Chapter 46: STDs

A 40-year-old woman with gray run a vaginal discharge that has a foul fishy odor has been told that she most likely has vaginosis. Which of the following phenomenon most likely contributed to her present condition?

A sharp reduction in the number of lactobacilli and the clients vaginal flora

A pregnant teenager has arrived at a free clinic seeking care. She has no prenatal care and is currently 27 weeks gestation. Upon testing for sexually transmitted disease it is found she has active T. palladium or syphilis. Given the fact that she has active syphilis at the stage of pregnancy it is very likely her fetus is at risk for: select all that apply

Born prematurely, congenital defects

24-year-old female presents with Volver pure -itis accompanied by irritation, pain on urination, your semen odorless thick acid vaginal discharge. She denies sexual activity during the last six months. Her record show that she has diabetes mellitus and uses oral contraceptives. Which category of anti-microbial medication is most likely to clear her symptoms?

Clotrimazole, an anti-fungal agent

During unprotected sex a 17-year-old female high school senior has been exposed to HPV. The school nurse would recognize that the student is that a considerable risk of developing which of the following diagnoses?

Condylomata acuminata

Unbeknownst to him, a 30-year-old male has contracted treponema pallidum or syphilis during a sexual encounter the night before. Place the following manifestations of the micro organism in chronological order that they would occur in the absence of treatment. Use all the options

Development of painless chancres on the male scrotum, appearance of a rash on the man's palms and feet, latency, formation of aneurysms

The health nurse is dealing with the case of untreated chlamydial infection. The nurse suspects the patient has developed Reiter syndrome. Which of the following clinical manifestations would support this diagnosis? Select all that apply

Diffuse pinkness of the conjunctivitis along with water and itchy eyes, asymmetric complaints of stiffness and pain in knees and sacroiliac joints, pain with urination

A male college student has arrived at the student clinic complaining of tingling, itching and pains in his groin. Upon inspection the nurse notices some pustules in vesicles. I'll taking a detailed sex history, the nurse ask which of the following questions to rule out further complications?

Do you have pain when you urinate or have difficulty starting the stream

A 20-year-old male has been diagnosed with chlamydial infection and his primary care providers performing teaching an effort to prevent the client from infecting others in the future. Which of the following statements by the client demonstrates the best understanding of his health problem?

Even if I spread it to someone else there's a good chance she won't have any symptoms or no she has it

A 31-year-old male with diagnosis of genital herpes of the HSV-2 Type five years ago. He is now broaching the subject with a woman who he is recently formed a relationship with. Which of his statements is most accurate?

Even when I'm not having a recurrence I could still pass the bars on to you

Ocampo space peer counseling group is conducting an information blitz on sexually transmitted diseases. Which of the following statements about genital warts requires correction?

Genital warts can take up to a month after exposure to first become visible

55-year-old man has presented to the emergency department because he Is alarmed at the Jennifer to urinary symptoms he has experienced over the last several days. He reveals that he has a number of new sexual relationships during a tropical vacation that ended five days ago. Over the last several days, he has increasing pain with his urethra and creamy yellow discharge from his penis. On the last two days, the discharge has been occasionally blood tinged. What differential diagnosis for the care team is first priority?

Gonorrhea

While working in a sexually transmitted disease clinic, the nurse should be aware that which of the following diagnostic tools are available for diagnosing chlamydial infections? Select all that apply

Gram stain where polymorphonuclear leukocytes are identified, direct fluorescent antibody testing, enzyme link immunosorbent essay(ELISA), nucleic acid amplification test (NAATs)

A pregnant 23-year-old diagnosed with herpes Symplex virus or HSV is receiving prenatal care from her family physician. To prevent transmission of the virus to her baby the physician will educate to include which of the following accurate statements?

If there aren't any visible lesions when you enter labor a vaginal delivery will be safe to go ahead

A patient with a yeast infection ask the nurse how they diagnose this infection. The nurse will base her response knowing this is primarily diagnosed by

Looking at the spores on a wet mount slide using 20% potassium hydroxide

After hearing horror stories about the sign symptoms and course of lymphogranuloma venereum or LGV, a high school student ask a visiting sex health educator about the odds of acquiring the disease among sexually active Americans. Which of the following facts will most accurately underlie the educators response?

Men who have sex with men are at a particular risk of LGV

A young woman presents with vaginal itching and irritation of recent onset. Her labia are swollen and she has frothy yellowish discharge with an unpleasant smell on a pH of 6.8. She has been celibate during the last six months and has been taking anabiotic's for a throat infection. Which medication is most likely to clear her symptoms?

Metronidazole

A 24-year-old woman has presented an inner-city free clinic because of copious Foul vaginal discharge that she has had in recent days. Microscope he has confirm the presence of trick. What are the woman's most likely treatment and prognosis?

Oral anti-protozoal to the patient and sexual partners to help prevent complications

Which of the following factors are known to contribute a vaginal yeast infections? Select all that apply

Poorly controlled diabetes, recent antibiotic therapy, use of oral contraceptives, high hormone levels during pregnancy

In a busy STD clinic on a large university campus, a group of students have developed tetracycline and penicillin resistant strains of gonorrhea. Given these results, the nurse can expect which of the following medications will be prescribed?

Single injection of Rocephin (ceftriaxone)

Between-year-old male has presented to a health clinic with multiple general lesions that are filled with viscous, creamy exudate and has subsequently been diagnosed with molluscum contagiosum. What is his care provider most likely to tell him about the plan for treating this diagnosis?

This kind of infection often subside on its own and doesn't grow more serious overtime