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Step 2 DIT > GYN infections (5 stars esp STDs) > Flashcards

GYN infections (5 stars esp STDs) Flashcards

1
Q

Clue cells

A

Bacterial vaginosis (Gardnerella vaginalis)

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2
Q

Greenish frothy vaginal discharge

A

Trichomonas

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3
Q

Pseudohyphae + budding yeast on KOH prep

A

Candida albicans

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4
Q

Strawberry cervix + foul smelling vaginal discharge

A

Trichomonas

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5
Q

Fishy odor of KOH prep

A

Bacterial vaginosis (Gardnerella vaginalis)

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6
Q

“Cottage-cheese” thick, white vaginal discharge

A

Candida albicans

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7
Q

Vaginal pH >4.5 (high)

A

Bacterial vaginosis or Trichomonas

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8
Q

Motile organisms on KOH prep

A

Trichomonas

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9
Q

Treatment bacterial vaginosis

A

Metronidazole

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10
Q

Treatment trichomonas vaginalis

A

Metronidazole + sexual partner

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11
Q

Treatment candida vaginitis

A

Topical -azole or oral fluconazole

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12
Q

Generalized macular rash + fever + hypotension + desquamation of palms and soles

A

Toxic shock syndrome

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13
Q

Treatment TSS

A

Clindamycin or penicillinase-resistant B-lactam + vancomycin for MRSA

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14
Q

UTI or cervicitis + no organisms on gram stain/culture

A

Chlamydia (intracellular)

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15
Q

Thayer-Martin culture

A

Neisseria gonorrhea

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16
Q

MC reportable STD

A

Chlamydia

17
Q

Treatment chlamydia or gonorrhea

A

Treat for both
C - Azithromycin (or doxycycline)
G - Ceftriaxone

18
Q

Lower abdominal pain w/i days of menses + cervical motion tenderness (chandelier sign) + adnexal tenderness

A

PID

19
Q

PID + RUQ tenderness

A

Fitz-Hugh-Curtis (liver involvement)

20
Q

MCC PID

A

Gonorrhea or chlamydia

E coli, bacteroides, strep

21
Q

Labs for syphilis

A

Treponema spirochete visualized on dark-field microscopy
VDRL or RPR (screening)
FTA-ABS or MHA-TP (treponemal specific) for confirmation
Cannot be cultured

22
Q

Primary syphilis

A

Painless chancre (ulcer), heals spontaneously w/i 9 weeks

23
Q

Secondary syphilis

A

Fever, HA, malaise, lymphadenopathy
Maculopapular rash on palms and soles
Papules on mucus membranes, genitals (condyloma lata)
Resolves spontaneously

24
Q

Tertiary syphilis

A

After latent period of 1-30 years
Gummas of skin, bone, liver
Tabes dorsalis (loss of 2-pt discrimination and proprioception, shooting pains), paresthesias
Argyll-Robertson pupil (small, does not contract to light, contracts to accommodation)
Tree-bark aortitis (ascending aorta aneurysms) and AV insufficiency

25
Q

Treatment PID

A

Empiric antibiotics til culture returns

26
Q

Treatment syphilis

A

Penicillin G

27
Q

HPV types

A

1-4: skin warts
6, 11: genital warts
16, 18: cervical cancer
16: anal, penile, vulvar, head and neck cancer associations

28
Q

Cauliflower-like warts on genital region

A

HPV

29
Q

Treatment HPV warts

A

Podyphyllin, trichloracetic acid, topical 5-FU, a-IFN

Injection, cryotherapy, laser therapy, excision

30
Q

Small papule -> painful ulcer w/ gray base and possible bubo formation (inguinal swelling)

A

Chancroid (Haemophilus ducreyi)

31
Q

Treatment chancroid

A

Ceftriaxone or azithromycin

32
Q

Malaise, fever, HA + papule -> painless ulcer + unilateral inguinal bubos, can have fistulas, abscess esp if anal

A

Lymphogranuloma venereum (L1-3 chlamydia serotypes)

33
Q

Treatment LGV

A

Doxycycline

34
Q

Papule -> painless ulcer w/ beefy red base, irregular borders, easy bleeding w/ Donovan bodies (intracellular gram negative rods) on Giemsa stain of lesion

A

Granuloma inguinale (Klebsiella granulomatis)

35
Q

Treatment granuloma inguinale

A

Doxycycline

36
Q

Genital ulcers (painful/painless)

A 
Some Girls Love Licorice but Fellows Hate Candy
Syphilis,
Granuloma inguinale,
Lymphogranuloma venereum =
painLess

painFul
Herpes
Chancroid

Step 2 DIT (23 decks)

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