcinoma
the emergency department with complaints of vaginal
bleeding and passing of large clots with abdominal
pain of 8 out of 10 using a numeric pain severity scale.
8. Tanya Walters is a 24-year-old single female who pre- Trichomoniasis
sented at her HMO with complaints of a smelly, yellow
vaginal discharge and slight dysuria for one week.
Denies vulvar itching, pelvic pain, or fever
Has had 2 sex partners over the past 6 months—did
not use condoms with these partners—on oral contra-
Study online at https://quizlet.com/_j5sect
1. Ms. M.S. is a 30 y.o. white female who was referred to Endometriosis
the gynecology clinic by her PCP after complaining of
irregular periods and pain to lower abdomen and low-
er back radiating into both legs. She has pain starting a
week before her period should start and notices heavy
bleeding with clots. She states she has attempted get-
ting pregnant for two years without success.
2. Anne Drew is a 34-year-old woman who comes in Genital Warts
stating that she wants to get "checked out" because
Jonathan, her sex partner, has small solid "bumps" on
the skin at the base of his penis.
3. A 48-year-old HIV-infected man comes in for routine Molluscum Contagiosum
care and evaluation of skin lesions on his face. His
most recent labs showed a CD4 count of 38 cells/mm3
and HIV RNA of 87,000 copies/ml. He is an active in-
travenous heroin user and has not been able to stay
on antiretroviral therapy. The patient describes a 2
to 3 month history of persistent papules on his face
that have gradually increased in number and size. The
lesions have not responded to over-the-counter acne
therapies
4. 21-year-old male who has sex with men Syphilitic Chancre
Past medical history notable for HIV infection; he is
currently not taking antiretroviral medications and his
CD4+ count is 43. Review of systems is notable only for
recent fevers in association with a new painless ulcer
on the penis after a recent sexual encounter without
barrier protection
, Adv. Assessment Test 3 --> Case Studies
Study online at https://quizlet.com/_j5sect
5. A 34-year-old homosexual man was referred to a der- Condyloma Latum
matologist for evaluation of a nonpruritic skin rash.
The rash had appeared on his abdomen 3 weeks ear-
lier and, over 1 week, had spread to his entire body.
During the first week of the rash, he had visited a
walk-in clinic, where he received a diagnosis of guttate
psoriasis and was prescribed a topical steroid cream.
When the rash progressed, he sought another opinion.
He had no history of travel, fever, joint pains, or med-
ication or illicit drug use. He admitted to having per-
formed unprotected fellatio with a new partner about
6 weeks before the onset of his lesions. Five years
earlier, the patient had tested negative for HIV, but had
not been retested since and he admitted to not having
practised safe sex.
6. 22 yr old Caucasian Australian female. Presented with Genital warts
a single vulval plaque on the outer aspect of the left
labia minora, increasing in size over 3 weeks, very ten-
der, not blistering.
7. A 66-year-old woman (gravida 7, para 6) presented to Vaginal Carcinoma
the emergency department with complaints of vaginal
bleeding and passing of large clots with abdominal
pain of 8 out of 10 using a numeric pain severity scale.
8. Tanya Walters is a 24-year-old single female who pre- Trichomoniasis
sented at her HMO with complaints of a smelly, yellow
vaginal discharge and slight dysuria for one week.
Denies vulvar itching, pelvic pain, or fever
Has had 2 sex partners over the past 6 months—did
not use condoms with these partners—on oral contra-
