Sexually transmitted disease Flashcards

1
Q

Establish how the herpes simplex virus (HSV-2) can spread.

Sink surfaces

Oral secretions

Semen

Toilet seats

A

Oral secretions

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2
Q

Predict the pertinent subjective data that you would expect to find in the history of a client with chlamydia.

History of frequent urination

History of another STI

History of constipation

Vaginal discharge with fishy odor

A

History of another STI

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3
Q

A 28-year-old woman is diagnosed with human papillomavirus (HPV). Predict the HPV types that are most often associated with cervical and anogenital cancer.

HPV types 3 and 16

HPV types 18 and 31

HPV types 22 and 24

HPV types 6 and 11

A

HPV types 18 and 31

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4
Q

A 65-year-old woman presents to the clinic with complaints of symptoms associated with secondary syphilis. Determine which of the following is found in secondary syphilis.

Painless genital ulcer

Chancre

Cervical petechial hemorrhages are present in 30% of the cases.

Generalized rash

A

Generalized rash

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5
Q

A nurse practitioner is describing human immunodeficiency virus (HIV) to a local women’s group. Predict how the nurse practitioner states how HIV is spread.

Toilet seats

Sharing a drink

Table surfaces

Sharing needles

A

Sharing needles

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6
Q

Predict a complication of gonococcal and chlamydial genitourinary infection in women.

Chancre

Painful ulcer

Pyelonephritis

Tubal scarring

A

Tubal scarring

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7
Q

The nurse practitioner is educating a patient regarding the treatment of the herpes simplex virus (HSV). Conclude which of the following is likely reported in a woman with an initial episode of HSV-2 infection.

Green vaginal secretions

Fever

Malodorous vaginal discharge

Painful ulcer

A

Painful ulcer

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8
Q

The nurse practitioner is educating a group of adolescents on human papillomavirus (HPV). Determine the statement that accurately describes the diagnosis and treatment of patients with HPV.

Infertility is linked to HPV.

There is no cure for HPV.

Treated women require a follow-up Pap smear every 3 years.

All cases of HPV lead to cancer.

A

There is no cure for HPV.

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9
Q

The nurse practitioner is educating a patient who is recently diagnosed with the herpes simplex virus (HSV-2). Propose an accurate statement that would reflect a need for further education.

Many people with HSV-2 are asymptomatic.

During the acute phase of this disorder, my risk of spreading HSV-2 is low.

HSV-2 is more common in men than in women.

The number of people with HSV-2 is decreasing.

A

Many people with HSV-2 are asymptomatic.

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10
Q

A 23-year-old patient presents to the clinic with concerns about sexually transmitted diseases. The primary complaint is vaginal discharge. The patient is diagnosed with trichomoniasis. Establish which of the following statements is accurate.

Trichomoniasis increases the risk of HIV transmission in men and women.

Trichomoniasis is more prevalent in elderly women.

Diagnosis is typically based on biopsy results.

It is also referred to as a yeast infection.

A

Trichomoniasis increases the risk of HIV transmission in men and women.

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11
Q

A 28-year-old woman is diagnosed with human papillomavirus (HPV). Predict the HPV types that are most often associated with cervical and anogenital cancer.

HPV types 6 and 11

HPV types 16 and 18

HPV types 1, 2, and 18

HPV types 3 and 16

A

HPV types 16 and 18

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12
Q

Recommend a treatment for patients presenting with trichomoniasis.

Antihistamines

Doxycycline

2-gram dose of oral metronidazole

Rocephin 250 mg IM

A

2-gram dose of oral metronidazole

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13
Q

A 65-year-old woman presents to the clinic with complaints of symptoms associated with secondary syphilis. Determine which of the following is found in secondary syphilis.

Painless genital ulcer

Generalized rash

Pyelonephritis

Purulent vaginal discharge is present during the latent stage.

A

Generalized rash

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14
Q

he nurse practitioner is educating a group of students on the diagnosis and treatment of patients with chlamydia. Propose an accurate statement.

