Created by AnswersCOM@stuvia 2026/01/09 Page 1 of 25
APEA 3P EXAM PREP2 SEXUAL
HEALTH QUESTIONS WITH CORRECT
ANSWERS AND EXPLANATIONS
A 24-year-old female presents with abdominal pain. What
additional finding supports a diagnosis of pelvic
inflammatory disease (PID)?
Dysuria
Vaginal discharge
Positive RPR
Cervical motion tenderness
D.
PID is difficult to diagnose and often goes unrecognized
because of the varied presenting signs and symptoms in
women who have it. Delay in diagnosis contributes to
inflammatory sequelae in the upper reproductive tract.
Consequently, PID is usually diagnosed on imprecise
clinical findings. The CDC recommends that healthcare
providers maintain a low threshold for diagnosis of PID.
first-attempt success and A+ Grade
,Created by AnswersCOM@stuvia 2026/01/09 Page 2 of 25
Presumptive treatment should be initiated in sexually
active women if they are experiencing pelvic or low
abdominal pain (without another identifiable source of
illness), and if one or more of the following criteria are
present on pelvic exam: cervical motion tenderness,
uterine tenderness, or adnexal tenderness.
A male patient presents with dysuria and penile discharge.
He states that his female partner has an STD, but he is
not sure which one. Which of these should be part of the
differential?
Bacterial vaginosis and trichomonas
Chlamydia and gonorrhea
HIV and herpes
Syphilis and chlamydia
B.
Bacterial vaginosis and HIV are not associated with
dysuria or penile discharge in male patients. Herpes
produces lesions that are painful. HIV is not specifically
associated with dysuria. Syphilis produces a painless
lesion. Chlamydia and gonorrhea are usually associated
first-attempt success and A+ Grade
, Created by AnswersCOM@stuvia 2026/01/09 Page 3 of 25
with dysuria and discharge. Trichomonas is often
asymptomatic in males, but can produce dysuria.
A patient being treated for trichomoniasis receives a
prescription for metronidazole. What instructions should
she be given?
Take this medication with food
Do not take this medication if you are pregnant
Take this medication on an empty stomach
Alcohol should be avoided when taking this medication
D.
Metronidazole may be associated with a disulfiram
reaction when mixed with alcohol. Advice that should be
given to all patients who take metronidazole is to avoid
alcohol entirely while this medication is being taken.
Additionally, alcohol should be avoided for 24 hours after
the last dose of medication. The disulfiram reaction is
characterized by fever, abdominal pain, nausea, vomiting,
and headache. This reaction is called the “Antabuse”
reaction.
first-attempt success and A+ Grade
APEA 3P EXAM PREP2 SEXUAL
HEALTH QUESTIONS WITH CORRECT
ANSWERS AND EXPLANATIONS
A 24-year-old female presents with abdominal pain. What
additional finding supports a diagnosis of pelvic
inflammatory disease (PID)?
Dysuria
Vaginal discharge
Positive RPR
Cervical motion tenderness
D.
PID is difficult to diagnose and often goes unrecognized
because of the varied presenting signs and symptoms in
women who have it. Delay in diagnosis contributes to
inflammatory sequelae in the upper reproductive tract.
Consequently, PID is usually diagnosed on imprecise
clinical findings. The CDC recommends that healthcare
providers maintain a low threshold for diagnosis of PID.
first-attempt success and A+ Grade
,Created by AnswersCOM@stuvia 2026/01/09 Page 2 of 25
Presumptive treatment should be initiated in sexually
active women if they are experiencing pelvic or low
abdominal pain (without another identifiable source of
illness), and if one or more of the following criteria are
present on pelvic exam: cervical motion tenderness,
uterine tenderness, or adnexal tenderness.
A male patient presents with dysuria and penile discharge.
He states that his female partner has an STD, but he is
not sure which one. Which of these should be part of the
differential?
Bacterial vaginosis and trichomonas
Chlamydia and gonorrhea
HIV and herpes
Syphilis and chlamydia
B.
Bacterial vaginosis and HIV are not associated with
dysuria or penile discharge in male patients. Herpes
produces lesions that are painful. HIV is not specifically
associated with dysuria. Syphilis produces a painless
lesion. Chlamydia and gonorrhea are usually associated
first-attempt success and A+ Grade
, Created by AnswersCOM@stuvia 2026/01/09 Page 3 of 25
with dysuria and discharge. Trichomonas is often
asymptomatic in males, but can produce dysuria.
A patient being treated for trichomoniasis receives a
prescription for metronidazole. What instructions should
she be given?
Take this medication with food
Do not take this medication if you are pregnant
Take this medication on an empty stomach
Alcohol should be avoided when taking this medication
D.
Metronidazole may be associated with a disulfiram
reaction when mixed with alcohol. Advice that should be
given to all patients who take metronidazole is to avoid
alcohol entirely while this medication is being taken.
Additionally, alcohol should be avoided for 24 hours after
the last dose of medication. The disulfiram reaction is
characterized by fever, abdominal pain, nausea, vomiting,
and headache. This reaction is called the “Antabuse”
reaction.
first-attempt success and A+ Grade
