NR 602 Final| 564 Questions and
Answers 100% Correct
Colposcopy exam- - ANSWER-procedure that visualizes vaginal, vulvar, or cervical
epithelium w/ magnification to id abnormal area to be bx
Dysmenorrhea - ANSWER-painful menstruation that prevents normal activity and
requires medication
3 types: primary (no organic cause), secondary (pathologic cause) and membranous -
causes intense cramping pain due to passage of a cast of endometrium through
undilated cervix
Dysmenorrhea treatment - ANSWER-Tx- NSAIDs/tyelnol, heat, antiprostaglandins,
OCP w/ increased estrogen- pain relief r/t absence of ovulation, decreased
prostaglandin production; surgery
Dysmenorrhea mechanism - ANSWER-prostaglandin activity
Uterine Prolapse symptom - ANSWER-Sx- heaviness or pulling into pelvis, tissue
protruding from vagina, urinary probs (leakage, retention), trouble having BM, feeling of
sitting on small ball, sexual concerns
Uterine Prolapse prevention - ANSWER-Prevention- kegels, treat constipation, correct
lifting, avoid wt gain
uterine prolapse treatment - ANSWER-Tx- pessary
Herpes simplex - ANSWER-chronic viral infection caused by HSV1 or HSV2, relapsing
,Cystocele - ANSWER--vaginal wall weakens and stretches and allows the bladder to
bulge into the vagina
Chancroid - ANSWER--Transmitted via sexual contact or on hands that have touched
lesion. Caused by Haemophillus ducreyi
-Reportable disease
Chancroid symptoms - ANSWER--Sx- erythematous papule that evolves into pustule
and degenerates into saucer shaped ragged ulcer that is circumscribed by inflammatory
wheal. Tender, heavy foul discharge that is contagious
Chancroid diagnosis - ANSWER-Dx-culture that grows H ducreyi
Chancroid treatment - ANSWER-Tx- Abx azithromycin 1 g PO one time, ceftriaxone 250
mg IM 1 x, cipro 500 mg PO BID x3 days erythromycin 500 mg PO TID x7 days.
Personal hygiene, clean w/ soap and water, sitz bath
Syphilis - ANSWER--chronic, systemic disease caused by a sphirochete transmitted via
contact with infectious moist lesion. Sexually acquired or vertically transmitted from
infected mom. Reportable disease
Cystocele sx - ANSWER-Sx-felling of fullness or pressure in vagina, increased
discomfort when you strain/cough/bear down, feeling of incomplete empty, repeated
bladder infection, pain or urinary leak during sex, bulge of tissue into vaginal opening
Cystocele prevention - ANSWER-kegels, prevent constipation, avoid heavy lifting, avoid
wt gain
Rectocele - ANSWER--When thin tissue of vagina separates the vaginal and rectum
allowing vaginal wall to bulge
,Rectocele sx - ANSWER-Sx- soft bulge of tissue in vaginal, difficult BM, sensation of
rectal pressure, incomplete emptying after BM, sexual concerns
Causes of rectocele - ANSWER-Causes- constipation/strain, chronic cough, heavy
lifting, overweight, childbirth, age
Retocele prevention - ANSWER-Prevention- kegels, prevent constipation, avoid heavy
lifting, cough, avoid wt gain
Uterine prolapse - ANSWER--pelvic floor muscles and ligaments stretch and weaken
and no longer provide support for uterus and protrude into vagina.
Uterine Prolapse causes - ANSWER-Causes- pregnancy, large baby delivery, lower
estrogen level after menopause, obesity Common in postmenopausal and one or more
childbirth
Herpes Simplex prevention - ANSWER-Prevention: consistent condom use b/c viral
shedding can occur in asymptomatic periods and can lead to transmission. W/
symptoms- Valacyclovir 500 mg daily
Herpes Simplex sign and symptoms - ANSWER-Sx-multiple painful vesicular or
ulcerative lesion on genitals, can be absent. Virus lays dormant and can be reactivated
Herpes Simplex diagnosis - ANSWER-lays dormant and can be reactivated
Dx-cell culture and PCR
Herpes Simplex treatment - ANSWER-Tx- systemic antiviral. Acyclovir 7-10 days for 1st
episode, suppressive 200 mg daily BID
, Hep C - ANSWER--Caused by Hep C virus through parenteral exposure of
contaminated blood
Hep C prevention - ANSWER-Prevention-no vaccine, reducing transmission and
chronic liver disease. + pt do not donate blood, , don't use razors or toothbrushes
Hep C symptoms - ANSWER-Sx- asymptomatic or mild illness.
Hep C diagnosis - ANSWER-Dx-nucleic acid PCR
Hep C treatment - ANSWER-Tx- interferon and ribavirin
Syphilis transmitted - ANSWER--Transmitted in primary and secondary stages
Primary-mucus mem 10-90 days later. Secondary- 2 wks-6mo after primary lesion then
generalized cutaneous eruption of secondary may appear. Latent- may last a lifetime
Syphilis prevention - ANSWER-Prevention- condom, wash w/ soap and water after sex,
screen ppl @ high risk (men that have sex with men, drug trafficers, correctional
facilities)
Syphilis symptoms - ANSWER-Sx- [Primary]- Chancre- indurated firm painless papule
or ulcer w/ raised borders, women can have cervical or vaginal lesion....on any mucus
mem. [Secondary}-viral syndrome w/ diffuse lymphadenopathy AEB dermatitis,
papulosquamous lesion on palms and soles. Lesions on trunk will be macular or
maculopapular popular or pustular other systemic include patchy alopecia, hepatitis,
nephritis. [Latent]- resolution of lesion of primary and secondary or finding of serologic
test w/o therapy
Syphilis Diagnosis - ANSWER-Dx- T pallidum sphirochetes on dark field exam of
cutaneous lesion, serologic testsing antibody titers
