STD/STI 151

Question 1

Which can be treated and cured?

A. STD
B. STI

Answer 1

B

Question 2

Women have higher rates of:

A. Gonorrhea
B. Chlamydia
C. Syphilis
D. Genital herpes

Answer 2

A

Question 3

Men have higher rates of:
(select all)

A. Gonorrhea
B. Chlamydia
C. Syphilis
D. Genital herpes

Answer 3

B
C

Question 4

Which pt is at the biggest risk for catching an STD or STI?

A. Laurie who is married and makes her husband wear a condom
B. Jackie, mom of 4 who “doesn’t have time for sex”
C. Holly, who limits herself to 3 drinks but smokes cigarettes
D. Michelle, who shares “ I blacked out last night, but I remember hooking up with this cute guy

Answer 4

D

Question 5

What are the 5 P’s the nurse knows to ask?

A. Partners
B. Pleasure
C. Practices
D. Protection
E. Past history
F. Penis size
G. Prevention of pregnancy

Answer 5

A
C
D
E
G

Question 6

What is the most essential in the prevention and control of an STI/STD?
(select all)

A. Partner gets treated
B. Receiving the HPV vaccine
C. Counseling
D. Accurate sexual history

Answer 6

A
D

Question 7

The nurse collects data on her pt in the ED:
-Complains of “large amounts of whitish gray discharge”
-Boyfriend states “ It smells fishy”
Which does the nurse suspect?

A. Syphilis
B. Chlamydia
C. Bacterial vaginosis
D. Pelvic inflammatory disease

Answer 7

C

Question 8

What treatment options are available to pt’s with bacterial vaginosis? (select all)

A. Ceftriaxone
B. Clindamycin
C. Acyclovir
D. Metronidazole
E. Azithromycin

Answer 8

B
D

Question 9

What are a few complications to inform your pt with bacterial vaginosis of?
(select all)

A. Endometritis
B. Still born
C. Reoccurring UTI’s & PID
D. Premature labor

Answer 9

A
C
D

Question 10

Is bacterial vaginosis reportable?

A. Yes
B. No

Answer 10

B. No

Question 11

What is the most common STD in the US?

A. Chlamydia
B. Syphilis
C. Genital herpes
D. HPV

Answer 11

D

Question 12

Describe the warts from HPV: (select all)

A. Painful
B. Painless
C. Bright red
D. Flesh colored

Answer 12

B
D

Question 13

Describe the warts from HPV: (select all)

A. Raised
B. Flat
C. Large
D. Small

Answer 13

A
B
C
D

A or B C or D

Question 14

Which statement by the pt shows understanding of there diagnosis of HPV?

A. I will be sure to complete my full course of antibiotics and tell my partner to get tested.
B. I feared this diagnosis because I can never be cured.
C. I don’t have to use condoms when I don’t have any active lesions

Answer 14

B

Question 15

How long does it take the warts from HPV to show?

A. 3 months - 3 years
B. 2 - 12 days
C. 1 - 4 days
D. 10 days
E. 12 - 90 days

Answer 15

A

Question 16

What treatment options do pt’s with HPV receive? (select all)

A. Laser
B. Ablasion
C. D & C
D. Cryoprobe

Answer 16

A
D

Question 17

Which virus from genital herpes is associated with:
-cold sores but may be transmitted to genitals

A. HSV-1
B. HSV-2

Answer 17

A

Question 18

Which virus from genital herpes is associated with:
-Transmitted by sexual activity or during childbirth from infected woman

A. HSV-1
B. HSV-2

Answer 18

B

Question 19

Is HPV reportable?

A. Yes
B. No

Answer 19

B

Question 20

Describe a lesion from genital herpes:
(select all)

A. Large
B. Small
C. Painless
D. Painful

Answer 20

B
D

Question 21

How long does it take the warts from genital herpes to show?

