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Exam 21: Infectious Diseases Affecting the Genitourinary System

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Question 31

Multiple Choice

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Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. Mark is a 21-year-old college student who has come into the campus clinic where you work. He is fairly aloof in his presentation, and informs you, “I’m having a herpes flair, and I need some Valtrex.” However, you decide to do a more thorough assessment. You ask about the lesion he is referring to, and he shows you a lesion on the shaft of his penis. You examine it with a gloved hand, and discover that it seems completely painless to Mark, and is about 2 cm in size and hard. -What is the most likely diagnosis?

A) herpes
B) primary syphilis
C) chancroid
D) molluscum

E) B) and D)
F) All of the above

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Question 32

Multiple Choice

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Infection of the urinary bladder is called

A) urethritis.
B) pyelonephritis.
C) cystitis.
D) vaginitis.
E) PID.

F) A) and D)
G) C) and D)

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Question 33

Multiple Choice

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Permanent cardiovascular and neurological damage is seen in which stage of syphilis?

Which of the following organisms causes urinary tract infections?

The best prevention for UTIs is

Even after a positive test for a microbial cause,prostatitis is unresponsive to antibiotic therapy.Why?

Chancroid

Normal biota of the ureters and bladder include

The following are characteristics of chlamydias except

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. While working in the emergency room, you meet a young couple, Brittany and Colby. They are currently on their honeymoon, and Brittany is not feeling well. She reports burning upon urination, and a low-grade fever. They assumed she had contracted a urinary tract infection, and had been treating it with cranberry juice for 2 days, following the advice they had received from Brittany’s mom. However, symptoms have not improved. They are concerned because she now has the frequent urge to urinate, and she is developing pain at her bladder. Her low-grade fever persists. -Based on the presentation,what diagnosis would be your main suspicion?

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. Adam is 20-year-old college student who has come into the campus health clinic. You are the nurse who is admitting Adam and doing his initial examination. He very embarrassingly tells you about his symptoms. For several days, it has been painful to urinate. He has noticed a slight yellow discharge from his urethra that persists throughout the day, whether or not he is urinating. He admits to having unprotected sex regularly, and is concerned that he may have contracted a sexually transmitted infection. Per the doctor’s orders, you send a sample of the urethral discharge to the microbiology laboratory and order a Gram stain. The laboratory reports viewing many gram-negative diplococci and many neutrophils on the Gram-stained smear, suggestive of gonorrhea. -How do you advise Adam to prevent future gonorrheal infection?

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. Mark is a 21-year-old college student who has come into the campus clinic where you work. He is fairly aloof in his presentation, and informs you, “I’m having a herpes flair, and I need some Valtrex.” However, you decide to do a more thorough assessment. You ask about the lesion he is referring to, and he shows you a lesion on the shaft of his penis. You examine it with a gloved hand, and discover that it seems completely painless to Mark, and is about 2 cm in size and hard. -The MD in the clinic wrote a prescription for acyclovir when Mark called him on the phone earlier in the day.What do you do with the prescription?

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. Adam is 20-year-old college student who has come into the campus health clinic. You are the nurse who is admitting Adam and doing his initial examination. He very embarrassingly tells you about his symptoms. For several days, it has been painful to urinate. He has noticed a slight yellow discharge from his urethra that persists throughout the day, whether or not he is urinating. He admits to having unprotected sex regularly, and is concerned that he may have contracted a sexually transmitted infection. Per the doctor’s orders, you send a sample of the urethral discharge to the microbiology laboratory and order a Gram stain. The laboratory reports viewing many gram-negative diplococci and many neutrophils on the Gram-stained smear, suggestive of gonorrhea. -Based on Adam's clinical presentation and history alone,how could you have distinguished gonorrhea from chlamydia?

Neisseria gonorrhoeae is

During which stage of syphilis does fever,lymphadenopathy,and a red to brown rash occur?

Which of the following is not a defense of the genitourinary tract?

Infected animals shed Leptospira interrogans in their

Syphilitic tumors called _____ develop in the liver,skin,bone,and cartilage during the tertiary stage of syphilis.

Herpes simplex 1

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. While working in the emergency room, you meet a young couple, Brittany and Colby. They are currently on their honeymoon, and Brittany is not feeling well. She reports burning upon urination, and a low-grade fever. They assumed she had contracted a urinary tract infection, and had been treating it with cranberry juice for 2 days, following the advice they had received from Brittany’s mom. However, symptoms have not improved. They are concerned because she now has the frequent urge to urinate, and she is developing pain at her bladder. Her low-grade fever persists. -What findings would you expect to find on urinalysis?