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Gyn 5 (Infections)
Step-2
| Question | Answer |
|---|---|
| When can lactational amenorrhea be relied upon as an effective method of contraception? | |
| What is the tx for acute angle-glaucoma? | acetazolamide, mannitol, b-blockers, alpha-adrenergic agents, prostaglandings, cholinergic agonists |
| What rash is classically described as "dew drops on rose petals?" | primary varicella (chicken pox) |
| What is the diagnostic feature of PID? | Treat empirically if abdominal pain + 1 of the following: CMT, leukocytosis on CBC, new/unusual purulent cervical or vaginal d/c, WBCs on wet prep of vaginal secretions, temp >101F, increased ESR/CRP |
| _________should no longer be used to treat N/gonorrhoeae due to resistance. | Fluorquinolones |
| What are the distinguishing features of BV? | Clue cells and high pH(alkaline pH) |
| What are the distinguishing features of trichomonas infection? | motile trichomonads and high pH, strawberry cervix w/ cervical petechiae |
| What is the treatment for gonorrhea? | ceftriaxone |
| What is the treatment for chlamydia? | doxy, azithromycin |
| What are the distinguishing features of candida vaginitis? | cottage cheese d/c, pseudohyphae on KOH prep, normal vaginal pH (acidic) |
| What are the complications of PID? | infertility ,adhesion formation, chronic pelvic pain, tubo-ovarian abscess, increased risk of ectopic pregnancy |
| Patient complains that if "feels like I'm sitting on an egg". There is pelvic pressure/heaviness. What is this? | pelvic prolapse. |
| Prolapse of bladder into vagina is called ______. | cystocele |
| Prolapse of rectum into vagina is called ______. | rectocele |
| Prolapse of small bowel into vagina is called ______. | enterocele |
| What is the treatment for mild pelvic prolapse? | pelvic floor exercises and/or physical therapy with behavior modification (timed voiding) |
| What is the treatment for moderate pelvic prolapse? | pessary |
| What is the treatment for severe pelvic prolapse? | surgical correction |
| Which STD can be mistaken for IBD due to its association with fistula formation? | lymphogranuloma venereum |
| A sexually active woman presents with the classic sx of cystitis. Gram stain of the urine shows no organisms. What organism do you suspect is the cause of the pts sx? | chlamydia trachomatis |
| What is the presentation of primary syphilis? | solitary chancre 3 weeks after exposure |
| What is the presentation of secondary syphilis? | HA, malaise, fever, maculopapular rash of the palms/soles, lymphadenopathy lasting up to 12 weeks. |
| What is the presentation of latent syphilis? | asymptomatic |
| What is the presentation of tertiary syphilis? | gummas, loss of 2 point discrimination and proprioception(tabes dorsalis), proprioceptive ataxia, + rhomberg, argyll robertson pupil |
| What medications can be used inthe tx of syphilis? | pen G, doxycycline or tetracycline |
| How is the dx of DIP disease made? | abdominal/pelvic exam without other obvious pathology, CMT/adnexal tenderness, vaginal/cervical discharge, WBCs on wet prep of vaginal secretions, leukocytosis, fever, increased ESR/CRP |
Created by:
shelybel
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