NR 602: FINAL WEEK 8 EXAM STUDY GUIDE
WITH ANS
Pyelonephritis
Complications of gonococcal and chlamydial genitourinary infection in women include all of the
following except:
• Acute pyelonephritis
Rectocele
Rectocele is best defined as
• Decent or prolapse of the rectum
Skene’s glands
A nurse is describing the Skene glands, explaining that these glands would be found at which
location?
• On either side of the urethral opening
Which of the following findings indicates a possible gonococcal infection?
• Discharge from urethra or Skene glands
STDs
Patients who are diagnosed with gonorrhea should also be treated for which of the following
infections?
• Chlamydia trachomatis
,Which of the following is the best method to diagnose a vaginal trichomonas infection?
• Wet smear with microscopy
A 30-year-old woman who is sexually active complains of a large amount of milk-like vaginal
discharge for several weeks. A microscopy slide reveals a large number of cells that have
blurred margins. Very few white blood cells are seen. The vaginal pH is at 6.0. What is most
likely?
• Bacterial vaginosis
A 25-year-old woman complains of dysuria, severe vaginal pruritus, and a malodorous
vaginal discharge. Pelvic examination reveals a strawberry-colored cervix and frothy yellow
discharge. Microscopic examination of the discharge reveals mobile organisms that have
flagella. The correct pharmacological therapy for the condition is:
• Oral metronidazole (flagyl)
A patient diagnosed with bacterial vaginosis should be advised that her sexual partner:
• Does not need treatment
All of the following are infections that affect mostly the labia and vagina except:
• Chlamydia trachomatis
A 25-year-old obese female with type 2 diabetes mellitus presents to your office with a
complaint of vaginal itching and burning for 2 weeks. She has tried douching with an OTC
cream with no relief. Physical examination, the vulva
,is deep red with some thick white adherent material. Which of the following conditions would
be most likely cause of her symptoms?
• Fungal infection
A young woman presents to your practice with vaginal itching and white discharge. She denies
sexual activity or douching. She has been in good health except for a recurrent strep throat.
Pelvic examination reveals a tender vulvovaginal area with edema and white patches, no odor
is detected. Which of the following is the most likely cause of this problem?
• Candidiasis after antibiotic treatment
A patient has symptoms consistent with chlamydia. Which laboratory test gold standard? In the
diagnosis?
• Nucleic acid amplification test
A woman presents to your practice with vaginal itching and a white discharge. She has been in
good health except for recent treatment for strep throat. Pelvic examination reveals a tender
vulvovaginal area with edema and non- malodorous white patches. Which of the following is
most likely cause of this problem?
• Candidiasis
A 39-year-old female has just completed a course of amoxicillin for treatment of streptococcal
pharyngitis. Her LMP was 2 weeks ago and reports that it was normal for her. On physical
examination, there is some erythema of the eternal genitalia with a small amount of white
discharge. The macroscopic wet prep examination revels few clue cells but an abundance of
budding hyphae. There are no WBC’s present. considering the differential diagnoses and results
of the microscopic examination, which of the following would be the most appropriate.
• Fluconazole tablets 150mg as one-time dose
A 24-year-old female presents to the office with a complaint of vaginal itching in addition to
thick mucoid discharge. She also has some mild urinary discomfort. The wet mount preparation
, using potassium hydroxide. (KOH) reveals a negative whiff test and few clue cells. There was no
trichomonas visualized but the WBCs were too numerous to count. Which of the following
would be the most likely diagnosis in the patient?
• Chlamydia
The patient has been diagnosed with trichomoniasis. Which of the following medications would
be the best options?
• Metronidazole 2g
25yo female c/o vaginal irritation and discharge. On exam, cervix is easily friable and
erythematous. No adnexal tenderness. Wet prep reveals mobile protozoa on NS slide. This most
likely represents:
• Trichomonas
Woman is experiencing vaginal discharge. Wet mount with KOH would be used to confirm:
• Candidiasis
A 21-year-old female presents with three 0.5 cm human papilloma virus (HPV) lesions on her
vulva. An appropriate treatment option for this patient would be:
• podophyllin
A 25-year-old woman comes to the clinic complaining of increased vaginal discharge, milky gray
in color with a "fishy" odor that both she and her husband have noticed. A wet smear is performed
and the presence of "clue cells" confirmed. Which type of infection does the nurse suspect?
• Bacterial vaginosis
A nurse in the family planning clinic reviews the health history of a sexually active 16-year-old
girl whose chief concern is a thick, burning discharge accompanied by a burning sensation and
lower abdominal pain. After an examination the girl is informed that she may have a sexually
transmitted infection (STI) that requires treatment. The adolescent is concerned that her parents
will discover that she has been sexually active and asks the nurse whether her parents will be
contacted. The nurse explains that her parents will:
WITH ANS
Pyelonephritis
Complications of gonococcal and chlamydial genitourinary infection in women include all of the
following except:
• Acute pyelonephritis
Rectocele
Rectocele is best defined as
• Decent or prolapse of the rectum
Skene’s glands
A nurse is describing the Skene glands, explaining that these glands would be found at which
location?
