CMN 572 Unit 1 EXAM QUESTIONS WITH ALL CORRECT AND DETAILED ANSWERS
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Course
CMN 572
Institution
CMN 572
CMN 572 Unit 1 EXAM QUESTIONS WITH ALL CORRECT AND DETAILED ANSWERS
What is the gold standard for diagnosing bv? - Answer-gram stain
what is the most common presentation of LGV? - Answer-tender, usually unilateral inguinal and/or femoral lymphadenopathy
What is the most common site of asymp...
CMN 572 Unit 1 EXAM QUESTIONS
WITH ALL CORRECT AND
DETAILED ANSWERS
What is the gold standard for diagnosing bv? - Answer-gram stain
what is the most common presentation of LGV? - Answer-tender, usually unilateral
inguinal and/or femoral lymphadenopathy
What is the most common site of asymptomatic shedding? - Answer-the vulva and
perianal area in women and the penile skin and perianal area in men
All patients with genital ulcers should be evaluated for what? - Answer-a serologic test
syphilis and a diagnostic eval for genital herpes. Also test for H. ducreyi (chancroid) in
area where prevalent
When should antiviral therapy be initiated for a recurrent outbreak? - Answer-during
prodrome symptoms or within one day of first lesion. Patient should be provided with a
prescription
What are the 2 most common causative organisms of PID? - Answer-N. gonorrhoeae
and C. Thrachomatis
What are the minimum criteria in the dx of PID? - Answer-uterine tenderness, adnexal
tenderness, or cervical motion tenderness
When should tx be instituted for PID? - Answer-anytime a sexually active young woman
or those at risk for STDs present with pelvic or lower abdominal pain and no cause for
illness other than PID
What is first-line tx for PID? - Answer-Ceftriaxone 250mg IM + Doxycycline 100mg BID
x 14 days with or without Metronidazole 500mg BID x 14 days
What is the tx of choice for late latent and tertiary syphilis? - Answer-7.2 mill. units total,
administered as 2.4 mill units IM at 1 week intervals
Potential options for pcn allergic patients in treating gonorrhea include what? - Answer-
gemifloxacin or gent plus azithromycin
What is the moa of combination oral contraceptives? - Answer-1. inhibits ovulation
, 2. cervical mucous becomes thicker
What are common minor side effects of COC? - Answer-breast tenderness
nausea
headache
break-through bleeding or changes in menses
When do most side effects of coc resolve? - Answer-over the first 6 months
What are the advantages of using coc? - Answer-improves acne and bone density.
decreases ovarian and endometrial cancer
What are contraindications to using coc? - Answer-smoker 35 and older
hx of thrombosis (MI, stroke, dvt), breast cancer, uncontrolled htn or diabetes, lupus
immobilization
triglycerides >250
liver disease
undiagnosed vaginal bleeding
Name some combination contraception examples? - Answer-nuva-ring, transdermal
patch, COCs
Describe how nuva-ring works - Answer-insert with empty tampon holder or fingers and
leave in 3 weeks, then remove for 1 week
describe how transdermal patch works - Answer-apply new patch every week for 3
weeks then leave off for 1 week
What are the benefits of extended use contraception - Answer-decreases anemia, pre-
menstrual depression, and dysmenorrhea
Name some progestin-only methods of birth control? - Answer-Progestin only pills,
Depo, Mirena, Implanon
What is the method of action of progestin only contraceptions? - Answer-thickens
cervical mucus, decreases implantation ability, neg effect on sperm motility, suppresses
ovulation
Who is progestin only methods ideal for? - Answer-smokers over 35, women with lupus,
migraines, htn, and breastfeeding women
What are the disadvantages of progestin-only methods? - Answer-must be taken at
same time every day, irregular bleeding is common
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