NUR 684- Test #1 Questions and Correct
Answers the Latest Update
Normal vaginal secretions- characteristics
✓ -Clear/cloudy/white
✓ -Thin/mucoid
✓ -Nonirritating
Leukorrhea (define)
✓ An increase in the amount of vaginal secretions; can be thin or thick, white discharge
resulting from congestion of the vaginal mucosa and an increase in polymorphonuclear
leukocytes (WBCs)
✓
✓ ^may be a normal finding!
Most common STI in the USA?
✓ HPV
HPV- difference between types
✓ Types 6 & 11- common with genital warts
✓
✓ Types 16, 18, 31, 33, 35- associated with cervical dysplasia/cancer
✓ ^16 & 18 cause 70% of cervical cancer
Condyloma acuminata- symptoms/exam findings
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✓ -Single or multiple soft, fleshy, keratinized growths around vulvovaginal area, anus, or
penis
✓ -Painless
Condyloma acuminata- diagnostic tests
✓ Diagnosis usually based on clinical presentation!
✓
✓ -Consider VDRL/RPR to exclude syphilis
✓ -Biopsy only if atypical characteristics or no response to standard therapy
Condyloma acuminata- complications
✓ -Cervical dysplasia/cancer with certain HPV serotypes
✓ -Transmission to infant during vaginal delivery
Condyloma acuminata- treatment (clinician-administered)
✓ -Cryotherapy with liquid nitrogen or cryoprobe Q 1-2 weeks
✓ -Trichloroacetic acid or bichloracetic acid
✓ -Surgical removal
Condyloma acuminata- treatment (patient-administered)
✓ -Podofilox 0.5% solution/gel
✓ -Imiquimod 3.75% or 5% cream
✓ -Sinecatechins 15% ointment
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Molluscum contagiosum- symptoms/exam findings
✓ -1-5 mm smooth, round, firm, shiny, flesh colored to pearly white papules with central
umbilication
✓ -Usually on trunk or anogenital areas
✓ -White cheesy material expressed from papule
✓ -Painless
Molluscum contagiosum- diagnostic tests
✓ Diagnosis based on clinical presentation!
Molluscum contagiosum- complications
✓ -Secondary infection
Genital herpes- symptoms (primary episode)
✓ -Painful, pruritic multiple vesicles
✓ -Dysuria, dyspareunia, watery vaginal discharge
✓ -Systemic symptoms (fever, HA, chills, malaise)
✓
✓ ^duration 2-3 weeks
Genital herpes- symptoms (recurrent episodes)
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✓ -Prodrome often precedes eruption for 24 hours (itching, burning, tingling)
✓ -Less severe symptoms of shorter duration
✓ -No systemic symptoms
Genital herpes- diagnostic tests
✓ -Clinical presentation with initial outbreak
✓ -HSV tissue culture or PCR test of lesions for confirmation
✓
✓ -Serological type specific tests for HSV-1 and HSV-2 antibodies (several weeks after
exposure)
Genital herpes- complications
✓ -Increased pregnancy loss & preterm labor of initially infected during pregnancy
✓ -Transmission to infant if active lesions at time of delivery
✓ -Secondary infection of lesions, urethral strictures
Genital herpes- treatment
✓ **Acyclovir 400 mg PO TID for 7-10 days**
✓ -OR
✓ -Famciclovir 250 mg PO TID for 7-10 days
✓ -OR-
✓ -Valacyclovir 1 gm PO BID for 7-10 days
Chlamydia- symptoms
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