CH 41 Sexually Transmitted Infections

A 22-year-old patient has presented to her primary care provider for her scheduled Pap smear. Abnormal results of this diagnostic test may imply infection with:a) human papillomavirus (HPV).b) Chlamydia trachomatis.c) Candida albicans.d) Trichomonas vaginalis.

A) human papillomavirus (HPV)Although a Pap smear does not test directly for HPV, dysplasia of cervical cells is strongly associated with HPV infection. An abnormal Pap smear is not indicative of chlamydial infection, trichomoniasis, or candidiasis.

The primary reason genital herpes has reached epidemic proportions throughout the world relates to the fact that:A. A large percentage (70%) of those infected experience no symptoms of the diseaseB. Lesions take a long time to incubate and the small papules are usually located inside the vaginaC. The organism spreads upward to the prostate gland in males and fallopian tubes in femalesD. The lesions (LSILs) occur on the cervix and can be detected by a Pap test.

A. A large percentage (70%) of those infected experience no symptoms of the disease

a male diagnosed with gonorrhea will likely complain of which of the following clinical manifestations select all that apply

urethral pain creamy, yellow, sometimes bloody discharge

Of the following STIs, for which STI should the nurse anticipate a prescription for antibiotics such as tetracycline or doxycycline since this infection will respond to antibiotic treatment?A. Human papillomavirus infection (HPV)B. Lymphgranuloma venereum (LGV)C. Herpes simplex virus type 2 infection (HSV-2)D. Candidiasis

B. Lymphgranuloma venereum (LGV)

A female college student is distressed at the recent appearance of genital warts, an assessment finding that her care provider has confirmed as attributable to human papillomavirus (HPV) infection. Which of the following information should the nurse give the patient?a) "It's important to start treatment soon, so you will be prescribed pills today."b) "I'd like to give you an HPV vaccination if that's okay with you."c) "There is a chance that these will clear up on their own without any treatment."d) "Unfortunately, this is going to greatly increase your chance of developing pelvic inflammatory disease."

C) There is a chance that these will clear up on their own without any tx Genital warts may resolve spontaneously, although this does not preclude recurrence. Pharmacologic treatments are topical and vaccination is ineffective after infection has occurred. HPV infection is not correlated with pelvic inflammatory disease (PID).

A couple presents to an infertility clinic. The health care provider will focus testing on which of the following sexually transmitted infections (STIs) that is very damaging to the reproductive system but rarely exhibits symptoms of infection?

Chlamydial Infection

Men whose sexual partners have been diagnosed with Trichomonas vaginalis will likely exhibit: A. Numerous pustules on the penal shaftB. Copious amounts of frothy discharge from the penisC. Redness and pain at the urethral meatusD. No symptoms of infection

D

A sexually transmitted infection that is caused by a microorganism with two morphologically distinct forms is:a) chancroid.b) candidiasis.c) Trichomonas vaginalis.d) Chlamydia.

D) Chlamydia

Which of the following assessment questions is most likely to address the causation of a woman's new case of candiasis?A. "Do you use condoms during sexual activity?"B. "Have you recently begun a new sexual relationship?"C. Have you noticed any new growths on your vagina in recent months?"D. "Have you been on antibiotics recently?"

D. "Have you been on antibiotics recently?"

While in its dormant state, herpes simplex virus resides and replicates in theA. local lymph nodesB. Subcutaneous tissuesC. Dorsal root gangliaD. Mucous membrane

Dorsal root ganglia

During infertility work up, the client is diagnosed with chlamydial infection. The health care provider will especially be looking for which complication of chlamydial infections that can interfere with egg transportation?A. Fallopian tube damageB. Vaginal adhesionsC. Uterine cancerD. Amenorrhea

Fallopian Tube Damage

A nurse is assisting with a physical examination of a male client. Which of the following signs and symptoms is most clearly suggestive of primary genital herpes?

Itching, pain, and the emergence of pustules on the penis

Periods of latency in the nervous system A client presents to the GYN clinic complaining of large amounts of frothy yellow-green discharge that smells very foul. Immediately, the health care provider is thinking this client most likely has:

Trichomoniasis

Which of the following phenomena is thought to underlie the decreased reported incidence of some STIs?A)Increased knowledge of the correct use of condomsB)Increased public funding for health promotion activitiesC)Decreased reporting of cases of certain STIsD)Decreased numbers of sexual partners among young adults

decreased reporting of cases of certain STIs

Which of the following events is associated with the primary stage of syphilis?

genital chancres