NSG 6430 Week 9 Quiz
Question 1
A fifty-two-year-old female patient comes in for her annual well-woman examination. Her LMP was fourteen months ago
... [Show More] without any breakthrough bleeding. She has also developed some hirsutism. You would document this as _____.
A. Secondary amenorrhea
B. Menopause
C. Perimenopause
D. Polycystic ovary syndrome (PCOS)
Question 2
A 24 year-old female presents to the office with a complaint of vaginal itching in addition to thick mucoid discharge. She also has some mild urinary discomfort. A wet mount preparation using potassium hydroxide (KOH) reveals a negative whiff test and no clue cells. There were no trichomonads visualized but the WBCs were too numerous to count. Which of the following would be the most likely diagnosis in this patient?
A. Bacterial vaginosis
B. Trichomoniasis
C. Chlamydia
D. Cystitis
Question 3
Nakia is a 65 year-old obese female with type II diabetes mellitus. She presents to your office with a complaint of vaginal itching and burning for two weeks now. She has not been sexually active for five years since her partner died of heart failure. She has tried douching and OTC Vagisil cream with no relief. On physical examination, the vulva is deep red with some thick white discharge. Which of the following conditions would be the most likely cause of her symptoms?
A. Trichomoniasis
B. Lichen simplex
C. Atrophic vaginitis
D. Candidiasis
Question 4
The nurse practitioner is caring for a 42 year-old patient who had a total hysterectomy due to multiple uterine fibroids and is now experiencing severe vasomotor symptoms. Which of the following hormone replacement options should be considered for this patient?
A. Estrogen alone
B. Estrogen and progesterone
C. Progesterone and testosterone
D. Testosterone alone
Question 5
A patient has been diagnosed with trichomoniasis. Which of the following treatment options would be appropriate?
A. Doxycycline 100 mg i po BID x 7 days
B. Azithromycin 1 gm po x 1 dose
C. Metrogel .75% vaginal gel, i applicator vaginally BID x 5 days
D. Metronidazole 500 mg i po BID x 7 days
Question 6
The nurse practitioner is teaching a community class on HIV. Topics of discussion include routes of transmission, risk factors, and testing. Which of the following statements by the nurse practitioner is/are true? Select all that apply:
A. HIV is transmitted by kissing
B. HIV is not transmitted through oral sex
C. The Western blot is a confirmatory test for HIV
D. Maternal transmission of HIV may be reduced with planned cesarean birth
Question 7
The nurse practitioner understands that non-pharmacologic treatments for urinary incontinence include: Select all that apply.
A. Kegel exercises
B. Oxybutynin (Ditropan)
C. Weight loss if obese
D. Pessaries
Question 8
Anticholinergic medications are a type of treatment for which type of urinary incontinence?
A. Urge incontinence
B. Stress incontinence
C. Vulvodynia
D. Urethritis
Question 9
You are at the office and a thirty-year-old woman presents with an abrupt onset of pain when attempting to urinate, frequency, urgency, and she thinks she may have seen some blood as well. You take her history and she tells you she had sex three days ago with her long-term significant other, but she realized she left her diaphragm in until today when these symptoms occurred. Her BP is unremarkable, pulse is 90, temperature is 99.8, no costovertebral angle tenderness (CVAT), and she is experiencing slight suprapubic discomfort. You review her urine dip and you note 2+ blood, +nitrates, +leukocyte esterase. You send the urine for culture and sensitivity but your management plan is:
A. Await the urine culture and sensitivity results before treatin
B. Advise her to drink cranberry juice and you will give her a pain medication.
C. Treat now for a UTI while culture results are pending; screen for STIs if applicable.
D. Refer to an urologist
Question 10
A woman comes to the clinic with the chief complaint of involuntary leakage of urine. The nurse practitioner understands that which of the following is not associated with an increased incidence of urinary incontinence?
A. Obesity
B. Pregnancy
C. Vaginal delivery
D. Cesarean section
Question 11
The most common cause of chronic pelvic pain for women in the prime of their reproductive years is:
A. PID
B. Fibroids
C. Endometriosis
D. Endometritis
Question 12
A definitive diagnosis of endometriosis cannot be made until which of these is completed?
A. CT scan
B. Transvaginal ultrasound
C. Exploratory laparoscopy
D. MRI
Question 13
A patient has been diagnosed with Chlamydia. Which of the following single dose medications would be the best option?
A. Azithromycin 1 g
B. Rocephin 250 mg
C. Doxycycline 500 mg
D. Metronidazole 2 g
Question 14
Cynthia, a 42-year-old female, presents with a painless, indurated ulcer on her labia. An inspection of her body reveals no other lesions, and she cannot recall any recent illness. You prescribe the patient benzathine intramuscularly in a single dose. What stage of syphilis are you most likely treating?
A. Primary
B. Secondary
C. Latent
D. Tertiary
Question 15
The National Osteoporosis Foundation recognizes which of the following risk factors for osteoporosis as modifiable? Select all that apply.
A. Advanced age
B. Caucasian Race
C. Cigarette Smoking
D. Corticosteroid Use [Show Less]