GU/reproductive

Question 1

What are the 3 treaments for acute cystitis / UTI

Answer 1

Nitrofuantoin 7 days
Trimethoprim/Sulfamethoxazole 3 days
Cipro (for pyelonephritis)

Question 2

whats the most common cause for Acute cystitis

Answer 2

E coli

Question 3

whats the most common cause of pyelonephritis

Answer 3

E coli

Question 4

whats the main p. exam finding for pyelonephritis

Answer 4

CVA tenderness (costovertebral)

Question 5

whats the tx for pyelonephritis

Answer 5

Cipro 500mg po bid x 14 days

Question 6

Whats the most common cause of prostatitis in a male under 35 yrs.

Answer 6

gonorrheae or chlamydia

Question 7

65 yr old male presents with inflammation of the prostate… the most common cause would be

Answer 7

E coli

Question 8

Pt presents with malaise, fever, chills, low back and rectal pain, dysuria, frequency. what is the most likely cause

Answer 8

prostatitis

Question 9

How would you treat prostatitis

Answer 9

quinolone (cipro) vs. TMP-SMX 4-6 wks.

Question 10

whats the most common cause of epididymitis

Answer 10

E coli for boys and men older than 35.

-<35 chlamydia and gonorrhea

Question 11

whats most common cause of urethritis

Answer 11

Neisseria gonorrhea

Question 12

what are some causes of balanitis

Answer 12

candida, group B strep, and gardnerella

Question 13

describe balanitis and balanoposthitis

Answer 13

inflammation of glans penis and foreskin

Question 14

HOw would u tx balanitis

Answer 14

antifungal or topical bacitracin

Question 15

whats the most common cause of orchitis

Answer 15

mumps (seen with swollen parotid glands) a viral infection

Question 16

besides mumps being the most common cause orchitis what bacteria can cause this

Answer 16

E-coli in elderly

< 35 yrs. gonorrhea and chlamydia

Question 17

list some normal flora residing in the vagina

Answer 17

Lactobacilli, group B strep, E coli, Staph epi.

Question 18

This patient would have cervical motion tenderness upon finger palpation along with fever, lower abd pain and vaginal discharge

Answer 18

Pelvic Inflammatory disease

Question 19

How would u treat PID (pelvic inflammatory disese)

Answer 19

Antibiotics

Question 20

what are 3 pathogens most often seen in the uterus

Answer 20

N. gonorrhea, chlamydia, and bacteroides

Question 21

list 4 pathogens found causing cervicitis

Answer 21

chlamydia, gonorrhea, HSV, and trichomonas infection

Question 22

List the 4 main pathogens of vaginitis

Answer 22

trichomonas vaginalis, chlamydia trachomatis, gardnerela vaginalis, and N. gonorrhea

Question 23

whats the main yeast responsible for candidiasis

Answer 23

candida albicans (an opportunistic infection of musous membranes and skin caused by yeast

Question 24

a pt presents with thick, odorless vaginal discharge resembling curd/cottage cheese, redness, inflammation, edema. whats a probable pathogen?

Answer 24

candidiasis

Question 25

wahts the most common pathogen causing diaper rash

Answer 25

candidiasis

Question 26

What tests and findings would you see to ID candidiasis

Answer 26

budding yeast, hyphae present on a gram smear.

Question 27

most common pathogen causing mastitis/abscess of the breast

Answer 27

staph. aureus

Question 28

how would you treat mastitis

Answer 28

NSAIDs

Question 29

how would u treat abscess in the breast

Answer 29

surgical drainage, antibiotics

Question 30

Whats a major finding that helps distinguish between gonorrhea and chlamydia (particularly in men)

Answer 30

gonorrhea presents with more purulent discharge vs. a more white/clear in chlamydia

Question 31

what is the most common STI

Answer 31

human papilloma virus

Question 32

how would u treat Herpes simplex virus 2

Answer 32

acyclovir

Question 33

This pt has copious foul smelling vaginal discharge caused by a parasite. whats the most likely disease

Answer 33

trichomonas vaginalis

Question 34

how would you treat trichomonas vaginalis

Answer 34

Metronidazole