NSG 6330 Final Study Guide QUESTIONS
|\ |\ |\ |\ |\ |\
WITH ANSWERS |\
How is HIV transmitted - CORRECT ANSWERS ✔✔Vertical
|\ |\ |\ |\ |\ |\ |\ |\
transmission from a mother to her baby, blood transfusion, or |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
exchange of any blood products |\ |\ |\ |\
Question : |\ |\
HIV risk factors are all of these except:
|\ |\ |\ |\ |\ |\ |\
Unprotected sex or trauma with sexual activity or multiple |\ |\ |\ |\ |\ |\ |\ |\ |\
partners |\
IV drug use, including shared syringes
|\ |\ |\ |\ |\ |\
Exchange of saliva - CORRECT ANSWERS ✔✔Exchange of saliva
|\ |\ |\ |\ |\ |\ |\ |\
Whether you order diagnostic testing or refer the patient to an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
HIV-specific facility, laboratory confirmation for documentation for
|\ |\ |\ |\ |\ |\
appropriate care rendered.
|\ |\ |\
The test confirming HIV infection is _____________.
|\ |\ |\ |\ |\ |\
HIV-1/2 Ag/Ab combination immunoassay
|\ |\ |\ |\
|\
enzyme-linked immunosorbent HIV RNA |\ |\ |\ |\
|\
CD4+ lymphocyte count|\ |\ |\
|\
,quantitative plasma HIV RNA - CORRECT ANSWERS ✔✔HIV-1/2 |\ |\ |\ |\ |\ |\ |\ |\
Ag/Ab combination immunoassay
|\ |\
Treatment, although not curative, is critical for the best outcome
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
possible. One important principle of antiretroviral therapy is:
|\ |\ |\ |\ |\ |\ |\
Therapy should be started when symptoms first appear.
|\ |\ |\ |\ |\ |\ |\ |\
Monotherapy is recommended. |\ |\ |\
Response to drug therapy is monitored by HIV RNA levels.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Response to drug therapy is monitored with CD4+ counts. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Response to drug therapy is monitored
|\ |\ |\ |\ |\ |\ |\ |\
by HIV RNA levels.
|\ |\ |\
The HIV is positive, and the chest X-ray reflects bilateral
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
infiltrates. The radiologist telephones you with a diagnosis of
|\ |\ |\ |\ |\ |\ |\ |\ |\
pneumonia. Further evaluation and report are sent to you with a |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
diagnosis of pneumocystis pneumonia. What stage is this HIV
|\ |\ |\ |\ |\ |\ |\ |\ |\
presentation?
|\
Acute HIV infection |\ |\ |\
Early-stage infection |\ |\
AIDS |\
Symptomatic but likely to begin a latency period - CORRECT |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔AIDS |\
Women often tend to reschedule a well-woman visit, but they
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
don't do so often with a problem such as pelvic pain. This
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
symptom can present as an acute, or chronic, insult. When a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
,woman presents with pelvic pain, the term can encompass many
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
possibilities. Differentiating acute from chronic assists with |\ |\ |\ |\ |\ |\ |\
narrowing down the possibilities but nonetheless can originate |\ |\ |\ |\ |\ |\ |\ |\
from more than one system as a referred pain or discomfort. The
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
focus here will be of reproductive/pelvic origin.
|\ |\ |\ |\ |\ |\
As you know, the most common cause of pelvic pain can be
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
noted as endometriosis. But you also know that the most acute
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
causes of pelvic pain are probably: |\ |\ |\ |\ |\
|\
|\
Salpingo-oophoritis (fallopian tube/ovary) secondary to PID |\ |\ |\ |\ |\ |\
Gynecologic malignancy |\ |\
Adhesions |\
Myomata uteri - CORRECT ANSWERS ✔✔Salpingo-oophoritis |\ |\ |\ |\ |\ |\
(fallopian tube/ovary) |\
A twenty-five-year-old presents with a report of a very tender
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
area just near her introitus and to the left of her perineum. Very
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
painful sex is how she knew "something wasn't right." She
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
showered and when washing, she felt a "pea-sized" painful lump
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
on the left side of her "bottom." She tells you she looked at it
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
with a mirror and it was very small, but now it is the size of a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ping-pong ball and getting worse. |\ |\ |\ |\
When you inspect her external genitalia, you are amazed at the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
size and appearance of the "lump."