A. 3 months - 3 years
B. 2 - 12 days
C. 1 - 4 days
D. 10 days
E. 12 - 90 days

Answer 21

B

Question 22

What medications can lessen or shorten the severity of an outbreak of genital herpes?

A. NSAIDS
B. Antihistamines
C. Antivirals
D. Antibiotics

Answer 22

C

Question 23

Your pt in the ED is complaining of:
-Burning sensation
-Tingling
-Throbbing
Where previous lesions from HSV appeared.
What should the pt avoid?

A. Sex without barrier methods
B. Hot water
C. Sex all together
D. Fragranced soaps

Answer 23

C

Question 24

What are the prodromal signs of genital herpes? (select all)

A. Itching
B. Throbbing
C. Cyanotic fingers & toes
D. Burning
E. Tingling

Answer 24

A
B
D
E

Question 25

Which statement by the pt shows understanding of genital herpes? A. I should take antivirals prophylactically to lessen flare ups B. I have to use condoms with every intercourse C. I can apply some topical ointment to my open warts D. After I finish my antibiotics, I won't have to worry!

Answer 25

B

Question 26

What is the treatment of choice for genital herpes? A. Ceftriaxone B. Clindamycin C. Acyclovir D. Metronidazole E. Azithromycin

Answer 26

C

Question 27

Is genital herpes reportable? A. Yes B. No

Answer 27

B

Question 28

What is the best way for the nurse to explain chlamydia to her pt? A. It is an STD that causes strictures of your fallopian tubes B. It is an infection of the uterine lining, and penile shaft C. An STI that causes inflammation in the urethra D. A disease that causes excess discharge and fish-like odor

Answer 28

C

Question 29

What age range is chlamydia most common? A. 14-19 B. 15-20 C. 21-35 D. 45-55

Answer 29

B

Question 30

Is chlamydia reportable? A. Yes B. No

Answer 30

A

Question 31

What complications in men can arise from untreated chlamydia? (select all) A. Prostatitis B. Sterility C. Purulent penile discharge D. Epididymitis E. Infertility

Answer 31

A B D

Question 32

What treatment options are available for pt's with chlamydia? (select all) A. Azithromycin B. Penicillin C. Doxycycline D. Ceftriaxone E. Levofloxacin

Answer 32

A C E

Question 33

What statement by the couple shows understanding of the treatment for chlamydia? A. We both need to be treated and we should use condoms during intercourse B. We both need to be treated and we should avoid sex until treatment is complete

Answer 33

B

Question 34

You're floated to L&D, your pt is + for chlamydia and is minutes away from delivery. What is the newborn at risk for? (select all) A. Failure to thrive B. Pneumonia C. Hypoxemia D. Conjunctivitis

Answer 34

B D

Question 35

Your pt at the infertility clinic is concerned about conceiving with her untreated chlamydia. What complications from untreated chlamydia cause infertility? (select all) A. Scarring of the fallopian tubes B. Lesions on the Ovaries C. Endometritis D. Salpingitis

Answer 35

A C D

Question 36

If a pt gets a facial during sexy time, which STI is the pt at risk for? A. Chlamydia B. Syphilis C. Gonorrhea D. Trichomoniasis

Answer 36

C

Question 37

What is the incubation period for women with gonorrhea? A. 3 months - 3 years B. 2 - 12 days C. 1 - 4 days D. 10 days E. 12 - 90 days

Answer 37

D

Question 38

What is the incubation period for men with gonorrhea? A. 3 months - 3 years B. 2 - 12 days C. 1 - 4 days D. 10 days E. 12 - 90 days

Answer 38

C

Question 39

Which description by the pt would indicate to the nurse the pt has gonorrhea? A. White, milky, thick B. Grayish, white C. Excessive, green, thick D. Clear, excessive, thin

