lOMoARcPSD|6803794
Exam 3
1. “Hot flashes” that occur during peri-menopause are thought to be related to:
Fluctuating estrogen level
2. Which of the following physical examination findings in a 65 year old woman warrants
further evaluation? Nipple INVERTED
3. Which of the following is not representative of the presentation of primary syphilis?
Flu like symptoms
4. A patient diagnosed with trichomoniasis is being treated with metronidazole (Flagyl).
When teaching the patient about this medication, which of the following will the nurse
practitioner include? Do not consume alcohol
5. The recommended time to initiate screening for cervical cancer in women is: 21 years
old
6. The nurse practitioner recognizes the following assessment findings as being consistent
with Chlamydia (select all that apply) vaginal discharge, and it was something about
cervical changes
7. The nurse practitioner is treating a 35 year old patient for a primary herpes infection.
The first-line treatment option for primary herpes infection include: Acyclovir 400 mg
TID for 7-10 days
8. The nurse practitioner examines a patient with complaints of foul-smelling, frothy,
copious, and pale yellow to gray-green vaginal discharge. On exam, vulvovaginal
irritation and cervical petechiae is noted. Based on this, the most likely treatment
include: Metronidazole
9. Mary is a 36 year old woman who complains of vaginal burning. The nurse practitioner
assesses greyish-white adherent vaginal discharge that has a fishy odor. The discharge
pH level is 5.1 and there is (+) whiff test. The treatment of choice for this is:
Metronidazole
10. Jane is a 38 year old female who presents with non-odorous thick, white, curd-like
vaginal discharge and vulvar itching. She is in a monogamous relationship. She was
recently treated for a sinus infection. The most likely treatment include which of the
following? Fluconazole 800 mg for initial
11. A female patient is diagnosed with chlamydia. She has complaints of vaginal discharge
and dysuria. Her male patient is asymptomatic. How should they be treated?
Doxycycline 100 mg BID x 7 days or Azithromycin
12. A female patient is 31 years old. She has never had an abnormal PAP smear and has had
regular screening since age 22. According to the ACS and ACOG guideline, if she has a
normal PAP smear with HPV testing today, when should she have the next cervical
cancer screening? 5 years
13. A 53 year old woman who is taking HRT with conjugated estrogen, 0.45mg/day with
medroxyprogesterone acetate (MPA), 1.5mg, has bothersome atrophic vaginitis
symptoms. You would consider: The addition of a topical estrogen can be helpful
14. Samantha is a 23 year old female presents with urinary burning, frequency, and
urgency. Urine dipsticks is positive for leukocytes and nitrites. Given that she has no
medical history and no other pertinent clinical findings, the recommended treatment of
choice is: nitrofurantoin
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Exam 3
1. “Hot flashes” that occur during peri-menopause are thought to be related to:
Fluctuating estrogen level
2. Which of the following physical examination findings in a 65 year old woman warrants
further evaluation? Nipple INVERTED
3. Which of the following is not representative of the presentation of primary syphilis?
Flu like symptoms
4. A patient diagnosed with trichomoniasis is being treated with metronidazole (Flagyl).
When teaching the patient about this medication, which of the following will the nurse
practitioner include? Do not consume alcohol
5. The recommended time to initiate screening for cervical cancer in women is: 21 years
old
6. The nurse practitioner recognizes the following assessment findings as being consistent
with Chlamydia (select all that apply) vaginal discharge, and it was something about
cervical changes
7. The nurse practitioner is treating a 35 year old patient for a primary herpes infection.
The first-line treatment option for primary herpes infection include: Acyclovir 400 mg
TID for 7-10 days
8. The nurse practitioner examines a patient with complaints of foul-smelling, frothy,
copious, and pale yellow to gray-green vaginal discharge. On exam, vulvovaginal
irritation and cervical petechiae is noted. Based on this, the most likely treatment
include: Metronidazole
9. Mary is a 36 year old woman who complains of vaginal burning. The nurse practitioner
assesses greyish-white adherent vaginal discharge that has a fishy odor. The discharge
pH level is 5.1 and there is (+) whiff test. The treatment of choice for this is:
Metronidazole
10. Jane is a 38 year old female who presents with non-odorous thick, white, curd-like
vaginal discharge and vulvar itching. She is in a monogamous relationship. She was
recently treated for a sinus infection. The most likely treatment include which of the
following? Fluconazole 800 mg for initial
11. A female patient is diagnosed with chlamydia. She has complaints of vaginal discharge
and dysuria. Her male patient is asymptomatic. How should they be treated?
Doxycycline 100 mg BID x 7 days or Azithromycin
12. A female patient is 31 years old. She has never had an abnormal PAP smear and has had
regular screening since age 22. According to the ACS and ACOG guideline, if she has a
normal PAP smear with HPV testing today, when should she have the next cervical
cancer screening? 5 years
13. A 53 year old woman who is taking HRT with conjugated estrogen, 0.45mg/day with
medroxyprogesterone acetate (MPA), 1.5mg, has bothersome atrophic vaginitis
symptoms. You would consider: The addition of a topical estrogen can be helpful
14. Samantha is a 23 year old female presents with urinary burning, frequency, and
urgency. Urine dipsticks is positive for leukocytes and nitrites. Given that she has no
medical history and no other pertinent clinical findings, the recommended treatment of
choice is: nitrofurantoin
Downloaded by Felix Mungai ()
