All of the following are infections that affect mostly the labia and vagina except:
Patients who are diagnosed with gonorrhea should also be treated for which of the following infections?
Human papilloma virus (HPV) infection of the larynx has been associated with:
Metaplasia of esophageal squamous cells
A 30 year old female who is sexually active complains of a large amount of milk-like vaginal discharge for several weeks. A microscopy slide reveals a large amount of squamous epithelial cells that have blurred margins. Veery few white blood cells are seen. The vaginal pH is 6.0. What is the most likely?
A normal finding
The pap smear results on a 20 year old sexually active student who uses condoms inconsistently shows a large amount of inflammation. Which of the following is the best follow-up action?
The NP needs to do cervical cultures to verify the presence of gonorrhea
Prescribed metronidazole vaginal cream for the patient over the phone
Call the patient and tell her she needs a repeat pap smear in 6 months
Advise the patient to use a Betadine douche at bedtime x3 days
While performing a pap smear on a post-menopausal patient, several areas of flat white skin lesions that are irregularly shaped are found on the patient's labia . The patient reports that the lesions are extremely itchy and have been present for several years without much change. Which condition is best described?
Chronic scabies infection
Chronic candidal vaginitis
A physiologic variant found in some older women
A sexually active woman is complaing of amenorrhea and vaginal spotting. On exam, her left adnexa is tender and cervical motion tenderness is positive. Which of the following tests should the NP initially order?
Flat plate of the abdomen
CBC with white cell differentials
Urine pregnancy test
Fitz-Hugh-Curtis Syndrome is associated with which of the following infection?
hCG is produced by the:
The majority of serum alpha fetoprotien is produced by the:
Fetal neural tube
A college student has recently been informed that he has an HPV infection on the shaft of his penis. Which of the following may reveal subclinical lesions on the penile shaft?
Perform a KOH exam
Scrape off some of the affected skin and send it for culture and sesnitivity
Apply acetic acid to the penile shaft and look for acetowhite changes
Order serum herpes virus titer
The ELISA and Western Blot tests are both used to test HIV. Which of the following statements is correct?
It is a test ot detect viral RNA
A positive ELISA screening does not mean the a person has HIV infection
It is a test to detect viruses
It is a diagnostic test of the AIDS virus
A 25 year old woman's LMP was 6 weeks ago. She is complaining of nausea with vomiting in the morning and fatigue. Her breasts feel bloaated. The NP suspects that she is pregnant. Her symptoms would be considered:
Positive signs of pregnancy
Probable signs of pregnancy
Presumptive signs of pregnancy
Possible signs of pregnancy
Which of the following should you expect to find on a wet mount slide of a patient diagnosed with bacterial vaginosis?
A large amount of leukocyte and epithelial cells
A large amount of bacteria coating the squamous cells and very few leukocytes
Epithelial cells and a small amount of blood
A 14 year old teen is worried that she has not started to menstruate like most of her friends. During the gynecological examination, the NP tells her mother, who is in the room with the patient, that her daughter is starting Tanner Stage II. What are the physical exam findings?
Breast buds and some straight pubic hair
Fully developed breasts and curly pubic hair
Breast tissue with the areola on a separate mound with curly pubic hair
No breast tissue and no pubic hair
Physiologic anemia of pregnancy is due to:
An increase in the CO at the end of the second trimester
A physiologic decrease in the production of RBCs in pregnant women
An increase of up to 50% of the plasma volume in pregnant women
An increase in the need for dietary iron in pregnancy
You are reviewing a pap smear report on a 25 year old female. Which of the following cells should be on a pap smear to be classified as a satisfactory specimen?
Clue cells and endometrial cells
Vaginal cells and cervical cells
Squamous epithelial cells and endocervical cells
Leukocytes and RBCs
What does a KOH prep help the NP diagnose?
All of the following are reportable diseases except:
A woman is being evaluated by the NP for complaints of dyspareunia. A microscopy slide reveals a large number of atrophic squamous epithelial cells. The vaginal pH is 4.0. There are very few leukocytes and no RBCs seen on the wet smear. Which of the following is the most likely?
This is a normal finding
The following conditions are absolute contraindications for the use of OCPs except:
History of emboli that resolved with heparin therapy 15 years ago
A family history of migraine with aura
A history of gall bladder disease during pregnancy
All of the following findings are associated with secondary stage of an infection with the organism Treponema palladium except:
Maculopapular rash on the palms and soles
The following are acceptable methods of birth control for breast feeding mothers except:
Diaphragm with spermicidal gel
Micronor (Progesterone Only pill)
Low dose oral contraceptives with at least 20 mcg of estriadol
Women with a history of PID have an increased risk for all of the following except:
Scarring of the fallopian tubes
In most states, patients younger than 18 years may consent to health care without parental or legal guardian consent except for which of the following?
STD evaluation and treatment
The pap smear result for a 20 year old sexually active college student who uses condoms inconsistently reveals a large number of white blood cells and blood along with inflammatory changes. During the speculum exam, the NP who examined the patient noticed that the patients cervix bled very easily (friable) and a small amount of purulent discharge was present on the cervical surface. No cervical motion tenderness was noted during the bimanual exam. What is the next step in the management of this patient?
The NP needs to do cervical cultures to verify gonorrhea
Prescribe metronidazole cream for the patient over the phone
Call the patient and tell her she needs a repeat pap smear in 6 months
Advise her to use a Betadine douche at bedtime for 3x days
Human Papilloma Virus infection in women has been associated with the development of:
When Molloscum Contagiosum is found on the genital area of children, which of the following is the best explanation?