|\ |\ |\ |\ |\
You note what appears to be an abscess on the left medial side
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of the labia minora, and there is some edema extending into the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
perineum. Your diagnosis for this presentation is: |\ |\ |\ |\ |\ |\
, Lipoma |\
Dermoid cyst |\ |\
Bartholin's cyst |\ |\
Skene's duct cyst - CORRECT ANSWERS ✔✔Bartholin's cyst
|\ |\ |\ |\ |\ |\ |\
Bartholin's Cyst - CORRECT ANSWERS ✔✔If a Bartholin duct gets
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
blocked, fluid builds up in the gland. The blocked gland is called a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Bartholin gland cyst
|\ |\ |\
You explain to this young woman what this "lump" is and let her
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
know you will be referring her to a gynecologist you consult with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
regularly. You explain to her the likely treatment as follows:
|\ |\ |\ |\ |\ |\ |\ |\ |\
She will need to take sitz baths three times per day and a broad-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
spectrum antibiotic. |\ |\
|\
This is likely a fatty tumor and will need to be surgically
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
removed. |\
A possible incision might be necessary and a catheter placed for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
two to four weeks to allow for drainage and appropriate healing.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
This is a folliculitis that has become infected and needs a needle
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
aspiration and broad-spectrum antibiotic treatment. - CORRECT
|\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔A possible incision might be necessary and a
|\ |\ |\ |\ |\ |\ |\ |\ |\
catheter placed for two to four weeks to allow for drainage and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
appropriate healing. |\
|\ |\ |\ |\ |\ |\
WITH ANSWERS |\
How is HIV transmitted - CORRECT ANSWERS ✔✔Vertical
|\ |\ |\ |\ |\ |\ |\ |\
transmission from a mother to her baby, blood transfusion, or |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
exchange of any blood products |\ |\ |\ |\
Question : |\ |\
HIV risk factors are all of these except:
|\ |\ |\ |\ |\ |\ |\
Unprotected sex or trauma with sexual activity or multiple |\ |\ |\ |\ |\ |\ |\ |\ |\
partners |\
IV drug use, including shared syringes
|\ |\ |\ |\ |\ |\
Exchange of saliva - CORRECT ANSWERS ✔✔Exchange of saliva
|\ |\ |\ |\ |\ |\ |\ |\
Whether you order diagnostic testing or refer the patient to an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
HIV-specific facility, laboratory confirmation for documentation for
|\ |\ |\ |\ |\ |\
appropriate care rendered.
|\ |\ |\
The test confirming HIV infection is _____________.
|\ |\ |\ |\ |\ |\
HIV-1/2 Ag/Ab combination immunoassay
|\ |\ |\ |\
|\
enzyme-linked immunosorbent HIV RNA |\ |\ |\ |\
|\
CD4+ lymphocyte count|\ |\ |\
|\
,quantitative plasma HIV RNA - CORRECT ANSWERS ✔✔HIV-1/2 |\ |\ |\ |\ |\ |\ |\ |\
Ag/Ab combination immunoassay
|\ |\
Treatment, although not curative, is critical for the best outcome
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
possible. One important principle of antiretroviral therapy is:
|\ |\ |\ |\ |\ |\ |\
Therapy should be started when symptoms first appear.
|\ |\ |\ |\ |\ |\ |\ |\
Monotherapy is recommended. |\ |\ |\
Response to drug therapy is monitored by HIV RNA levels.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Response to drug therapy is monitored with CD4+ counts. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Response to drug therapy is monitored
|\ |\ |\ |\ |\ |\ |\ |\
by HIV RNA levels.
