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ANCC Study > GU > Flashcards

GU Flashcards

1
Q

This STI has a strawberry cervix?

A

Trichomoniasis

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2
Q

How do we treat Trichomoniasis?

A

Flagyl

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3
Q

This has clue cells and a positive whiff test?

A

BV

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4
Q

How do we treat BV?

A

Flagyl

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5
Q

This STD has a friable cervix?

A

Gonorrhea and Chlamydia

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6
Q

How do we treat Gonorrhea?

A

Rocephin (Ceftriaxone)

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7
Q

How do we treat Chlamydia?

A

Azithromycin

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8
Q

This has painful, burning vesicles?

A

Herpes

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9
Q

How do we treat Herpes?

A

Antiviral within 48-72 hours

Acyclovir

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10
Q

Painless chancre or a rash on palms and soles?

A

Syphilis

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11
Q

How do we diagnose syphilis?

A

RPR

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12
Q

How do we treat syphilis?

A

IM PCN

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13
Q

What do we worry about in pregnant women with syphilis?

A

Spontaneous abortions

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14
Q

What method of birth control increases your risk of osteoporosis?

A

Depo-provera
Do not use for longer than 5 years
Vit D and Ca supplements

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15
Q

What combined option has the highest risk of blood clots?

A

Ortho-evra patch

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16
Q

Contraindications to combination options of birth control?

A

Current clot, liver disease, greater than 35 and smoke

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17
Q

Anytime a female of childbearing age presents with a GU complaint we should order an?

A

HCG level

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18
Q

Presumptive pregnancy signs:

A

Subjective

N/V, quickening

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19
Q

Probably pregnancy signs:

A

HCG positive
Hegar (6-8 weeks)- softening uterine isthmus
Chadwick (6-8)- blue discoloration of cervix
Goodell (4 wk) cervical softening
enlarged uterus
ballottement

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20
Q

Positive pregnancy signs:

A

Objective
Palpation of fetus
Ultrasound
Fetal heart tones

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21
Q

When is pregnant woman screened for gestational diabetes?

A

24-28 weeks

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22
Q

Group B strep?

A

34-36 weeks

23
Q

How do we treat group B strep?

A

PCN

24
Q

When do we give Rhogam?

A

RH negative mom at 28 weeks and within 72 hours postpartum

25
Q

When do we do AFP testing?

A

16-20 weeks

26
Q

If AFP level is elevated it may indicate?

A

Neural tube defects

27
Q

If AFP level is lower it may indicate?

A

Down syndrome

28
Q

Those with Down syndrome have an increased risk of?

A

Alzheimers disease
hypothyroidism
cervical spine instability- must be cleared by x-ray of cervical spine to play sports.

29
Q

Placental abruption presents with:

A

Pain, uterus hard to touch, bleeding, typically only in 3rd trimester

30
Q

Placenta previa presents with:

A

Light, painless bleeding

31
Q

What antibiotic is used to treat mastitis?

A

Dicloxacillin

If does not work, refer for mammogram

32
Q

What results on PAP do we refer immediately?

A

CIN 2 and CIN 3

33
Q

Treatment for ASCUS under 25?

A

Follow up 1 year

34
Q

Treatment for ASCUS over 25?

A

HPV reflex testing and if positive colposcopy

35
Q

Treatment of genital warts?

A

TCA acid

36
Q

Women with PCOS are at higher risk of:

A

Insulin resistance
HLD
Certain cancers

37
Q

Milky discharge from breast that is typically associated with breast stimulation.

A

Galactorrhea

38
Q

What labs do we check with galactorrhea?

A

Prolactin to check for prolactinoma
TSH/FSH
Refer out

39
Q

Symmetrically enlarged, smooth, rubbery, enlarged prostate with symptoms of urinary frequency and hesitancy.

A

BPH

40
Q

Treaments for BPH:

A

1st line- -zosins- terazosin, cardura, flomax
Take at bedtime due to risk of hypotension
2nd line- proscar to shrink prostate
Herbal supplement- saw palmetto

41
Q

PSA cutoff to refer=

A

4

42
Q

Scrotum is swollen and angry with a positive prehn sign.

A

Epididymitis

43
Q

What is a positive prehn sign?

A

Relief of pain when testicle is lifted.

44
Q

Treatment for epididymitis?

A

Under 35- Rochepin and doxy

Over 35- Cipro or levaquin

45
Q

This has a negative prehn sign and absent cremasteric reflex?

A

Testicular torsion

Refer to ED

46
Q

RBC casts in UA indicate:

A

Glomulonephritis

47
Q

WBC casts in UA indicate

A

Pyelonephritis

48
Q

UTI treatment:

A

Macrobid, bactrim, cipro

49
Q

Avoid bactrim with?

A

Warfarin

50
Q

Treatment for UTI in pregnancy?

A

Augmentin

51
Q

With chronic UTIs we should get?

A

Kidney US

52
Q

If on nitro can patient take viagra?

A

NO

53
Q

Boggy, tender prostate with fever, chills, and suprapubic pain.

A

Prostatitis

54
Q

Prostatitis treatment?

A

Under 35- Rocephin and doxy

Over 35- copra or levaquin

ANCC Study (14 decks)

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