.Week 7 – Gynecology (GYN) and Sexually
Transmitted Infections (STI) SOLVED
Week 7 – Gynecology (GYN) and Sexually Transmitted Infections
(STI)
When seen on a wet mount like the following, clue cells would indicate the treatment by which of the
following?
Rocephin (Ceftriaxone) 250mg IM x 1 and Azithromycin 1 g PO x 1
Flagyl (Metronidazole) 500mg PO BID x 7 days
No treatment needed
Diflucan (Fluconazole) 150mg PO x 1
The uterus should sound to cm when measuring for Mirena IUD insertion to allow for the
arms to open and proper alignment to occur.
6-9 cm; measured and forgotten about.
6-10 cm; measured and documented in the chart.
1-3 cm; measured and forgotten about.
3-5 cm; measured and documented in the chart.
, .Week 7 – Gynecology (GYN) and Sexually
Transmitted Infections (STI) SOLVED
If cervical stenosis is met when performing IUD insertions, which of the following should be used to
overcome resistance?
6 - 9 cm
12 - 15 cm
9 - 12 cm
3 - 6 cm
A female patient and her male partner are diagnosed with trichomonas. She has complaints of vulvall
itching and discharge. He is asymptomatic. How should they be treated?
They both should receive metronidazole
A 40 year old female patient returns to your clinic to review her pap smear results from the previous
week. You tell her the test is abnormal with “atypical squamous cells of undetermined significance and
HPV positive”. What is the appropriate next step of the following?
Repeat cytology in 1 year
Repeat cytology
immediately
Perform or refer out for colposcopy
Repeat cytology in 2-4 months
After an IUD is placed, the threads should be cut so approximately are visible. This should
then be .
3 cm; measured and documented in the chart.
3 cm; measured and forgotten about.
6 cm; measured and documented in the chart.
, .Week 7 – Gynecology (GYN) and Sexually
Transmitted Infections (STI) SOLVED
6 cm; measured and forgotten about.
You suspect that the patient you are seeing has HIV. which of the following is a sensitive screening
test for human immunodeficiency virus?
Combination HIV-1 and HIV-2 antibody immunoassay with P 24
antigen HIV antibody test
ELISA test
Western blot test
A 35 year old female presents for her well-woman exam with no complaints and no significant medical
history. She admits to occasional unprotected intercourse with her partner, which is an unstable, but safe
relationship. Upon exam, you note a green, frothy and malodorous discharge she states she has noticed
on occasion, but thought it was normal. Wet mount shows the following image with a positive “Whiff
Test”. What is your likely diagnosis?:
Bacterial Vaginosis
Vaginal candidiasis
Trichomonas vaginalis
Atrophic vulvovaginitis
Transmitted Infections (STI) SOLVED
Week 7 – Gynecology (GYN) and Sexually Transmitted Infections
(STI)
When seen on a wet mount like the following, clue cells would indicate the treatment by which of the
following?
Rocephin (Ceftriaxone) 250mg IM x 1 and Azithromycin 1 g PO x 1
Flagyl (Metronidazole) 500mg PO BID x 7 days
No treatment needed
Diflucan (Fluconazole) 150mg PO x 1
The uterus should sound to cm when measuring for Mirena IUD insertion to allow for the
arms to open and proper alignment to occur.
6-9 cm; measured and forgotten about.
6-10 cm; measured and documented in the chart.
1-3 cm; measured and forgotten about.
3-5 cm; measured and documented in the chart.
, .Week 7 – Gynecology (GYN) and Sexually
Transmitted Infections (STI) SOLVED
If cervical stenosis is met when performing IUD insertions, which of the following should be used to
overcome resistance?
6 - 9 cm
12 - 15 cm
9 - 12 cm
3 - 6 cm
A female patient and her male partner are diagnosed with trichomonas. She has complaints of vulvall
itching and discharge. He is asymptomatic. How should they be treated?
They both should receive metronidazole
A 40 year old female patient returns to your clinic to review her pap smear results from the previous
week. You tell her the test is abnormal with “atypical squamous cells of undetermined significance and
HPV positive”. What is the appropriate next step of the following?
Repeat cytology in 1 year
Repeat cytology
immediately
Perform or refer out for colposcopy
Repeat cytology in 2-4 months
After an IUD is placed, the threads should be cut so approximately are visible. This should
then be .
3 cm; measured and documented in the chart.
3 cm; measured and forgotten about.
6 cm; measured and documented in the chart.
, .Week 7 – Gynecology (GYN) and Sexually
Transmitted Infections (STI) SOLVED
6 cm; measured and forgotten about.
You suspect that the patient you are seeing has HIV. which of the following is a sensitive screening
test for human immunodeficiency virus?
Combination HIV-1 and HIV-2 antibody immunoassay with P 24
antigen HIV antibody test
ELISA test
Western blot test
A 35 year old female presents for her well-woman exam with no complaints and no significant medical
history. She admits to occasional unprotected intercourse with her partner, which is an unstable, but safe
relationship. Upon exam, you note a green, frothy and malodorous discharge she states she has noticed
on occasion, but thought it was normal. Wet mount shows the following image with a positive “Whiff
Test”. What is your likely diagnosis?:
Bacterial Vaginosis
Vaginal candidiasis
Trichomonas vaginalis
Atrophic vulvovaginitis
