NUR 622 Final Exam UPDATED QUESTIONS
AND CORRECT ANSWERS
Red flags of elder abuse - CORRECT ANSWER depression
Falls
Pressure ulcers
Healing spiral factures
Red flags of intimate partner violence - CORRECT ANSWER vague complaints
Multiple ER visits for traumatic complaint
Delay b/w injury and office visit
Partner who answers for them
Red flags of child abuse - CORRECT ANSWER oral/facial injuries (could indicate
force-feeding)
STI
Sexually acting out
Caregiver refuses private interview with patient
History of an injury is inconsistent among fam members
Risk factors for stis - CORRECT ANSWER history of STI
Multiple sexual partners
Early age at first coitus
Unprotected intercourse
S/s chlamydia - CORRECT ANSWER 80% asymptomatic
Mucopurulent cervical discharge
Dysuria
Urinary frequency/urgency
, Pelvic pain
Tx chlamydia - CORRECT ANSWER azithromycin 1g single dose + doxycycline 100
mg bid x7 days
Dx test for chlamydia and gonorrhea - CORRECT ANSWER NAAT (urine culture)
S/s gonorrhea - CORRECT ANSWER dysuria
Yellow, green or white urethral discharge
Pelvic pain
Fever
Menstrual irregularities
Tx gonorrhea - CORRECT ANSWER ceftriaxone 250 mg IM + azithromycin 1gm PO
single dose
Patient presents with painful, itchy vesicular vaginal lesions. What disease do you suspect? -
CORRECT ANSWER HSV (1 or 2)
Diagnosis of HSV - CORRECT ANSWER viral culture
Tx of HSV - CORRECT ANSWER primary episode acyclovir 400mg tid 7-10 days
Recurrent episodes 5 day course of tx
Daily suppressive therapy 1g valacyclovir
S/s trichomoniasis - CORRECT ANSWER copious, yellow-green or watery gray
vaginal discharge
Dx of trichomoniasis - CORRECT ANSWER Wet prep or NAAT (more accurate)
AND CORRECT ANSWERS
Red flags of elder abuse - CORRECT ANSWER depression
Falls
Pressure ulcers
Healing spiral factures
Red flags of intimate partner violence - CORRECT ANSWER vague complaints
Multiple ER visits for traumatic complaint
Delay b/w injury and office visit
Partner who answers for them
Red flags of child abuse - CORRECT ANSWER oral/facial injuries (could indicate
force-feeding)
STI
Sexually acting out
Caregiver refuses private interview with patient
History of an injury is inconsistent among fam members
Risk factors for stis - CORRECT ANSWER history of STI
Multiple sexual partners
Early age at first coitus
Unprotected intercourse
S/s chlamydia - CORRECT ANSWER 80% asymptomatic
Mucopurulent cervical discharge
Dysuria
Urinary frequency/urgency
, Pelvic pain
Tx chlamydia - CORRECT ANSWER azithromycin 1g single dose + doxycycline 100
mg bid x7 days
Dx test for chlamydia and gonorrhea - CORRECT ANSWER NAAT (urine culture)
S/s gonorrhea - CORRECT ANSWER dysuria
Yellow, green or white urethral discharge
Pelvic pain
Fever
Menstrual irregularities
Tx gonorrhea - CORRECT ANSWER ceftriaxone 250 mg IM + azithromycin 1gm PO
single dose
Patient presents with painful, itchy vesicular vaginal lesions. What disease do you suspect? -
CORRECT ANSWER HSV (1 or 2)
Diagnosis of HSV - CORRECT ANSWER viral culture
Tx of HSV - CORRECT ANSWER primary episode acyclovir 400mg tid 7-10 days
Recurrent episodes 5 day course of tx
Daily suppressive therapy 1g valacyclovir
S/s trichomoniasis - CORRECT ANSWER copious, yellow-green or watery gray
vaginal discharge
Dx of trichomoniasis - CORRECT ANSWER Wet prep or NAAT (more accurate)
