GU/ GYN/ STD

Question 1

what is enuresis?

Answer 1

involuntary urination, especially by children at night.

Question 2

what are the 2 major organisms responsible for UTI? what is the PRIMARY organism?

Answer 2

e.coli (80-90%)

staph A.

Question 3

how many days does a pt stay on an antibiotic for UTI?

Answer 3

10-14 days

Question 4

list the oral antibiotics used to treat a UTI?

Answer 4

trimethoprim/sulfamethoxazole (bactrim usually 1st choice)

Cephalosporin
amoxicillin
nitrofurantoin
sulfisoxale?

Question 5

what is the guidelines for renal ultrasound for UTI?

Answer 5

ANY infant

children 2-24 months with UTI

Question 6

What age do you refer a child for cryptorchidism?

Answer 6

at 1 year

Question 7

most common STD in the US?

Answer 7

chlamydia

Question 8

What is the treatment for gonorrhea?

Answer 8

Rocephin and azithro (must treat for chlamydia)

Question 9

what is the treatment for chlamydia?

Answer 9

azithromycin 1 gram orally
Or doxy (dont use doxy if pregnant)

Question 10

Female presents with dysuria, post coital bleeding, intermentsraul spotting, lower and pain, what is your likely diagnosis?

Answer 10

Chlamydia

Question 11

Male has a thick cloudy dischargem dysuria and rectal tenesmus (feeling of incomplete defecation) what is your likely diagnosis?

Answer 11

chlaymidia

Question 12

A male presents with dysuria, frequency, white/ yellow-green penile discharge.What is the likely diagnosis?

Answer 12

gonorrhea

Question 13

A female presents with dysuria, frequency, mucopurulent vaginal discharge, labial swelling, lower and pain, fever, what is your likely diagnosis?

Answer 13

gonorrhea

Question 14

which STDs should be reported to the health department?

Answer 14

gonorrhea, chlamydia and syphillis, HIV

(not all states require chlamydia reporting)

THINK GCS

Question 15

what STD is the leading cause of female infertility?

Answer 15

gonorrhea

Question 16

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?

Answer 16

syphillis

tx: penicillin, doxy or erythromycin

Question 17

female presents with milky discharge, pruritis, malordorous fishy discharge what does the patient have? what is the treatment?

Answer 17

BV (bacterial vaginitis)

TX: flagyl or clinda

Question 18

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?

Answer 18

BV

flagyl or clinda

Question 19

can an HIV mother breastfeed?

Answer 19

NO

Question 20

When do you teach a male to start performing testicular self exam?

Answer 20

11-15 (atleast by age 15)

Question 21

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

Answer 21

D

refer for renal US as older boys should be referred for first UTI when older to ensure there is no abnormal anatomy

Question 22

most common type of enuresis in school age kids?

a. primary nocturnal
b. occasional daytime enuresis
c. secondary nocturnal enuresis
d. primary diurnal enuresis

Answer 22

D