Your 24-year-old patient complains of vaginal discharge. When ...

[Zoey63294]

Your 24-year-old patient complains of vaginal discharge. When deciding what diagnostics to perform, what is most important to ascertain?
 
  A. Color of the discharge
  B. Timing of the menstrual cycle
  C. Consistency of the discharge
  D. Sexual activity and safe sex practices

Question 2

A 32-year-old female reports normal monthly menstrual periods but complains of having trouble with conception. It is important to ask about history of:
 
  A. Dysmenorrhea
  B. Sexually transmitted disease (STD)
  C. Menorrhagia
  D. Pap smears

[Beatricemm]

Answer to Question 1

ANS: D
If the patient complains about vaginal discharge, it is important to determine if the patient is sexually active, how many partners they have had, and their use of condoms. That will lead you to which diagnostics should be performed. The history should also include amount, color, consistency, odor, itching, burning, inflammation, or lesions, and history of STDs.

Answer to Question 2

ANS: B
Infertility may be caused by anovulation, decreased function of the corpus luteum, or blocked or scarred fallopian tubes. Any of these can occur despite the fact that the patient may be having menstrual cycles. A history of menstrual irregularities may suggest anovulation or thyroid disease, either of which can cause infertility. A history of STDs could lead to scarring of the fallopian tubes, which can cause infertility.

[Zoey63294]

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[xiaomengxian]

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