Rasmussen College MDC 3 Exam 1 Study Questions and Answers (2024 / 2025) (Verified Answers)
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Rasmussen College MDC 3 Exam 1
Questions and Answers (Verified Answers)
1.What are the symptoms of syphilis
ANS – painless chancre sore
- fever
- headache
- muscle ache
– rash
2.what is the treatment for syphilis
ANS Penicillin G
3.what are you going to ask the patient before giving PCN-G
ANS “do you have any allergies”
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4.what is the treatment for chlamydia
ANS azithromycin single dose 1gm. given IM
5.what is the education that needs to be provided to a patient with STI
ANS no sex until treatment is completed and have the partner get
treated
6.If they have a STI and being treated, what is it that they should not be
doing
ANS having sex until after 7 days after the last dose of ABT is
administered
7.what education should be provided if a woman has some inflammation
or irritation in their private area
ANS – proper hygiene
- cotton panties
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S/S syphilis (primary/secondary) “canker sore, fever, headache, muscle ache, rash, “”chancre”””
treatment of syphilis Penicillin G
What should be known before administering Penicillin? possibly allergy
Treatment for chlamydia Single dose, 1 g, Azithromycin
Education on STI’s partners need to be checked, wear condoms
If you have an STI, how long should you abstain from intercourse? 7 days (course of abx end)
if pt having irritation/inflammation in perineal area no scented products, wipe from front to back, perineal hygiene, no douching, an ice pack may help
What do we assess with heavy menstrual periods/long periods? H & HHormone levelsIron Levels
Education to pt with urinary incontinence Scheduled toileting, no drinking after 5-6 pm, avoid food/drinks with caffeine
S/S BPH? -nocturia, inability to urinate, trouble starting to urinate, weak stream (dripples)
Med class for BPH
Alpha blockers are better for patients with BPH AND hypertension
what drugs should pt with BPH avoid anticholinergic drugs(would make symptoms worse)
ED meds PDE5-sildenafil
risk factors for ED
when we talk to patients with these issues, how do we talk to them? respecting privacy, open-ended questions, therapeutic communication
where does prostate cancer metastasize to first bone
what levels will be elevated with prostate cancer phosphate
lab value for K+ 3.5 to5 meq
lab value for phosphate 2.5-4.5
lab value for magnesium 1.8-2.2
lab value for creatinine 0.6-1.2
lab value for bun 10-20
AST lab 5-40
ALT lab value 7-56
What do we use to screen for prostate cancer? PSA
When should pt start getting PSA screen? 50 or over for men with no risk factors40 for men with family hx
S/S prostate cancer no signs and symptoms typically
what should we ask pt with testicular cancer? (20-35 year olds are most affected)ask if they want to bank their sperm if they want kids in the future
At what age do mammograms start? 45 (general, no risk females)
risk factors for breast cancer
if a PT comes in and they have found a lump, what is next step? mammo/biopsy
what is the main course of treatment for uterine cancer patients total hysterectomy
what do we need to be concerned about in post-op total hysterectomy pt
abdominal distention, uterine & abdominal enlargement, bleeding, heavy cycle-what does this describe? leiomyoma
What vaccine protects from HPV Gardasil
What age is Gardasil administrered 11-12 years old/ 3 doses total over 6 months-both genders can get it
usually done for early detection cervical cancer cervical ablation
post cervical ablation care
What causes AKI? medications, hypovolemia, dehydration, drugs & alcohol, infarct of liver/cardio/kidney
treatment of AKI Treat underlying causeMeasure I & ORestrict K+
ways to treat acute kidney infection renal diet, no drinking/smoking
PT on dialysis, what are we needing to be on alert for? (temporary dialysis)
chronic kidney pt with fistula getting dialysis, concerns: checkf ro thrill/bruitput a limber alert on arm of fistula
urolithiasis s/s flank pain, fever, n/v, difficulty urinating, elevated WBC
Pylonephritis flank pain, fever, n/v, difficulty urinating, very common in pt with unresolved UTI
acute glomerulonephritis can be caused by _ strep signs of acute glomerulonephritis – hematuria -proteinuria-pyuria fluid overload, how will pt present BP increasedcardiac complications How do you get polycystic kidney disease genetic, unmodifiable s/s of polycystic kidney disease DULL, ACHING ABDOMINAL, LOWER BACK OR FLANK PAIN, OR COLICKY PAIN THAT BEGINS ABRUPTLYcva tenderness nephrotic syndrome group of clinical signs and symptoms caused by excessive protein loss in urine if pt has elevated GFR, what does this mean for protein decrease protein normal GFR, protein? normal protein if pt has nephrotic syndrome, but GFR is okay, do we need to monitor protein leve? no Kidney Disease causes ____ & _____– cardiac & BP issues