NSG 6330 FINAL STUDY GUIDE EXAM
QUESTIONS WITH VERIFIED
SOLUTIONS NEW MODIFIED TESTED
AND GRADED A+
A twenty-five-year-old presents with a report of a very tender area just near her
introitus and to the left of her perineum. Very painful sex is how she knew
"something wasn't right." She showered and when washing, she felt a "pea-
sized" painful lump on the left side of her "bottom." She tells you she looked at
it with a mirror and it was very small, but now it is the size of a ping-pong ball
and getting worse.
When you inspect her external genitalia, you are amazed at the size and
appearance of the "lump."
You note what appears to be an abscess on the left medial side of the labia
minora, and there is some edema extending into the perineum. Your diagnosis
for this presentation is:
Lipoma
Dermoid cyst
Bartholin's cyst
Skene's duct cyst --CORRECT ANSWER--Bartholin's cyst
Page 1 of 95
,Bartholin's Cyst --CORRECT ANSWER--If a Bartholin duct gets blocked, fluid
builds up in the gland. The blocked gland is called a Bartholin gland cyst
You explain to this young woman what this "lump" is and let her know you will
be referring her to a gynecologist you consult with regularly. You explain to her
the likely treatment as follows:
She will need to take sitz baths three times per day and a broad-spectrum
antibiotic.
This is likely a fatty tumor and will need to be surgically removed.
A possible incision might be necessary and a catheter placed for two to four
weeks to allow for drainage and appropriate healing.
This is a folliculitis that has become infected and needs a needle aspiration and
broad-spectrum antibiotic treatment. --CORRECT ANSWER--A possible
incision might be necessary and a catheter placed for two to four weeks to allow
for drainage and appropriate healing.
How is HIV transmitted --CORRECT ANSWER--Vertical transmission from a
mother to her baby, blood transfusion, or exchange of any blood products
Page 2 of 95
,Question :
HIV risk factors are all of these except:
Unprotected sex or trauma with sexual activity or multiple partners
IV drug use, including shared syringes
Exchange of saliva --CORRECT ANSWER--Exchange of saliva
Whether you order diagnostic testing or refer the patient to an HIV-specific
facility, laboratory confirmation for documentation for appropriate care
rendered.
The test confirming HIV infection is _____________.
HIV-1/2 Ag/Ab combination immunoassay
enzyme-linked immunosorbent HIV RNA
CD4+ lymphocyte count
quantitative plasma HIV RNA --CORRECT ANSWER--HIV-1/2 Ag/Ab
combination immunoassay
Page 3 of 95
, Treatment, although not curative, is critical for the best outcome possible. One
important principle of antiretroviral therapy is:
Therapy should be started when symptoms first appear.
Monotherapy is recommended.
Response to drug therapy is monitored by HIV RNA levels.
Response to drug therapy is monitored with CD4+ counts. --CORRECT
ANSWER--Response to drug therapy is monitored by HIV RNA levels.
The HIV is positive, and the chest X-ray reflects bilateral infiltrates. The
radiologist telephones you with a diagnosis of pneumonia. Further evaluation
and report are sent to you with a diagnosis of pneumocystis pneumonia. What
stage is this HIV presentation?
Acute HIV infection
Early-stage infection
AIDS
Symptomatic but likely to begin a latency period --CORRECT ANSWER--
AIDS
Women often tend to reschedule a well-woman visit, but they don't do so often
with a problem such as pelvic pain. This symptom can present as an acute, or
chronic, insult. When a woman presents with pelvic pain, the term can
encompass many possibilities. Differentiating acute from chronic assists with
Page 4 of 95
QUESTIONS WITH VERIFIED
SOLUTIONS NEW MODIFIED TESTED
AND GRADED A+
A twenty-five-year-old presents with a report of a very tender area just near her
introitus and to the left of her perineum. Very painful sex is how she knew
"something wasn't right." She showered and when washing, she felt a "pea-
sized" painful lump on the left side of her "bottom." She tells you she looked at
it with a mirror and it was very small, but now it is the size of a ping-pong ball
and getting worse.
When you inspect her external genitalia, you are amazed at the size and
appearance of the "lump."
You note what appears to be an abscess on the left medial side of the labia
minora, and there is some edema extending into the perineum. Your diagnosis
for this presentation is:
Lipoma
Dermoid cyst
Bartholin's cyst
Skene's duct cyst --CORRECT ANSWER--Bartholin's cyst
Page 1 of 95
,Bartholin's Cyst --CORRECT ANSWER--If a Bartholin duct gets blocked, fluid
builds up in the gland. The blocked gland is called a Bartholin gland cyst
You explain to this young woman what this "lump" is and let her know you will
be referring her to a gynecologist you consult with regularly. You explain to her
the likely treatment as follows:
She will need to take sitz baths three times per day and a broad-spectrum
antibiotic.
This is likely a fatty tumor and will need to be surgically removed.
A possible incision might be necessary and a catheter placed for two to four
weeks to allow for drainage and appropriate healing.
This is a folliculitis that has become infected and needs a needle aspiration and
broad-spectrum antibiotic treatment. --CORRECT ANSWER--A possible
incision might be necessary and a catheter placed for two to four weeks to allow
for drainage and appropriate healing.
How is HIV transmitted --CORRECT ANSWER--Vertical transmission from a
mother to her baby, blood transfusion, or exchange of any blood products
Page 2 of 95
,Question :
HIV risk factors are all of these except:
Unprotected sex or trauma with sexual activity or multiple partners
IV drug use, including shared syringes
Exchange of saliva --CORRECT ANSWER--Exchange of saliva
Whether you order diagnostic testing or refer the patient to an HIV-specific
facility, laboratory confirmation for documentation for appropriate care
rendered.
The test confirming HIV infection is _____________.
HIV-1/2 Ag/Ab combination immunoassay
enzyme-linked immunosorbent HIV RNA
CD4+ lymphocyte count
quantitative plasma HIV RNA --CORRECT ANSWER--HIV-1/2 Ag/Ab
combination immunoassay
Page 3 of 95
, Treatment, although not curative, is critical for the best outcome possible. One
important principle of antiretroviral therapy is:
Therapy should be started when symptoms first appear.
Monotherapy is recommended.
Response to drug therapy is monitored by HIV RNA levels.
Response to drug therapy is monitored with CD4+ counts. --CORRECT
ANSWER--Response to drug therapy is monitored by HIV RNA levels.
The HIV is positive, and the chest X-ray reflects bilateral infiltrates. The
radiologist telephones you with a diagnosis of pneumonia. Further evaluation
and report are sent to you with a diagnosis of pneumocystis pneumonia. What
stage is this HIV presentation?
Acute HIV infection
Early-stage infection
AIDS
Symptomatic but likely to begin a latency period --CORRECT ANSWER--
AIDS
Women often tend to reschedule a well-woman visit, but they don't do so often
with a problem such as pelvic pain. This symptom can present as an acute, or
chronic, insult. When a woman presents with pelvic pain, the term can
encompass many possibilities. Differentiating acute from chronic assists with
Page 4 of 95
