Term
|
Definition
| False...it is a polymicrobial clinical syndrome |
|
|
Term
| Name the dominant bacteria of the vaginal normal flora. |
|
Definition
|
|
Term
| What does lactobacillus produce? |
|
Definition
|
|
Term
| What happens to the levels of bacteria in BV? |
|
Definition
| There is a decrease in lactobacillus and an increase in "bad" bacteria that is usually anaerobic. |
|
|
Term
| Name 5 causative agents of BV. |
|
Definition
1) Prevotella sp.
2) Mobiluncus
3) G. Vaginalis
4) Ureaplasma
5) Mycoplasma |
|
|
Term
| Name some things that cause the vaginal flora to get off balance. |
|
Definition
Multiple sex partners
Soaps
Douching
New sex partners |
|
|
Term
| What % of patients are asymptomatic w/BV? |
|
Definition
|
|
Term
| Name a common presenting complaints with BV. |
|
Definition
| Excessive or malodorous discharge especially after intercourse! |
|
|
Term
| Name 4 parts of Amsel's criteria. |
|
Definition
1) Homogeneous, thin, white discharge that smoothly coats the vaginal walls
2) presence of clue cells on microscopic examination
3) pH of vaginal fluid >4.5
4) A + whiff which is a fishy odor of the vaginal discharge before or after addition of 10% KOH solution. |
|
|
Term
| How many components of Amsel's criteria do you need for a Dx of BV? |
|
Definition
| 3 of 4 whether or not there are other sx such as pruritis, edema, or erythema of external genitalia. |
|
|
Term
| Name 2 other differential dx for sx such as those described in Amsels criteria. |
|
Definition
Trichamonas
Atrophic Vaginitis |
|
|
Term
| What is the gold standard in testing for BV? |
|
Definition
| The gram stain but it is cumbersome for practices. |
|
|
Term
| Cultures are a good means for dx BV...T or F? |
|
Definition
| False-There are too many causative agents which may be part of the normal vaginal flora of someone without BV. |
|
|
Term
| FemCard and Quickview are 2 recently available tests for BV but they are not very accurate...T or F? |
|
Definition
| True...however, useful if microscopy is not available. |
|
|
Term
| How often does BV resolve on it's own in non-pregnant/pregnant women? |
|
Definition
|
|
Term
| It is recommended that you treat asymptomatic BV..T or F? |
|
Definition
|
|
Term
| Name some common treatments for symptomatic BV |
|
Definition
1) Metronidazole 500mg bid x7 days
2) Metronidazole gel 0.75%, one applicator (15g) intravaginally , QHS x 5 days
3) Clindamycin cream 2%, one full applicator (15g) QHS x 7 nights |
|
|
Term
| Partners need notified of a BV diagnosis so they can seek treatment...T or F? |
|
Definition
| False---BV is NOT an STI. |
|
|
Term
| Metronidazole is a great choice for a young girl with BV who has told you she is going out this weekend to a party where she may have a drink or 2 of ETOH...T or F? |
|
Definition
| False-Pt. must be educated that they cannot drink ANY etoh while on Metronidazole. |
|
|
Term
| Women on vaginal metronidazole should avoid intercourse...T or F? |
|
Definition
|
|
Term
| Clindamycin cream will not weaken condoms or decrease diaphragm effectiveness....T or F? |
|
Definition
|
|
Term
| When should a pt. who had been treated for BV f/u? |
|
Definition
| If symptoms don't improve. |
|
|
Term
| How many women will have a recurrence w/in a year? |
|
Definition
|
|
Term
| When is suppressive therapy considered? |
|
Definition
| After 3 or more episodes of BV in 1 year |
|
|
Term
| What is used for suppressive therapy ? |
|
Definition
| Vaginal Metronidazole twice a week for 4-6 months. |
|
|
Term
| It is recommended to screen all pregnant women for BV...T or F? |
|
Definition
| False-Screening is not recommended. Look to diagnose only those with symptoms |
|
|
Term
| What are some complications that can come from BV |
|
Definition
PTB
PPROM
Miscarriage
Postpartum endometritis
Intra-amniotic infections |
|
|
Term
| Why is treatment of asymptomatic BV not recommended? |
|
Definition
| It usually will resolve on it's own. |
|
|
Term
| BV has been shown to increase the acquisition of other STI's such as HIV due to the decrease in hydrogen peroxide producing lactobacilli....T or F? |
|
Definition
| True and is why some experts says we should treat asymptomatic cases. |
|
|
Term
| Metronidazole should be avoided in the 1st trimester...T or F? |
|
Definition
| True although studies have shown it has no teratogenic affects even though it crosses the placenta. |
|
|
Term
| Clindamycin 300mg BID x 7 days is used in pregnancy to treat BV...T or F? |
|
Definition
| True....also Metronidazole 500mg BID x 7days orally or 250mg TID x 7 days for stomach upset. |
|
|
Term
| Is there ever a time when treating asymptomatic BV is a good idea? |
|
Definition
| yes..prior to GYN surgeries or induced abortions |
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