Test Selection : 4 of 4 (100.0%)
In this activity, you were asked to choose the most appropriate, cost effective, least invasive diagnostic tests to order to help rule in or rule out a diagnosis.
Review the list of appropriate tests below. Correct selections have been marked with a , while selections you missed have been marked with a Conditions of the Gastrointestinal and Genitourinary Systems Tina Jones.
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| Selected Test | Student Rationale | Model Rationale |
|---|---|---|
Sexually Transmitted Infection Panel
|
The patient is sexually active, and has not been tested. She is alos above 25 and needs to be tested for chlamydia and gonorrhea. The patient’s partner also has not been tested Tina Jones Conditions of the Gastrointestinal and Genitourinary Systems Shadow health | According to the CDC’s Recommendations for Providing Quality Sexually Transmitted Diseases Clinical Services (2020), “Obtaining a sexual history and assessing risk for STDs include the five Ps (i.e., partners, practices, protection, past STDs, and prevention of pregnancy).” Based on the patient’s current sexual activity with an untested partner, intermittent condom use, and urological symptoms, this is a valuable selection for this scenario. |
Urinalysis
|
lower abdominal pain. This test is appropriate to determine the origin of the lower abdomila pain | According to the American College of Gastroenterology, the patient’s history, the characteristics and location of the pain, and the practitioner’s physical exam findings determine the needs and invasiveness of the test. Based on the information given and the patient’s urological symptoms, a urinalysis is an appropriate choice for gathering evidence about the source of the patient’s lower abdominal pain Conditions of the Gastrointestinal and Genitourinary Systems Tina Jones. |
Urine Culture and Sensitivity
|
This test will determine the right antibiotic needed for bacteria that will be identified | If an infection is suspected, a urine culture and sensitivity is useful in looking for bacteria that are resistant to certain kinds of treatment. Tina Jones Conditions of the Gastrointestinal and Genitourinary Systems Shadow health |
Urine Pregnancy Test
|
unprotected sex, child bearing age. This test is inexpensive and is appropriate to rule out or rule in pregnancy especially as the patient has a history of PCOS which is marked by irregular periods and as such patient may be pregnant and have no symptoms,. Therefore there is need for rule out, | In addition to the signs and symptoms, patients with a history of polycystic ovary syndrome may experience irregular periods, which can make it harder to identify symptoms of pregnancy. If the pregnancy test results are positive, determining whether it is intrauterine or ectopic is critical to the patient’s health and safety. |
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Test Linking : 4 of 4 (100.0%)
In this activity, you were asked to link each selected diagnostic test to a differential it helps to investigate.
Review the most appropriate diagnostic test selections below. Correct selections have been marked with a , while selections you missed have been marked with a .
| Test | Student Rationale | Model Rationale |
|---|---|---|
| XX You Selected: Sexually Transmitted Infection
|
The patient practices unprotected sex, and has not been tested as well as her partner. She also reports abdominal tenderness, and she is above 25 years old thus she needs to be tested for chlamydia and gonorrhea. Alll of these support the need to run an STI panel
Tina Jones Conditions of the Gastrointestinal and Genitourinary Systems Shadow health |
XXX : Ms. Jones’ painful urination, suprapubic tenderness, and inconsistent condom use with an untested partner all support an STI panel to rule out sexually transmitted infections in accordance with the CDC’s 2015 Guidelines. As a sexually active woman over 25, it is particularly important to test Ms. Jones regularly for chlamydia and gonorrhea. |
| XX You Selected: Cystitis
|
painful urination, abdominal pain, cramping and urgency. This test has high sensitivity and specificity Tina Jones Conditions of the Gastrointestinal and Genitourinary Systems Shadow health | XXX : A urinalysis has high specificity and sensitivity for ruling in or out cystitis Conditions of the Gastrointestinal and Genitourinary Systems Tina Jones. |
| Urine Culture and Sensitivity You Selected: XX
|
Will assist in prescribing the right antibitotics for treatment, | XX : A urine culture will confirm a cystitis final diagnosis if one is determined by a urinalysis. It will also allow for prescribing the correct antibiotic. XX: Tina’s lack of CVA tenderness does not rule out pyelonephritis and her other symptoms support it as a differential. Therefore, she must receive a urine culture to rule out this serious condition. |
| XX You Selected: Pregnancy
|
Patient is sexually active,XXX | : XXXnancy with high sensitivity and specificity. Determining whether or not a patientXXXwill help determine if the patient has a dangerousXXy, which is important in sexually active patients of childbearing age |
Tina Jones’ Gastrointestinal and Genitourinary System Conditions
Test Selection: 4 out of 4 (100.0%)
In this task, you had to choose the most suitable, cost-effective, and least invasive diagnostic tests to order, either to confirm or rule out a diagnosis.
