GU/OB CEN

Question 1

Risk factors for bladder and urethral trauma

Answer 1

full bladder, pelvic fx, pediatric

Question 2

coopernail’s sign

Answer 2

bruising to perenium, scrotum, labia indicitive of pelvic fx

Question 3

intervention for bladder injuries

Answer 3

elevate knees unless head or thoracic injury as this would increase ICP or thoracic pressure

Question 4

admission criteria for kidney stone

Answer 4

> 10mm, poor output, pain control

Question 5

Gonnorrhea and Chlamydia symtoms and treatmen

Answer 5

symptoms: thick yellow or white discharge 2-7 days after exposure, vag bleeding, vag itching, dysuria, PID Treatment: abx

Question 6

complications of chlamydia

Answer 6

primary cause of infertility in females, nongonococcal urethritis, linked to preterm labor and postpartum endometriosis

Question 7

Testicular torsion

Answer 7

twisting of testicle on the spermatic cord causing testicular hypoxia

Question 8

elevation or manipulation of the scrotum may increase the pain(torsion or epididymitis)

Answer 8

Testicular torsion

Question 9

treatment for testicular torsion

Answer 9

Detorsion under sedation in Ed or anesthesia in OR, if within 6 hours salvage rate is 80-100 %, if after 12 hours, orchiectomy will likely be required

Question 10

elevation of testicles feels good, wearing tighter clothes helps. (torsion or epididymitis)

Answer 10

epididymitis

Question 11

Epididymitis in younger vs older males

Answer 11

younger: usually secondary to STD, older usually caused by bacteria such as E. Coli secondary to underlying obstructive disease

Question 12

onset of torsion vs epididymitis

Answer 12

torsion: rapid onset of pain as soon as torsion happens Epididymitis: gradual as infection gets worse

Question 13

treatment for epididymitis

Answer 13

abx, antipyretics, bedrest 3-4 days, scrotal support, sexual activity and physical strain avoided till infection over,

Question 14

orchitis

Answer 14

inflamation of testicle

Question 15

Phimosis

Answer 15

condition where the foreskin does not fully retract over head of penis

Question 16

paraphimosis

Answer 16

forceful retraction of foresin over head of penis creating a tight band that can obstruct urinary flow and create ischemia to penile head

Question 17

normal vaginal discharge pH

Answer 17

3.8

Question 18

Fishy discharge odor, especially after sex, pH less than 4.5

Answer 18

Bacterial vaginosis

Question 19

Main problem of bacterial vaginosis and treatment

Answer 19

Thin white not obvious discharge that has bad odor and possible itching, treat with abx

Question 20

frothy watery, yellow grey or green obvious discharge vulvar pruritus, dysuria

Answer 20

trichomonas vaginitis

Question 21

treatment for trichomonas vaginitis

Answer 21

metronidazole (flagyl) or clotrimazole vaginally, sitz baths for comfort

Question 22

White curdy “cottage cheese like” discharge no odor, itching/burning. pH less than 4.5

Answer 22

candida vulvovaginitis

Question 23

treatment for candida vulvovaginitis

Answer 23

gynazole (Butoconazole) cream intravaginally diflucan PO

Question 24

metronidazole (flagyl) teaching required

Answer 24

avoid alcohol for at least a week after as this med can cause antibuse symptoms

Question 25

PID symptoms

Answer 25

Pain with walking (PID shuffle), defacating, urinating, valsalva, sex, foul white discharge, bleeding, N/V, Fever, Leucocytosis with shift to left, elevated ESRand CRP, possible STD or causative agent

Question 26

Is pain worse during menstration with PID for N gonnorrheae or C trachomatis?

Answer 26

N gonorrheae

Question 27

most common cause of abnormal vag bleeding

Answer 27

breakthrough bleeding with contraceptive therapy from poor compliance or inadequate daily doses

Question 28

Who gets Rogam (Rh immune globin)?

Answer 28

Rh negative mothers

Question 29

What should all women of childbearing age with lower abd pain be worked up for?

Answer 29

ectopic pregnancy

Question 30

signs of magnesium toxicity and antidote

Answer 30

hypotension, RR <12, loss of reflexes, urine output less than 100mL/4 hours

Question 31

APGAR 5 score

Answer 31

Heart rate (0,<100,>100), Respiratory Effort (absent, Irregular slow, crying good) Muscle tone ( Flaccid, Some Flexion, Active motion), Reflex irritability ( no responce, grimace wea cry, sneeze cough cry) Color ( Blue, Pink body blue extremities, completely pink) Score (0,1,2 out of total 10)