NURS 546: MIDTERM EXAM WITH
CORRECT ANSWERS 2025
BV treatment correct answers >> Metronidazole 500mg BID
x 7 days
Metronidazole gel 0.75% 1 application (5g) daily QD x 5 days
Clindamycin cream 2% 1 application (5g) QD at bedtime x 7 days
BV treatment for recurrence correct answers >> May
consider Metronidazole 2x weekly 2-4 mo
OR
Nitroimidazole PO, f/b Boric Acid (NOT in pregnancy) and
metronidazole
BV risk factors correct answers >> multiple sex partners
douching
lack of barrier use
hygiene
absence or dec in lactobacilli, or few H2O2 producing lactobacilli
BV treatment metronidazole education correct answers >>
caution against drinking alcohol with use, during and 24 hours
post use
stomach upset common
metallic taste
,BV treatment clindamycin education correct answers >>
cream is oil based, may degrade latex condoms
inc risk of breakage within 72 hours of use
BV Amsel Criteria correct answers >> Diagnose if 3 or 4 are
present:
1. >pH (>4.5)
2. Positive whiff test
3. Clue cells on microscopy
4. Discharge
BV symptomology correct answers >> odor (amine),
discharge (milky white, thin, "fishy")
usually vulva and cervix are not involved, may be asymptomatic
pH >4.5
positive whiff test
wet mount: clue cells >20% on sample
no or few WBC, few lactobacilli on slide
BV treatment in pregnancy correct answers >>
Metronidazole 500 mg twice a day for 7 days
treat as early as possible, re-exam for recolonization in 1 month
Candidiasis (VVC) s/s correct answers >> thickened, curd-like
"cottage cheese" white discharge
*pruritus*
vulva and labial swelling and erythema,
, erythematic vaginal walls
no odor
no common effect on cervix
pH usually <4.5
Dx of Candidiasis (VVC) correct answers >> wet mount KOH
will see pseudohyphae or spores
Tx of VVC correct answers >> OTC intravaginal meds:
Butoconazole (Gynazole), Clotrimazole (Gyne-Lotrimin),
Miconazole (Monistat), Tioconazole (Vagistat) creams
Prescription intravaginal agents:
Nystatin (Mycostatin) vaginal tablet 100,000 unit for 14 days
Prescription oral agent:
Fluconazole (Diflucan) 150mg tablet PO once
Complicated VVC correct answers >> Recurrent (RVVC) 4 or
more episodes in one year
Severe - edema, excoriation, fissure formation
Non-albicans strain
Compromised host
Tx for RVVC correct answers >> 7-14 days topical therapy
PLUS
CORRECT ANSWERS 2025
BV treatment correct answers >> Metronidazole 500mg BID
x 7 days
Metronidazole gel 0.75% 1 application (5g) daily QD x 5 days
Clindamycin cream 2% 1 application (5g) QD at bedtime x 7 days
BV treatment for recurrence correct answers >> May
consider Metronidazole 2x weekly 2-4 mo
OR
Nitroimidazole PO, f/b Boric Acid (NOT in pregnancy) and
metronidazole
BV risk factors correct answers >> multiple sex partners
douching
lack of barrier use
hygiene
absence or dec in lactobacilli, or few H2O2 producing lactobacilli
BV treatment metronidazole education correct answers >>
caution against drinking alcohol with use, during and 24 hours
post use
stomach upset common
metallic taste
,BV treatment clindamycin education correct answers >>
cream is oil based, may degrade latex condoms
inc risk of breakage within 72 hours of use
BV Amsel Criteria correct answers >> Diagnose if 3 or 4 are
present:
1. >pH (>4.5)
2. Positive whiff test
3. Clue cells on microscopy
4. Discharge
BV symptomology correct answers >> odor (amine),
discharge (milky white, thin, "fishy")
usually vulva and cervix are not involved, may be asymptomatic
pH >4.5
positive whiff test
wet mount: clue cells >20% on sample
no or few WBC, few lactobacilli on slide
BV treatment in pregnancy correct answers >>
Metronidazole 500 mg twice a day for 7 days
treat as early as possible, re-exam for recolonization in 1 month
Candidiasis (VVC) s/s correct answers >> thickened, curd-like
"cottage cheese" white discharge
*pruritus*
vulva and labial swelling and erythema,
, erythematic vaginal walls
no odor
no common effect on cervix
pH usually <4.5
Dx of Candidiasis (VVC) correct answers >> wet mount KOH
will see pseudohyphae or spores
Tx of VVC correct answers >> OTC intravaginal meds:
Butoconazole (Gynazole), Clotrimazole (Gyne-Lotrimin),
Miconazole (Monistat), Tioconazole (Vagistat) creams
Prescription intravaginal agents:
Nystatin (Mycostatin) vaginal tablet 100,000 unit for 14 days
Prescription oral agent:
Fluconazole (Diflucan) 150mg tablet PO once
Complicated VVC correct answers >> Recurrent (RVVC) 4 or
more episodes in one year
Severe - edema, excoriation, fissure formation
Non-albicans strain
Compromised host
Tx for RVVC correct answers >> 7-14 days topical therapy
PLUS
