NSG6020 / NSG 6020 WEEK 7 QUIZ 2024/2025 |
QUESTIONS WITH 100% VERIFIED ANSWERS
AND COMPREHENSIVE RATIONALES |
GRADED A+.
1. A 24-year-old travel agent comes to your clinic, complaining of pain and
swelling in her vulvar area. She states that 2 days earlier she could feel a small
tender spot on the left side of her vagina but now it is larger and extremely
tender. Her last period was 1 year ago and she is sexually active. She uses
the Depo-Provera shot for contraception. She denies any nausea, vomiting,
constipation, diarrhea, pain with urination, or fever. Her past medical history is
significant for ankle surgery. Her mother is healthy and her father has type 2
diabetes. On examination she appears her stated age and is standing up.
She states she cannot sit down without excruciating pain. Her blood pressure,
temperature, and pulse are unremarkable. On visualization of her perineum, a
large, red, tense swelling is seen to the left of her introitus. Palpation of the
mass causes a great deal of pain. What disorder of the vulva is most likely
causing her problems?:
mailto:https://www.stuvia.com/user/Wisdoms
, Answer Bartholin's gland infection
2. A 48-year-old high school librarian comes to your clinic, complaining of 1
week of heavy discharge causing severe itching. She is not presently sexually
active and has had no burning
with urination. The symptoms started several days after her last period. She
just finished a course of antibiotics for a sinus infection. Her past medical
history consists of type 2 diabetes and high
blood pressure. She is widowed and has three children. She denies tobacco,
alcohol, or drug use. Her mother has high blood pressure and her father died
of diabetes complications. On examination you see a healthy-appearing
woman. Her blood pressure is 130/80 and her pulse is 70. Her head, eyes, ears,
nose, throat, cardiac, lung, and abdominal examinations are unremarkable.
Palpation of the inguinal lymph nodes is unremarkable. On visualization of the vulva,
a thick, white, curdy discharge is seen at the introitus. On speculum ex- amination
there is a copious amount of this discharge. The pH of the discharge is 4.1 and the
KOH whiff test is negative, with no unusual smell. Wet prep shows budding hyphae.
What vaginitis does this patient most likely have?:
Answer Candida vaginitis
3. Which of the following represents metrorrhagia?:
Answer bleeding between periods
mailto:https://www.stuvia.com/user/Wisdoms
QUESTIONS WITH 100% VERIFIED ANSWERS
AND COMPREHENSIVE RATIONALES |
GRADED A+.
1. A 24-year-old travel agent comes to your clinic, complaining of pain and
swelling in her vulvar area. She states that 2 days earlier she could feel a small
tender spot on the left side of her vagina but now it is larger and extremely
tender. Her last period was 1 year ago and she is sexually active. She uses
the Depo-Provera shot for contraception. She denies any nausea, vomiting,
constipation, diarrhea, pain with urination, or fever. Her past medical history is
significant for ankle surgery. Her mother is healthy and her father has type 2
diabetes. On examination she appears her stated age and is standing up.
She states she cannot sit down without excruciating pain. Her blood pressure,
temperature, and pulse are unremarkable. On visualization of her perineum, a
large, red, tense swelling is seen to the left of her introitus. Palpation of the
mass causes a great deal of pain. What disorder of the vulva is most likely
causing her problems?:
mailto:https://www.stuvia.com/user/Wisdoms
, Answer Bartholin's gland infection
2. A 48-year-old high school librarian comes to your clinic, complaining of 1
week of heavy discharge causing severe itching. She is not presently sexually
active and has had no burning
with urination. The symptoms started several days after her last period. She
just finished a course of antibiotics for a sinus infection. Her past medical
history consists of type 2 diabetes and high
blood pressure. She is widowed and has three children. She denies tobacco,
alcohol, or drug use. Her mother has high blood pressure and her father died
of diabetes complications. On examination you see a healthy-appearing
woman. Her blood pressure is 130/80 and her pulse is 70. Her head, eyes, ears,
nose, throat, cardiac, lung, and abdominal examinations are unremarkable.
Palpation of the inguinal lymph nodes is unremarkable. On visualization of the vulva,
a thick, white, curdy discharge is seen at the introitus. On speculum ex- amination
there is a copious amount of this discharge. The pH of the discharge is 4.1 and the
KOH whiff test is negative, with no unusual smell. Wet prep shows budding hyphae.
What vaginitis does this patient most likely have?:
Answer Candida vaginitis
3. Which of the following represents metrorrhagia?:
Answer bleeding between periods
mailto:https://www.stuvia.com/user/Wisdoms
