NUR 398 SEXUALLY TRANSMITTED DISEASE
QUESTIONS WITH VERIFIED ANSWERS
What would be the appropriate duration for antibodies to develop in a patient with
genital herpes?
1
6 weeks
2
8 weeks
3
10 weeks
4
12 weeks - Answers - 4
It takes 12 weeks from the date of exposure for the herpes simplex virus to reach
detectable levels of antibodies. False negative tests can occur if the patient is tested
before 12 weeks after the primary infection.
Which statement is true regarding condylomata acuminata?
1
They are treated with azithromycin.
2
They are not often seen with other infections.
3
They are caused by certain types of human papilloma virus (HPV).
4
Polymerase chain reaction (PCR) assay is used to confirm the diagnosis. - Answers - 3
Condylomata acuminata (also known as genital warts) are caused by certain types of
HPV. Genital warts are treated with podofilox gel and cryotherapy. Azithromycin is used
to treat chlamydial infections. Genital warts are the most common viral disease that is
sexually transmitted and are often seen with other infections. Diagnosis is made by
examination of the lesions; PCR assay is used to confirm genital herpes.
Which groups of people are at greater risk for sexually transmitted infections (STIs)?
Select all that apply.
1
Lesbian women
2
Pregnant women
3
Postmenopausal women
4
Adolescent boys and girls
5
Men who have sex with men (MSM) - Answers - 2,3,4,5
,Groups who are at greatest risk for acquiring STIs include MSM, postmenopausal and
pregnant women, and adolescents. All heterosexual women are at risk for STIs, and
that includes pregnant women. MSM are at high risk for HIV. Postmenopausal women
are at risk because many avoid the use of barrier protection since pregnancy is unlikely.
Adolescents are at risk because of their lack of knowledge about the risks for disease. It
has been found that lesbian women are at decreased risk for STIs.
Which treatment regimen is preferred in patients with severe genital herpes simplex
virus (HSV) infection?
1
Acyclovir oral (PO) administration with hospitalization
2
Acyclovir oral (PO) administration without hospitalization
3
Acyclovir intravenous (IV) administration with hospitalization
4
Acyclovir intramuscular (IM) administration with hospitalization - Answers - 3
IV acyclovir therapy should be provided for patients who have severe genital HSV
disease. Hospitalization is required in these patients because severe HSV infection is
complicated with disseminated infections and also central nervous system
complications. Oral acyclovir is preferred for patients who have recurrent outbreaks.
Acyclovir should not be given intramuscularly.Test-Taking Tip: You have at least a 25%
chance of selecting the correct response in multiple-choice items. If you are uncertain
about a question, eliminate the choices that you believe are wrong and then call on your
knowledge, skills, and abilities to choose from the remaining responses.
Which organism is a primary risk factor for cervical cancer?
1
Hepatits B virus
2
Herpes simplex virus
3
Human papilloma virus (HPV)
4
Human immunodeficiency virus (HIV) - Answers - 3
Infection by the human papilloma virus (HPV) is considered to be the primary risk factor
for the development of cervical cancer. Hepatitis B virus causes hepatitis infection and
is associated with perinatal infections. Herpes simplex virus can cause either cold sores
or genital herpes infection. HIV causes acquired immune deficiency syndrome (AIDS).
What findings does the nurse observe in a patient with pelvic inflammatory disease
(PID)?
1
Urinary retention
2
Reddened throat
, 3
Hunched-over gait
4
Mucoid discharge - Answers - 3
The patient with PID has severe pain in the lower abdomen and is uncomfortable with
movement. The nurse would observe a hunched-over gait to protect her abdomen. The
patient also has painful urination or dysuria. The patient does not experience urinary
retention or reddened throat. A pelvic examination reveals a green cervical discharge
and a friable cervix.
Which information is provided to the patient for the use of condoms that reduce the risk
of genital herpes transmission?
1
Use natural membrane condoms.
2
Use a new condom for each sexual act.
3
Avoid using a condom on erect penis.
4
Use oil-based lubricant with latex condoms. - Answers - 2
Using a condom more than once makes a condom weak and susceptible to tearing.
Latex or polyurethane condoms should be used because natural membrane condoms
are more likely to break or slip off during intercourse or withdrawal. A condom should be
used on an erect penis; otherwise, it may break during erection. Oil-based lubricants
can make latex condoms less effective, so water-based lubricants are preferred.
Which bacterial infection may result in inflammation of the fallopian tubes?
1
Treponema pallidum
2
Haemophilus ducreyi
3
Trichomonas vaginalis
4
Chlamydia trachomatis - Answers - 4
Chlamydia trachomatis is a bacterium that may cause inflammation of the fallopian
tubes. Treponema pallidum is an organism that causes syphilis, resulting in the
formation of chancres on the skin or mucous membranes. Haemophilus ducreyi is an
organism that causes chancroid, resulting in the formation of sores on the genital
organs. Trichomonas vaginalis is a sexually transmitted infection; the infection occurs in
the urethra, prostate, or vagina.
What manifestations does the nurse observe upon assessment in a patient with
condylomata acuminata, or genital warts?
