The patient reports that she is free of gonorrhea and can now engage in sexual activity. Which response is most appropriate?
- A. If you have been free of symptoms for 2 weeks you are cured.'
- B. You should get a rapid plasma reagin (RPR) just to make sure.'
- C. No case is considered cured until you have had three consecutive negative cervical smears.'
- D. To confirm your cure, you should get a Venereal Disease Research Lab (VDRL).'
Correct Answer: C
Rationale: No case of gonorrhea is considered cured until you have had three consecutive negative cervical smears. The RPR and the VDRL are tests for syphilis.
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A 25-year-old woman comes to the clinic with a yellowish-green malodorous vaginal discharge. She says it makes her itch and makes it hard to urinate. After a microscopic examination that confirms trichomoniasis, the patient is placed on metronidazole for 7 days. Which advice will the nurse give to the patient?
- A. Avoid alcohol while on metronidazole
- B. Be aware that her urine may turn blue and will stain clothing.
- C. Wear snug underwear during treatment.
- D. Be aware that she need not notify her sexual partners as trichomoniasis is not contagious.
Correct Answer: A
Rationale: Alcohol should be avoided as it can cause disorientation, cramps, and possibly convulsions.
Why is a mammogram the most useful method of diagnosing breast cancer?
- A. It is the most reliable method of detecting breast cancer before it becomes palpable.
- B. It is inexpensive and covered by most medical insurance plans.
- C. It involves no radiation and takes only a few minutes.
- D. It involves no pain or discomfort and is readily available.
Correct Answer: A
Rationale: Mammography is radiography of the soft tissue of the breast to allow identification of various benign and neoplastic processes, especially those not palpable on physical examination.
A ___ is performed to evaluate living tissue to establish or confirm a diagnosis or to follow the course of a disease.
Correct Answer: biopsy
Rationale: Biopsies are procedures in which samples of tissue are taken for evaluation to confirm or locate a lesion.
Which factor is an advantage of a vaginal hysterectomy over the abdominal hysterectomy?
- A. Less postoperative discomfort
- B. Reduced hospital stay
- C. Less expensive
- D. Better visualization of the intrapelvic area
- E. Faster recovery
Correct Answer: A,B,C,E
Rationale: The vaginal approach allows for less postoperative discomfort, a reduced hospital stay, is less expensive, and offers a faster recovery.
The patient with a swollen scrotum is amazed that diagnosis of the condition of hydrocele is diagnosed in which simple way?
- A. placing the scrotum on a warm pad.
- B. shining light through scrotum.
- C. squatting and letting the scrotum hang dependently.
- D. packing the scrotum in ice.
Correct Answer: B
Rationale: Shining a flashlight from behind the scrotum and visualizing the testes surrounded by fluid is called transillumination. That process is the simple diagnostic test for hydrocele.
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