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NURG 603 FINAL EXAM |283 | ACTUAL EXAM QUESTIONS AND VERIFIED ANSWERS
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NURG 603 FINAL EXAM |283 |ACTUAL EXAM QUESTIONS AND
VERIFIED ANSWERS
N. gonorrhoea
*** Assume concomitant infection with C. trachomatis unless ruled out by
appropriate testing - ANSWER What is the causative organism for gonorrhea?
MEN:
1. urethritis- mucopurulent or purulent discharge from the urethra.
WOMEN:
1. Purulent discharge from the urethra.
2. Greenish/yellow discharge from the cervix
3. Bartholin glands infection - ANSWER S/S of gonorrhoea in men and women?
1. Test endocervical, vaginal, or urine specimens by culture, nucleic
hybridization, or NAAT.
2. Gram stain in symptomatic men (not recommended as definitive testing for
women or asymptomatic men).
3. Urine screening for adolescents reluctant to have a pelvic examination or
where the pelvic exam is not feasible. - ANSWER How do you diagnose
gonorrhea (3)?
1. Ceftriaxone 500 mg IM x1 dose (1st line for pregnancy)
Cephalosporin allergy:
2. Gentamicin 240 mg IM in a single dose PLUS Azithromycin 2 gm orally in a
single dose
If Ceftriaxone administration is not available or not feasible:
,3. Cefixime 800 mg orally in a single dose - ANSWER Gonorrhea tx?
Gonorrhea and Chlamydia - ANSWER Cervicitis and urethritis can be caused
by ___ and ___?
Chlamydia - ANSWER ___ is a gram-negative obligate intracellular bacterium;
most frequently reported infectious disease in the US?
1. All sexually active women under the age of 25 should be screened annually
2. Women over 25 with risk factors should be screened annually
3. All pregnant women under 25 years of age
4. Pregnant women 25 years of age and older if at increased risk
5. Men who have sex with men annually.
6. Every 3-6 months if at increased risk for men who have sex with men. -
ANSWER What are the current guidelines for screening for chlamydia (6)?
1. Doxycycline 100 mg orally 2x/day for 7 days
OR
2. Azithromycin 1 gm orally in a single dose
OR
3. Levofloxacin 500 mg orally 1x/day for 7 days
Pregnancy:
1. Azithromycin 1 gm orally in a single dose
2. Amoxicillin 500 mg orally 3x/day for 7 days - ANSWER Chlamydia tx?
Herpes Simplex Virus I & II - ANSWER What is the causative organism for
HSV I & II?
1. Acyclovir 400 mg TID x 7-10 days
2. Famciclovir (Famvir) 250 mg PO TID x 7-10 days
3. Valacyclovir (Valtrex) 1 gm PO BID x 7-10 days - ANSWER Tx for primary
HSV infection?
1. Acyclovir 400 mg PO BID
,2. Famiciclovir 250 mg PO BID
3. Valcacyclovir (Valtrex) 500 mg-1 gm PO q day - ANSWER What
suppressive therapy is used to treat HSV I & II?
1. Vesicles occur first
2. Painful ulcers occur 2-3 days after vesicles
3. Crusting occurs last
4. Lymphadenopathy - ANSWER S/S of HSV I & II?
HSV-1 - ANSWER ___ is associated with cold sore lesions of the mouth, but is
increasingly the cause of genital lesions, particularly among adolescents and
young women.
HSV-2 - ANSWER ___ is the most common cause of genital infections?
HPV - ANSWER ___ is an STD that is strongly associated with the
development of cervical intraepithelial neoplasia (CIN) & cancer.
Verrica-form cauliflower-like lesions - ANSWER S/S of HPV?
16 & 18 - ANSWER What 2 subtypes of HPV account for 2/3 of cervical cancer
cases?
1. Physical exam
2. Confirmed through biopsy of warts - ANSWER How do you diagnose HPV
(2)?
1. Children need only 2 doses of the vaccine if the first vaccine is before age 15:
one dose and then the second 6 -12 months later.
2. If the teen is older than 15, then 3 doses will be needed. The first dose then 1-
2 months later the second dose. Then the third dose 6 months after the first dose.
- ANSWER What are the current recommended guidelines for HPV vaccines?
Syphilis - ANSWER ___ begins as a PAINLESS genital sore or it can be on the
anus, lips, or nipples?
Treponema pallidum - ANSWER Syphilis causative organism?
1. primary
, 2. secondary - ANSWER In what phases can syphilis be spread?
Primary syphilis - ANSWER ___ syphilis is the first stage of the disease, is
characterized by the appearance of a chancre at the site of entry approximately
10-60 days after infection with T. pallidum?
Secondary syphilis - ANSWER Between 4 and 8 weeks after the primary
chancre appears, manifestations of ___ syphilis develop; these include skin rash
that often appears as rough, red, or brown lesions on the palms of the hands and
soles of the feet; if untreated, this stage resolves spontaneously in 2-6 weeks and
the disease enters the latent stage?
Tertiary syphilis - ANSWER ___ syphilis is when transmission is unlikely
except via blood transfusion or placental transfer in this stage; severe damage to
the CNS and CV systems develops, along with ophthalmic and auditory
abnormalities; destructive, necrotic, granulomatous lesions, called gummas may
develop 1-10 years after infection?
Nontreponemal Tests:
1. VDRL: Venereal Disease Research Laboratory
2. RPR: Rapid Plasma Reagin
Treponemal Tests:
3. FTA-ABS: Fluorescent treponemal antibody absorption
4. TP-PA: Treponema pallidum particle agglutination - ANSWER What 4 test
are done to diagnose syphilis?
NO - ANSWER Can you use only one serologic test to diagnose syphilis?
1. Benzathine penicillin G 2.4 million U IM as a one time dose
2. Benzathine penicillin G 7.2 million units total, administered as 3 doses of 2.4
million units at one-week intervals - ANSWER Syphilis tx?
Non-treponemal
• Measure reagin antibody detected by highly purified cardiolipin-lecithin
antigen
• Can be performed rapidly, easily, and inexpensively
• Used mainly for syphilis screening, but false positives can occur
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