CMN 572 UNIT 1 EXAM QUESTIONS
WITH CORRECT ANSWERS
What does TPAL stand for? - Correct Answers -Term birth-preterm deliveries-abortions-
living children
At what age does a woman have the option for mammogram every year? - Correct
Answers -40-44
what age do women get a mammogram yearly? - Correct Answers -45-54
when is a MRI of breast indicated? - Correct Answers -patients that carry BRCA1/2
mutations or very strong family hx of breast cancer
what vaginal pH indicates fungal infection? - Correct Answers -4-5, acidic
what vaginal pH indicates BV and trichomonas? - Correct Answers -5.5-7, alkaline
what do you test for with saline wet mount? what other two things could you test for? -
Correct Answers -trichomonas. candida albicans and BV looking for clue cells
if you do the "whiff" test and it smells "fishy" what does that indicate? - Correct Answers
-BV
what is required to dx UTI and use to guide tx? - Correct Answers -culture and antibiotic
sensitivity testing
A patient has to sign a consent to have what blood test? - Correct Answers -HIV
What two important group of pts benefit the most from colposcopy? - Correct Answers -
pts with abn pap smear and DES-exposed daughters who may have dysplasia of the
vagina or cervix
what is the most frequently reported STD in US? - Correct Answers -chlamydia
what organism causes chlamydia and incubation period? - Correct Answers -c.
trachomatis. 7-21 days
, who is at risk for chlamydia? (6) - Correct Answers -adolescence, new/mult. partners, hx
of std, current std, OC user, no barrier contraception
first line tx for uncomplicated chlamydia over 8 yr old? - Correct Answers -1gm
azithromycin po or doxycyline BID for 7 days
what screening is done for chlamydia and what is the gold standard? - Correct Answers
-NAAT, gold standard culture vagina/penis (esp sexual abuse)
when are adolescents retested for chlamydia? - Correct Answers -3-4 months after tx.
when do you retest pregnant women for chlamydia and how? - Correct Answers -repeat
NAAT 3 weeks after therapy, again in 3 months
what does screening for chlamydia reduce? - Correct Answers -incidence of PID. use
NAAT
when do you screen <25 sexually active? - Correct Answers -yearly
when do you screen for chlamydia if over 25? - Correct Answers -if RF present
what STD's are reportable? - Correct Answers -chlamydia, gonorrhea, syphillis
when are you going to evaluate/test/tx partners exposed to chlamydia and gonorrhea? -
Correct Answers -within 60 days preceding dx
who you going to evaluate and tx even if last sexual contact with chlamydia or
gonorrhea person was over 60 days? - Correct Answers -most recent partner
how long do they abstain from sex after tx of chlamydia? - Correct Answers -7 days post
tx
who can be asymptomatic with chlamydia? - Correct Answers -both men and women
what organism causes gonorhhea? - Correct Answers -n. gonorrhoeae
who is at risk for gonorrhea? - Correct Answers -new/mult partners, no condoms,
adolescents, drug use, low socio-econ, prostitution, african americans
uncomplicated gonorrhea is tx'd with? - Correct Answers -cetriaxone 250mg IM and
azithromycin 1gm po x 1 dose
If pregant person has gonorrhea and allergy to azithromycin then what? - Correct
Answers -refer to ID, needs desensitizing
WITH CORRECT ANSWERS
What does TPAL stand for? - Correct Answers -Term birth-preterm deliveries-abortions-
living children
At what age does a woman have the option for mammogram every year? - Correct
Answers -40-44
what age do women get a mammogram yearly? - Correct Answers -45-54
when is a MRI of breast indicated? - Correct Answers -patients that carry BRCA1/2
mutations or very strong family hx of breast cancer
what vaginal pH indicates fungal infection? - Correct Answers -4-5, acidic
what vaginal pH indicates BV and trichomonas? - Correct Answers -5.5-7, alkaline
what do you test for with saline wet mount? what other two things could you test for? -
Correct Answers -trichomonas. candida albicans and BV looking for clue cells
if you do the "whiff" test and it smells "fishy" what does that indicate? - Correct Answers
-BV
what is required to dx UTI and use to guide tx? - Correct Answers -culture and antibiotic
sensitivity testing
A patient has to sign a consent to have what blood test? - Correct Answers -HIV
What two important group of pts benefit the most from colposcopy? - Correct Answers -
pts with abn pap smear and DES-exposed daughters who may have dysplasia of the
vagina or cervix
what is the most frequently reported STD in US? - Correct Answers -chlamydia
what organism causes chlamydia and incubation period? - Correct Answers -c.
trachomatis. 7-21 days
, who is at risk for chlamydia? (6) - Correct Answers -adolescence, new/mult. partners, hx
of std, current std, OC user, no barrier contraception
first line tx for uncomplicated chlamydia over 8 yr old? - Correct Answers -1gm
azithromycin po or doxycyline BID for 7 days
what screening is done for chlamydia and what is the gold standard? - Correct Answers
-NAAT, gold standard culture vagina/penis (esp sexual abuse)
when are adolescents retested for chlamydia? - Correct Answers -3-4 months after tx.
when do you retest pregnant women for chlamydia and how? - Correct Answers -repeat
NAAT 3 weeks after therapy, again in 3 months
what does screening for chlamydia reduce? - Correct Answers -incidence of PID. use
NAAT
when do you screen <25 sexually active? - Correct Answers -yearly
when do you screen for chlamydia if over 25? - Correct Answers -if RF present
what STD's are reportable? - Correct Answers -chlamydia, gonorrhea, syphillis
when are you going to evaluate/test/tx partners exposed to chlamydia and gonorrhea? -
Correct Answers -within 60 days preceding dx
who you going to evaluate and tx even if last sexual contact with chlamydia or
gonorrhea person was over 60 days? - Correct Answers -most recent partner
how long do they abstain from sex after tx of chlamydia? - Correct Answers -7 days post
tx
who can be asymptomatic with chlamydia? - Correct Answers -both men and women
what organism causes gonorhhea? - Correct Answers -n. gonorrhoeae
who is at risk for gonorrhea? - Correct Answers -new/mult partners, no condoms,
adolescents, drug use, low socio-econ, prostitution, african americans
uncomplicated gonorrhea is tx'd with? - Correct Answers -cetriaxone 250mg IM and
azithromycin 1gm po x 1 dose
If pregant person has gonorrhea and allergy to azithromycin then what? - Correct
Answers -refer to ID, needs desensitizing
