An 18 year-old patient presents with a 5 day history of very painful vulvar ulcers that began as small “blisters”.  She is also complaining of a low-grad fever and headache.  Large painful vulvar and perineal ulcers and inguinal lymphadenopathy are found on examination.  The most likely diagnosis is:

While assessing a 16 year-old girl, the nurse practitioner is asked about douching.  What information would be used in the nurse practitioner’s plan?

The Bethesda System equivalent for ASCUS results on a pap screening reflects:

The CDC recommends which of the following treatment regimes for uncomplicated gonorrhea in women?

As a nurse practitioner, you are monitoring the CD4 lymphocyte count of a patient diagnosed with HIV and note her levels to be 300 CD4 cells/mm of blood.  This number is considered:

The diagnosis of external condyloma acuminata is usually made by:

In most cases of sexual transmission of genital HSV, the source case is usually symptomatic at the time of transmission.

Which vaginal infections would you be able to diagnose using KOH on a wet mount slide?

PM is a 22 year-old with complaints of fever, chills, malaise, weight loss, and persistent vaginitis.  She admits to inconsistent condom use with partners and  had a sexual relationship with an IV drug user 3 years ago.  She is in a new relationship and does not use protection every time.  She denies IV drug use.  She admits to herpes genitalis that has increased in frequency this year.  A physical exam was performed noting stable vital signs, bilateral axillary lymphadenopathy, and confirmation for candidiasis vaginitis by microscopic exam.  Cervicitis was noted and appropriate STD tests were obtained.  Her HIV tests returned positive. The NP understands that an HIV infection results in a reduction of:

The arrow in the diagram is pointing to what benign finding on the cervix?