SOLVED712

Darla, a young female patient is seen in the STD clinic. She has noticed some itchy bumps in the vaginal area and is concerned that they may be cancerous. On careful inspection you note the following: five cauliflower-like, warty, pinkish colored lesions in the lower introitus; two smaller lesions nestled anterior to the hymeneal ring of the vagina, and the cervix does not reveal any abnormalities. A wet mount with KOH is negative. A culture for GC and chlamydia was obtained, pap smear completed, and HIV titer and RPR drawn. Which is not an appropriate treatment for this patient? Group of answer choices Podophyllin application, wash off in 6 hours with soap and water Trichloroacetic acid (TCA) acid application Cryotherapy with liquid nitrogen to lesions Benzathine penicillin 2.4 million units IM weekly x 3 weeAn older female patient is seen by you for her annual exam. She has been on HRT for 6 months, having started herself on the pills left by her deceased mother. She brings the pills with her as she wants to remain on these and requests a prescription for Estrace 1 mg daily. She has an intact uterus, is in excellent health, and denies any complaints.
SCIENCE
HEALTH SCIENCE
NURSING

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