NSG-3250 Exam 4 Intensive Prep Guide 2026 –
Advanced Adult Health Review, Practice Tests
& Rationales
Spirochete: Trepo nema pallidum: syphilis
1. • A pai nless lesio n, a cha ncre, develops o n the ge nitals
• The cha ncre may be prese nt for up to 3-12 weeks
2-3 weeks after exposure: Primary stage of syphilis
2. • A rash develops o n the tru nk a nd extremities (ha nds a ndfeet)
• Co ntact with lesio ns ca n cause spread of i nfectio n
• Other s/s i nclude: arthritis, me ni ngitis, fever, malaise,a nd weight loss: Sec- o
ndary stage of syphilis
3. causes progressive i nflammatory cha ngeswhich ca n impact multiple orga n
• Ma nifestatio ns i nclude: aortitis a nd neurosyphilis(deme ntia, psychosis,
paresis, stroke, or me ni ngitis): Tertiary stage of syphilis
4. Syphilis ma nageme nt: • A ntibiotics are the primary method of treatme nt
• Pe nicilli n G is the first li ne choice
• If allergic, doxycycli ne is alter nate
5. • Most commo n i n wome n 15-24 yrs old
• Ofte n asymptomatic• s/s i nclude
• Wome n: purule nt discharge i n the e ndocervical ca nal, UTI s/s, a nd vagi ni-
tis• --Me n: s/s are more commo n, bur ni ng o n uri natio n, pe nile discharge,
pai nful/swolle n testis: Chlamydia a nd go norrhea
6. • Flagellated protozoa n
• Per the CDC, about 3.7 millio n cases per year i nthe US
• Ca n be asymptomatic which i ncreases cha ncesof spread
,• I ncreases risk for HIV, preg na ncycomplicatio ns, i nfertility, a nd PID
• May lead to cervical cellular cha nges
• S/S i nclude: malodorous vagi nal discharge(may be frothy a nd discolored),
a nd vulvitismay occur leadi ng to bur ni ng a nd itchi ng: Trichomo niasis
7. Metro nidazole or Ti nidazole are: treatme nts for trichomo niasis
8. HSV-1 (ge nital herpes):
9. PSA levels should be less tha n: <4 ng/mL
10. Dysuria a nd nocturia a nd high levels of PSA are i ndicatio ns of: Prostatitis, BPH, or
Prostate ca ncer
11. Tamulosi n: helps improve uri ne flow
, 12. a recurre nt, lifelo ng viral i nfectio n that has the pote ntial for tra nsmissio n
throughout the lifespa n
I nitial i nfectio n is extremely pai nful a nd lasts 2-4 weeks: Ge nital herpes
13. N o n ca ncerous prostatic e nlargeme nt: BPH
14. prostate-specific a ntige n (PSA): blood test that measures the level of prostate-specific a ntige n i n
the blood
15. Ta nulosi n, fi nasteride, or surgical ma nageme nt ca n treat: BPH
16. epididymitis: i nflammatio n of the epididymis that is freque ntly caused by the spread of i nfectio n from the
urethra or the bladder
17. hydrocele: a fluid-filled sac i n the scrotum alo ng the spermatic cord leadi ng from the testicles
18. urethral stricture: ab normal narrowi ng of the urethra
19. erectile dysfu nctio n: i nability of a n adult male to achieve a n erectio n; impote nce
20. What medicatio ns do you not wa nt to take with slidi naphil?: Other nitrites
21. Most commo n types of ca ncers o n pe nis: Squamous cell carci noma arou nd the foreski n
22. Weake ned immu ne system, smoki ng, or over the age of 60 are risk factors
for: Neoplasms of pe nis
23. risk of prostate surgery: Risk of impote nce (pude ndal nerve damage)
24. Estroge n is used for: Me nopause
25. Tadalafil: erectile dysfu nctio n
26. The rash that occurs i n seco ndary syphilis occurs after the cha ncer-
: 1-6 mo nths
27. Ca n fluids from syphilis lesio n be tra nsmitted?: YES
28. After the seco ndary stage, there is a period of : late ncy
