NR602FINALEXAMLATEST2023REALEXAM(COMPLETE EXAM) QUESTIONS AND CORRECTANSWERS|AGRADE•Asexuallyactive18-yearsoldpresentswithpostcoitalspotting, dysuriaandayellow discharge.Onexamyou find hercervix iserythematousandbleedswithcontact.The most likely diagnosis is•Cervicalcancer•Chlamydia•Primarysyphilis•Tamponinjury•Oneoftheleadingcausesoffemaleinfertility,Stein-Leventhalsyndromeis•Pelvicinflammatorydisease•Polycysticovarydisease•Multiplesexpartners•Ectopicpregnancysyndrome•HIVtestisindicatedfora(n)•18-year-oldfemalewhosesexpartnerhasahistoryofgenitalwarts•24-year-oldfemalewithcurrentgenitalwartsasadjuncttoroutinepaptest•30-year-oldfemalewithnohistoryofgenitalwartsasadjuncttoroutinepaptest•67-yearold femalewithnewsexpartnerinpast yearwho hashistoryofgenitalwarts•Whichofthefollowingcontraceptivemethodswouldbebest forawomanwithsickle cell anemia?•Combinationoralcontraceptives•Transdermalcontraceptivepatch•Progestin-onlycontraceptives•Femalecondom•APatienttakingmetronidazoleandcimetidineatthesametimeisatriskfor:•Bothersomesideeffectfromthemetronidazole•Decreasedeffectivenessofcimetidine•Renalimpairment•Severedisulfiramtypereaction•A58-yearoldwomancomplainofseverevulvular pruritis. Onexaminationofthevulva, you note thinning of the epidermis and loss of pigmentation, as well asmaculopapular lesions. You suspect the diagnosis may be•Lichensclerosus•Localallergicreaction•Lichensimplexchonicus
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