Conditions

Question 1

What causes a strawberry cervix? with green discharge

Answer 1

pinpoint hemorrhages? trichomoniasis

Question 2

Do you have clue cells and a positive whip test?

Answer 2

Bacterial vaginosis

Question 3

Friable cervix? Too many white blood cells to count

Answer 3

GT or CT

Question 4

Painful vesicles?

Answer 4

Herpes

Question 5

Herpes or HSV in the cornea of the eye is called?

Answer 5

refer to ophthalmology

Herpes Keratitis

Question 6

Normal vaginal PH?

Answer 6

3.8-4.5

Question 7

Treatment for GT/CT positive

Answer 7

Doxycycline and rocephin

Question 8

Treatment CT only?

Answer 8

Doxycycline or azithromycin?

Question 9

Treatment for GT only?

Answer 9

Rocephin (lots of RR’s in Gonorrhea)
If allergies can use doxy

Question 10

Treatment for trichomoniasis and BV?

Answer 10

Flagly –> do not want to drink alcohol (disulfide reaction)

Question 11

Syphilis screen?
Treatment?

Answer 11

rapid plasma reagin [RPR] test)
confirm with positive FTA-ABS results
Detect presence Treponema pallidum bacteria. (positive for life with past or present infection). The fluorescent treponemal antibody absorption (FTA-ABS) test is a blood test that checks for the presence of antibodies to Treponema pallidum bacteria.

Treatment: IM Penicillin G (Bicillin)
-stage-specific

Question 12

Rash on palm and soles is what stage of syphilis?

Answer 12

2nd Stage

Question 13

Stage 3 of syphilis

Answer 13

Brain and spinal cord

Question 14

Herpes treatment?

Answer 14

acyclovir start 48-72hr window

Question 15

Which STIs are reportable?

Answer 15

HIV, AIDS, Syphilis, GT/CT

Question 16

Non-STI conditions that are reportable?

Answer 16

Pertussis, Hep, Anthrax, lead poisoning, Rocky Mountain, and Lymes.

Question 17

Kidney disease labs ranked?

Answer 17

1. GFR
2. Cretitine
3. BUN

Question 18

What SSRI can help with night sweats?

Answer 18

paroxetine ( Paxil) alternative to HRT

Question 19

Vaginal atrophy treatment?

Answer 19

vaginal cream.

Question 20

Herbals for menopause s/s relief?

Answer 20

Ginko, black cohosh.

Question 21

HRT(hormone replacement therapy) increases what cancer?

Answer 21

ovarian

Question 22

topical estrogen is good for what?

Answer 22

per/post-menopausal- no cx risk
-plump up the cells of the vagina,
helps the pelvic floor, and UTI protection, prevent dryness

Question 23

PCOS -Poly cystic ovarian syndrome
risk for

Answer 23

ovarian and endometrial cx, hyperlipidemia, high androgen levels–> extra hair, major acne, and insulin resistance.

notes tender lumps and knots under the skin of the jaw and cheeks, as well as fine, dark hair distributed on her upper lip and jawline upon examination

-Metformin (to conceive)
-or BCC

Question 24

Galactorrhea

Answer 24

non lactating= discharge
does this indicate cancer? breast stimulation or drug side effects

Labs: Prolactin level (prolactinoma might be the issue)–> refer out.
Drugs that can cause galactorrhea

Antipsychotics that can cause: Zyprexa, olanzapine, clozapine (Clozaril).

Question 25

A 36-year old female patient presents for a well-woman exam and wants to discuss birth control options. She has a history of hypothyroidism and currently smokes ½ pack of cigarettes per day. She tells you that three years ago she had a pregnancy that required surgery because the “baby was in her Falllopian tube.” The nurse practitioner recognizes that which of the following would be an appropriate birth control option for this patient?

1. IUD copper
2. Mirinea IUD
3. Mini pill
4. Ring

Answer 25

Absolutely contraindications of of combined estrogen/progestin contraceptives include smokers over the age of 35, history of migraines with aura, smoker, history of deep vein thrombosis, uncontrolled hypertension, breast cancer, liver tumor or liver disease, pregnancy, or undiagnosed abnormal vaginal bleeding. Furthermore, the Ortho Evra patch carries the highest risk of blood clot of the combined hormonal contraceptive options. Due to this patient’s history of ectopic pregnancy, any IUD use would be contraindicated. The best option for this patient would be a progestin-only or nonhormonal option, making option D the

Question 26

A 27-year-old first-time mother presents for her 6-week postpartum check-up. She wants to discuss birth control options that are breastfeeding-friendly. The nurse practitioner prescribes an oral contraceptive. Which of the following teaching points would be critical with the most likely prescribed medication?

A.This pill needs to be taken at the exact same time every day in order to be effective.

B
This medication contains two different hormones which will prevent pregnancy

C
If you have any history of migraines with aura, it is important that you tell your provider

D
As long as you take this medication within the same 8-hour window each day, it will be highly effective.

Answer 26

a.
The best oral contraceptive option for breastfeeding mothers is a progestin-only containing option, such as norethindrone (the mini-pilll). Progestin-only oral contraceptives need to be taken at approximately the same time every day in order to be most effective; A is the correct answer choice. Combined oral contraceptives contain both progestin and estrogen, and carry with them more contraindications and risk of blood clot and stroke. For combined oral contraceptive options, history of migraine with aura would be an absolute contraindication