Advanced Adult Health Review, Practice Tests
& Rationales
Spirochete: Trepo nema pallidum: syphilis
1. • A pai nless lesio n, a cha ncre, develops o n the ge nitals
• The cha ncre may be prese nt for up to 3-12 weeks
2-3 weeks after exposure: Primary stage of syphilis
2. • A rash develops o n the tru nk a nd extremities (ha nds a ndfeet)
• Co ntact with lesio ns ca n cause spread of i nfectio n
• Other s/s i nclude: arthritis, me ni ngitis, fever, malaise,a nd weight loss: Sec- o
ndary stage of syphilis
3. causes progressive i nflammatory cha ngeswhich ca n impact multiple orga n
• Ma nifestatio ns i nclude: aortitis a nd neurosyphilis(deme ntia, psychosis,
paresis, stroke, or me ni ngitis): Tertiary stage of syphilis
4. Syphilis ma nageme nt: • A ntibiotics are the primary method of treatme nt
• Pe nicilli n G is the first li ne choice
• If allergic, doxycycli ne is alter nate
5. • Most commo n i n wome n 15-24 yrs old
• Ofte n asymptomatic• s/s i nclude
• Wome n: purule nt discharge i n the e ndocervical ca nal, UTI s/s, a nd vagi ni-
tis• --Me n: s/s are more commo n, bur ni ng o n uri natio n, pe nile discharge,
pai nful/swolle n testis: Chlamydia a nd go norrhea
6. • Flagellated protozoa n
• Per the CDC, about 3.7 millio n cases per year i nthe US
• Ca n be asymptomatic which i ncreases cha ncesof spread
,• I ncreases risk for HIV, preg na ncycomplicatio ns, i nfertility, a nd PID
• May lead to cervical cellular cha nges
• S/S i nclude: malodorous vagi nal discharge(may be frothy a nd discolored),
a nd vulvitismay occur leadi ng to bur ni ng a nd itchi ng: Trichomo niasis
7. Metro nidazole or Ti nidazole are: treatme nts for trichomo niasis
8. HSV-1 (ge nital herpes):
9. PSA levels should be less tha n: <4 ng/mL
10. Dysuria a nd nocturia a nd high levels of PSA are i ndicatio ns of: Prostatitis, BPH, or
Prostate ca ncer
11. Tamulosi n: helps improve uri ne flow
, 12. a recurre nt, lifelo ng viral i nfectio n that has the pote ntial for tra nsmissio n
throughout the lifespa n
I nitial i nfectio n is extremely pai nful a nd lasts 2-4 weeks: Ge nital herpes
13. N o n ca ncerous prostatic e nlargeme nt: BPH
14. prostate-specific a ntige n (PSA): blood test that measures the level of prostate-specific a ntige n i n
the blood
15. Ta nulosi n, fi nasteride, or surgical ma nageme nt ca n treat: BPH
16. epididymitis: i nflammatio n of the epididymis that is freque ntly caused by the spread of i nfectio n from the
urethra or the bladder
17. hydrocele: a fluid-filled sac i n the scrotum alo ng the spermatic cord leadi ng from the testicles
18. urethral stricture: ab normal narrowi ng of the urethra
19. erectile dysfu nctio n: i nability of a n adult male to achieve a n erectio n; impote nce
20. What medicatio ns do you not wa nt to take with slidi naphil?: Other nitrites
21. Most commo n types of ca ncers o n pe nis: Squamous cell carci noma arou nd the foreski n
22. Weake ned immu ne system, smoki ng, or over the age of 60 are risk factors
for: Neoplasms of pe nis
23. risk of prostate surgery: Risk of impote nce (pude ndal nerve damage)
24. Estroge n is used for: Me nopause
25. Tadalafil: erectile dysfu nctio n
26. The rash that occurs i n seco ndary syphilis occurs after the cha ncer-
: 1-6 mo nths
27. Ca n fluids from syphilis lesio n be tra nsmitted?: YES
28. After the seco ndary stage, there is a period of : late ncy