• On either side of the urethral opening
Which of the following findings indicates a possible gonococcal infection?
• Discharge from urethra or Skene glands
STDs
Patients who are diagnosed with gonorrhea should also be treated for which of the following
infections?
• Chlamydia trachomatis
,Which of the following is the best method to diagnose a vaginal trichomonas infection?
• Wet smear with microscopy
A 30-year-old woman who is sexually active complains of a large amount of milk-like vaginal
discharge for several weeks. A microscopy slide reveals a large number of cells that have
blurred margins. Very few white blood cells are seen. The vaginal pH is at 6.0. What is most
likely?
• Bacterial vaginosis
A 25-year-old woman complains of dysuria, severe vaginal pruritus, and a malodorous
vaginal discharge. Pelvic examination reveals a strawberry-colored cervix and frothy yellow
discharge. Microscopic examination of the discharge reveals mobile organisms that have
flagella. The correct pharmacological therapy for the condition is:
• Oral metronidazole (flagyl)
A patient diagnosed with bacterial vaginosis should be advised that her sexual partner:
• Does not need treatment
All of the following are infections that affect mostly the labia and vagina except:
• Chlamydia trachomatis
A 25-year-old obese female with type 2 diabetes mellitus presents to your office with a
complaint of vaginal itching and burning for 2 weeks. She has tried douching with an OTC
cream with no relief. Physical examination, the vulva
,is deep red with some thick white adherent material. Which of the following conditions would
be most likely cause of her symptoms?
• Fungal infection
A young woman presents to your practice with vaginal itching and white discharge. She denies
sexual activity or douching. She has been in good health except for a recurrent strep throat.
Pelvic examination reveals a tender vulvovaginal area with edema and white patches, no odor
is detected. Which of the following is the most likely cause of this problem?
• Candidiasis after antibiotic treatment
A patient has symptoms consistent with chlamydia. Which laboratory test gold standard? In the
diagnosis?
• Nucleic acid amplification test
A woman presents to your practice with vaginal itching and a white discharge. She has been in
good health except for recent treatment for strep throat. Pelvic examination reveals a tender
vulvovaginal area with edema and non- malodorous white patches. Which of the following is
most likely cause of this problem?
• Candidiasis
A 39-year-old female has just completed a course of amoxicillin for treatment of streptococcal
pharyngitis. Her LMP was 2 weeks ago and reports that it was normal for her. On physical
examination, there is some erythema of the eternal genitalia with a small amount of white
discharge. The macroscopic wet prep examination revels few clue cells but an abundance of
budding hyphae. There are no WBC’s present. considering the differential diagnoses and results
of the microscopic examination, which of the following would be the most appropriate.
• Fluconazole tablets 150mg as one-time dose
A 24-year-old female presents to the office with a complaint of vaginal itching in addition to
thick mucoid discharge. She also has some mild urinary discomfort. The wet mount preparation
, using potassium hydroxide. (KOH) reveals a negative whiff test and few clue cells. There was no
trichomonas visualized but the WBCs were too numerous to count. Which of the following
would be the most likely diagnosis in the patient?
• Chlamydia
The patient has been diagnosed with trichomoniasis. Which of the following medications would
be the best options?
• Metronidazole 2g
25yo female c/o vaginal irritation and discharge. On exam, cervix is easily friable and
erythematous. No adnexal tenderness. Wet prep reveals mobile protozoa on NS slide. This most
likely represents:
• Trichomonas
Woman is experiencing vaginal discharge. Wet mount with KOH would be used to confirm:
• Candidiasis
A 21-year-old female presents with three 0.5 cm human papilloma virus (HPV) lesions on her
vulva. An appropriate treatment option for this patient would be:
• podophyllin
A 25-year-old woman comes to the clinic complaining of increased vaginal discharge, milky gray
in color with a "fishy" odor that both she and her husband have noticed. A wet smear is performed
and the presence of "clue cells" confirmed. Which type of infection does the nurse suspect?
• Bacterial vaginosis
A nurse in the family planning clinic reviews the health history of a sexually active 16-year-old
girl whose chief concern is a thick, burning discharge accompanied by a burning sensation and
lower abdominal pain. After an examination the girl is informed that she may have a sexually
transmitted infection (STI) that requires treatment. The adolescent is concerned that her parents
will discover that she has been sexually active and asks the nurse whether her parents will be
contacted. The nurse explains that her parents will:
