NM701 MODULE 7 EXAM QUESTIONS AND ANSWERS
WITH COMPLETE VERIFIED SOLUTIONS
Bacterial vaginosis discharge
▪ thin white grayish discharge,
▪ fishy odor,
▪ worse after sex or period
Vulvovaginal candidiasis clinical presentation
▪ vaginal vulvar itching,
▪ burning,
▪ cottage cheese discharge,
▪ erythema,
▪ excoriation
Trichomoniasis clinical presentation
▪ yellow to greenish, frothy, mucopurulent, copious, malodorous discharge.
▪ Inflammation of vulva, vagina, or both may be present &
▪ may have irritation, pruritus, dysuria, or dyspareunia
▪ (discharge may worsen during & after menstruation).
Burning on urination may be associated with
▪ yeast vaginitis
▪ urinary tract infection
,▪ interstitial cystitis
▪ primary outbreak of genital herpes
the hallmarks of UTI.
▪ Dysuria
▪ urgency
▪ frequency
Interstitial cystitis often presents with
▪ dysuria, urgency and frequency.
▪ BUT, no responsible microorganism
▪ Sterile inflammation & bladder epithelium irritation the cause.
a primary outbreak of herpes causes
▪ intense inflammation of the genitals,
▪ occlusion of the urethra in extreme cases.
▪ Burning on urination is common
▪ fever is common
Urinary incontinence is a normal aging change.
No.
▪ Incontinence may be common,
▪ it is not normal
▪ deserves a full workup & management plan.
How condyloma accuminata commonly presents lesions, discharge, or both
lesions
How Syphyllis commonly presents lesions, discharge, or both
,Both
▪ A single, painless lesion called a chancre is the way primary syphilis presents.
▪ However, we OFTEN miss this stage, and syphilis is the great imitator.....
How Trichomonas commonly presents lesions, discharge, or both
discharge
-frothy green yellow malodorous copious mucopurolent
How Genital Herpes commonly presents lesions, discharge, or both
Both.
Outbreaks of this condition may present with both genital blisters and a watery vaginal
discharge.
How Bacterial vaginosis presents lesions, discharge, or both
discharge-thin, gray white
How Yeast vaginitis presents lesions, discharge, or both
discharge-cottage cheese appearing
MOST sexually transmitted infections in women are:
silent
Women can & do contract a number of STIs that are asymptomatic. This is one of the
reasons STIs have been so successful at spreading themselves around! Herpes,
Trichomonas, Gonorrhea, Chlamydia, & the HPV viruses that cause genital warts may
ALL be silent. Syphilis is dormant, sometimes for years, between stages. men are even
LESS likely than women to have symptoms!
Why should female partners of women w/ BV be treated?
, because vaginal flora is most often concordant between women who have sex with one
another.
Why don't male partners of women w/ BV need to be treated?
BV is not sexually transmitted between heterosexual partners.
When is treatment of sexual partners of women with BV indicated?
▪ It depends on the sex of the partner.
▪ Female sexual partners of women with BV should be treated.
▪ male partners should not be treated.
Forensic examination of the woman who experiences sexual assault is within the
general scope of practice of the CNM or WHNP.
No. Women who experience sexual assault should be offered specialized care from a
Sexual Assault Nurse Examiner (SANE), who has training in both evidence collection &
patient care. CNMs & WHNPs are eligible to become certified as SANE providers, but
need to undergo the training if they plan to provide forensic examination. Some women
will decline forensic examination, & this module will focus on how to care for women
who present to the generalist CNM/WHNP & who decline specialist care.
All women with dysuria & urinary frequency need a urine culture & sensitivity.
No. Only women with complicated urinary tract infections need a urine culture &
sensitivity. These include women with signs & /or symptoms of upper tract disease,
pregnant women, women recently exposed to antibiotics, & women with
immunocompromise. Women without these risk factors may be treated without culture &
sensitivity.
