Gu/GYN

Question 1

White, curdy cottage cheese like

Psuedohyphae w/KOH

Answer 1

Candida vulvovaginitis

Question 2

Candida vulvovaginitis tx

Answer 2

Azole antifungal
Oral (fluconazole)
Or vaginal miconazole

Question 3

Foul odor
Fishy whiff test
Basic ph
Clue cells

Answer 3

BV

Question 4

BV tx

Answer 4

Metronidazole topical or oral

Clindamycin vaginal cream

Question 5

Irritating urination
Cervicitis
Mucopurulent discharge
Increased WBCs

Answer 5

Nongonococcal urethritis

Chlamydia trachomatis

Question 6

Nongonococcal urethritis and cervicitis tx

Answer 6

First: doxycycline 100 mg bid 7d
Azithromycin 1g 1x
Or levofloxacin

Question 7

Irritating urination
Usually no sx
Increased WBCs

Answer 7

Gonococcal urethritis and vaginitis

Neisseria gonorrhoeae gram-neg

Question 8

Gonococcal urethritis and vaginitis tx

Answer 8

First: ceftriaxone 500 mg IM 1x AND doxycycline 100 bid 7d if chlamydia not ruled out

Question 9

Yellow green discharge, itching, dysuria
Cervical petechial hemorrhages strawberry spots
Motile organisms and inc WBCs

Answer 9

Trichononiasis

Question 10

Trichomoniasis tx

Answer 10

First: metronidazole 2g po or tinidazole 2g po 1x

Avoid etoh 24 hrs after

Question 11

Tx for uti if ecoli resistance <20%

Answer 11

TMP-SMX bid 3d

if no sulfa allergy

Question 12

UTI tx if Ecoli is resistance >20% or sulfa allergy

Answer 12

Nitrofurantoin macrobid 100 mg bid 5d

Question 13

Prehn sx

Answer 13

Relief of discomfort with scrotal elevation in epididymoorchitis

Question 14

Age <35 tx for epididymoorchitis and acute bacterial prostatitis

Answer 14

Ceftriaxone 500 mg IM and Doxy 100 mg 10d

Question 15

Age >35 tx for epididymoorchitis and acute bacterial prostatitis

Answer 15

Levofloxacin 10-14d

Or ciprofloxacin