It should raise suspicion of child sexual abuse
It should not be considered a STD
It is caused by atypical bacteria
It is caused by the pox virus and will resolve on its own
Which of the following methods is used to diagnose gonorrheal pharyngitis or proctitis?
Serum chlamydial titer
Culture and sensitivity of the purulent discharge
All of the following are considered Category X drugs except:
An 18 year old waitress is diagnosed with PID. the cervical Gen-Probe result is positive for Neisseria gonorrhoeae and negative for chlamydia trachomatis. All of the following statements are true regarding the management for this patient except:
This patient should be treated for chlamydia even though the Gen-Probe for chlamydia is negative
Ceftriaxone 250 mg IM and doxycylcine 100 mg BID x14 days are appropriate treatment for this patient
Advise the patient to return to the clinic for a repeat pelvic exam in 48 hours
Repeat the Gen-Probe test for chlamydia trachomatis to ensure that the previous test was not false-negative result
What Tanner stage is a girl at when her breasts form a secondary mound?
Tanner Stage II
Tanner Stage III
Tanner Stage IV
Tanner Stage V
A 35 year old smoker is being evaluated for birth control choices. The patient has a history of PID along with embolic epidosde after her last pregnancy, Which of the following birth control methods are appropriate for this patient?
Condom and the vaginal sponge
A 21 year old woman complains of left-sided pelvic pain accompanied by dyspareunia. During the gynecological exam, the NP notices green cervical discharge. The patient mentions new onset of a painful and swollen left knee and denies a history of trauma. This best describes:
Chondromalacia of the patella
Disseminated gonorrheal infection
A 25 year old woman complains of dysuria, severe vaginal pruritus, and a malodorous vaginal discharge. Pelvic examination reveals a strawberry-colored cervix and frothy yellow discharge. Microscopic exam of the discharge reveals mobile organisms that have flagella. The correct pharmacological therapy for this condition is:
Ceftriaxone sodium (Rocephin)
Doxycycline hyclate (Vibramycin)
Metronidazole (Flagyl) produces the disulfiram (Antabuse) effect when combined with alcoholic beverages or medicine. You should educate the patient to avoid:
Alcoholic drinks while she is taking the medication
Alcoholic drinks 1 day before, during, and a few days after therapy.
Alcoholic drinks after she takes the medicine
There is no need to avoid any food or drink
All of the following drugs interfere with the metabolism of oral contraceptives except:
Which of the following is a CDC-recommended treatment for a case of uncomplicated gonorrheal and chlamydial infection?
Metronidazole (Flagyl) 250 mg PO TID for 7 days
Valacyclovir (Valtrex) 500 mg PO BID for 10 days
Azythromycin 1 g orally PO OR Doxycylcine 100 mg PO BID for 7 days
1 dose of PO Fluconazole (Diflucan) 150 mg
Which of the following is not a relative contraindication for oral contraceptives pills?
Active Hepatitis A infection
Thrombosis related to an IV needle
Undiagnosed vaginal bleeding
Migraine headache without focal aura
Which of the following is the most common cause of non-gonoccocal urethritis?
Which of the following is considered a relative contraindication for oral contraceptive pills?
A hepatoma of the liver
Suspected history of TIAs
All of the following are true statements regarding oral contraceptives except:
The actual failure rate of oral contraceptives is 3%
Desogesterol belongs to the progesterone family of drugs
The newer low-dose birth control pills do not require back-up method during the first two weeks of use
Oral contraceptives are contraindicated in women who are 35 years old or older and smoke
You are performing a pelvic exam on a 25 year old sexually active woman . You palpate a tender and warm cystic mass on the lower edge of the left labia majora, which is red. The most likely diagnosis is:
Skene's gland cyst
Bartholin's gland abcess
A patient diagnosed with BV should be advised that her sexual partner be treated with:
Ceftriaxone (Rocephin)250 mg IM with doxycylcine 100 mg BID for 14 days
Metronidazole (Flagyl) 500 mg PO BID for 7 days and 1 dose of azithromycin (Zithromax)
Her partner does not need treatment
Clotrimazole cream (Lotrimin) on his penis BID for 1-2 weeks
Which of the following is responsible for the symptom of dysmenorrhea?
Which of the following is the best method for diagnosing candidiasis in the primary care setting?
Clinical findings only
Females with PCOS are at higher risk for:
Heart disease and breast cancer
Uterine fibroids and ovarian cancer
A college student who is OCPs forgets to take her pills two days in a row during the second week of her pill cycle and wants to know that to do. What is the best advice?
Start a new pack of pill and dispose of the old one
Take 2 pills today and 2 pills the next day; use condoms for the rest of the cycle
Stop taking the pills right away and start a new pill cycle in two weeks.
Take 1 pill now and 2 pills the next day and use condoms
All of the following clinical findings are classifies as major criteria that are necessary to diagnose PID. Which of the following is classified as a minor criterion?
Cervical motion tenderness
Oral temperature of more than 101
All of the following are true statements about the HPV vaccine Gardisil except:
The CDC recommends the first dose at age 11-12 years
The CDC does not recommend the vaccine for males
The vaccine is not complete until a total of 3 doses have been administered
The minimum age the vaccine can be given is 9 years