UTI aka cystitis
WITH COMPLETE VERIFIED SOLUTIONS
Bacterial vaginosis discharge
▪ thin white grayish discharge,
▪ fishy odor,
▪ worse after sex or period
Vulvovaginal candidiasis clinical presentation
▪ vaginal vulvar itching,
▪ burning,
▪ cottage cheese discharge,
▪ erythema,
▪ excoriation
Trichomoniasis clinical presentation
▪ yellow to greenish, frothy, mucopurulent, copious, malodorous discharge.
▪ Inflammation of vulva, vagina, or both may be present &
▪ may have irritation, pruritus, dysuria, or dyspareunia
▪ (discharge may worsen during & after menstruation).
Burning on urination may be associated with
▪ yeast vaginitis
▪ urinary tract infection
,▪ interstitial cystitis
▪ primary outbreak of genital herpes
the hallmarks of UTI.
▪ Dysuria
▪ urgency
▪ frequency
Interstitial cystitis often presents with
▪ dysuria, urgency and frequency.
▪ BUT, no responsible microorganism
▪ Sterile inflammation & bladder epithelium irritation the cause.
a primary outbreak of herpes causes
▪ intense inflammation of the genitals,
▪ occlusion of the urethra in extreme cases.
▪ Burning on urination is common
▪ fever is common
Urinary incontinence is a normal aging change.
No.
▪ Incontinence may be common,
▪ it is not normal
▪ deserves a full workup & management plan.
How condyloma accuminata commonly presents lesions, discharge, or both
lesions
How Syphyllis commonly presents lesions, discharge, or both
,Both
▪ A single, painless lesion called a chancre is the way primary syphilis presents.
▪ However, we OFTEN miss this stage, and syphilis is the great imitator.....
How Trichomonas commonly presents lesions, discharge, or both
discharge
-frothy green yellow malodorous copious mucopurolent
How Genital Herpes commonly presents lesions, discharge, or both
Both.
Outbreaks of this condition may present with both genital blisters and a watery vaginal
discharge.
How Bacterial vaginosis presents lesions, discharge, or both
discharge-thin, gray white
How Yeast vaginitis presents lesions, discharge, or both
discharge-cottage cheese appearing
MOST sexually transmitted infections in women are:
silent
Women can & do contract a number of STIs that are asymptomatic. This is one of the
reasons STIs have been so successful at spreading themselves around! Herpes,
Trichomonas, Gonorrhea, Chlamydia, & the HPV viruses that cause genital warts may
ALL be silent. Syphilis is dormant, sometimes for years, between stages. men are even
LESS likely than women to have symptoms!
Why should female partners of women w/ BV be treated?
, because vaginal flora is most often concordant between women who have sex with one
another.
Why don't male partners of women w/ BV need to be treated?
BV is not sexually transmitted between heterosexual partners.
When is treatment of sexual partners of women with BV indicated?
▪ It depends on the sex of the partner.
▪ Female sexual partners of women with BV should be treated.
▪ male partners should not be treated.
Forensic examination of the woman who experiences sexual assault is within the
general scope of practice of the CNM or WHNP.
No. Women who experience sexual assault should be offered specialized care from a
Sexual Assault Nurse Examiner (SANE), who has training in both evidence collection &
patient care. CNMs & WHNPs are eligible to become certified as SANE providers, but
need to undergo the training if they plan to provide forensic examination. Some women
will decline forensic examination, & this module will focus on how to care for women
who present to the generalist CNM/WHNP & who decline specialist care.
All women with dysuria & urinary frequency need a urine culture & sensitivity.
No. Only women with complicated urinary tract infections need a urine culture &
sensitivity. These include women with signs & /or symptoms of upper tract disease,
pregnant women, women recently exposed to antibiotics, & women with
immunocompromise. Women without these risk factors may be treated without culture &
sensitivity.
UTI aka cystitis
