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FNP Board Review: STIs Questions and Answers 100% Correct
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FNP Board Review: STIs Questions and Answers 100% Correct
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FNP Board Review: STIs Questions and Answers 100%Correct
What is an alternative antibiotic (to metronidazole) for BV treatment? CORRECT ANS-
Clindamycin oral or vaginal
Are metronidazole and clindamycin safe in pregnancy? CORRECT ANS-Yes
Why is azithromycin given with ceftriaxone for GC? CORRECT ANS-Enhances GC cure, treats
chlymadia also
Which STI causes cervical cancer? CORRECT ANS-HPV
How often should women 30 and older be screened with pap/for HPV? CORRECT ANS-
Every 5 years
What STI presents with white, adherent, malodorous discharge? CORRECT ANS-Bacterial
vagniosis
What is another name for wet prep (used for vaginitis diagnosis)? CORRECT ANS-KOH
1 of 6 American have this STI and usually don't know it. Which STI is this? CORRECT ANS-
Genital herpes
, FNP Board Review: STIs Questions and Answers 100%
Correct
Which serology test can differentiate HSV-1 vs HSV-2? CORRECT ANS-IgG
Why should we avoid prescribing fluconazole in the first trimester of pregnancy? CORRECT
ANS-It may cause possible misscarriage
What STI is associated with involuntary weight loss and unusual fatigue? CORRECT ANS-
HIV
What STI is associated with this type of rash? CORRECT ANS-
What STIs produce this painful lesions? CORRECT ANS-
What is this? CORRECT ANS-
Which STI is associated with a Positive Chandelier test? CORRECT ANS-PID
What group has the highest risk of developing HIV? CORRECT ANS-Hispanic MSM
According to the CDC, who should receive routine screening for HIV? CORRECT ANS-All
ages 13-64 years
All pregnant women (1st trimester)
, FNP Board Review: STIs Questions and Answers 100%
Correct
If being treated for TB
All seeking treatment for STIs
Diagnosed with syphilis, GC, chlamydia
All high risk for HIV
All attending STI clinics
What is the algorithm for HIV testing? CORRECT ANS-HIV 1/2 antigen/antibody
immunoassay (ELISA/EIA)
- If positive --> Order:
HIV 1/HIV2 antibody differentiation immunoassay (replaces Western Blot)
- If positive (+) results: Refer (HIV-2 +, HIV 1+, or HIV-1+/HIV-2+)
- If negaitve or indeterminate or acute infection suspected or if exposed to HIV --> Order:
HIV-1 nucleic acid test (NAT)
- AKA: APTIMA--HIV-I RNA qualitative assay
What is the duration of initial HIV infection? CORRECT ANS-less than 14 days
What are assessment findings in the initial presentation of HIV? CORRECT ANS-Fever (96%)
Pharyngitis (70%)
, FNP Board Review: STIs Questions and Answers 100%
Correct
Nonpruritic macular skin rash (70%)
Malaise
Headache
Lymphadenopathy (74%)
What is acute retroviral syndrome? CORRECT ANS-Self-limiting viral-type syndrome
occurring 2-4 weeks postinfection
What is the result of HIV test during the acute retroviral syndrome? CORRECT ANS-HIV test
will be negative during this time
What are common problems in the health history of those with HIV? CORRECT ANS-30%
with history of hepatitis C
8% with history of Hepatitis B
Liver disease progresses faster and affects choice of antiretroviral therapy
TB: HIV is significant risk factor for reactivation of latent TB
STIs history
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