Take a look at the list of appropriate tests below. The right choices are marked with a checkmark (√), while the ones you missed are marked with an “X.”
Selected Tests | Student Rationale | Model Rationale
Sexually Transmitted Infection Panel
You scored: 1 out of 1
Great job! This is a suitable test to order.
The patient is sexually active and hasn’t been tested. She’s also above 25 and should be tested for chlamydia and gonorrhea. The patient’s partner hasn’t been tested either.
According to the CDC’s Recommendations for Providing Quality Sexually Transmitted Diseases Clinical Services (2020), “Obtaining a sexual history and assessing risk for STDs include the five Ps (i.e., partners, practices, protection, past STDs, and prevention of pregnancy.” Based on the patient’s current sexual activity with an untested partner, intermittent condom use, and urological symptoms, this is a valuable choice for this scenario.
Urinalysis
You scored: 1 out of 1
Great job! This is an appropriate test to order.
The patient complains of lower abdominal pain. This test is suitable to determine the cause of the lower abdominal pain.
According to the American College of Gastroenterology, the patient’s history, the characteristics and location of the pain, and the practitioner’s physical exam findings determine the needs and invasiveness of the test. Based on the information provided and the patient’s urological symptoms, a urinalysis is a suitable choice for gathering evidence about the source of the patient’s lower abdominal pain.
Urine Culture and Sensitivity
You scored: 1 out of 1
Great job! This is an appropriate test to order.
This test will determine the right antibiotic needed for bacteria that will be identified. If an infection is suspected, a urine culture and sensitivity is useful in looking for bacteria that are resistant to certain kinds of treatment.
Urine Pregnancy Test
You scored: 1 out of 1
Great job! This is an appropriate test to order.
The patient practices unprotected sex, is of childbearing age, and has a history of irregular periods. This test is inexpensive and is appropriate to rule out or rule in pregnancy, especially as the patient may be pregnant without symptoms.
In addition to the signs and symptoms, patients with a history of polycystic ovary syndrome may experience irregular periods, making it harder to identify pregnancy symptoms. If the pregnancy test results are positive, determining whether it is intrauterine or ectopic is critical to the patient’s health and safety.
Test Linking: 4 out of 4 (100.0%)
In this task, you were asked to link each selected diagnostic test to a possible diagnosis.
Review the most appropriate diagnostic test selections below. The right choices are marked with a checkmark (√), while the missed selections are marked with an “X.”
Diagnostic Tests | Student Rationale | Model Rationale
Sexually Transmitted Infection
You scored: 1 out of 1
Great job! You linked this test to an applicable diagnosis.
The patient practices unprotected sex, hasn’t been tested, reports abdominal tenderness, and is above 25 years old. All of these support the need to run an STI panel.
Ms. Jones’ painful urination, suprapubic tenderness, and inconsistent condom use with an untested partner all support an STI panel to rule out sexually transmitted infections in accordance with the CDC’s 2015 Guidelines. As a sexually active woman over 25, it is particularly important to test Ms. Jones regularly for chlamydia and gonorrhea.
Cystitis
You scored: 1 out of 1
Great job! You linked this test to an applicable diagnosis.
The patient experiences painful urination, abdominal pain, cramping, and urgency. This test has high sensitivity and specificity.
A urinalysis has high specificity and sensitivity for ruling in or ruling out cystitis.
Urine Culture and Sensitivity
You scored: 1 out of 1
Great job! You linked this test to an applicable diagnosis.
This test will assist in prescribing the right antibiotics for treatment. A urine culture will confirm a cystitis final diagnosis if one is determined by a urinalysis. It will also allow for prescribing the correct antibiotic.
Tina’s lack of CVA tenderness does not rule out pyelonephritis, and her other symptoms support it as a differential. Therefore, she must receive a urine culture to rule out this serious condition.
Pregnancy
You scored: 1 out of 1
Great job! You linked this test to an applicable diagnosis.
The patient is sexually active and of childbearing age. Pregnancy with high sensitivity and specificity. Determining whether or not a patient is pregnant will help determine if the patient has a dangerous ectopic pregnancy, which is important in sexually active patients of childbearing age.
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