Answer 39

C

Question 40

Is gonorrhea reportable? A. Yes B. No

Answer 40

A

Question 41

What is true about men with gonorrhea? A. May have regional lymphadenopathy B. Oliguria C. May be asymptomatic D. Small lesion on shaft E. Serous, milky drainage F. Dysuria

Answer 41

A C E F

Question 42

What is true about women with gonorrhea? (select all) A. Urinary pain, frequency B. May have regional lymphadenopathy C. Abnormal menses D. Dyspareunia E. Painful lesions

Answer 42

A C D

Question 43

Which anorectal symptoms would the nurse expect in her pt with gonorrhea? (select all) A. Diarrhea B. Mucopurulent rectal discharge C. Itching D. Pain/constipation E. N/V

Answer 43

B C D

Question 44

The nurse is making a pamphlet on the complications of gonorrhea, what should she add for men and women? (select all) A. Blood, joint infection B. Increased risk of HIV C. Infertility D. Blindness E. Deafness

Answer 44

A B D

Question 45

The nurse is making a pamphlet on the complications of gonorrhea, what should she add for men only? (select all) A. Salpingitis B. Prostatitis C. Infertility D. Erectile dysfunction E. Epididymitis

Answer 45

B C E

Question 46

The nurse is making a pamphlet on the complications of gonorrhea, what should she add for women only? (select all) A. Pelvic peritonitis B. PID C. Hemorrhagic bleeding D. Salpingitis E. Endometritis

Answer 46

A B D E

Question 47

The nurse shows proper administration of the treatment for gonorrhea when: A. Mixes both antibiotics into one syringe, and injects it into the deltoid B. Uses 2 syringes and administers into each vastus lateralis C. Mix both antibiotics into 1 syringe and administer into the vastus lateralis

Answer 47

C

Question 48

Which antibiotics are used to treat gonorrhea? (select all) A. Azithromycin B. Penicillin C. Doxycycline D. Ceftriaxone E. Levofloxacin

Answer 48

A D

Question 49

Which statement by the pt shows understanding of gonorrhea? A. I can engage in sexual intercourse as long as I am being treated B. I need to use a barrier method with every intercourse C. I can have sex after my treatment is complete, but I should use condoms D. I don't have to use a condom because gonorrhea made me sterile

Answer 49

C

Question 50

How is syphilis transmitted? (select all) A. Ejaculation B. Saliva C. Open lesions D. Sexual intercourse

Answer 50

C D

Question 51

What is the incubation period for syphilis? A. 3 months - 3 years B. 2 - 12 days C. 1 - 4 days D. 10 days E. 12 - 90 days

Answer 51

E

Question 52

Which stages of syphilis, is it highly contagious? (select all) A. Primary B. Secondary C. Latent D. Tertiary

Answer 52

A B

Question 53

Is Syphilis reportable? A. Yes B. No

Answer 53

A

Question 54

If left untreated, what complication can arise from syphilis? (select all) A. CV damage B. Blindness C. Infertility D. Paralysis E. Mental illness

Answer 54

A B D E

Question 55

Pt presents with gonorrhea. Which stage would you suspect? -Rash on hands & soles of feet -Mucous patches in oral cavity -Sore throat, flu-like symptoms A. Primary B. Secondary C. Latent D. Tertiary

Answer 55

B

Question 56

Pt presents with gonorrhea. Which stage would you suspect? -No symptoms present -Early part of this stage may be transmissible A. Primary B. Secondary C. Latent D. Tertiary

Answer 56

C

Question 57

Pt presents with gonorrhea. Which stage would you suspect? -CV, Liver, Eye, Bone, Brain affected -Neurosyphilis -Organ damage may be permanent A. Primary B. Secondary C. Latent D. Tertiary

Answer 57

D

Question 58

Pt presents with gonorrhea. Which stage would you suspect? -One chancre at anus, genitals, mouth, breast, fingers -Enlarged lymph nodes -Little to no pain A. Primary B. Secondary C. Latent D. Tertiary

