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NR 602 review Questions and Answers
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NR 602 review Questions and Answers
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NR 602 review Questions and AnswersChlamydia Correct Ans-thick, yellow-white discharge with pruritus, purulent discharge,
dysuria, or frequency and occasionally postcoital bleeding. tx doxycycline 100 mg bid 7d or
azithromycin (1 g orally in a single dose, . Ofloxacin and levofloxacin 300 mg bid/500 mg qd x 7d
Candidiasis. Correct Ans-(moniliasis) white, cheesy, curdlike patch. filamentous hyphae. test
presence of leukocytes on nucleic acid amplification. tx fluconazole 150 mg x 1d.
Pylonephritis Correct Ans-chills, fever, flank pain,malaise,CVA tenderness.
Enterobacteriaceae or Pseudomonas on gram stain. tx. fluoroquinolone
interstitial cystitis (IC) Correct Ans-chronic inflammation of the bladder wall that is not
caused by bacterial infection and is not responsive to conventional antibiotic therapy; also
called painful bladder syndrome cx lower abdomen and dyspareunia, mimicking endometriosis.
tx commonly observed petechial lesions ("glomerulations") Hunner ulcers and patient
education, support, psychosocial stresses, Second-line tricyclic antidepressants (e.g.,
amitriptyline), antihistamines (hydroxyzine, cimetidine), and pentosan polysulfate (prescribed as
a "bladder coating").
Molloscum Contagiosum Correct Ans-2-5 mm poxvirus pearly small flesh-colored, dome-
shaped lesions that can be pearly in appearance and have a dimpled center. May be itchy. one
year and up. tx is self limiting. if child cimetidine. adult cryotheray or topical Podophyllotoxin
cream (0.5%)
Amenorrhea Primary Correct Ans-Failure of menarche to occur by the 16th year of life.
Stein-Leventhal syndrome Correct Ans-polycystic ovary syndrome, young women,
amenorrhea, infertility, obesity, hirsutism. cx amenorrhea, characterized clinically by androgen
excess,elevated LH levels (without a midcycle surge), low normal FSH levels, and
hyperinsulinemia. Insulin resistance is common. tx HCG test FSH and prolactin level from
pitiuitary gland, progesterone challenge test and give progesterone
, Amenorrhea Secondary Correct Ans-cessation of menstruation when the hypothalamus is
suppressed by tumors, stress, sudden weight loss, eating disorders, sports. impairment of gnrh
and ;oss of a luteinizing hormone (LH) surge and failure to ovulate.
pelvic inflammatory disease (PID) Correct Ans-inflammation of organs in the pelvic cavity;
usually includes the fallopian tubes, ovaries, and endometrium; fever, abnormal bleeding,
purulent cervical discharge, friability, motion tenderness, and adnexal tenderness. ESR/CRP
elevated. culture chlamydia trachomatis or Neisseria gonorrhoeae. Tx transvaginal/hcg test
Cefotetan
plus doxy or Ampicillin/Sulbactam 3 g IV every 6
Lichen Simplex Chronicus Correct Ans-Leukoplakia with thick, leathery vulvar skin associated
with chronic irritation and scratching., hyperplasia of the vulvar squamous epithelium. tx 2
weeks of daily mid- to high-potency corticosteroid,
cervical exam Correct Ans-Normal shape of the cervical os is oval or slit like, pink. check for
cervical motion tenderness and adnexal and uterine masses.
Skene's glands Correct Ans-glands located on the anterior wall of the vagina, around the
lower end of the distal urethra. female ejaculation. if infected can cx uti dyspareunia, dribbling
retention and hesitancy. Abscesses are painful, swollen, tender, and erythematous but usually
do not cause fever.
Nabothian glands Correct Ans-orms when normal tissue on the outer part of the cervix
grows over the glandular, mucus-producing tissue of the inner part of the cervix. self limiting.
Bartholin's glands Correct Ans-Glands located on either side of the vaginal opening that
secrete mucus for vaginal lubrication. mechanical irritation and the attendant inflammatory
reaction obstruct the ductal lumen, causing a painful cystic swelling in the vestibule. cx low
estrogen tx with osphena
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