Chapter 7 Gynecology, Candidiasis

Question 1

What predispose patients to vaginal candidiasis?

Answer 1

Recent antibiotic use, recent steroid medications

Question 2

What is the differential for vaginal cavity canonizes?

Answer 2

Trichomoniasis, bacterial vaginitis, PID

Question 3

What exam is the most important for this patient?

Answer 3

Pelvic exam, Volver erythema, edema, thick adherent white curd like discharge as patches along the vaginal walls

Question 4

Which Vaginitis agents have a pH less than 4.5? greater than 4.5?

Answer 4

Vaginal candidiasis has a pH less than 4.5

Question 5

What are the findings on microscopy, with mount?

Answer 5

Hyphyae, motile trichomonads, who sells

Question 6

How is cervicitis rules out?

Answer 6

GC cervical Culture, chlamydia cervical culture

Question 7

What test should be ran for vaginitis, vaginal culture or microscopy?

Answer 7

Microscopy

Question 8

What additional test should be ran for patients who exhibit high-risk sexual behaviors?

Answer 8

Hepatitis B, HIV, syphilis, other STDs

Question 9

What infections will have inflammatory cells on vaginal Gram stain?

Answer 9

Candidiasis will have inflammatory cells and BV will have no inflammatory cells or inflammatory signs on exam

Question 10

What is the treatment for Candidiasis?

Answer 10

Topical antifungal agent Clotrimazole/Miconazole suppositories or vaginal cream for two weeks or single dose of oral fluconazole

Question 11

What is the treatment Trich vaginalis?

Answer 11

Metronidazole 500 mg be ID for seven days or 2 g single-dose.

Question 12

What metronidazole instruction should be given to patients?

Answer 12

Treatment for partner, avoid alcohol what metronidazole use

Question 13

What test should be given to patients with vaginal discharge?

Answer 13

Wet mount, vaginal pH, GC cervical culture, chlamydia culture, UA, vaginal Gram stain, Pap smear