Adult Reproductive health review
Terms in this set (51)
All of the following are infections that affect mostly the labia and vagina except?
Patients who are diagnosed with gonorrhea should also be treated for which of the following infections?
HPV infection of the larynx has been associated with?
A 48 year old woman is told by a physician that she is starting menopause. All of the following are possible findings except?
severe vaginal atrophic changes
A 30 year old female who is sexually active complains of a large amount of milk-like vaginal discharge for several weeks. A microscopy slide reveals a large amount of squamous epithelial cells that have blurred margins. There are very few WBCs seen. The vaginal pH is 6.0. What is most likely?
The pap smear result on a 20 year old sexually active student who uses condoms inconsistently shows a large amount of inflammation. Which of the following is the best follow-up action?
call the patient to return to the clinic so she can get tested for a possible cervical infection
While performing a pap smear on a postmenopausal patient, several areas of flat white skin lesions that are irregularly shaped are found on the patient's labia. The patient reports that the lesions are extremely itchy and have been present for several years without change. Which condition is best described?
Fitz-Hugh-Curtis syndrome is associated with the following infection?
Human chorionic gonadotropin (hCG) is produced by the?
A college student has recently been informed that he has an HPV infection on the shaft of his penis. Which of the following may reveal subclinical lesions on the penile skin?
apply acetic acid to the penile shaft and look for acetowhite changes
The ELIZA and Western Blot test are both used to test for HIV. Which of the following statements is correct?
it is a test to detect antibodies against the HIV
During the breast exam of a 30 year old nulliparous female, the NP palpates several rubbery mobile areas of breast tissue. They are slightly tender to palpation. Both breasts have symmetrical findings. There are no skin changes or any nipple discharge. The patient is expecting her menstrual period in 5 days. Which of the following would you recommend?
tell her to return 1 week after her period so her breasts can be rechecked
Which of the following should you expect on a wet mount slide of a patient diagnosed with BV?
a large amount of bacteria coating the squamous cells and very few leukocytes
Jenny, a 21 year old, complains of a 1 week episode of dysuria, frequency, and a strong odor to her urine. This is her second episode this year. What is the most important FU for this patient?
order a UA and urine C&S and treat the patient with antibiotics
You are checking a 75 year old woman's breast during an annual exam. The left nipple and areolar are scaly and reddened. The patient denies pain and pruritis. She has noticed this scaliness on her left nipple for the past 8 months. Her dermatologist gave her a potent topical steroid, which she used BID x 1 month. The patient never went back for the FU. She still has the rash and wants an evaluation. Which of the following is the best intervention for this patient?
order a mammogram and refer the patient to a breast surgeon
The following are patients who are at a high risk for complications d/t UTI. Who does not belong in this category?
a 21 year old woman who is under treatment for two STIs
You are reviewing a pap smear report on a 25 year old female. Which of the following cells should be on a pap smear to be classified as a satisfactory specimen?
squamous epithelial cells and endocervical cells
What does a KOH prep help the NP diagnose?
All of the following are reportable diseases except?
A menopausal woman with osteopenia is attendinga dietary education class. Which of the following foods are recommended?
yogurt and sardines
A woman is being evaluated by the NP for complaints of dyspareunia. A microscopy slide reveals a large number of atrophic squamous epithelial cells. The vaginal pH is 4.0. There are a few leukocytes and no RBCs are seen on the wet smear. Which of the following is most likely?
The following conditions are absolute contraindications for the use of oral contraceptives except?
muscle tension headaches
Which of the following is the confirmatory test for the HIV screening?
All of the following findings are associated with the secondary stage of an infection by the organism treponema pallidum except?
The following are exceptable methods of birth control for breastfeeding mothers except?
low dose oral contraceptives with at least 20mcg of estradiol
Women with a history of PID have an increased risk for all of the following complications except?
The differential diagnosis for genital ulceration includes all of the following except?
