Case Study –Pelvic Pain and STDs
Jasmine is a 16-year-old client who arrives at the office with complaints of acute pelvic pain and a small amount of vaginal discharge. She is also 2 weeks late on her period. Jasmine lives in the inner city, in an apartment with her mom and younger sister. You arrive and greet Jasmine and look over her health history. She was last seen in the office about a year ago, at which time she had tested positive for pregnancy.
1. As you inquire about Jasmine’s sexual history, which of the following questions should you ask and why? (Select all that apply.)
1. “Are you currently sexually active?”
2. “How many sexual partners have you had in the past year?”
3. “When was your last sexual contact, and what type of contact was it?”
4. “What are the names of your current sexual partners?”
5. “How many times have you had sex without using a condom in the past year?”
2. From your interview, you learn that Jasmine is heterosexual and has had sex with three different men over the past year, almost always without protection. Her last sexual contact was about a week ago. You suspect that she may have gonorrhea. Which diagnostic tests should you order or perform for Jasmine and why? (Select all that apply.)
1. Obtain an endocervical swab for gonorrhea culture
2. Obtain an endocervical swab for chlamydia culture
3. Obtain a blood serum specimen for hepatitis A testing
3.Perform a pregnancy test
4. Obtain a blood serum specimen for syphilis testing
3. As you perform a pelvic exam on Jasmine, which of the two findings should cause you to suspect pelvic inflammatory disease and proceed to conduct further diagnostic testing to confirm this suspicion why? (Select all that apply.)
1. Vulvar irritation
2. Uterine or adnexal tenderness
3. Genital warts
4. Cervical motion tenderness
5. A fishy odor
4. A pregnancy test is positive, and laboratory test results later confirm that Jasmine has gonorrhea. In a follow-up visit, which medications should you prescribe for Jasmine and why?
1. A quinolone plus a tetracycline
2. Acyclovir plus penicillin G
3. Ceftriaxone plus azithromycin
4. Cefotetan plus doxycycline
Review the assigned case study and select the correct answer(s). THERE CAN BE MORE THAN 1 ANSWER FOR EACH QUESTION
Question and answer format only.
Copy questions and answers just as presented.
Bold and italics your answer(s).
Below that, provide a substantive explanation for the answer(s) you have selected and why the other answers do not apply.
ALSO WRITE WHY THE OTHER ANSWERS DO NOT APPLY TO THE QUESTION.
You must include at least one scholarly source (within 10 years) per question to support your rationale.
