NU 640 Test 2 - Adolescence, Puberty, & STIs Questions and Answers Fully Solved Latest
Version 2025-2026
A 12 year old girl presents to your clinic with symptoms of vaginitis, including odor, dysuria,
frequency, and discomfort. Which of the following causes of vaginitis is most likely d/t sexual
transmission?
A. candida
B. chlamydia
C. pinworms
D. gardnerella - AnswersB. chlamydia
A 12 year old girl presents to your clinic with symptoms of vaginitis, including odor, dysuria,
frequency, and discomfort. Upon further history, physical, and labs, the girl is diagnosed with c.
albicans vaginitis. Appropriate treatment would include:
A. avoiding bubble baths
B. topical acyclovir
C. ceftriaxone
D. clotrimazole - AnswersD. clotrimazole
A labial adhesion extending from the posterior fourchette to the clitoris is noted during the
routine assessment of a 4 year old girl. There is no history of difficulty voiding, dysuria, or
discomfort. The most appropriate initial management is to:
A. Recommend mechanical lysis using petrolatum ointment
B. prescribe a topical application of estrogen cream
C. refer to a GU specialist
D. reassure parents that no specific treatment is needed at this time - AnswersD. reassure
parents that no specific treatment is needed at this time
A foul-smelling vaginal discharge that emits a fishy odor when combined with 10% potassium
hydroxide is most likely due to
A. g. vaginalis
B. c. albicans
C. c. trachomatis
, D. n. gonorrheae - AnswersA. g. vaginalis
A 17-year-old sexually active girl with chancres in the genital area is noted to have a positive
VDRL test. The next step should be to:
A. treat with ceftriaxone
B. perform a specific treponemal antibody test
C. culture for c. trachomatis
D. discuss safer sex practices - AnswersB. perform a specific treponemal antibody test
The most common bacterial cause of STI is:
A. n. gonorrhea
B. T. vaginalis
C. C. trachomatis
D. herpes simplex - AnswersC. C. trachomatis
Which of the following infections is NOT reportable to the health department?
A. n. gonorrhea
B. t. vaginalis
C. c. trachomatis
D. HIV - AnswersB. t. vaginalis
Which of the following is an absolute contraindication for the use of combined hormonal
contraceptives in an adolescent woman?
A. history of thromboembolism
B. diabetes
C. smokes 5 cigarettes per day
D. sickle cell disease - AnswersA. history of thromboembolism
If a 14-year-old girl came to you to initiate a birth control method, for which of the following birth
control methods would you counsel her about possible weight gain?
A. combined hormonal OCP
B. etonogestrel implant
Version 2025-2026
A 12 year old girl presents to your clinic with symptoms of vaginitis, including odor, dysuria,
frequency, and discomfort. Which of the following causes of vaginitis is most likely d/t sexual
transmission?
A. candida
B. chlamydia
C. pinworms
D. gardnerella - AnswersB. chlamydia
A 12 year old girl presents to your clinic with symptoms of vaginitis, including odor, dysuria,
frequency, and discomfort. Upon further history, physical, and labs, the girl is diagnosed with c.
albicans vaginitis. Appropriate treatment would include:
A. avoiding bubble baths
B. topical acyclovir
C. ceftriaxone
D. clotrimazole - AnswersD. clotrimazole
A labial adhesion extending from the posterior fourchette to the clitoris is noted during the
routine assessment of a 4 year old girl. There is no history of difficulty voiding, dysuria, or
discomfort. The most appropriate initial management is to:
A. Recommend mechanical lysis using petrolatum ointment
B. prescribe a topical application of estrogen cream
C. refer to a GU specialist
D. reassure parents that no specific treatment is needed at this time - AnswersD. reassure
parents that no specific treatment is needed at this time
A foul-smelling vaginal discharge that emits a fishy odor when combined with 10% potassium
hydroxide is most likely due to
A. g. vaginalis
B. c. albicans
C. c. trachomatis
, D. n. gonorrheae - AnswersA. g. vaginalis
A 17-year-old sexually active girl with chancres in the genital area is noted to have a positive
VDRL test. The next step should be to:
A. treat with ceftriaxone
B. perform a specific treponemal antibody test
C. culture for c. trachomatis
D. discuss safer sex practices - AnswersB. perform a specific treponemal antibody test
The most common bacterial cause of STI is:
A. n. gonorrhea
B. T. vaginalis
C. C. trachomatis
D. herpes simplex - AnswersC. C. trachomatis
Which of the following infections is NOT reportable to the health department?
A. n. gonorrhea
B. t. vaginalis
C. c. trachomatis
D. HIV - AnswersB. t. vaginalis
Which of the following is an absolute contraindication for the use of combined hormonal
contraceptives in an adolescent woman?
A. history of thromboembolism
B. diabetes
C. smokes 5 cigarettes per day
D. sickle cell disease - AnswersA. history of thromboembolism
If a 14-year-old girl came to you to initiate a birth control method, for which of the following birth
control methods would you counsel her about possible weight gain?
A. combined hormonal OCP
B. etonogestrel implant
