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NUR 546 EXAM 2 LATEST / |ACTUAL EXAM
QUESTIONS WITH CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) 100% GUARANTEED PASS!!
Treatment for VVC in pregnancy - ANSWER - 7 days topical therapy *Fluconazole is contraindicated*
KOH prep kills off all _____ _______ cells - ANSWER - non-fungal
Trichomoniasis symptomology - ANSWER - itching, discharge, 70% may be asymptomatic frothy, gray, yellow/green discharge cervical petechiae (strawberry cervix) dysuria, dyspareunia pH >4.5 may have positive whiff test
wet mount: motile protozoa, many WBC
treatment of partner required in: - ANSWER - BV - No
Trich - Yes Candidiasis- No
Tx of Trich - ANSWER - Cervicovaginal infection: 1 / 3
pg. 2 Metronidazole 500mg PO BID x 7 days
Alt treatment for compliance:
Metronidazole 2g PO x1
Penile infection:
Metronidazole 2g PO x1
Gonorrhea treatment - ANSWER - Ceftriaxone 500mg IM x1 PLUS Doxycycline 100mg PO BID x7days
OR (in pregnancy): Azithromycin 1g orally x1
Chlamydia treatment - ANSWER - Doxycycline 100mg orally BID x 7 days
(in pregnancy): Azithro 1g orally x1
Treatment of primary, secondary, and early latent syphilis - ANSWER - PCN 2.4 million units IM x1
If allergic can use Doxycycline 100mg BID PO x 14 days
Primary syphilis s/s - ANSWER - primary lesion at site of inoculation:
circular open, indurated lesion, flat, erythematous, slight raised borders highly infectious heals in 3-6 weeks 2 / 3
pg. 3 Chlamydia s/s - ANSWER - 1. rarely symptomatic
- yellowish mucopurulent cervicitis
- friable cervix
Gonorrhea s/s - ANSWER - 1. Mucopurulent cervical discharge
- Often will see BV with leukorrhea, indicative of coinfection
- Mild cervical, uterine, adnexal tenderness
Criteria for PID (CDC) - ANSWER - 1. Inc oral temp >101
- Mucopurulent discharge
- Inc WBCs on wet mount
- Elevated ESR
- Elevated CRP
- Positive for gonorrhea or chlamydia
Treatment for PID - ANSWER - Ceftriaxone 500mg IM x1 (OR Cefoxitin 2 g IM x1 and Probenecid 1 g orally in a single dose, OR other 3rd gen cephalosporin)
PLUS Doxycycline 100mg BID x 14 days
PLUS Metronidazole 500mg BID x 14 days
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