NR 602 Final questions with correct answers
Colposcopy exam- Correct Answer-procedure that visualizes vaginal,
vulvar, or cervical epithelium w/ magnification to id abnormal area to be
bx
Dysmenorrhea Correct Answer-painful menstruation that prevents
normal activity and requires medication
3 types: primary (no organic cause), secondary (pathologic cause) and
membranous - causes intense cramping pain due to passage of a cast of
endometrium through undilated cervix
Dysmenorrhea treatment Correct Answer-Tx- NSAIDs/tyelnol, heat,
antiprostaglandins, OCP w/ increased estrogen- pain relief r/t absence of
ovulation, decreased prostaglandin production; surgery
Dysmenorrhea mechanism Correct Answer-prostaglandin activity
Cystocele Correct Answer--vaginal wall weakens and stretches and
allows the bladder to bulge into the vagina
Cystocele sx Correct Answer-Sx-felling of fullness or pressure in
vagina, increased discomfort when you strain/cough/bear down, feeling
of incomplete empty, repeated bladder infection, pain or urinary leak
during sex, bulge of tissue into vaginal opening
,Cystocele prevention Correct Answer-kegels, prevent constipation,
avoid heavy lifting, avoid wt gain
Rectocele Correct Answer--When thin tissue of vagina separates the
vaginal and rectum allowing vaginal wall to bulge
Rectocele sx Correct Answer-Sx- soft bulge of tissue in vaginal, difficult
BM, sensation of rectal pressure, incomplete emptying after BM, sexual
concerns
Causes of rectocele Correct Answer-Causes- constipation/strain, chronic
cough, heavy lifting, overweight, childbirth, age
Retocele prevention Correct Answer-Prevention- kegels, prevent
constipation, avoid heavy lifting, cough, avoid wt gain
Uterine prolapse Correct Answer--pelvic floor muscles and ligaments
stretch and weaken and no longer provide support for uterus and
protrude into vagina.
Uterine Prolapse causes Correct Answer-Causes- pregnancy, large baby
delivery, lower estrogen level after menopause, obesity Common in
postmenopausal and one or more childbirth
Uterine Prolapse symptom Correct Answer-Sx- heaviness or pulling into
pelvis, tissue protruding from vagina, urinary probs (leakage, retention),
trouble having BM, feeling of sitting on small ball, sexual concerns
,Uterine Prolapse prevention Correct Answer-Prevention- kegels, treat
constipation, correct lifting, avoid wt gain
uterine prolapse treatment Correct Answer-Tx- pessary
Herpes simplex Correct Answer-chronic viral infection caused by HSV1
or HSV2, relapsing
Herpes Simplex prevention Correct Answer-Prevention: consistent
condom use b/c viral shedding can occur in asymptomatic periods and
can lead to transmission. W/ symptoms- Valacyclovir 500 mg daily
Herpes Simplex sign and symptoms Correct Answer-Sx-multiple painful
vesicular or ulcerative lesion on genitals, can be absent. Virus lays
dormant and can be reactivated
Herpes Simplex diagnosis Correct Answer-lays dormant and can be
reactivated
Dx-cell culture and PCR
Herpes Simplex treatment Correct Answer-Tx- systemic antiviral.
Acyclovir 7-10 days for 1st episode, suppressive 200 mg daily BID
Chancroid Correct Answer--Transmitted via sexual contact or on hands
that have touched lesion. Caused by Haemophillus ducreyi
, -Reportable disease
Chancroid symptoms Correct Answer--Sx- erythematous papule that
evolves into pustule and degenerates into saucer shaped ragged ulcer
that is circumscribed by inflammatory wheal. Tender, heavy foul
discharge that is contagious
Chancroid diagnosis Correct Answer-Dx-culture that grows H ducreyi
Chancroid treatment Correct Answer-Tx- Abx azithromycin 1 g PO one
time, ceftriaxone 250 mg IM 1 x, cipro 500 mg PO BID x3 days
erythromycin 500 mg PO TID x7 days. Personal hygiene, clean w/ soap
and water, sitz bath
Syphilis Correct Answer--chronic, systemic disease caused by a
sphirochete transmitted via contact with infectious moist lesion.
Sexually acquired or vertically transmitted from infected mom.
