NSG 6440 APEA Exam - SEXUALLY TRANSMITTED DISEASES

NSG 6440 APEA Exam SEXUALLY TRANSMITTED DISEASES

1. A patient was exposed to HIV through sexual intercourse last night. He was screened and found to be negative for HIV. When should he be screened again?

2. A 32-year old female was exposed to HIV after sexual intercourse. When do the majority of patients seroconvert if they are going to do so?

3. Which of the following statements regarding HIV is correct? There are few conditions that cause depletion of CD4 cells other than HIV

4. A 26-year-old female patient has been diagnosed with gonorrhea. How should she be managed?

5. Clue cells are found in patients who have:

6. A 22-year-old female states that she has multiple sexual partners and inconsistently uses barrier protection. Which form of birth control should the nurse practitioner avoid prescribing in this patient?

7. A healthcare provider (“the HCP”) was stuck with a needle from a patient suspected to be infected with HIV (“the patient”). A rapid HIV test was performed on the patient and found to be positive. This means that:

8. A male patient presents with dysuria and penile discharge. He states that his female partner has an STD, but he is not sure which one. Which of these should be part of the differential?

9. An example of primary prevention is:

10. A 27-year-old asymptomatic male presents with generalized lymphadenopathy. He has multiple sexual partners and infrequently uses condoms. Of the following choices, what tests should be performed?

11. Which risk factor has the greatest impact on HIV transmission?

12. The clinical syndrome resulting from replacement of normal vaginal flora with anaerobic bacteria is:

13. A patient requests screening for HIV after a sexual exposure. What are CDC’s recommendations for screening this patient?

14. A male with gonorrhea might complain of:

15. A 35-year-old patient is HIV positive. Which finding on an oral swab may be indicative of thrush?

16. A female patient has been diagnosed with chlamydia. How should this be managed?

17. Which of the following described the most common clinical presentation of trichomonas in a male?

18. A patient has been treated for HIV infection with antiretroviral therapy. He is stable. How often should CD4 counts be repeated?

19. A patient with newly diagnosed genital herpes would appropriately receive a prescription for:

20. Syphilis may present as:

21. How should a patient with suspected syphilis be screened?

22. The risk of HIV transmission is increased:

23. The greatest risk of transmitting HIV is during:

24. A female patient and her male partner are diagnosed with trichomonas. She has complaints of vulvar itching and discharge. He is asymptomatic. How should they be treated?

25. A 24-year-old female patient who is sexually active complains of vaginal itching. If she has bacterial vaginosis she might complain of:

26. A sexually active adolescent male has a warty growth on the shaft of his penis. It is painless. This is likely:

27. In a private NP clinic, a patient presents with trichomonas. State law requires reporting STDs to the public health department. The patient asks the NP not to report is because her husband works in the public health department. How should this be managed by the NP?

28. A patient has been diagnosed with HIV. The patient’s viral load was ordered. What other test may be ordered to assess the status of the patient’s immune system?

29. A 24-year-old female present with abdominal pain. What additional finding supports a diagnosis of pelvic inflammatory disease (PID)?

30. A patient with dysuria has a urine specimen that reveals <10,000 bacteria and numerous trichomonas. How should this patient be managed?

31. A 4-year-old female is brought into the clinic by her mother, who reports that she is constantly scratching “her private part”. The patient states that is itches. On exam, the vagina is red and irritated. How should the NP proceed?