4.2.1 Infection of the Female Genital Tract Flashcards

1
Q

What bacteria is responsible for lowering the pH in the female genital tract?

A

Lactobacilli (digest glycogen)

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2
Q

What’s the best test to identify trichomoniasis?

A

PCR

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3
Q

Red? Blue?

A

Red: clue cell

Blue: trichomonas

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4
Q

What are the symptoms of BV?

A

Vaginal discharge

Odor

Many are asymptomatic

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5
Q

What is this purple sheit?

A

Tiny gram-negative bacteria clinging to an epithelial cell (clue cell)

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6
Q

What is a positive ‘whiff’ test suggestive of?

A

Bacterial vaginitis

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7
Q

What’s this chick got, doc?

A

BV

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8
Q

Who should be screened for HIV?

A

Routine 16-34 years

ALL preggo women

High risk people

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9
Q

What is typically absent in bacterial vaginitis? What is the predominant bacteria?

A

Lactobacilli; gram-negative gut bacteria

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10
Q

What’s the best treatment for candiasis?

A

Oral anti-fungal

OTC creams are often used doe

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11
Q

What is unique to candiasis?

A

Psuedo-hyphae; vaginal pH norm

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12
Q

What is circumscribed in red?

A

Trichomonas

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13
Q

What’s that?

A

“Strawberry” Cervix in Trichomoniasis

Miles’ favorite flavor of milkshake

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14
Q

What are some clinical clues that indicate BV?

A

Presence of clue cells, pH greater than 4.5, absence of lactobacilli, odor

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15
Q

What deez be on saline prep? What are the red arrows pointing at?

A

Clue cells

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16
Q

What this be?

A

Tubal scarring from PID

17
Q

What is the most feared consquence of long-standing PID?

A

Infertility

18
Q

Descibe the appearance of the cervix in trichomoniasis?

A

“Stawberry” cervix - 25% of cases

19
Q

What some common bacteria of the female genital tract?

A
20
Q

Name this bacterium

A

Lactobacilli

21
Q

Best treatment for trichomoniasis?

A

Metronidazole

22
Q

What is the effective treatment for HIV?

A

HAART

Antiretroviral treatment

23
Q

What are some of the causes of vaginitis in women?

A

Bacterial vaginitis

Vulvovaginal candidiasis

Trichomoniasis

Vaginal atrophy

Allergies

Chemical irritation

24
Q

What caused the drop HIV deaths?

A

Anti-retrovirals

25
Q

What’s dis?

A

Pseudo-hyphae

26
Q

What are some of the ways that female genital tract defends itself?

A

Squamous mucosa

Catabolism of glycogen (lowers pH)

Sloughing of endometrium

27
Q

What dis be?

A

Foamy discharge from a patient with trichomoniasis

28
Q

What is trichomonas?

A

Motile flagellated protozoan

29
Q

What are some test to determine cause of vaginitis?

A

Saline wet prep

KOH prep

‘Whiff’ Test