The pap smear result of a 20 year old sexually active college student who used condoms inconsistently reveals a large numbers of WBCs and blood along with inflammatory changes. During the speculum exam, the NP noticed that the patient's cervix bled very easily (friable) and a small amount of purulent discharge was present on the cervical surface. There was no cervical motion tenderness noted during the bimanual exam. What is the next step in the management of this patient?
call the patient and tell her to return for further testing with a Gen-Probe to rule out infection by chlamydia and gonorrhea
HPV infection in women has been associated with the development of?
Terazosin (Hytrin), an alpha blocker, is used to treat which of the following conditions?
BPH and HTN
Which of the following clinical findings can mimic a case of testicular torsion but is not considered an emergent condition?
the "blue dot" sign
An 18 year old waitress is diagnosed with PID. The cervical Gen-Probe result is positive for N.gonorrhea and negative for chlamydia. All of the following statements are true regarding the management of this patient except?
repeat the Gen-Probe test for Chlamydia trachomatis to ensure that the previous test was not a false negative
A 35 year old smoker is being evaluated for birth control choices. The patient has a history of PID along with an embolic episode after her last pregnancy. Which of the following methods of birth control would you recommend?
condoms and the vaginal sponge
A 25 year old woman complains of dysuria, severe vaginal pruritis, and a malodorous vaginal discharge. Pelvic examination reveals a strawberry-colored cervix and frothy yellow discharge. Microscopic exam of the discharge reveals mobile organisms which have flagella. The correct pharmacologic therapy for the condition is?
Metronidazole produces the disulfiram (Antabuse) effect when combined with alcoholic drinks or medicine. You would educate the patient to avoid?
alcoholic drinks 1 day before, during therapy and and few days after therapy
Which of the following is recommended by the CDC for a case of uncomplicated gonorrheal and chlamydial infection?
ceftriaxone sodium (Rocephin) 125mg IM and doxycycline 100mg BID x 7 days
Which of the following factors is a relative contraindication for oral contraceptives
A 35 year old sexually active male presents with 1 week history of fever and pain over the left scrotum. It is accompanied by frequency and dysuria. The scrotum is edematous and tender to touch. He denies flank pain, nausea and vomiting. He reports that the pain is lessened when he uses scrotal support briefs. His UA shows 2+ blood and a large number of leukocytes. What is the most likely diagnosis?
The following statements about BPH are correct except?
saw palmetto is always effective in reducing symptoms
Which of the following is the most common cause of nongonococcal urethritis
Which if the following is considered a relative contraindication for combined oral contraceptive pills?
All of the following are correct statements regarding oral contraceptives except?
the newer low dose birth control pills do not require back-up during the first 2 weeks of use
A postmenopausal female complains of random episodes of vaginal bleeding for the past 6 months. Which of the following is recommended management for this condition?
Mary Walker is a 16 year old who presents in the clinic for a PE. She tells the triage nurse that she would like contraception as well. How should the NP proceed?
speak with the patient about contraception and have her obtain parental consent for the PE
A patient diagnosed with BV should be advised that her sexual partner be treated with?
her partner does not need treatment
A 25 year old female presents with an onset of severe right-sided pelvic pain for the past 48 hours. She reports small amounts of vaginal bleeding. The pain is aggravated by jumping or any movement that jars her pelvis. The best initial intervention is which of the following?
serum quantitative pregnancy test
Which of the following is seen in every woman using Depo for more than 5 years?
All of the following are considered risk factors for UTIs in women except?
Which of the following is responsible for the symptoms of dysmenorrhea?
Which of the following is the best method for diagnosis candidiasis in the primary care setting?
A college freshman who is on oral contraceptives calls the NP office asking for advice. She forgot to take her pills 2 days in a row during the second week of the pill cycle and wants to know what to do. What is the best advice?
take 2 pills today and 2 pills the next day; use condoms for the rest of the cycle