A 21-year-old college student has come to see the nurse practitioner for treatment of a vaginal infection. Physical assessment reveals inflammation of the vagina and vulva, and vaginal discharge has a cottage cheese appearance. These findings are consistent with:
candidiasis
Chlamydia
bacterial vaginosis
trichomoniasis
The Correct Answer is A
Choice A rationale: candidiasis - The described symptoms of inflammation, cottage
cheese-like discharge, and vaginal/vulvar inflammation are indicative of a yeast infection or candidiasis.
Choice B rationale: Chlamydia - Chlamydia often presents with different symptoms such as discharge, but it's not typically associated with a cottage cheese-like appearance.
Choice C rationale: bacterial vaginosis - Bacterial vaginosis typically presents with a different type of discharge, often described as "fishy" smelling, rather than a cottage cheese appearance.
Choice D rationale: trichomoniasis - Symptoms of trichomoniasis usually include frothy, malodorous discharge, not consistent with the described cottage cheese-like discharge.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: The frontal lobe, specifically Broca's area located in the dominant hemisphere, is responsible for expressive speech. Damage to this area can result in expressive aphasia or difficulty expressing speech.
Choice B rationale: The occipital lobe primarily processes visual information.
Choice C rationale: The temporal lobe is involved in auditory processing and language comprehension.
Choice D rationale: The parietal lobe is involved in spatial perception, attention, and sensory information processing.
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Correct Answer is D
Explanation
Choice A rationale: This is a possible sign of TBI but is not necessarily indicative of a life- threatening condition.
Choice B rationale: This is a possible sign of TBI but is not necessarily indicative of a life- threatening condition.
Choice C rationale: This is a possible sign of TBI but is not necessarily indicative of a life- threatening condition.
Choice D rationale: Serosanguineous nasal drainage (a mixture of blood and clear fluid) may suggest a basilar skull fracture, which is a fracture of the base of the skull that can damage vital structures such as the brainstem, cranial nerves, or major blood vessels. This can lead to serious complications such as meningitis, cerebrospinal fluid leak, or hemorrhage.
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