A fifty-two year-old female patient comes in fro her annual well-women examination. Her
LMP was fourteen months ago without any breakthrough bleeding. She as also
developed some hirsutism. You would document this as: - ANSWER-Menopause
A 24-year-old female presents to the office with a complaint of vaginal itching in addition
to thick mucous discharge. She also has some mild urinary discomfort. A wet mount
preparation using potassium hydroxide (KOH) reveals a negative whiff test and no clue
cells. There were no trichomonads visualized but the WBCs were too numerous to
count. Which of the following would be the most likely diagnosis in this patient? -
ANSWER-Chlamydia
Nakia is a 65 year-old obese female with type 2 diabetes mellitus. She presets to your
office with a complaint of vaginal itching and burning for two weeks now. She has not
been sexually active for five years since her partner died of heart failure. She has tried
douching and OTC Vagisil cream with no relief. On physical examination, the vulva is
deep red with some thick white discharge. Which of the following conditions would be
most likely cause of her symptoms? - ANSWER-Candidiasis
The nurse practitioner is caring for a 42 year-old patient who had a total hysterectomy
due to multiple uterine fibroids and now is experiencing severe vasomotor symptoms .
Which of the following hormone replacement options should be considered for this
patient/ - ANSWER-Estrogen alone
A patient has been diagnosed with trichomoniasis. Which of the following treatment
options would be appropriate? - ANSWER-Metronidazole 500mg i PO BID x 7 days
The nurse practitioner is teaching a community class on HIV. Topics of discussion
include routes of transmission, risk factors, and testing. Which of the following
statements by the nurse practitioner is/are true? Select all that apply: - ANSWER-The
Western blot is a confirmatory test for HIV
Maternal transmission of HIV may be reduced with planned cesarean birth
The nurse practitioner understands that non-pharmacologic treatments for urinary
incontinence include: Select all that apply. - ANSWER-Kegel exercises
Weight loss if obese
Pessaries
Anticholinergic medications are a type of treatment for which type of urinary
incontinence? - ANSWER-Urge incontinence
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