GU & GYN 1 Flashcards
A. Bacterial vaginosis
B. Candida vulvovaginitis
C. Nongonococcal cervicitis/vaginitis
Clue cells with alkaline pH
Pseudohyphae
Abundant WBCs
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Correct answers are:
A
B
C
Which of the following is demonstrated to provide the most symptom relief in treating vasomotor symptoms?
Clonidine Paroxetine Conjugated estrogen Venlafaxine Feedback
Correct answer is: Conjugated estrogen
Brian is a 14-year-old who presents for a sick visit with 4-hour history of sudden onset of left-sided scrotal pain. He has had mild intermittent unilateral testicular pain in the past but not as severe as this current episode. He has vomited once since the onset of the pain and is without fever or history of recent scrotal trauma. Confirmation of testicular torsion would include all of the following findings except:
Unilateral loss of the cremasteric reflex on the affected side
The affected testicle held higher in the scrotum
Testicular swelling
Relief of pain with scrotal elevation
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Correct answer is: Relief of pain with scrotal elevation.
Vulvovaginitis or STI diagnosis with the following findings on clinical or microscopic examination? Choose from the following:
A. Bacterial vaginosis
B. Candida vulvovaginitis
C. Nongonococcal cervicitis/vaginitis
Clue cells with alkaline pH
Pseudohyphae
Abundant WBCs
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Correct answers are:
A
B
C
Intervention in vulvovaginitis?
An option can be used more than once.
A. Candida vulvovaginitis
B. Trichomoniasis
C. Bacterial vaginosis
Clotrimazole cream
Oral metronidazole
Metronidazole gel
Clindamycin cream
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Correct answers are:
A
B & C
C
C
Treatment for which of the following STIs?
An option can be used more than once.
A. External genital warts in a 25-year-old adult
B. Gonococcal urethritis in a 22-year-old adult
C. Syphilis in a 45-year-old adult
D. External genital warts in a 28-year-old pregnant woman
Ceftriaxone
Injectable penicillin
Imiquimod
Trichloroacetic acid (TCA)
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Correct answers are:
B
C
A
A & D
Genital Candida albicans infection in men typically presents with all of the following except:
Penile discharge
Balanitis.
Groin-fold involvement
Scrotal excoriation
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Correct answer is: Penile discharge
Considerations in caring for a 68-year-old man with a BMI=38 kg/m2 who is otherwise well and presents with genital candidiasis includes which of two most helpful measures?
Advice on the use of antibacterial soap to the region
Obtain an in-office blood glucose
Prescribing topical miconazole
Order a medium-potency topical corticosteroid to the affected region to help with symptom control
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Correct answer is:
Obtain an in-office blood glucose
Prescribing topical miconazole
Indicate whether each of the following signs and symptoms are associated with:
A. Epididymoorchitis (E)
B. Acute bacterial prostatitis (P)
C. Both
Irritative voiding symptoms Perineal pain Prehn’s sign Usually presents with fever Scrotal swelling
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Correct answers are:
C B A C A
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Correct answers are:
C B A C A
Irritative voiding symptoms-both Perineal pain -acute bacterial prostatitis Prehn’s sign-Epididymoorchitis Usually presents with fever-both Scrotal swelling-Epididymoorchitis
Which of the following is inconsistent with benign prostatic hyperplasia?
Obliterated median sulcus
Size ≥2.5 cm × 3 cm
Symptoms improved with use of an alpha-1 receptor blockade such as tamsulosin
Surgical intervention should be offered early in the disease process
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Correct answer is: Surgical intervention should be offered early in the disease process
Which of the following is a worrisome finding noted during pelvic examination on a 62-year-old woman?
Flattening of the vaginal rugae
Vaginal pH=5.6
Ovary palpable on bimanual examination
Scant white vaginal discharge
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Correct answer is: Ovary palpable on bimanual examination
Samantha, a healthy 32-year-old woman who is taking combined oral contraceptives, is here to review the results of her recent Pap screening that revealed atypical squamous cells of unknown significance (ASCUS) and high-risk HPV positive. She has no history of previous abnormal cervical cytology, with her last screening obtained approximately 2 years ago. After explaining the significance of these findings, the most appropriate next step is to:
Advise that she return in 6–12 months for a repeat Pap with HPV cotesting
Obtain screening tests for N. gonorrhoeae and C. trachomatis infection.
Referral for colposcopy
Counsel that the usual cervical cancer screening guidelines should be followed
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Correct answer is: Referral for colposcopy
Intervention in vulvovaginitis?
An option can be used more than once.
A. Candida vulvovaginitis
B. Trichomoniasis
C. Bacterial vaginosis
Clotrimazole cream
Oral metronidazole
Metronidazole gel
Clindamycin cream
Correct answers are:
A
B & C
C
C
Treatment for which of the following STIs?
An option can be used more than once.
A. External genital warts in a 25-year-old adult
B. Gonococcal urethritis in a 22-year-old adult
C. Syphilis in a 45-year-old adult
D. External genital warts in a 28-year-old pregnant woman
Ceftriaxone
Injectable penicillin
Imiquimod
Trichloroacetic acid (TCA)
Feedback
Correct answers are:
B
C
A
A & D
Genital Candida albicans infection in men typically presents with all of the following except:
Penile discharge Balanitis. Groin-fold involvement Scrotal excoriation Feedback
Correct answer is: Penile discharge.
