Included in the differential diagnosis list for suspected bacterial vaginosis is:
gonorrhea.
pelvic inflammatory disease (PID).
human papillomavirus (HPV) infection.
syphilis.
The Correct Answer is A
Rationale:
A. Gonorrhea can present with vaginal discharge and irritation, which can mimic bacterial vaginosis, making it an important condition to consider in the differential diagnosis.
B. Pelvic inflammatory disease typically involves upper genital tract infection with symptoms such as lower abdominal pain, fever, and cervical motion tenderness, rather than isolated vaginal discharge.
C. HPV infection usually presents with genital warts or asymptomatic infection and is not typically confused with bacterial vaginosis.
D. Syphilis presents with characteristic lesions such as chancres or rash, not the thin, gray-white vaginal discharge associated with bacterial vaginosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Aspirin is the mainstay of treatment in Kawasaki disease. It serves two critical purposes: reducing inflammation and fever, and preventing coronary artery aneurysms by inhibiting platelet aggregation. High doses are used initially for anti-inflammatory effects, followed by lower doses for antiplatelet therapy.
B. Corticosteroids may be considered in refractory cases but are not first-line therapy for all patients.
C. Penicillin is not used, as Kawasaki disease is not caused by a bacterial infection.
D. Acetaminophen can reduce fever and discomfort but does not prevent cardiovascular complications and is therefore not sufficient as primary therapy.
Correct Answer is C
Explanation
Rationale:
A. Pulmonary valve stenosis typically produces a systolic ejection murmur, not a continuous machine-like murmur.
B. A venous hum is continuous but usually heard over the right or left supraclavicular area and is benign.
C. Patent ductus arteriosus (PDA) classically produces a continuous, “machine-like” murmur best heard at the upper left sternal border. The murmur persists throughout systole and diastole due to continuous blood flow from the aorta to the pulmonary artery.
D. A ventricular septal defect usually produces a holosystolic murmur heard best at the lower left sternal border, not a continuous machine-like murmur.
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