1|Page
LOWDERMILK, Ch. 7, SEXUALLY TRANSMITTED AND
OTHER INFECTIONS ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
Syphilis is a complex disease that can lead to serious systemic illness and even death if left
untreated. Which manifestation differentiates primary syphilis from secondary syphilis?
a.Fever, headache, and malaise
b.Widespread rash
c.Identified by serologic testing
d.Appearance of a chancre 2 months after infection - ANSWER-ANS: D
Primary syphilis is characterized by a primary lesion (the chancre), which appears 5 to 90 days
after infection. The chancre begins as a painless papule at the site of inoculation and erodes to
form a nontender, shallow, and clean ulcer several millimeters to centimeters in size. Secondary
syphilis occurs 6 weeks to 6 months after the appearance of the chancre and is characterized by
a widespread maculopapular rash. The individual may also experience fever, headache, and
malaise. Latent syphilis are those infections that lack clinical manifestations; however, they are
detected by serologic testing.
The human papillomavirus (HPV), also known as genital warts, affects 79 million Americans,
with an estimated number of 14 million new infections each year. The highest rate of infection
occurs in young women, ages 20 to 24 years. Prophylactic vaccination to prevent the HPV is now
available. Which statement regarding this vaccine is inaccurate?
,2|Page
a.Only one vaccine for the HPV is available.
b.The vaccine is given in three doses over a 6-month period.
c.The vaccine is recommended for both boys and girls.
d.Ideally, the vaccine is administered before the first sexual contact. - ANSWER-ANS: A
Two vaccines for HPV are available—Cervarix and Gardasil—and other vaccines continue to be
investigated. These vaccines protect against HPV types 6, 11, 16, and 18. They are most effective
if administered before the first sexual contact. Recommendations are that vaccines be
administered to 11- and 12-year-old girls and boys. The vaccine can be given to girls as young as
9 years of age and young women ages 13 to 26 years in three doses over a 6-month period.
Which sexually transmitted infection (STI) is the most commonly reported in American women?
a.Gonorrhea
b.Syphilis
c.Chlamydia
d.Candidiasis - ANSWER-ANS: C
Chlamydia is the most common and fastest spreading STI among American women, with an
estimated 3 million new cases each year. Infection rates are two and a half times that of men.
Gonorrhea is probably the oldest communicable disease in the United States and second to
Chlamydia in reported conditions. Syphilis is the earliest described STI. Candidiasis is a relatively
common fungal infection.
, 3|Page
The Centers for Disease Control and Prevention (CDC) recommends which therapy for the
treatment of the HPV?
a.Miconazole ointment
b.Topical podofilox 0.5% solution or gel
c.Two doses of penicillin administered intramuscularly (IM)
d.Metronidazole by mouth - ANSWER-ANS: B
Available treatments are imiquimod, podophyllin, and podofilox. Miconazole ointment is used
to treat athlete's foot. Penicillin IM is used to treat syphilis. Metronidazole is used to treat
bacterial vaginosis.
A client exhibits a thick, white, lumpy, cottage cheese-like discharge, along with white patches
on her labia and in her vagina. She complains of intense pruritus. Which medication should the
nurse practitioner order to treat this condition?
a.Fluconazole
b.Tetracycline
c.Clindamycin
d.Acyclovir - ANSWER-ANS: A
LOWDERMILK, Ch. 7, SEXUALLY TRANSMITTED AND
OTHER INFECTIONS ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
Syphilis is a complex disease that can lead to serious systemic illness and even death if left
untreated. Which manifestation differentiates primary syphilis from secondary syphilis?
a.Fever, headache, and malaise
b.Widespread rash
c.Identified by serologic testing
d.Appearance of a chancre 2 months after infection - ANSWER-ANS: D
Primary syphilis is characterized by a primary lesion (the chancre), which appears 5 to 90 days
after infection. The chancre begins as a painless papule at the site of inoculation and erodes to
form a nontender, shallow, and clean ulcer several millimeters to centimeters in size. Secondary
syphilis occurs 6 weeks to 6 months after the appearance of the chancre and is characterized by
a widespread maculopapular rash. The individual may also experience fever, headache, and
malaise. Latent syphilis are those infections that lack clinical manifestations; however, they are
detected by serologic testing.
The human papillomavirus (HPV), also known as genital warts, affects 79 million Americans,
with an estimated number of 14 million new infections each year. The highest rate of infection
occurs in young women, ages 20 to 24 years. Prophylactic vaccination to prevent the HPV is now
available. Which statement regarding this vaccine is inaccurate?
,2|Page
a.Only one vaccine for the HPV is available.
b.The vaccine is given in three doses over a 6-month period.
c.The vaccine is recommended for both boys and girls.
d.Ideally, the vaccine is administered before the first sexual contact. - ANSWER-ANS: A
Two vaccines for HPV are available—Cervarix and Gardasil—and other vaccines continue to be
investigated. These vaccines protect against HPV types 6, 11, 16, and 18. They are most effective
if administered before the first sexual contact. Recommendations are that vaccines be
administered to 11- and 12-year-old girls and boys. The vaccine can be given to girls as young as
9 years of age and young women ages 13 to 26 years in three doses over a 6-month period.
Which sexually transmitted infection (STI) is the most commonly reported in American women?
a.Gonorrhea
b.Syphilis
c.Chlamydia
d.Candidiasis - ANSWER-ANS: C
Chlamydia is the most common and fastest spreading STI among American women, with an
estimated 3 million new cases each year. Infection rates are two and a half times that of men.
Gonorrhea is probably the oldest communicable disease in the United States and second to
Chlamydia in reported conditions. Syphilis is the earliest described STI. Candidiasis is a relatively
common fungal infection.
, 3|Page
The Centers for Disease Control and Prevention (CDC) recommends which therapy for the
treatment of the HPV?
a.Miconazole ointment
b.Topical podofilox 0.5% solution or gel
c.Two doses of penicillin administered intramuscularly (IM)
d.Metronidazole by mouth - ANSWER-ANS: B
Available treatments are imiquimod, podophyllin, and podofilox. Miconazole ointment is used
to treat athlete's foot. Penicillin IM is used to treat syphilis. Metronidazole is used to treat
bacterial vaginosis.
A client exhibits a thick, white, lumpy, cottage cheese-like discharge, along with white patches
on her labia and in her vagina. She complains of intense pruritus. Which medication should the
nurse practitioner order to treat this condition?
a.Fluconazole
b.Tetracycline
c.Clindamycin
d.Acyclovir - ANSWER-ANS: A
