NEW NSG 3250 EXAM 4 WITH COMPLETE SOLUTIONS 100%
VERIFIED 2026-2027!!!
Spirochete: Treponema pallidum
Syphilis
• A painless lesion, a chancre, develops on the genitals
• The chancre may be present for up to 3-12 weeks
2-3 weeks after exposure
Primary stage of syphilis
• A rash develops on the trunk and extremities (hands andfeet)
• Contact with lesions can cause spread of infection
• Other s/s include: arthritis, meningitis, fever, malaise,and weight loss
Secondary stage of syphilis
Causes progressive inflammatory changeswhich can impact multiple organ
• Manifestations include: aortitis and neurosyphilis(dementia, psychosis, paresis,
stroke, or meningitis)
Tertiary stage of syphilis
Syphilis management
• Antibiotics are the primary method of treatment
• Penicillin G is the first line choice
• If allergic, doxycycline is alternate
• Most common in women 15-24 yrs old
• Often asymptomatic• s/s include
• Women: purulent discharge in the endocervical canal, UTI s/s, and vaginitis• --
Men: s/s are more common, burning on urination, penile discharge,
painful/swollen testis
Chlamydia and gonorrhea
• Flagellated protozoan
• Per the CDC, about 3.7 million cases per year inthe US
• Can be asymptomatic which increases chancesof spread
• Increases risk for HIV, pregnancycomplications, infertility, and PID
• May lead to cervical cellular changes
• S/S include: malodorous vaginal discharge(may be frothy and discolored), and
vulvitismay occur leading to burning and itching
Trichomoniasis
Metronidazole or Tinidazole are
, Treatments for trichomoniasis
HSV-1 (genital herpes)
PSA levels should be less than
<4 ng/ml
Dysuria and nocturia and high levels of PSA are indications of
Prostatitis, BPH, or Prostate cancer
Tamulosin
Helps improve urine flow
A recurrent, lifelong viral infection that has the potential for transmission
throughout the lifespan
Initial infection is extremely painful and lasts 2-4 weeks
Genital herpes
Non cancerous prostatic enlargement
BPH
Prostate-specific antigen (PSA)
Blood test that measures the level of prostate-specific antigen in the blood
Tanulosin, finasteride, or surgical management can treat
BPH
Epididymitis
Inflammation of the epididymis that is frequently caused by the spread of
infection from the urethra or the bladder
Hydrocele
A fluid-filled sac in the scrotum along the spermatic cord leading from the
testicles
Urethral stricture
Abnormal narrowing of the urethra
Erectile dysfunction
Inability of an adult male to achieve an erection; impotence
What medications do you not want to take with slidinaphil?
Other nitrites
Most common types of cancers on penis
Squamous cell carcinoma around the foreskin
Weakened immune system, smoking, or over the age of 60 are risk factors for
Neoplasms of penis
Risk of prostate surgery
Risk of impotence (pudendal nerve damage)
Estrogen is used for
Menopause
Tadalafil
VERIFIED 2026-2027!!!
Spirochete: Treponema pallidum
Syphilis
• A painless lesion, a chancre, develops on the genitals
• The chancre may be present for up to 3-12 weeks
2-3 weeks after exposure
Primary stage of syphilis
• A rash develops on the trunk and extremities (hands andfeet)
• Contact with lesions can cause spread of infection
• Other s/s include: arthritis, meningitis, fever, malaise,and weight loss
Secondary stage of syphilis
Causes progressive inflammatory changeswhich can impact multiple organ
• Manifestations include: aortitis and neurosyphilis(dementia, psychosis, paresis,
stroke, or meningitis)
Tertiary stage of syphilis
Syphilis management
• Antibiotics are the primary method of treatment
• Penicillin G is the first line choice
• If allergic, doxycycline is alternate
• Most common in women 15-24 yrs old
• Often asymptomatic• s/s include
• Women: purulent discharge in the endocervical canal, UTI s/s, and vaginitis• --
Men: s/s are more common, burning on urination, penile discharge,
painful/swollen testis
Chlamydia and gonorrhea
• Flagellated protozoan
• Per the CDC, about 3.7 million cases per year inthe US
• Can be asymptomatic which increases chancesof spread
• Increases risk for HIV, pregnancycomplications, infertility, and PID
• May lead to cervical cellular changes
• S/S include: malodorous vaginal discharge(may be frothy and discolored), and
vulvitismay occur leading to burning and itching
Trichomoniasis
Metronidazole or Tinidazole are
, Treatments for trichomoniasis
HSV-1 (genital herpes)
PSA levels should be less than
<4 ng/ml
Dysuria and nocturia and high levels of PSA are indications of
Prostatitis, BPH, or Prostate cancer
Tamulosin
Helps improve urine flow
A recurrent, lifelong viral infection that has the potential for transmission
throughout the lifespan
Initial infection is extremely painful and lasts 2-4 weeks
Genital herpes
Non cancerous prostatic enlargement
BPH
Prostate-specific antigen (PSA)
Blood test that measures the level of prostate-specific antigen in the blood
Tanulosin, finasteride, or surgical management can treat
BPH
Epididymitis
Inflammation of the epididymis that is frequently caused by the spread of
infection from the urethra or the bladder
Hydrocele
A fluid-filled sac in the scrotum along the spermatic cord leading from the
testicles
Urethral stricture
Abnormal narrowing of the urethra
Erectile dysfunction
Inability of an adult male to achieve an erection; impotence
What medications do you not want to take with slidinaphil?
Other nitrites
Most common types of cancers on penis
Squamous cell carcinoma around the foreskin
Weakened immune system, smoking, or over the age of 60 are risk factors for
Neoplasms of penis
Risk of prostate surgery
Risk of impotence (pudendal nerve damage)
Estrogen is used for
Menopause
Tadalafil