Answer 58

A

Question 59

Which is true about Primary syphilis? A. Sx appear 3-4 weeks after contact and disappear in another 3-6 weeks B. Appear several weeks after initial chancre, and disappear in 2-6 weeks C. 15% of those untreated reach this stage D. May last 1 year to a lifetime before they have another outbreak

Answer 59

A

Question 60

Which is true about Secondary syphilis? A. Sx appear 3-4 weeks after contact and disappear in another 3-6 weeks B. Appear several weeks after initial chancre, and disappear in 2-6 weeks C. 15% of those untreated reach this stage D. May last 1 year to a lifetime before they have another outbreak

Answer 60

B

Question 61

Which is true about Latent syphilis? A. Sx appear 3-4 weeks after contact and disappear in another 3-6 weeks B. Appear several weeks after initial chancre, and disappear in 2-6 weeks C. 15% of those untreated reach this stage D. May last 1 year to a lifetime before they have another outbreak

Answer 61

D

Question 62

Which is true about Tertiary syphilis? A. Sx appear 3-4 weeks after contact and disappear in another 3-6 weeks B. Appear several weeks after initial chancre, and disappear in 2-6 weeks C. 15% of those untreated reach this stage D. May last 1 year to a lifetime before they have another outbreak

Answer 62

C

Question 63

What diagnostics are used for a pt with suspected syphilis? (select all) A. Eye exam & Swab of lesion B. Blood test for proteins & antibodies C. Microscope exam of sample D. LFTs. TSH, eGFR, serum creatinine

Answer 63

B C

Question 64

What treatment option is available for pt's with any stage of syphilis? A. Azithromycin B. Penicillin C. Doxycycline D. Ceftriaxone E. Levofloxacin

Answer 64

B

Question 65

Upon assessment, you find yellowish/green vaginal discharge that has a bad odor. What is the pt experiencing? A. Pelvic inflammatory disease B. Trichomoniasis C. Gonorrhea D. Syphilis

Answer 65

B

Question 66

The pt is confused why she is having symptoms, and her boyfriend isn't when they were both diagnosed with Trichomoniasis. What statement is true? A. It is asymptomatic in males B. Boyfriend is an asymptomatic carrier C. Women's anatomy causes s/s sooner

Answer 66

B

Question 67

What treatment options are available for Trichomoniasis? (select all) A. Penicillin B. Metronidazole C. Tinidazole D. Trickazole

Answer 67

B C

Question 68

Is Trichomoniasis reportable? A. Yes B. No

Answer 68

B

Question 69

Pelvic inflammatory disease is MOST often caused by: A. Surgical abortion B. Endometrial biopsy C. Hysteroscopy D. Sexual intercourse E. Insertion of an IUD

Answer 69

D

Question 70

Select all the areas where Pelvic inflammatory disease may involve: A. Fallopian tubes B. Bladder C. Ovaries D. Uterus E. Cervix

Answer 70

A C D

Question 71

What may be the first sign of Pelvic inflammatory disease? A. Endometritis B. Cervicitis C. Salpingitis D. Oophoritis

Answer 71

B

Question 72

What treatment options are available for pt's with Pelvic inflammatory disease? (select all) A. Total hysterectomy B. IV fluids C. Opioid analgesics D. IV or PO antibiotics

Answer 72

B D

Question 73

Your pt presents to the ED with: -General malaise, Increased pain with voiding, and dyspareunia On assessment you find: Fever and Adnexal tenderness -What STD is this pt experiencing? A. Chlamydia B. Pelvic inflammatory disease C. Syphilis D. Genital herpes

Answer 73

B

Question 74

What non-pharmacological therapies can the nurse suggest to her pt with an STI or STD? A. Apply cold packs to lower back to reduce cramps B. Sitz baths 15-30 minuets several times a day C. Refrain from sexual intercourse during painful periods D. Shower immediately after sex to reduce the risk of contracting an STD or STI

Answer 74

B