GU/ GYN/ STD Flashcards
what is enuresis?
involuntary urination, especially by children at night.
what are the 2 major organisms responsible for UTI? what is the PRIMARY organism?
e.coli (80-90%)
staph A.
how many days does a pt stay on an antibiotic for UTI?
10-14 days
list the oral antibiotics used to treat a UTI?
trimethoprim/sulfamethoxazole (bactrim usually 1st choice)
Cephalosporin
amoxicillin
nitrofurantoin
sulfisoxale?
what is the guidelines for renal ultrasound for UTI?
ANY infant
children 2-24 months with UTI
What age do you refer a child for cryptorchidism?
at 1 year
most common STD in the US?
chlamydia
What is the treatment for gonorrhea?
Rocephin and azithro (must treat for chlamydia)
what is the treatment for chlamydia?
azithromycin 1 gram orally Or doxy (dont use doxy if pregnant)
Female presents with dysuria, post coital bleeding, intermentsraul spotting, lower and pain, what is your likely diagnosis?
Chlamydia
Male has a thick cloudy dischargem dysuria and rectal tenesmus (feeling of incomplete defecation) what is your likely diagnosis?
chlaymidia
A male presents with dysuria, frequency, white/ yellow-green penile discharge.What is the likely diagnosis?
gonorrhea
A female presents with dysuria, frequency, mucopurulent vaginal discharge, labial swelling, lower and pain, fever, what is your likely diagnosis?
gonorrhea
which STDs should be reported to the health department?
gonorrhea, chlamydia and syphillis, HIV
(not all states require chlamydia reporting)
THINK GCS
what STD is the leading cause of female infertility?
gonorrhea
pt presents with regional lymphadenopathy, flu like symptoms, generalized maculopaular rash (especially on palms and soles), painess chancre. What do you think this is? what is the treatment?
syphillis
tx: penicillin, doxy or erythromycin
female presents with milky discharge, pruritis, malordorous fishy discharge what does the patient have? what is the treatment?
BV (bacterial vaginitis)
TX: flagyl or clinda
after a wet prep exam a patients results come back with clue cells: epithelial cells stippled with bacteria. What is this and how do you treat it?
BV
flagyl or clinda
can an HIV mother breastfeed?
NO
When do you teach a male to start performing testicular self exam?
11-15 (atleast by age 15)
a 10 y/o pt comes in with symptoms of a UTI after tx what should be recommended for follow up?
a. UA in 2 weeks
b. tell pt to return if symptoms persist
c. teach parents to home monitor with nitrite sticks
d. refer for renal US
D
refer for renal US as older boys should be referred for first UTI when older to ensure there is no abnormal anatomy
most common type of enuresis in school age kids?
a. primary nocturnal
b. occasional daytime enuresis
c. secondary nocturnal enuresis
d. primary diurnal enuresis
D
