NURP 502 Exam 2 Solution Manual Fully Solved Latest Update 2025 Already Passed
Is it recc to test prepubescent girl for Group A strep who present with vulvovaginitis? - Answers Yes, this
is a common cause for that age group
What are other causes of vulvovaginitis in prepubescent girls? - Answers Nonspecific causes like irritants
(perfumes, abuse)
Pin worms
Group A
What is the first line tx for vulvovaginitis? - Answers Hygiene
Start with the lowest intervention
Look at causes like new clothes worn without being washed, new soap/detergent
Encourage gentle cleansing with water only
What blood clotting disorder might you test for in young women with heavy menstrual bleeding? -
Answers Von Willebrand
Clotting factors 8, 9, 11, 12 are associated with what lab test? - Answers PT, PTT
Intrinsic, extrinsic
What are common ped GU problems? - Answers UTI
Vulvovaginitis
Labial adhesions
Anatomical differences in hymen
Sexual abuse
Amenorrhea primary vs secondary
Dysfunctional uterine bleeding
How does vulvovaginitis present? - Answers Dysuria
Vulvovaginal pain/pruritis
Local erythema
Discharge
, What are differential dx for vulvovaginitis? - Answers Nonspecific vulvovaginits (contact/irritant)
Candidal
Bacterial
UTI
Foreign body
Sexual abuse
Pinworms, GAS, shigella
What questions do you ask when taking a hx and suspect vulvovaginitis? - Answers Dysuria, hematuria,
abd pain, flank pain, fever, N/V
Nocturnal enuresis
Discharge (amt, color, odor)
Hx of atopy/eczema
Abuse concern
What testing for vulvovaginitis? - Answers UA and cx
Tape testing (pinworms)
Wet mount/KOH
STI (use caution)
Tx for vulvovaginitis? - Answers Avoid irritants
Wash well with warm water
Low-potency corticosteroid/antifungal combo (max- 1 wk)
What is the first thing you do when getting abnormal labs and patient is completely asymptomatic? -
Answers Redraw the labs
What is the ratio of AST:ALT? - Answers We see a ratio of 2:1 in etiologically driven liver abnormalities
What is the most common cause of elevated liver enzymes in an asymptomatic adult in the United
States? - Answers Non alcoholic fatty liver disease
How often do you recheck labs for iron? - Answers 3-6 months
What is the most reliable lab value to diagnose iron-deficiency anemia? - Answers Ferritin
Is it recc to test prepubescent girl for Group A strep who present with vulvovaginitis? - Answers Yes, this
is a common cause for that age group
What are other causes of vulvovaginitis in prepubescent girls? - Answers Nonspecific causes like irritants
(perfumes, abuse)
Pin worms
Group A
What is the first line tx for vulvovaginitis? - Answers Hygiene
Start with the lowest intervention
Look at causes like new clothes worn without being washed, new soap/detergent
Encourage gentle cleansing with water only
What blood clotting disorder might you test for in young women with heavy menstrual bleeding? -
Answers Von Willebrand
Clotting factors 8, 9, 11, 12 are associated with what lab test? - Answers PT, PTT
Intrinsic, extrinsic
What are common ped GU problems? - Answers UTI
Vulvovaginitis
Labial adhesions
Anatomical differences in hymen
Sexual abuse
Amenorrhea primary vs secondary
Dysfunctional uterine bleeding
How does vulvovaginitis present? - Answers Dysuria
Vulvovaginal pain/pruritis
Local erythema
Discharge
, What are differential dx for vulvovaginitis? - Answers Nonspecific vulvovaginits (contact/irritant)
Candidal
Bacterial
UTI
Foreign body
Sexual abuse
Pinworms, GAS, shigella
What questions do you ask when taking a hx and suspect vulvovaginitis? - Answers Dysuria, hematuria,
abd pain, flank pain, fever, N/V
Nocturnal enuresis
Discharge (amt, color, odor)
Hx of atopy/eczema
Abuse concern
What testing for vulvovaginitis? - Answers UA and cx
Tape testing (pinworms)
Wet mount/KOH
STI (use caution)
Tx for vulvovaginitis? - Answers Avoid irritants
Wash well with warm water
Low-potency corticosteroid/antifungal combo (max- 1 wk)
What is the first thing you do when getting abnormal labs and patient is completely asymptomatic? -
Answers Redraw the labs
What is the ratio of AST:ALT? - Answers We see a ratio of 2:1 in etiologically driven liver abnormalities
What is the most common cause of elevated liver enzymes in an asymptomatic adult in the United
States? - Answers Non alcoholic fatty liver disease
How often do you recheck labs for iron? - Answers 3-6 months
What is the most reliable lab value to diagnose iron-deficiency anemia? - Answers Ferritin
