Term
| when are candidal infections most common? how are they confirmed? how are they treated? |
|
Definition
-after abx usage
-wet prep
-Oral: Diflucan, Topical: Monistat, etc. |
|
|
Term
| what is the usual cause of atrophic vaginitis? How is it treated? |
|
Definition
-lack of estrogen support either due to menopause of surgical removal of the ovaries
-oral HRT or hormone replacement cream (not contraindicated in women with blood clots, breast CA, etc like oral is) |
|
|
Term
| does atopic vulvar dermatitis involve the vagina? |
|
Definition
|
|
Term
| describe the dc associated with trichomoniasis. what is a typical cervical characteristic? tx? |
|
Definition
-frothy, yellow green, malodorous
-strawberry cervix
-metronidazole, no alcohol, treat partner at same time. |
|
|
Term
| what is the most common vaginal infection of women of child-bearing age that is not considered an STI? |
|
Definition
|
|
Term
| describe the dc associated with BV |
|
Definition
foul, fishy odor
white or gray thin dc |
|
|
Term
|
Definition
metronidazole tablets or gel
OR
clindamycin gel |
|
|
Term
| why is simple I and D of bartholin cysts contraindicated? what is the tx? |
|
Definition
-ineffective bc the tissue heals so quickly
-marsupialization is the best option in women who are not cured by sitz baths |
|
|
Term
| what is the second most commonly reported notifiable disease in the Us? |
|
Definition
|
|
Term
| most women with gonorrhea are asymptomatic, what are the most common initial symptoms? |
|
Definition
painful or burning urination
increased vaginal dc
vaginal bleeding between periods |
|
|
Term
| what is the tx for gonorrhea? |
|
Definition
-ceftriaxone 125 mg IM (double if you think they have PID)
OR
-cefixime 400 mg orally in a single dose, or 400 mg by suspension (200 mg/5 mL)
PLUS
tx for chlamydial infection if it is not ruled out |
|
|
Term
| what is the most frequently reported bacterial STI in the us? |
|
Definition
|
|
Term
| if left untreated, chlamydia is one of the leading causes of ___________ |
|
Definition
|
|
Term
| what is the chandelier sign? |
|
Definition
| with bimanual exam pt with chlamydia will experience intense pain with manipulation of the cervix |
|
|
Term
|
Definition
| triad of nongonococcal urethritis, conjunctivitis, and arthritis |
|
|
Term
| What is the tx for chlamydia? |
|
Definition
-Azithromycin 1 g p.o. in a single dose
OR
-doxycycline 100 mg po twice a day x 7 days (Do not give to pregnant women!) |
|
|
Term
| what is the most common gynecological reason for ER visits in US? |
|
Definition
|
|
Term
| with is the most common serious infection of women aged 16-25 years? |
|
Definition
|
|
Term
| what are two labs that are elevated in a woman with PID? |
|
Definition
|
|
Term
| what are the most common organisms associated with PID? |
|
Definition
|
|
Term
| Studies estimate that approx 50% of ectopic pregnancies occur in tubes damaged by __________ |
|
Definition
|
|
Term
| what is the most common STI? |
|
Definition
|
|
Term
| what strains of HPV cause 70% of cervical CA? which strains cause 90% of genital warts cases? |
|
Definition
|
|
Term
| which HPV prevents warts and CA? which only CA? |
|
Definition
|
|
Term
| What is acute retroviral syndrome? What are the symptoms that healthcare providers need to be aware of? |
|
Definition
-occurs in the first few weeks after HIV infection before AB test results become +
-fever, malaise, lymphadenopathy, and skin rash |
|
|
Term
| which type of vulvar cancer comprises 85% of cases? |
|
Definition
|
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