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Exam NCLEX-PN topic 3 question 18 discussion

Actual exam question from Test Prep's NCLEX-PN
Question #: 18
Topic #: 3
[All NCLEX-PN Questions]

The sexually transmitted disease, sometimes referred to as the silent STD, that is more common than gonorrhea and a leading cause of PID is:

  • A. genital herpes.
  • B. trichomoniasis.
  • C. syphilis.
  • D. chlamydia.
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Suggested Answer: D 🗳️
Chlamydia is a sexually transmitted genital infection and is manifested in males primarily as urethritis and in females as mucopurulent cervicitis. Clinical manifestations of urethritis are often difficult to distinguish from gonorrhea and include mucopurulent discharges of scant or moderate quantity, urethral itching, and burning on urination. Possible complications or sequelae of male urethral infections include epididymitis, infertility, and Reiter syndrome. In homosexual men, receptive anorectal intercourse might result in chlamydial proctitis. In women, the clinical manifestations might be similar to those of gonorrhea and frequently present as a mucopurulent endocervical discharge, with edema, erythema, and easily induced endocervical bleeding caused by inflammation of the endocervical columnar epithelium. However, up to 70% of sexually active women with chlamydial infections are asymptomatic. Complications and sequelae include salpingitis with subsequent risk of infertility, ectopic pregnancy, or chronic pelvic pain. Asymptomatic chronic infections of the endometrium and fallopian tubes might lead to the same outcome. Physiological Adaptation

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