NR 602 NR602 FINAL EXAM: NEW

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NR 602/ NR602 FINAL EXAM: (NEW 2025/ 2026

UPDATE) PRIMARY CARE OF THE CHILDBEARING & CHILDREARING FAMILY GUIDE| QUESTIONS & ANSWERS|

GRADE A| 100% CORRECT (VERIFIED SOLUTIONS)-

CHAMBERLAIN

1.Chlamydia trachomatis gold standard test - ANS ✓. Gold standard test is NAT, not culture 2.Chlamydia trachomatis - ANS ✓negative whiff w/ mucupurulent d/c and + clue cells.

3.Chlamydia trachomatis symtoms - ANS ✓Sx- dyspuria, intramenstrural spotting, postcoital bleeding, pain w/ sex, vag d/c purulent d/c reddened congested cervix or can be asymptomatic.

4.Chlamydia trachomatis diagnoses - ANS ✓Dx-Urine or endocervix/vaginal swab 5.Chlamydia trachomatis tx - ANS ✓Tx- 1 gm Azithromycin OR doxy, erythro PLUS rocephin 250 or cefixime Complications- salpingitis and PID, perihepatitis, 6.Gonorrhea - ANS ✓STI, first causes cervical infection and ascend to endometrium and fallopian tube. Reportable 7.Gonorrhea prevention - ANS ✓Prevention: Screen all high risk ppl sexually active women age 25 or less. Use condoms. Sex partner w/ in 60 days evaluate to tx that sex partner, > 60 days tx most recent sex partner, NB receive erythro ointment after delivery

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2 NR 8.Gonorrhea symptoms - ANS ✓Sx-many are asymptomatic. inflamed and edematous cervix with d/c coming from cervical os. Vag d/c urinary frequency, dysuria, unilateral swelling of intoitus, anal itching, pain, pharyngitis, conjunctivitis, systematic triad (polyarthalgia, tenosynovitis, and dermatitis) 9.Gonorrhea diagnosis - ANS ✓Dx- endocervical vaginal or urine specimens Complications- salpingitis- tubal scarring, infertility 10.Gonorrhea treatment - ANS ✓Tx- Rocephin 125 mg, cefixime OR azithromycin No sex 7 days after therapy. Tx for chlamydia as well.

11.HSV-type 1 or 2. - ANS ✓Type 2 most common cause of genital herpes. Produces cervical lesion, first vesicular then ulcers. After initial infection, virus continues to reside in nerve cells for life.

12.HPV- spread - ANS ✓spread via skin to skin (genital warts) Prevention- abstinence, condom use, treating affected partner @ same time 13.Trich - ANS ✓Caused by flagellated protozoan, mobile 14.Trich prevention - ANS ✓Prevention: condoms, decrease # of sex partners, vulvular hygiene 15.Trich symptoms - ANS ✓Sx- purulent malodorous d/c w/ burning itching, dysuria, frequency, and painful sexl. Postcoital bleeding may occur foamy white green d/c, strawberry appearing cervix 16.trich diagnosis - ANS ✓Dx- motile flagellated organisms on saline wet smear, Affirm 17.Trich treatment - ANS ✓Tx-Metronidazole 2g PO single dose OR tinidazole 2 gm in single dose

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3 NR 18.Candida - ANS ✓white curd like d/c 19.Candida diagnosis - ANS ✓Dx- potassium hydroxide prep---distinct presence of hyphae 20.Candida treatment - ANS ✓Tx- topical azole drugs or PO fluconazole 21.bacterial vaginosis - ANS ✓most prevalent vaginal infection. * Loss of lactobacilii and increase in vaginal pH fishy odor 22.bacterial vaginosis risk factor - ANS ✓Risk factors: multiple sex partner, douching, lack of condom use, lack of vag lactobacilli 23.Bacterial vaginosis prevention - ANS ✓condom use, no douching 24.bacterial vaginosis treatment - ANS ✓Tx- metronidazole 500 mg PO x7 days, metronidazole gel 0.75 %x5 days, clinda cream 2% x3 nights OR tinidazole PO x2 days 25.Bacterial vaginosis symtoms - ANS ✓Sx-3 of 4 Amsel criteria 26.Bacterial vaginosis diagnosis - ANS ✓Dx- Gram stain is gold standard, saline wet mount with "clue cells", Amsel criteria: thin homogenous white/yellow d/c, "clue cells on microscopy, fishy odor w/ k hydroxide solution, pH of 4.5 or >-----need 3 of

• to be dx.

27.PID - ANS ✓-inflamm of upper femal genital tract w/ combo of endometritis, salpingitis, tubo- ovarian abscess, and pelvic peritonitis.

28.PID prevention - ANS ✓Prevention- screening and tx sexually active women and sex partners for gonorrhea and chlamydia NR 602

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