NM701 MODULE 7 EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Burning on urination may be associate with (ALL that apply):
-Primary outbreak of genital herpes
-Urinary tract infection (dysuria, urgency and frequency are the hallmarks of UTI),
-Yeast vaginitis (If a woman has irritated, excoriated vulvar skin, she may experience a
burning sensation as urine touches these areas. She will not have urgency or
frequency)
-Interstitial cystitis (Interstitial cystitis often presents with dysuria, urgency and
frequency. However, no microorganism is responsible. Instead, sterile inflammation and
irritation of the bladder epithelium is the cause).
Urinary incontinence is a normal aging change:
-False (While urinary incontinence is a common problem among older women, it is not a
variation on normal. It deserves a thorough workup and plan for resolution....though far
too often, women end up buying incontinence pads without getting any clinical help for
the condition).
,Match the sexually transmitted infection/vaginal condition with how it commonly
presents in symptomatic women: with lesions, discharge, or both
--Condyloma Accuminata:
Lesions- soft, irregular, cauliflower shaped warts are the hallmark of this condition
Match the sexually transmitted infection/vaginal condition with how it commonly
presents in symptomatic women: with lesions, discharge, or both
--Syphilis:
Lesions- 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
Match the sexually transmitted infection/vaginal condition with how it commonly
presents in symptomatic women: with lesions, discharge, or both
--Trichomonas:
Discharge Only
Match the sexually transmitted infection/vaginal condition with how it commonly
presents in symptomatic women: with lesions, discharge, or both
--Genital Herpes:
Both Lesions and Discharge
Match the sexually transmitted infection/vaginal condition with how it commonly
presents in symptomatic women: with lesions, discharge, or both
--Bacterial Vaginosis:
Discharge Only
,Match the sexually transmitted infection/vaginal condition with how it commonly
presents in symptomatic women: with lesions, discharge, or both
--Yeast Vaginitis:
Discharge Only
MOST sexually transmitted infections in women are:
-Silent: Women can and 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, and the HPV viruses that cause genital
warts may ALL be silent. Syphilis is dormant, sometimes for years, between stages.
And men are even LESS likely than women to have symptoms
Treatment of sexual partners is always indicated for BV:
True: Female sexual partners of women with BV should be treated, because vaginal
flora is most often concordant between women who have sex with one another. By
contrast, male partners should not be treated since BV is not sexually transmitted
between heterosexual partners.
Forensic examination of the woman who experiences sexual assault is within the
general scope of practice of the CNM or WHNP:
False: Women who experience sexual assault should be offered specialized care from a
Sexual Assault Nurse Examiner (SANE), who has training in both evidence collection
and patient care. CNMs and 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, and this module will focus on how to
, care for women who present to the generalist CNM/WHNP and who decline specialist
care.
All women with dysuria and urinary frequency need a urine culture and
sensitivity:
False: Only women with complicated urinary tract infections need a urine culture and
sensitivity. These include women with signs and/or symptoms of upper tract disease,
pregnant women, women recently exposed to antibiotics, and women with
immunocompromise. Women without these risk factors may be treated without culture
and sensitivity.
Urinary Conditions:
-The majority of women will experience at least one urinary tract infection during their
lifetime. While most urinary tract infections are acute and uncomplicated, nurse-
midwives and nurse practitioners must also be able to recognize recurrent and
complicated infections, including pyelonephritis.
-Although urinary incontinence is common, women are often reluctant to discuss this
condition with their clinicians. Offering sensitive assessment and comprehensive
options for management can significantly impact a woman's quality of life.
FDA has published a statement regarding the use of fluoroquinolones
(ciprofloxacin, levofloxacin, norfloxacin, gatifloxacin, etc.) in the treatment of
uncomplicated urinary tract infection (and other common infections). The bottom
line is
WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Burning on urination may be associate with (ALL that apply):
-Primary outbreak of genital herpes
-Urinary tract infection (dysuria, urgency and frequency are the hallmarks of UTI),
-Yeast vaginitis (If a woman has irritated, excoriated vulvar skin, she may experience a
burning sensation as urine touches these areas. She will not have urgency or
frequency)
-Interstitial cystitis (Interstitial cystitis often presents with dysuria, urgency and
frequency. However, no microorganism is responsible. Instead, sterile inflammation and
irritation of the bladder epithelium is the cause).
Urinary incontinence is a normal aging change:
-False (While urinary incontinence is a common problem among older women, it is not a
variation on normal. It deserves a thorough workup and plan for resolution....though far
too often, women end up buying incontinence pads without getting any clinical help for
the condition).
,Match the sexually transmitted infection/vaginal condition with how it commonly
presents in symptomatic women: with lesions, discharge, or both
--Condyloma Accuminata:
Lesions- soft, irregular, cauliflower shaped warts are the hallmark of this condition
Match the sexually transmitted infection/vaginal condition with how it commonly
presents in symptomatic women: with lesions, discharge, or both
--Syphilis:
Lesions- 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
Match the sexually transmitted infection/vaginal condition with how it commonly
presents in symptomatic women: with lesions, discharge, or both
--Trichomonas:
Discharge Only
Match the sexually transmitted infection/vaginal condition with how it commonly
presents in symptomatic women: with lesions, discharge, or both
--Genital Herpes:
Both Lesions and Discharge
Match the sexually transmitted infection/vaginal condition with how it commonly
presents in symptomatic women: with lesions, discharge, or both
--Bacterial Vaginosis:
Discharge Only
,Match the sexually transmitted infection/vaginal condition with how it commonly
presents in symptomatic women: with lesions, discharge, or both
--Yeast Vaginitis:
Discharge Only
MOST sexually transmitted infections in women are:
-Silent: Women can and 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, and the HPV viruses that cause genital
warts may ALL be silent. Syphilis is dormant, sometimes for years, between stages.
And men are even LESS likely than women to have symptoms
Treatment of sexual partners is always indicated for BV:
True: Female sexual partners of women with BV should be treated, because vaginal
flora is most often concordant between women who have sex with one another. By
contrast, male partners should not be treated since BV is not sexually transmitted
between heterosexual partners.
Forensic examination of the woman who experiences sexual assault is within the
general scope of practice of the CNM or WHNP:
False: Women who experience sexual assault should be offered specialized care from a
Sexual Assault Nurse Examiner (SANE), who has training in both evidence collection
and patient care. CNMs and 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, and this module will focus on how to
, care for women who present to the generalist CNM/WHNP and who decline specialist
care.
All women with dysuria and urinary frequency need a urine culture and
sensitivity:
False: Only women with complicated urinary tract infections need a urine culture and
sensitivity. These include women with signs and/or symptoms of upper tract disease,
pregnant women, women recently exposed to antibiotics, and women with
immunocompromise. Women without these risk factors may be treated without culture
and sensitivity.
Urinary Conditions:
-The majority of women will experience at least one urinary tract infection during their
lifetime. While most urinary tract infections are acute and uncomplicated, nurse-
midwives and nurse practitioners must also be able to recognize recurrent and
complicated infections, including pyelonephritis.
-Although urinary incontinence is common, women are often reluctant to discuss this
condition with their clinicians. Offering sensitive assessment and comprehensive
options for management can significantly impact a woman's quality of life.
FDA has published a statement regarding the use of fluoroquinolones
(ciprofloxacin, levofloxacin, norfloxacin, gatifloxacin, etc.) in the treatment of
uncomplicated urinary tract infection (and other common infections). The bottom
line is
