Essentials Of Pathophysiology Concepts of Altered States 4th Edition By Porth
Essentials Of Pathophysiology Concepts of Altered States 4th Edition By Porth
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Chapter 41- Sexually Transmitted Infections
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | Which of the following phenomena is thought to underlie the decreased reported incidence of some sexually transmitted infections (STIs)? | |
| A) | Increased knowledge of the correct use of condoms | |
| B) | Increased public funding for health promotion activities | |
| C) | Decreased reporting of cases of certain STIs | |
| D) | Decreased numbers of sexual partners among young adults | |
| Ans: | C | |
| Feedback: | ||
| The actual incidence and prevalence of some STIs are thought to exceed reported rates. Consequently, apparent decreases are not thought to reflect reality. This trend in reported incidence is not attributed to changes in condom use, health promotion, or decreased numbers of sexual partners. | ||
| 2. | A 22-year-old client has presented to her primary care provider for her scheduled Pap smear. Abnormal results of this diagnostic test may imply infection with: | |
| A) | Human papillomavirus (HPV) | |
| B) | Chlamydia trachomatis | |
| C) | Candida albicans | |
| D) | Trichomonas vaginalis | |
| Ans: | A | |
| Feedback: | ||
| Although a Pap smear does not test directly for HPV, dysplasia of cervical cells is strongly associated with HPV infection. An abnormal Pap smear is not indicative of chlamydial infection, trichomoniasis, or candidiasis. | ||
| 3. | A female receives a PAP smear result indicating she has human papillomavirus (HPV) infection. As part of her education, the nurse will emphasize the need for continued follow-up since HPV is directly associated with: | |
| A) | Uterine cancer | |
| B) | Cervical dysplasia | |
| C) | Genital herpes lesions | |
| D) | Urinary tract infections | |
| Ans: | B | |
| Feedback: | ||
| A relation between HPV and genital neoplasms has become increasingly apparent since the mid-1970s. HPV infection can be detected in cervical Papanicolaou (Pap) smears, with the first neoplastic changes noted on the Pap smear termed dysplasia. Testicular cancer is not associated with HPV. Although genital herpes (HSV) is also a sexually transmitted disease, it is a common cause of genital ulcers rather than cancer. Bacteria are the usual cause of urinary tract infections, rather than anogenital warts. | ||
| 4. | A female college student is distressed at the recent appearance of genital warts, an assessment finding that her care provider has confirmed as attributable to human papillomavirus (HPV) infection. Which of the following information should the care provider give the client? | |
| A) | “There is a chance that these will clear up on their own without any treatment.” | |
| B) | “It’s important to start treatment soon, so I will prescribe you pills today.” | |
| C) | “Unfortunately, this is going to greatly increase your chance of developing pelvic inflammatory disease.” | |
| D) | “I’d like to give you an HPV vaccination if that’s okay with you.” | |
| Ans: | A | |
| Feedback: | ||
| Genital warts may resolve spontaneously, although this does not preclude recurrence. Many individuals will clear the virus and become negative within 1 to 2 years; it is unclear if development of an effective immune response completely clears the infection. Pharmacologic treatments are topical, and vaccination is ineffective after infection has occurred. HPV infection is not correlated with pelvic inflammatory disease (PID). | ||
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