A 25-year-old single woman comes to the gynecologist's office for a follow-up visit related to her abnormal Papanicolaou (Pap) smear. The test revealed that the patient has human papillomavirus (HPV). The patient asks, "What is that? Can you get rid of it?" Your best response is:
Just a little lump on your cervix. We can freeze it off.
You probably caught this from your current boyfriend. He should get tested for this.
HPV is a type of early human immunodeficiency virus (HIV). You will die from this.
HPV stands for human papillomavirus. It is a sexually transmitted infection (STI) that can lead to cervical cancer. There is no known cure but symptoms are treatable.
The Correct Answer is D
Choice A reason: This is a misleading and dismissive response that does not explain what HPV is or how it can affect the patient's health. It also implies that the patient's condition is trivial and easily resolved, which is not true.
Choice B reason: This is a judgmental and accusatory response that does not answer the patient's question. It also assumes that the patient's current partner is the source of the infection, which may not be the case. HPV can remain dormant for years and be transmitted by previous partners.
Choice C reason: This is a false and alarming response that does not provide accurate information about HPV or HIV. It also scares the patient unnecessarily and does not offer any hope or support.
Choice D reason: This is the best response as it provides a clear and factual explanation of what HPV is and how it can affect the patient's health. It also acknowledges that there is no cure for the infection but that the symptoms can be managed with proper treatment.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: According to the CDC, nearly half (46%) of all new STDs occur among people between the ages of 15-24¹. This age group also has the highest rates of chlamydia, gonorrhea, and syphilis infections compared to other age groups. Some factors that contribute to this high burden of STDs among young people are biological, behavioral, and social.
Choice B reason: This is incorrect. The age group of 51-60 years old has lower rates of STD infection than the age group of 15-24 years old. According to the CDC, the reported rates of chlamydia, gonorrhea, and syphilis among 51-60 year olds in 2020 were 59.8, 54.7, and 12.4 per 100,000 population, respectively. These rates are much lower than the rates among 15-24 year olds, which were 1,583.3, 1,021.9, and 45.5 per 100,000 population, respectively.
Choice C reason: This is incorrect. The age group of 25-35 years old has lower rates of STD infection than the age group of 15-24 years old. According to the CDC, the reported rates of chlamydia, gonorrhea, and syphilis among 25-35 year olds in 2020 were 1,017.9, 1,015.6, and 66.9 per 100,000 population, respectively. These rates are lower than the rates among 15-24 year olds, which were 1,583.3, 1,021.9, and 45.5 per 100,000 population, respectively.
Choice D reason: This is incorrect. The age group of 36-50 years old has lower rates of STD infection than the age group of 15-24 years old. According to the CDC, the reported rates of chlamydia, gonorrhea, and syphilis among 36-50 year olds in 2020 were 316.6, 337.9, and 27.9 per 100,000 population, respectively. These rates are lower than the rates among 15-24 year olds, which were 1,583.3, 1,021.9, and 45.5 per 100,000 population, respectively.
Correct Answer is D
Explanation
Choice A reason: The incidence of hepatitis C is not decreasing, but rather increasing, especially among young people who inject drugs. Hepatitis C is a chronic infection that can lead to liver damage and cancer.
Choice B reason: Hepatitis B is more contagious than HIV, as it can be transmitted by blood, semen, vaginal fluids, and other body fluids. Hepatitis B can also cause chronic infection and liver problems.
Choice C reason: A vaccine exists for hepatitis B but not for hepatitis C. Hepatitis B vaccine is recommended for all infants, children, and adults who are at risk of exposure. Hepatitis C vaccine is still under development.
Choice D reason: Hepatitis A is caused by eating contaminated food or drinking polluted water. It is an acute infection that usually resolves on its own. Hepatitis A vaccine is available for travelers and people who live in areas with poor sanitation.
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