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 Gastrointestinal and Genitourinary Systems Tina Jones shadow health Test Selection.
|Selected Test||Student Rationale||Model Rationale|
||The patient is sexually active, and has not been tested. She is alos above 25 and needs to be tested for chlamydia and gonorrhea. Patient’s partner also has not been tested Gastrointestinal and Genitourinary Systems Tina Jones shadow health Test Selection||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.|
||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.|
| 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.|
||unprotected sex, childbearing 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 a need to 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. Gastrointestinal and Genitourinary Systems Tina Jones shadow health Test Selection|