gynae plus genitourinary Flashcards
premature ovarian failure is associated with
autoimmune causes
what is the contraceptioon of choice in a patient with a history of epilepsy
injection or IUS
non-keratined (soft ) genital warts can be treated by
podophyllotoxin…. keratinised lesions can be removed using cryotherapy whilst non keratinised lesions can be removed using podophyllotoxin, imiquimod or sinecatechins. T
what are the 4 features present in tertiary syphylis
cns signs like rombergs, aortic regur, cutaneous lesions and dementia,….. the investigation will be enzyme immunosorbent assay
what is the management of fibroids more than 3 cm
myomectomy…If abnormal bleeding and under 3cm in size with no uterine distortion can be targeted with medical options:
NSAIDs
Anti-fibrinolytics
Combined hormonal contraception
Levonorgestrel-releasing intrauterine system (Mirena)
The Mirena is often used first-line, however the other treatments may be selected depending on the patient’s wishes to remain fertile, any contraindications, or patient preference.
exertitional dyspnoae in a HIV positive patient could be most likely due to
PCP infection
what is the gold standard test used in a patient with high suspicion of HIV
HIV antigen and HIV ANTIBODY
menorrhagia with no underlying pathology is called
dysfunctional uterine bleeding
what is the management of chancroid
cipro plus ceftriaxone and its caused by haemophilous ducreyi
what is the management of the endometriosis in a apatient who wants to conceive
laproscopic ablation of the endometrial tissue.
what is the managament of CIN TYPE 3
LLEOTZ of the transission zone and in cin type 1 there is regular monitoring but in type 2 and 3 there is resection because the chances of it turning metastatic is high.
in a patient with HIV what is the most common cause of meningitis?
cryptococcus meningitis which stains in the india ink
what are the two additional symptoms seen in woman with large uterine fibroids
urinary incontinence and constipation.
in a patient who received anal sex and presented to the gum clinic worried about HIV , what is the managamanet
give PEP if presents within 72 hrs irregardless or the partner hiv status. he two drugs used are Raltegravir and Truvada. These are prescribed for 28 days
what is the triad associated wth vasa previa?
painless vaginal bleeding, rupture of membrane and fetal bradykardia
what is the advice that can be given to a patient who present swith itching and tingling in the genital region and has a history of being treated for hsv
abstain from all form of sexual activity as this could be a prodromal symptom for herpes reinfection.
In a patietn who was treated with benzathine pennicaline for secondary syphylis was brought to the emergency department with high fever and chills and rigor. what is the management
reasure that the symptoms would resolve in 24 hrs. as he is suffering from Jarisch-Herxheimer Reaction due to treatment of syphylis
what is the management of molluscom contagiosum in a HIV positive patient
reassure of not then can treat with cryotherapy.
what is teh one cancer whose risk is decreased by smokng
endometrial
Painless ulcer and painless lymphadenopathy= Syphilis Painless ulcer and painful lymphadenopathy= LGV Painful ulcer and painful lymphadenopathy= Herpes/ Chancroid
read
what happens to lh and fsh levels in pcos
the ratio of lh to fsh ratio is mostly increased to 2:1 or 3:1 with sometimes fsh in the normal range.
Brain lesion with solid homogenous enhacement in a HIV patient what is the management
commence cART and whole brain irradiation. because it is cns lymphoma ……in toxoplasmosis the lesion with have ring enhancement.
what is the management of PCP in a patient who has paO2 of less than 8
co-trimoxazole with steroids
what is the treatment of Kaposi’s sarcoma
cART commencement and if the patient is aready on it then check compliance….purple nodules at the back
what is the first second and third line management of uterine fibroids
ius(1st) then tanexamic acid and cocp are teh second line and third like is oral progesterone only pills
what is a complication of bacterial vaginosis if the infection occurs during pregnancy
preterm rupture of membrane
what are the two signs to look for in primary HIV
oral ulcer and trunk maculopapular rash
Which cancer has the presence of psomomabodies?
serous cystadenocarcinoma….krukenberg tumour will have signet ring cells
In a patient with previous uterine procedures who complains of secondary amenorrhea what is the most likely cause
ashermann syndrome
what is the halmark of tertiary syphylis and what is the investigation a patient should have?
cardioshyphyllis and csf examination is important to see the evidence of neurosyphylis
urethritis guy with a result of “ 6 polymorphs per high power field “ without the presence of gram negetive diplo should be treated as
clamydia and the treatment should be doxy
what is the second line treatment for a PCOS patient who has failed to get pregnant after the metformin and clomiphene therapy
2nd line is leproscopic ovarian drilling and the third line is assisted
An 18 year old man presents to the GP. He describes multiple lesions on his penis.
On examination, there are multiple uniform smooth lesions present around the coronal margin of the glans.
Given the likely diagnosis, what is the most appropriate management?
no treatment for pearly penile papules