1
Generalized rash
QUESTIONS WITH VERIFIED ANSWERS
What would be the appropriate duration for antibodies to develop in a patient with
genital herpes?
1
6 weeks
2
8 weeks
3
10 weeks
4
12 weeks - Answers - 4
It takes 12 weeks from the date of exposure for the herpes simplex virus to reach
detectable levels of antibodies. False negative tests can occur if the patient is tested
before 12 weeks after the primary infection.
Which statement is true regarding condylomata acuminata?
1
They are treated with azithromycin.
2
They are not often seen with other infections.
3
They are caused by certain types of human papilloma virus (HPV).
4
Polymerase chain reaction (PCR) assay is used to confirm the diagnosis. - Answers - 3
Condylomata acuminata (also known as genital warts) are caused by certain types of
HPV. Genital warts are treated with podofilox gel and cryotherapy. Azithromycin is used
to treat chlamydial infections. Genital warts are the most common viral disease that is
sexually transmitted and are often seen with other infections. Diagnosis is made by
examination of the lesions; PCR assay is used to confirm genital herpes.
Which groups of people are at greater risk for sexually transmitted infections (STIs)?
Select all that apply.
1
Lesbian women
2
Pregnant women
3
Postmenopausal women
4
Adolescent boys and girls
5
Men who have sex with men (MSM) - Answers - 2,3,4,5
,Groups who are at greatest risk for acquiring STIs include MSM, postmenopausal and
pregnant women, and adolescents. All heterosexual women are at risk for STIs, and
that includes pregnant women. MSM are at high risk for HIV. Postmenopausal women
are at risk because many avoid the use of barrier protection since pregnancy is unlikely.
Adolescents are at risk because of their lack of knowledge about the risks for disease. It
has been found that lesbian women are at decreased risk for STIs.
Which treatment regimen is preferred in patients with severe genital herpes simplex
virus (HSV) infection?
1
Acyclovir oral (PO) administration with hospitalization
2
Acyclovir oral (PO) administration without hospitalization
3
Acyclovir intravenous (IV) administration with hospitalization
4
Acyclovir intramuscular (IM) administration with hospitalization - Answers - 3
IV acyclovir therapy should be provided for patients who have severe genital HSV
disease. Hospitalization is required in these patients because severe HSV infection is
complicated with disseminated infections and also central nervous system
complications. Oral acyclovir is preferred for patients who have recurrent outbreaks.
Acyclovir should not be given intramuscularly.Test-Taking Tip: You have at least a 25%
chance of selecting the correct response in multiple-choice items. If you are uncertain
about a question, eliminate the choices that you believe are wrong and then call on your
knowledge, skills, and abilities to choose from the remaining responses.
Which organism is a primary risk factor for cervical cancer?
1
Hepatits B virus
2
Herpes simplex virus
3
Human papilloma virus (HPV)
4
Human immunodeficiency virus (HIV) - Answers - 3
Infection by the human papilloma virus (HPV) is considered to be the primary risk factor
for the development of cervical cancer. Hepatitis B virus causes hepatitis infection and
is associated with perinatal infections. Herpes simplex virus can cause either cold sores
or genital herpes infection. HIV causes acquired immune deficiency syndrome (AIDS).
What findings does the nurse observe in a patient with pelvic inflammatory disease
(PID)?
1
Urinary retention
2
Reddened throat
, 3
Hunched-over gait
4
Mucoid discharge - Answers - 3
The patient with PID has severe pain in the lower abdomen and is uncomfortable with
movement. The nurse would observe a hunched-over gait to protect her abdomen. The
patient also has painful urination or dysuria. The patient does not experience urinary
retention or reddened throat. A pelvic examination reveals a green cervical discharge
and a friable cervix.
Which information is provided to the patient for the use of condoms that reduce the risk
of genital herpes transmission?
1
Use natural membrane condoms.
2
Use a new condom for each sexual act.
3
Avoid using a condom on erect penis.
4
Use oil-based lubricant with latex condoms. - Answers - 2
Using a condom more than once makes a condom weak and susceptible to tearing.
Latex or polyurethane condoms should be used because natural membrane condoms
are more likely to break or slip off during intercourse or withdrawal. A condom should be
used on an erect penis; otherwise, it may break during erection. Oil-based lubricants
can make latex condoms less effective, so water-based lubricants are preferred.
Which bacterial infection may result in inflammation of the fallopian tubes?
1
Treponema pallidum
2
Haemophilus ducreyi
3
Trichomonas vaginalis
4
Chlamydia trachomatis - Answers - 4
Chlamydia trachomatis is a bacterium that may cause inflammation of the fallopian
tubes. Treponema pallidum is an organism that causes syphilis, resulting in the
formation of chancres on the skin or mucous membranes. Haemophilus ducreyi is an
organism that causes chancroid, resulting in the formation of sores on the genital
organs. Trichomonas vaginalis is a sexually transmitted infection; the infection occurs in
the urethra, prostate, or vagina.
What manifestations does the nurse observe upon assessment in a patient with
condylomata acuminata, or genital warts?
1
Generalized rash
