GU/GYN problems

Question 1

Candida Vulvovaginitis 
Common complaints (2) and treatments (2)

Answer 1

Complaints: Itching/burning, discharge
TX: -azole antifungal oral (fluconazole) [Diflucan) or vaginal (miconazol) [monistat]

Question 2

Bacterial Vaginosis (BV) 
Complaints (3) and TX (2)

Answer 2

Complaints: Discharge, foul order, itching occasionally present
TX: Metronidazole (topical MetroGel) or oral flagyl, clindamycin vaginal cream

Question 3

Genitourinary syndrome of menopause (GSM, AKA atrophic vaginitis)
Complaints (3) and TX (1)

Answer 3

Complaints: Itching/burning, discharge, often without symptoms
TX: Topical and/or vaginal estrogen

Question 4

Genital herpes 
Clinical findings (2) and TX (2)

Answer 4

Clinical findings: Painful ulcerated lesions, marked lymphadenopathy.
TX: Oral acyclovir (Zovirax) or Valtrex

Question 5

Nongonococcal urethritis and cervicitis (chlamydia) 
Clinical findings (3) and TX (1)

Answer 5

Clinical findings: Often without symptoms. Irritative voiding symptoms, occasional mucopurulent drainage
TX: Azithromycin 1 g PO as one time dose

Question 6

Gonococcal urethritis and vaginitis (gonorrhea) 
Clinical findings (3)  and TX (1)

Answer 6

Clinical findings: often without symptoms. Irritative voiding symptoms, occasional purulent drainage.
TX: Ceftriaxone 500 MG as one time dose plus doxycycline 100 mg BID x7 if chlamydia has not been ruled out.

Question 7

Trichomoniasis clinical findings (7) and TX (1)

Answer 7

Clinical findings: Dysuria, itching, vulvovaginal irritation, yellow-green vaginal discharge, occasionally frothy, cervical petechial hemorrhages (strawberry spots). Often without symptoms.
TX: Metronidazole

Question 8

UTI therapies from most to least used (5)

Answer 8

Bactrim-> IF E.Col resistance use
Macrobid->Monurol->Cipro
Phenazopyridine (Pyridium) for symptom control

Question 9

Epididymo-orchitis symptoms (3) and TX (2)

Answer 9

Symptoms: Irritative voiding symptoms, fever, painful swelling of epididymis and scrotum
Tx: <35: Ceftriaxone as single dose plus doxy for 10 days
>35: Levofloxacin

Question 10

Acute bacterial prostatitis Symptoms (5)

Tx (2)

Answer 10

Symptoms: irritative voiding symptoms, suprapubic, perineal pain, fever, tender/boggy prostate, leukocytosis
Tx: <35: Ceftriaxone as single dose with doxy for 10 days
>35: Cipro

Question 11

Treatment for syphillis? (2)

Answer 11

Penicillin or doxy if beta-lactam allergy

Question 12

Treatment for genital warts? (2)

Answer 12

Imiquioid cream and TCA

Question 13

Treatment for pelvic inflammatory disease?(3)

Answer 13

One time dose ceftriaxone followed by doxy with or without flagyl

Question 14

Treatment for pyelonephritis? (1)

Answer 14

PO levo