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Common GU
Common GU
58
Accounting
Pre-School
08/22/2012

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Cards

Term
What TANNER stage?
menarche
Definition
4
Term
What TANNER stage?
Full adult genitalia
Definition
4
Term
What TANNER stage?
Breast buds
Definition
2
Term
What TANNER stage?
downy
Definition
2
Term
What TANNER stage?
onset of growth spurt
Definition
3
Term
What TANNER stage?
pencil penis
Definition
3
Term
What TANNER stage?
sparse growth of long slightly pigmented hair at base of penis
Definition
2
Term
What TANNER stage?
Increase in penile length and width
Definition
4
Term
Differential diagnosis of vulvovaginitis:
What is normal vaginal pH?
Definition
3.8-4.2
Term
Differential diagnosis of vulvovaginitis:
Normal microscopic vaginal findings?
Definition
lactobacilli
Term
Differential diagnosis of vulvovaginitis:
<4.5 pH is usually?
Definition
Candida vulvovaginitis
Term
Differential diagnosis of vulvovaginitis:
>4.5 pH is?
>5 is usually?
Definition
Bacterial Vaginosis
atrophic vaginitis (post menopausal)
Term
Differential diagnosis of vulvovaginitis:
Candida, bacterial, or atrophic?

White, curdy "cottage chesse" DC
Definition
Candida
Term
Differential diagnosis of vulvovaginitis:
Candida, bacterial, or atrophic?

Thin, white, gray DC
Definition
Bacterial
Term
Differential diagnosis of vulvovaginitis:
Candida, bacterial, or atrophic?

Scan, white-clear
Definition
atrophic
Term
Differential diagnosis of vulvovaginitis:
Candida, bacterial, or atrophic?

Absent KOH "whiff test"
Definition
candida or atrophic
Term
Differential diagnosis of vulvovaginitis:
Candida, bacterial, or atrophic?
+ whiff, fishy
Definition
bacterial
Term
Differential diagnosis of vulvovaginitis:
Candida, bacterial, or atrophic?

Pseudo-hyphae on micro
Definition
candida
Term
Differential diagnosis of vulvovaginitis:
Candida, bacterial, or atrophic?

mycelia, budding yeast
Definition
candida
Term
Differential diagnosis of vulvovaginitis:
Candida, bacterial, or atrophic?

clue cells >20 hpf
Definition
bacterial
Term
Differential diagnosis of vulvovaginitis:
Candida, bacterial, or atrophic?

few or absent lactobacilli
Definition
atrophic
Term
Differential diagnosis of vulvovaginitis:
Candida, bacterial, or atrophic?

-azole is tx?
Definition
candida
Term
Differential diagnosis of vulvovaginitis:
Candida, bacterial, or atrophic?

metronidazole
clindamycin vaginal cream
Definition
bacterial
Term
Differential diagnosis of vulvovaginitis:
Candida, bacterial, or atrophic?

topical/vaginal estrogen
Definition
atrophic
Term
Causative organism for Genital Herpes?

Tx?
Definition
HHV-2

-cyclovir of choice
Term
Causative organism for Nongonococcal urethritis and cervicitis? (Chlamydia)

Tx?
Definition
C. trachomatis

Azithromycin as a 1 time dose
Term
Causative organism for gonococcal urethritis and vaginitis?

Tx?
What if pt has a beta-lactam allergy?
Definition
N. gonorrhoeae

Ceftriaxone as 1-time dose.

Spectinomycin as alternative
Term
Causative organism for Trichomoniasis?

Tx?
Definition
T. vaginalis

Oral metronidazole, no topicals
Term
Causative organism for Genital Warts?

Tx?
Definition
HPV6,11

Podofilox
Imiquimod (only for external, DONT USE WITH PREGNANCY)
Term
Causative organism for PID?

TX:?
Definition
N. Gonorrhoeae, C. Trach

Triple therapy: "Butt n gut"
-Ceftriaxone 250mg IM x1
-Doxy 100mg BID x 14d
-Metronidazole 500mg BID x 14d
Term
What medication should you use for a pregnant 30 yr old with genital warts?
Definition
Tricholoracetic acid, or cryoprobe.
Term
Name that STI:

Painful ulcerated lesions
Definition
genital herpes
Term
Name that STI:

Irritative voiding symptoms, occasional purulent dc. Often without symptoms in either gender.
Definition
Gonorrhea
Term
Name that STI:
Dysuria, itching, frothy vaginal dc, yellow green.
Definition
Trichomoniasis
Term
Name that STI:
cervical petechial hemorrhages
Definition
trich
Term
Name that STI:
strawberry spots
Definition
trich: cervical petechial hemorrhages
Term
Name that STI:
Cervical motion tenderness
Definition
PID
Term
Name that STI:
"the shuffle"
Definition
PID
Term
Name that STI:
alkaline pH
Definition
trich
Term
Condyloma cumininata =?
Definition
genital warts
Term
What is a verruca?
Definition
wart
Term
Treatment for what STI?
Ceftriaxone?
Definition
gonorrhea
Term
Treatment for what STI?
azithromycin?
Definition
chlamydia
Term
Treatment for what STI?
Doxy?
Definition
chlamydia
Term
Imiquimod (aldara)
Definition
warts
Term
Most common pathogen with acute uncomplicated UTI?
Definition
E.coli
Term
Most common pathogen with Acute uncomplicated pyelonephritis?
Definition
E. Coli
Term
Treatment for acute uncomplicated UTI?
Local E. Coli Resistance > 20%?
Definition
Nitrofurantoin x 7d plus phenazopyridine (Pyridium)
Term
Treatment for acute uncomplicated UTI?
Allergy to sulfa
Definition
Nitrofurantoin x 7d plus phenazopyridine (Pyridium)
Term
Treatment for acute uncomplicated UTI?
Local E. Coli Resitance <20%?

Sulfa allergy?
Definition
TMP/SMX-DS x 3 days

Consider ciprofloxacin 250mg BID x 3 days
Term
Tx for acute uncomplicated pyelonephritis?
Definition
Ciprofloxacin 500mg x 7 days

Alternative: augmentin, Bactrim x 14 days.
Term
Positive leukocyte esterase would be?
Definition
> 10 WBC per hpf
Term
A palpable scrotal mass that is only evident in standing position?
Definition
variocele
Term
collection of serous fluid that causes painless scrotal swelling, easily recognized by transillumiation?
Definition
hydrocele
Term
Foreskin cannot be pulled back to expose the glans =?
Definition
phimosis
Term
retracted foreskin that connot be broght forward to cover the glans?
Definition
paraphimosis
Term
Loss of cremasteric reflex?
Definition
testicular torsion
Term
testicle located in the inguinal canal or abdomen?
Definition
cryptochordism
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