Answer Happy

Group III: Contraception A newly engaged young couple come into the office for a consultation. They are asking about which methods of contraception the physician would recommend. The couple states they would like to have children a few years after marriage, but they feel their careers are very important and they want to make sure they use the best possible method to prevent pregnancy. The female partner is afraid to take birth control pills and prefers another option 1. Which options of birth control are available for this couple? 2. What patient teaching will need to take place? 3. If the couple chooses the an IUD for contraception, what is the maximum length of time the IUD can be left inserted?
During the pelvic examination the physician cultures two blisterlike lesions noted in the genital area and sends the specimen to the laboratory for identification of a causative organism. The laboratory culture tes comes back positive for a herpes simplex virus (HSV-2). The diagnosis is genital herpes. When Melanie is given the results of the laboratory test and the diagnosis of genital herpes, a sexually transmitted disease, she appears distraught and listens carefully as the physician answers her questions: "How could this happen to me? How long will the pain and discomfort last? Can this be cured? How long is herpes contagious? When will the blisters go away? How will this affect my future sex life?" 1. Recall some facts you learned about genital herpes that would answer Melanie's questions. Group II: Screening Test (PSA) and Prostate Cancer Marge calls the office with questions about her 55-year-old husband's upcoming physical examination She states that he is reluctant to have an examination of his prostate gland and a PSA screening test for prostate cancer 1. How would you respond to this phone call? 2. What have you learned about the recommendations for prostate cancer screening? 3. Why is this recommendation so important? 4. What additional information would the clinician likely offer Marge's husband if he decides to have the PSA screening test? 5. What are the usual symptoms of prostate cancer when present? 6. Generally what is considered the normal prostatic antigen range?
Group I: Genital Herpes Melanie, a young college woman, contacts the office insisting on an appointment as soon as possible. She states "I feel like I have the flu and my glands are swollen." She complains of a headache and feels like she has a fever. Additionally she requests a pelvic examination for personal reasons." A medical evaluation, including a pelvic examination, is scheduled for the next morning. During the medical history, Melanie confides to the physician that while away at college she recently experienced more than one casual sexual encounter, but that she made sure that the male always wore a condom Now she is aware of extreme discomfort in the genital area. During the pelvic examination the physician cultures two blisterlike lesions noted in the genital area and sends the specimen to the laboratory for identification of a causative organism. The laboratory culture test comes back positive for a herpes simplex virus (HSV-2). The diagnosis is genital herpes. When Melanie is given the results of the laboratory test and the diagnosis of genital herpes, a sexually transmitted disease, she appears distraught and listens carefully as the physician answers her questions: "How could this happen to me? How long will the pain and discomfort last? Can this be cured? How long is herpes contagious? When will the blisters go away? How will this affect my future sex life?" 1 Recall some facts you learned about genital herpes that would answer Melanie's questions. Group II: Screening Test (PSA) and Prostate Cancer Marge calls the office with questions about her 55-year-old husband's upcoming physical examination She states that he is reluctant to have an examination of his prostate gland and a PSA screening test for prostate cancer 1. How would you respond to this phone call? 2 What have you learned about the recommendations for prostate cancer screening? 3. Why is this recommendation so important? TE