Reportable disease
Syphilis transmitted Correct Answer--Transmitted in primary and
secondary stages
Primary-mucus mem 10-90 days later. Secondary- 2 wks-6mo after
primary lesion then generalized cutaneous eruption of secondary may
appear. Latent- may last a lifetime
Colposcopy exam- Correct Answer-procedure that visualizes vaginal,
vulvar, or cervical epithelium w/ magnification to id abnormal area to be
bx
Dysmenorrhea Correct Answer-painful menstruation that prevents
normal activity and requires medication
3 types: primary (no organic cause), secondary (pathologic cause) and
membranous - causes intense cramping pain due to passage of a cast of
endometrium through undilated cervix
Dysmenorrhea treatment Correct Answer-Tx- NSAIDs/tyelnol, heat,
antiprostaglandins, OCP w/ increased estrogen- pain relief r/t absence of
ovulation, decreased prostaglandin production; surgery
Dysmenorrhea mechanism Correct Answer-prostaglandin activity
Cystocele Correct Answer--vaginal wall weakens and stretches and
allows the bladder to bulge into the vagina
Cystocele sx Correct Answer-Sx-felling of fullness or pressure in
vagina, increased discomfort when you strain/cough/bear down, feeling
of incomplete empty, repeated bladder infection, pain or urinary leak
during sex, bulge of tissue into vaginal opening
,Cystocele prevention Correct Answer-kegels, prevent constipation,
avoid heavy lifting, avoid wt gain
Rectocele Correct Answer--When thin tissue of vagina separates the
vaginal and rectum allowing vaginal wall to bulge
Rectocele sx Correct Answer-Sx- soft bulge of tissue in vaginal, difficult
BM, sensation of rectal pressure, incomplete emptying after BM, sexual
concerns
Causes of rectocele Correct Answer-Causes- constipation/strain, chronic
cough, heavy lifting, overweight, childbirth, age
Retocele prevention Correct Answer-Prevention- kegels, prevent
constipation, avoid heavy lifting, cough, avoid wt gain
Uterine prolapse Correct Answer--pelvic floor muscles and ligaments
stretch and weaken and no longer provide support for uterus and
protrude into vagina.
Uterine Prolapse causes Correct Answer-Causes- pregnancy, large baby
delivery, lower estrogen level after menopause, obesity Common in
postmenopausal and one or more childbirth
Uterine Prolapse symptom Correct Answer-Sx- heaviness or pulling into
pelvis, tissue protruding from vagina, urinary probs (leakage, retention),
trouble having BM, feeling of sitting on small ball, sexual concerns
,Uterine Prolapse prevention Correct Answer-Prevention- kegels, treat
constipation, correct lifting, avoid wt gain
uterine prolapse treatment Correct Answer-Tx- pessary
Herpes simplex Correct Answer-chronic viral infection caused by HSV1
or HSV2, relapsing
Herpes Simplex prevention Correct Answer-Prevention: consistent
condom use b/c viral shedding can occur in asymptomatic periods and
can lead to transmission. W/ symptoms- Valacyclovir 500 mg daily
Herpes Simplex sign and symptoms Correct Answer-Sx-multiple painful
vesicular or ulcerative lesion on genitals, can be absent. Virus lays
dormant and can be reactivated
Herpes Simplex diagnosis Correct Answer-lays dormant and can be
reactivated
Dx-cell culture and PCR
Herpes Simplex treatment Correct Answer-Tx- systemic antiviral.
Acyclovir 7-10 days for 1st episode, suppressive 200 mg daily BID
Chancroid Correct Answer--Transmitted via sexual contact or on hands
that have touched lesion. Caused by Haemophillus ducreyi
, -Reportable disease
Chancroid symptoms Correct Answer--Sx- erythematous papule that
evolves into pustule and degenerates into saucer shaped ragged ulcer
that is circumscribed by inflammatory wheal. Tender, heavy foul
discharge that is contagious
Chancroid diagnosis Correct Answer-Dx-culture that grows H ducreyi
Chancroid treatment Correct Answer-Tx- Abx azithromycin 1 g PO one
time, ceftriaxone 250 mg IM 1 x, cipro 500 mg PO BID x3 days
erythromycin 500 mg PO TID x7 days. Personal hygiene, clean w/ soap
and water, sitz bath
Syphilis Correct Answer--chronic, systemic disease caused by a
sphirochete transmitted via contact with infectious moist lesion.
Sexually acquired or vertically transmitted from infected mom.
Reportable disease
Syphilis transmitted Correct Answer--Transmitted in primary and
secondary stages
Primary-mucus mem 10-90 days later. Secondary- 2 wks-6mo after
primary lesion then generalized cutaneous eruption of secondary may
appear. Latent- may last a lifetime
