CEA FNP TEST LATEST 2025:NR667 WITH CORRECT
QUESTIONS AND DETAILED ANSWERS/ALREADY
GRADED A+
What is Vaginitis? - CORRECT ANSWER-a vaginal discharge with or without
vulvar itching and irritation
When diagnosing a patient with vaginal infection, what are the things you ask
about? - CORRECT ANSWER-~Onset, duration, severity, course since onset
~Description of discharge
~Irritation or pain
~Odor - especially post-coital
~Urinary symptoms
~Upper reproductive symptoms
~Partner complaints
~Self care to date, i.e. OTC/Rx
What are the steps to obtaining a wet prep? - CORRECT ANSWER-~Sample from
the lateral vaginal wall
~Place 2 drops of saline on glass slide
,~Lightly mix sample into saline, then add KOH --immediately check 'whiff'
~Apply cover slip just before viewing
~Visualize at both low (for yeast forms), high power for other organisms
~CLUE CELLS are epithelial cells coated with bacteria so borders are obscured
Where do you gather a sample from when obtaining a wet prep? - CORRECT
ANSWER-the LATERAL vaginal wall ~ (not the vaginal pool)
What are the 3 main things that cause vaginitis? - CORRECT ANSWER-Bacterial
vaginosis; candidiasis; trichomoniasis
What are the symptoms of trichomoniasis? - CORRECT ANSWER-Itch; discharge ;
50% are asymptomatic
Discharge is frothy, gray or yellow-green; malodorous
What are the symptoms of Candidiasis? - CORRECT ANSWER-Itching, burning,
dysuria, thick discharge
Discharge is thick, clumpy, white "cottage cheese"
What are the symptoms of bacterial vaginosis? - CORRECT ANSWER-Odor,
discharge, itch
,Discharge is homogeneous, adherent, thin, milky white; malodorous "foul fishy"
What is the normal vaginal pH? and what pH do you find in pt's with Bacterial
vaginosis, candidiasis, or trichomoniasis? - CORRECT ANSWER-Normal pH: 3.8-4.2
Bacterial vaginosis pH: >4.5
Candidiasis pH: ≤ 4.5 (4.0-4.5)
Trichomoniasis pH: >4.5
When preforming the KOH "whiff"test what are the normal findings and what are
the findings in bacterial vaginosis, candidiasis, or trichomoniasis? - CORRECT
ANSWER-Normal: Negative
Bacterial vaginosis: Positive
Candidiasis: Negative
Trichomoniasis: Often Positive
Which vagnitis are inflammatory and when are not inflammatory? - CORRECT
ANSWER-Bacterial vaginosis: Non-inflammatory
Candidiasis & trichomoniasis: inflammatory
When preforming a NaCl wet mount what are the normal findings and what are
the findings in bacterial vaginosis, candidiasis, or trichomoniasis? - CORRECT
ANSWER-Normal: Lactobacilli
Bacterial vaginosis: Clue cells (≥20%) no/few WBCs
, Candidiasis: Few WBCs
Trichomoniasis: motile flagellated protozoa, many WBCs
What abnormal clinical findings are present in bacterial vaginosis, candidiasis, and
trichomoniasis? - CORRECT ANSWER-bacterial vaginosis: none- other than
symptoms
candidiasis: Inflammation & erythema
trichomoniasis: Cervical petechiae "strawberry cervix"
Which type of vaginitis will you have findings on a KOH wet mount and what are
they? - CORRECT ANSWER-Candidiasis: Pseudohyphae or spores if non-albicans
species
What is the second most common cause of vaginitis? - CORRECT ANSWER-
Vulvovaginal Candidiasis aka Monilia
What causes 85-90% of Vulvovaginal Candidiasis? - CORRECT ANSWER-C. albicans
T/F Candida species are normal flora of skin and vagina and are not considered to
be sexually transmitted pathogens - CORRECT ANSWER-TRUE, but men can get a
rash/pruitis from a yeast infection from their sexual partner
What are some predisposing factors for Vulvovaginal Candidiasis? - CORRECT
