EXAM 4 Gremminger Flashcards
- Woman age 21, never had PAP, has had 10 partners so far. What would you be concerned about?
HPV, Starting at a young age with 10 or more partners, very increased risk for HPV
- 20-year-old woman comes in because her boyfriend has chlamydia. What do you treat her with?
Azithromycin 1gm PO
- 20-year-old woman comes in because her boyfriend has chlamydia. What do you treat her with? She’s allergic to azithromycin
Allergy to azithromycin: 2nd choice would be: doxycycline 100mg BID x7 days
- 43-year-old woman comes in with vaginal discharge during pelvic. See some hyphae on vaginal smear. What do you think is going on?
Yeast infection
- 24-year-old woman coming in with irregular vaginal bleeding. She’s been having periods since age 16, but now she is having irregular bleeding. Most common cause:
pregnant – can have a little bit of bleeding early on in pregnancy
- 40-year-old woman comes in, single, not in a relationship with anybody, she is sexually active, she is a smoker. Drinks 2-3 beers per day. BMI is 26. She’d like to get on birth control. Safest method:
IUD
- Counseling about menstrual cycles, they are worried about not having a cycle. How long do they have to go to classify as secondary amenorrhea:
3 months
- Risk factors for PMS symptoms:
Caffeine, alcohol, nutrition, stress, smoking, family history
- 27-year-old female who comes in complaining of painful menstruation. What is most likely the cause:
endometriosis
- 23-year-old male comes in and says he has painful sore on his penis. When you look at it, you see fluid filled vesicle that is painful to touch. Most likely:
Herpes
- How is herpes normally treated?
Acyclovir
- Most common serious complication of somebody with gonococcal infections:
PID
- How long can a woman wait to take Plan B?
72 hours
- Man in 30s comes in with a lesion on his penis with no pain. When you look at it, you see a flat lesion with indurated margins, not painful. What do you think he has?
Syphilis
- What would you treat Syphilis with?
Penicillin, If allergic: Doxycycline
- Latent syphilis: treat with
Penicillin G
- What age should a woman start receiving pap smears?
21
- **Know the cervical cancer screening guidelines and recommendations:
<21: no screening; 21-29: cytology alone, every 3 yrs; 30-65: anyone of the following, cytology alone, every 3 yrs, FDA approved primary hrHPV testing alone, every 5 yrs, cotesting (hrHPV testing and cytology) every 5 yrs; >65 no screening after adequate negative results; hysto with cervix removal: if no hx of high-grade precancerous cervical lesions, or cervical cancer
- Woman coming in age 40 complaining of vaginal discharge. You see protozoa on the vaginal smear. What does she have?
Trichomonas
- How do you treat Trichomonas?
Flagyl
- 25-year-old who comes in and says she has irregular menstrual cycles spaced out over several months. She has some facial hair, she is overweight, fasting blood sugar is 130. What is most likely going on?
Polycystic Ovarian Syndrome
- 27-year-old female who comes in and says she hasn’t had a menstrual cycle in 6 months. You want to order a lab test, which would you order? CBC or prolactin level?
Prolactin
- Patient with factor V mutation. What contraception should you avoid?
Estrogen
- Started a patient on oral contraceptives and they want to know what happens if you miss one pill?
Take it as soon as you remember or with the next dose
- Started someone on depo shot, what might someone notice when starting this?
Weight gain
- Menopausal woman coming to you with terrible hot flashes. She doesn’t want to take hormone replacement therapy due to family history of breast cancer. What alternative treatment option?
Antidepressants – Effexor (Venlafaxine)
- Somebody has hormonal IUD, what is one of the common side effects?
Reduces menstrual flow
- Young woman coming in who has been on oral contraceptives for six years, she has decided that she’d like to have a baby. She would like to know when it is safe to start trying to conceive?
She can start trying to conceive immediately after stopping contraceptive.
- Average age for menopause in the United States?
51-52
- Average age for perimenopause?
40-45
- Woman with hot flashes hasn’t had menstrual cycle in 6 months. How long does she need to go before you can say she is in menopause?
One year
- Which hormone level increases in woman who is perimenopausal?
FSH
- Average age girls start menstrual cycle?
11-14
- Primary amenorrhea is considered if they haven’t had a menstrual cycle by age:
15
- Four most common STIs:
Chlamydia, gonorrhea, syphilis and trichomoniasis
Urethritis in men most commonly caused by
Chlamydia
