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Vaginal and Sexually Transmitted Infections Flashcards | StudBud
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Vaginal and Sexually Transmitted Infections
Vaginal and Sexually Transmitted Infections
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Resident Speed Rounds
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1
KOH is added to a wet prep
to explode trichomonads
because Dr. Howell told me I should do it
to break down cells walls facilitating dx of pseudohyphae
to enhance staining of coccobacilli facilitating dx of BV
2
this infection is the number one cause of new onset break-through bleeding on OCP's
HSV
yeast vaginitis
pregnancy
Chlamydia
3
The recent increasing incidence of this STI mirrors the prescription opioid crisis
Hepatitis B
Gonorrhea
Hepatitis C
Syphilis
4
20 yo college student with painful vulvar sores
Bechet's disease
HSV
Syphillis
Lymphogranuloma venereum
5
A nonprimary HSV-2 infection is defined as:
new infection in patient neg. for HSV 2 & neg. for HSV1 Ab
recurrence in patient pos. for HSV 2 & pos. for HSV1 Ab
recurrence in patient pos. for HSV 2 and neg. for HSV1 Ab.
new infection in patient neg. for HSV 2 but pos. for HSV1 Ab
6
vulvovaginal discharge and odor; caused by sex
gonorrhea
yeast vaginitis
bacterial vaginosis
trichomoniasis
7
vulvovaginal odor and discharge, associated but not transmitted by sex
bacterial vaginosis
atrophic vaginitis
trichomonas
desquamative vaginitis
8
ACOG's 2011 stance on giving refills of antibiotics to women to give partners to tx STI
risks of adverse med reaction outweighs potential benefits
missed opportunity to screen for HIV makes this unethical
supported if patient's partner unwilling/unable to get care
expedited partner therapy is preferred in most situations
9
Commonly causes cervicitis
yeast
gonorrhea
HSV
trichomonas
10
CDC 2006 screening recommendation for HIV
risk-factor based with signed consent/counseling
routine age 13 to 64 yrs. - no consent/counseling
risk factor based - no consent/counseling
all pregnant women - must opt-out
11
Common signs symptoms of cervicitis include all of the following except
post-coital or intermenstrual bleeding
fever
cervical friability
mucopurulent discharge
12
cause of cervicitis, urethritis, peri-hepatitis
Trichomonas
HSV
Chlamydia
Gonorrhea
13
painless ulcer
Syphillis
Chancroid
HSV
HIV
14
normal vaginal pH with this infection
yeast vaginitis
atrophic vaginitis
trichomoniasis
bacterial vaginosis
15
most common cause of prepubertal vaginitis
hygiene issues
yeast vaginitis
foreign body
bacterial vaginosis
16
vulvovaginal itching and discharge; associated but not transmitted by sex
Chlamydia
Bacterial vaginosis
Yeast vaginitis
Trichomoniasis
17
16 yo with painful urination and vaginal burning. wet prep shown. most likely diagnosis?
bacterial vaginosis
yeast vaginitis
chlamydia
HSV
18
treatment of late latent syphilis in the PCN allergic patient
Cipro 500mg BID x7d
Doxycycline 100mg BID for 4 weeks
Azithromycin 2g PO x 1
patient must be desensitized to PCN
19
New 2016 guidelines re: treatment of uncomplicated Gonorrhea?
Cefixime 400mg PO
Ceftriaxone 125mg IM
Ofloxocin 400mg PO
Ceftriaxone 250mg IM & Azithromycin 1g PO
20
Homeless IVDU with c/o fever, malaise, poor appetite in for visit for pelvic pain. Best Dx?
Pregnancy
HIV
malingering
Hepatitis C
