A 20-Year-Old Male College Student Presents to the Campus Health

question 27

Multiple Choice

A 20-year-old male college student presents to the campus health clinic. The patient reports no significant past medical history. He has been experiencing painful urination for several days and yellow discharge from his urethra. The nurse asks the student about his sexual activity. He reports engaging in unprotected sex, and is concerned that he may have contracted a sexually transmitted infection. The nurse sends a sample of the urethral discharge to the microbiology laboratory. The laboratory reports gram-negative diplococci and many neutrophils on the smear, suggestive of gonorrhea.
-Based on the patient's clinical presentation and history alone,how could the nurse have distinguished gonorrhea from chlamydia?  

• A)Chlamydia rarely presents with a yellow discharge.
• B)Painful urination is the hallmark of gonorrhea.
• C)Chlamydia additionally presents with lower abdominal pain.
• D)Gonorrhea and chlamydia mimic each other in presentation.

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Definitions:

Generalized Anxiety Disorder

A mental health disorder characterized by persistent and excessive worry about various aspects of life, not tied to any specific threat.

Severe Depression

A significant mental health condition featuring persistent sadness, lack of interest in activities, and a variety of physical and cognitive symptoms, influencing the quality of life.

Anxiety Disorders

A group of mental health disorders characterized by significant and persistent worry and fear about everyday situations, often leading to physical symptoms.

High Neuroticism

A personality trait characterized by a tendency to experience negative emotions, such as anger, anxiety, or depression, more frequently and intensely than others.