|\ |\ |\
The HIV is positive, and the chest X-ray reflects bilateral
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
infiltrates. The radiologist telephones you with a diagnosis of
|\ |\ |\ |\ |\ |\ |\ |\ |\
pneumonia. Further evaluation and report are sent to you with a |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
diagnosis of pneumocystis pneumonia. What stage is this HIV
|\ |\ |\ |\ |\ |\ |\ |\ |\
presentation?
|\
Acute HIV infection |\ |\ |\
Early-stage infection |\ |\
AIDS |\
Symptomatic but likely to begin a latency period - CORRECT |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔AIDS |\
Women often tend to reschedule a well-woman visit, but they
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
don't do so often with a problem such as pelvic pain. This
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
symptom can present as an acute, or chronic, insult. When a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
,woman presents with pelvic pain, the term can encompass many
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
possibilities. Differentiating acute from chronic assists with |\ |\ |\ |\ |\ |\ |\
narrowing down the possibilities but nonetheless can originate |\ |\ |\ |\ |\ |\ |\ |\
from more than one system as a referred pain or discomfort. The
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
focus here will be of reproductive/pelvic origin.
|\ |\ |\ |\ |\ |\
As you know, the most common cause of pelvic pain can be
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
noted as endometriosis. But you also know that the most acute
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
causes of pelvic pain are probably: |\ |\ |\ |\ |\
|\
|\
Salpingo-oophoritis (fallopian tube/ovary) secondary to PID |\ |\ |\ |\ |\ |\
Gynecologic malignancy |\ |\
Adhesions |\
Myomata uteri - CORRECT ANSWERS ✔✔Salpingo-oophoritis |\ |\ |\ |\ |\ |\
(fallopian tube/ovary) |\
A twenty-five-year-old presents with a report of a very tender
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
area just near her introitus and to the left of her perineum. Very
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
painful sex is how she knew "something wasn't right." She
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
showered and when washing, she felt a "pea-sized" painful lump
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
on the left side of her "bottom." She tells you she looked at it
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
with a mirror and it was very small, but now it is the size of a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ping-pong ball and getting worse. |\ |\ |\ |\
When you inspect her external genitalia, you are amazed at the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
size and appearance of the "lump."
|\ |\ |\ |\ |\
You note what appears to be an abscess on the left medial side
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of the labia minora, and there is some edema extending into the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
perineum. Your diagnosis for this presentation is: |\ |\ |\ |\ |\ |\
, Lipoma |\
Dermoid cyst |\ |\
Bartholin's cyst |\ |\
Skene's duct cyst - CORRECT ANSWERS ✔✔Bartholin's cyst
|\ |\ |\ |\ |\ |\ |\
Bartholin's Cyst - CORRECT ANSWERS ✔✔If a Bartholin duct gets
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
blocked, fluid builds up in the gland. The blocked gland is called a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Bartholin gland cyst
|\ |\ |\
You explain to this young woman what this "lump" is and let her
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
know you will be referring her to a gynecologist you consult with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
regularly. You explain to her the likely treatment as follows:
|\ |\ |\ |\ |\ |\ |\ |\ |\
She will need to take sitz baths three times per day and a broad-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
spectrum antibiotic. |\ |\
|\
This is likely a fatty tumor and will need to be surgically
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
removed. |\
A possible incision might be necessary and a catheter placed for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
two to four weeks to allow for drainage and appropriate healing.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
This is a folliculitis that has become infected and needs a needle
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
aspiration and broad-spectrum antibiotic treatment. - CORRECT
|\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔A possible incision might be necessary and a
|\ |\ |\ |\ |\ |\ |\ |\ |\
catheter placed for two to four weeks to allow for drainage and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
appropriate healing. |\
