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. Inability to retract a previously retractable prepuce (paraphimosis or recurrent phimosis) after treatment may indicate an underlying structural problem and warrants referral to a urologist.
B. Difficulty maintaining hygiene is common in uncircumcised adolescents and can often be managed with education on proper cleaning techniques.
C. Desire for circumcision alone is not an urgent indication for urology referral; it can be elective.
D. Nocturnal erections are a normal physiological process in adolescent males and do not necessitate referral.
Correct Answer is D
Explanation
Rationale:
A. Urinalysis can detect hematuria, proteinuria, or signs of urinary tract infection, which may indicate renal causes of pediatric hypertension, making it a helpful test.
B. Complete blood count (CBC) may reveal anemia or other hematologic abnormalities that could contribute indirectly to hypertension or help identify underlying systemic conditions.
C. Renal ultrasound is essential for evaluating structural kidney abnormalities, which are a common cause of hypertension in young children.
D. Liver enzymes (AST, ALT) are least helpful in determining the cause of hypertension in a 4-year-old, as liver disease is rarely a primary contributor to pediatric hypertension at this age.
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