A test to confirm or ensure cure is not recommended.

An annual Pap smear should be performed.

Treatment includes antibiotics and patient education.

Urine samples cannot identify the micro-organism.

A

Treatment includes antibiotics and patient education.

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15
Q

A nurse practitioner is describing human immunodeficiency virus (HIV) to a local women’s group. Predict how the nurse practitioner states how HIV is spread.

Toilet seats

Sharing a drink

Blood transfusion or products

Holding hands

A

Blood transfusion or products

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16
Q

Faith, a 20-year-old woman, presents to the women’s health clinic complaining of dyspareunia and vaginal discharge. Establish an accurate statement of gonococcal infection.

The incidence of gonorrhea in men is similar to that in women.

Complications include acute pyelonephritis.

Untreated gonorrhea can result in prostatitis in men.

The majority of patients present with symptoms of low back pain.

A

The incidence of gonorrhea in men is similar to that in women.

17
Q

The nurse practitioner is educating a group of students on syphilis. Determine the inaccurate statement that reflects a need for further education.

There are five specific phases of syphilis infection.

The first line of treatment for primary syphilis is penicillin.

Women are affected more than men.

Chancres appear during the secondary phase.

A

The first line of treatment for primary syphilis is penicillin.

18
Q

Recommend what comprehensive STI testing should include testing for.

HIV

Bacterial vaginosis

Hepatitis A

Candidiasis

A

HIV

19
Q

Predict a complication of gonococcal and chlamydial genitourinary infection in women.

Hypertension

Chancre

Painful ulcer

Vaginal discharge

A

Vaginal discharge

20
Q

Recommend a treatment for patients presenting with trichomoniasis.

Rocephin 250 mg IM

Antifungal

Doxycycline

Azithromycin 1 gram

A

Antifungal

21
Q

A 45-year-old woman presents to the clinic with complaints of fleshy growths around her vagina and anus. The patient indicates that the growths are flesh-colored and visible to the naked eye. The patient also stated that she does not use protection when having sex and that she has multiple partners. Recommend diagnostic testing for this patient.

Tzanck smear

STI testing

Gram stain and culture

Microscopic evaluation for motile flagellated trichomonad

A

STI testing

22
Q

The nurse practitioner is educating a group of students on syphilis. Determine the inaccurate statement that reflects a need for further education.

Chancres appear during the secondary phase.

Syphilis is most contagious during the secondary stage.

The majority of infected persons heal spontaneously.

There are five specific phases of syphilis infection.

A

Syphilis is most contagious during the secondary stage.

23
Q

A 65-year-old woman presents to the clinic with complaints of symptoms associated with secondary syphilis. Determine which of the following is found in secondary syphilis.

Cervical petechial hemorrhages are present in 30% of the cases.

Purulent vaginal discharge is present during the latent stage.

The treatment of syphilis is dependent on the stage of the infection.

Patients with syphilis often present with pelvic inflammatory disease.

A

The treatment of syphilis is dependent on the stage of the infection.

24
Q

Propose the goal of therapeutic (drug) management for a patient presenting with HIV.

Decrease the HIV viral load

Cure the patient

Mandate patient adherence to the medication

Provide medication for free to ensure compliance

A

Decrease the HIV viral load

25
Q

Establish how the herpes simplex virus (HSV-2) can spread.

Toilet seats

Sink surfaces

Hot tubs

Normal-looking skin

A

Normal-looking skin

26
Q

The nurse practitioner is educating a patient who is recently diagnosed with the herpes simplex virus (HSV-2). Propose an accurate statement that would reflect a need for further education.

The number of people with HSV-2 is decreasing.

The initial outbreak typically lasts longer than subsequent outbreaks.

If the disease is dormant, then I can have unprotected sex.

During the acute phase of this disorder, my risk of spreading HSV-2 is low.

A

The initial outbreak typically lasts longer than subsequent outbreaks.