NSG 6020 Week 7 Quiz ANSWERS Latest
SOUTH
UNIVERSITY HEALTH ASSESSMENT
NSG6020.
NSG/6020WEEK 7 QUIZ ALREADY GRADED A
A 24-year-old travel agent comes to your clinic, complaining of pain
and swelling in her vulvar area. She states that 2 days earlier she
could feel a small tender spot on the left side of her vagina but now
it is larger and
extremely tender. Her last period was 1 year ago and she is
sexually active.
She uses the Depo-Provera shot for contraception. She denies any
nausea, vomiting, constipation, diarrhea, pain with urination, or
fever. Her past medical
history is significant for ankle surgery. Her mother is healthy and her
father has type 2 diabetes. On examination she appears her stated
age and is
standing up. She states she cannot sit down without excruciating
pain. Her
blood pressure, temperature, and pulse are unremarkable. On
visualization of her perineum, a large, red, tense swelling is seen to
the left of her introitus.
Palpation of the mass causes a great deal of pain. What disorder of
the vulva is most likely causing her problems? A) Bartholin's gland
infection B) Vulvar carcinoma C) Secondary syphilis D) Condylomata
acuminata Ans: A
A 48-year-old high school librarian comes to your clinic, complaining
of 1 week of heavy discharge causing severe itching. She is not
presently sexually
active and has had no burning with urination. The symptoms
started several
days after her last period. She just finished a course of antibiotics
for a sinus
infection. Her past medical history consists of type 2 diabetes and
high blood pressure. She is widowed and has three children. She
denies tobacco,
…
, alcohol, or drug use. Her mother has high blood pressure and her
father died of diabetes complications. On examination you see a
healthy-appearing
woman. Her blood pressure is 130/80 and her pulse is 70. Her head,
eyes, ears, nose, throat, cardiac, lung, and abdominal examinations
are
unremarkable. Palpation of the inguinal lymph nodes is
unremarkable. On
visualization of the vulva, a thick, white, curdy discharge is seen at
the
introitus. On speculum examination there is a copious amount of
this
discharge. The pH of the discharge is 4.1 and the KOH whiff test is
negative,
with no unusual smell. Wet prep shows budding hyphae. What
vaginitis does this patient most likely have? Candida VaginitisWhich
of the following
represents metrorrhagia? A) Fewer than 21 days between menses B)
Excessive flow C) Infrequent bleeding D) Bleeding between periods
Answer:
D
A 45-year-old electrical engineer presents to your clinic,
complaining of spots on his scrotum. He first noticed the spots
several months ago, and they have gotten bigger. He denies any
pain with urination or with sexual intercourse. He
has had no fever, night sweats, weight gain, or weight loss. His past
medical history consists of a vasectomy 10 years ago and mild
obesity. He is on
medication for hyperlipidemia. He denies any tobacco or illegal
drug use and
drinks alcohol socially. His mother has Alzheimer's disease and his
father died of leukemia. On examination he appears relaxed and
has unremarkable vital
signs. On visualization of his penis, he is circumcised and has no
lesions on his penis. Visualization of his scrotum shows three yellow
nodules 2–3
millimeters in diameter. During palpation they are firm and
nontender. What abnormality of the male genitalia is this most likely
to be? A) Condylomata acuminata B) Syphilitic chancre C) Peyronie's
disease D) Epidermoid cysts
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