GYN- Upper GU Infections

Question 1

postpardum/after instrumentation of endometrial cavity w/ fever, uterine tenderness, inc WBCs, foul smelling lochia

Tx?

Answer 1

endometritis

clindamycin + gentamicin

**endometrial Bx will show PLASMA CELLS

Question 2

risk factors for PID

Answer 2

sexually active <25 yo

Question 3

complications of PID

Answer 3

infertility 
chronic pelvic pain
adhesions
ectopic pregnancy 
tubo-ovarian abcess
Fitz-Hugh-Curtits syndrome

Question 4

treatment PID

Answer 4

pregnant = clinda and gent

not pregnant = ceftriaxone and doxy

Question 5

cervicitis vs PID

Answer 5

cervicitis has cervical motion tenderness but the rest of the exam is benign

tx for cervicitis

Question 6

treatment for cervicitis

Answer 6

aithromycin and ceftriaxone

Question 7

Tubo-ovarian abcess is only seen with what co-existing condition

Answer 7

PID

Question 8

treament for TOA

Answer 8

IV abx, I&D if unresponsive to abx

Question 9

fever, rash, desquamtion of soles

Answer 9

TSSS

Question 10

tx for TSS

Answer 10

IV nafcillin (prevents reoccurance, not the current toxin-mediated illness, TSST-1 exotoxin

Question 11

mono-like syndrome + maculopapular rash

Answer 11

primary HIV inf

Question 12

CD4 ct when HIV symptomatic

Answer 12

200-500

Question 13

CD4 ct for AIDS

Answer 13

<200

Question 14

HAART ?

Answer 14

2 NRTIs + 1 NNRTI

Question 15

HIV during pregancy? what to di to avoid tranmission?

Answer 15

elective c/s and IV ZDZ durign labor and postpartum for baby, no breastfeeding