Answer 10

10.  Choice B is the correct answer.  These lesions will resolve without treatment but will lead to secondary syphillis which presents as painless papules on the palms of hands.  Syphillis chancre are painless.

Question 10

10.  The chancre of syphillis:

A.  Is always painful
B.  Will heal spontaneously without treatment
C.  Is always a single lesion
D.  Will always occur on the penis or vulva

Answer 9

9.  Choice B is the correct answer.  Ceftriaxone covers gonorrhea and doxycycline covers chlamydia for PID.  Azithromycin also covers chlamydia.  Metronidazole covers Trichomonas that cause vaginitis.  Ofloxacin and ciprofloxacin have a large amount of resistance and generally are avoided in treatment of PID.

Question 9

9.  Your patient is a 25 year old female that presents with pelvic pain, yellow vaginal discharge, and cervical motion tenderness.  Which of the following is the best treatment for her condition?

A.  Azithromycin and Ofloxacin
B.  Ceftriaxone and Doxycycline
C.  Metronidazole and azithromycin
D.  Azithromycin, Ciprofloxacin, and Metronidazole

Answer 8

8.  Choice B is the correct answer.  Toxemia can present up to 6 weeks post partum.  The vast majority of cases though improve with delivery of the placenta.

Question 8

8.  Which of the following is not true regarding hypertension in pregnancy?

A.  Hypertension is present in about 7 percent of pregnancies
B.  Toxemia does not occur once delivery of the placenta is complete
C.  Eclampsia describes the onset of increase blood pressure, edema, proteinuria, and the onset of seizures
D.  HELLP syndrome is a severe form of pregnancy induced hypertension that develops in 5-10 percent of females who have preclampsia symptoms

Answer 7

7.  Choice C is the correct answer.  When pregnant patients are placed in the left lateral decubitus position, it takes pressure off the vena cava and allows for increased blood return to the right side of the heart.  This should really only be done if there is some fetal compromise or material shock.  The fetal heart rates should be assessed as well as well as the mothers vital signs.  All pregnant patients that are Rh negative should receive rhogam with blunt force trauma.