ANSWER-Pregnancy
QUESTIONS AND DETAILED ANSWERS/ALREADY
GRADED A+
What is Vaginitis? - CORRECT ANSWER-a vaginal discharge with or without
vulvar itching and irritation
When diagnosing a patient with vaginal infection, what are the things you ask
about? - CORRECT ANSWER-~Onset, duration, severity, course since onset
~Description of discharge
~Irritation or pain
~Odor - especially post-coital
~Urinary symptoms
~Upper reproductive symptoms
~Partner complaints
~Self care to date, i.e. OTC/Rx
What are the steps to obtaining a wet prep? - CORRECT ANSWER-~Sample from
the lateral vaginal wall
~Place 2 drops of saline on glass slide
,~Lightly mix sample into saline, then add KOH --immediately check 'whiff'
~Apply cover slip just before viewing
~Visualize at both low (for yeast forms), high power for other organisms
~CLUE CELLS are epithelial cells coated with bacteria so borders are obscured
Where do you gather a sample from when obtaining a wet prep? - CORRECT
ANSWER-the LATERAL vaginal wall ~ (not the vaginal pool)
What are the 3 main things that cause vaginitis? - CORRECT ANSWER-Bacterial
vaginosis; candidiasis; trichomoniasis
What are the symptoms of trichomoniasis? - CORRECT ANSWER-Itch; discharge ;
50% are asymptomatic
Discharge is frothy, gray or yellow-green; malodorous
What are the symptoms of Candidiasis? - CORRECT ANSWER-Itching, burning,
dysuria, thick discharge
Discharge is thick, clumpy, white "cottage cheese"
What are the symptoms of bacterial vaginosis? - CORRECT ANSWER-Odor,
discharge, itch
,Discharge is homogeneous, adherent, thin, milky white; malodorous "foul fishy"
What is the normal vaginal pH? and what pH do you find in pt's with Bacterial
vaginosis, candidiasis, or trichomoniasis? - CORRECT ANSWER-Normal pH: 3.8-4.2
Bacterial vaginosis pH: >4.5
Candidiasis pH: ≤ 4.5 (4.0-4.5)
Trichomoniasis pH: >4.5
When preforming the KOH "whiff"test what are the normal findings and what are
the findings in bacterial vaginosis, candidiasis, or trichomoniasis? - CORRECT
ANSWER-Normal: Negative
Bacterial vaginosis: Positive
Candidiasis: Negative
Trichomoniasis: Often Positive
Which vagnitis are inflammatory and when are not inflammatory? - CORRECT
ANSWER-Bacterial vaginosis: Non-inflammatory
Candidiasis & trichomoniasis: inflammatory
When preforming a NaCl wet mount what are the normal findings and what are
the findings in bacterial vaginosis, candidiasis, or trichomoniasis? - CORRECT
ANSWER-Normal: Lactobacilli
Bacterial vaginosis: Clue cells (≥20%) no/few WBCs
, Candidiasis: Few WBCs
Trichomoniasis: motile flagellated protozoa, many WBCs
What abnormal clinical findings are present in bacterial vaginosis, candidiasis, and
trichomoniasis? - CORRECT ANSWER-bacterial vaginosis: none- other than
symptoms
candidiasis: Inflammation & erythema
trichomoniasis: Cervical petechiae "strawberry cervix"
Which type of vaginitis will you have findings on a KOH wet mount and what are
they? - CORRECT ANSWER-Candidiasis: Pseudohyphae or spores if non-albicans
species
What is the second most common cause of vaginitis? - CORRECT ANSWER-
Vulvovaginal Candidiasis aka Monilia
What causes 85-90% of Vulvovaginal Candidiasis? - CORRECT ANSWER-C. albicans
T/F Candida species are normal flora of skin and vagina and are not considered to
be sexually transmitted pathogens - CORRECT ANSWER-TRUE, but men can get a
rash/pruitis from a yeast infection from their sexual partner
What are some predisposing factors for Vulvovaginal Candidiasis? - CORRECT
ANSWER-Pregnancy
