While working in a sexually transmitted disease (STD) clinic, the ...

[kaid0807]

While working in a sexually transmitted disease (STD) clinic, the nurse should be aware that which of the following diagnostic tools are available for diagnosing chlamydial infections? Select all that apply.
 
  A)
  Gram stain where polymorphonuclear leukocytes are identified
  B)
  Direct fluorescent antibody testing
  C)
  Enzyme-linked immunosorbent assay (ELISA)
  D)
  Western blot testing
  E)
  Nucleic acid amplification tests (NAATs)

Question 2

A 15-year-old female has presented to her family physician complaining of frequent discomfort around the time of her period.
 
  She has subsequently been diagnosed with primary dysmenorrhea. Which of the following treatments is most likely to be effective?
  A)
  Investigation and resolution of her hypothalamic-pituitary-ovarian disorder
  B)
  Hormone therapy aimed at resolving her estrogen deprivation
  C)
  Pain control with prostaglandin synthetase inhibitors
  D)
  Dilation and curettage

[milbourne11]

Answer to Question 1

Ans:
A, B, C, E

Feedback:

Diagnosis of chlamydial infections takes several forms. The identification of polymorphonuclear leukocytes on Gram stain of penile discharge in the man or cervical discharge in the woman provides presumptive evidence. The direct fluorescent antibody test and enzyme-linked immunosorbent assay that use antibodies against an antigen in the Chlamydia cell wall are rapid tests that are highly sensitive and specific. Nucleic acid amplification tests (NAATs) do not require viable organisms for detection and can produce a positive signal from as little as a single copy of the target DNA or RNA. Western blot is used to verify HIV after a positive ELISA result for HIV.

Answer to Question 2

Ans:
C

Feedback:

Because she has been diagnosed with primary rather than secondary dysmenorrhea, treatment of a specific underlying condition is not indicated. Treatment will likely focus on adequate pain control. D&C is not a relevant intervention.

[kaid0807]

Thank you

[milbourne11]

No problemo