Gynecology Flashcards

1
Q

Ulcerative lesions in STDs
Number of lesions and are they painful?

LGV
herpes
chancroid
syphilis
granuloma inguinale
A

LGV- painless single papule/pustule/vesicle
herpes-multiple painful vesicles
chancroid- 1-5 painful papule/pustules
syphilis-painless single papule
granuloma inguinale- painless single or multiple

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2
Q
which ones have firm induration?
LGV
herpes
chancroid
syphilis
granuloma inguinale
A

syphilis and granuloma inguinale

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3
Q

type of discharge (purulent, serous, or rare)?

LGV
herpes
chancroid
syphilis
granuloma inguinale
A
LGV- variable
herpes- serous
chancroid-purulent/hemorrhagic
syphilis- serous
granuloma inguinale-rare, hemorrhagic
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4
Q

How to make the diagnosis?

LGV
herpes
chancroid
syphilis
granuloma inguinale
A

LGV- culture PCR
herpes - culture PCR
chancroid- culture PCR–> school of fish
syphilis - dark field, immunoflourescence PCR
granuloma inguinale- giemsa staining–>donovan bodies

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5
Q

vaginal lymphatics

upper third
middle
lower

A

upper third - iliacs
middle- hypogastrics
lower-inguinal

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6
Q

vaginal arterial supply

upper third
middle
lower

A

upper third - cervical branch of uterine
middle - inferior vesical
lower - internal pudendal and middle hemorrhoidal

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7
Q

levator ani muscles

A

iliococcygeus
pubococcygeous
puborectalis

IC PR from my PC.

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8
Q

how to dx molluscum contagiousum?

Rx?

A

wright’s or giemsa stain

curet, then treat base with monsels or 85% TCA or cautery or cyro

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9
Q

Rx for each

LGV
herpes
chancroid
syphilis
granuloma inguinale
A
LGV - doxy 100 BID x 21 days
herpes - acyclovir
chancroid - erythromycin base x 7 days
syphilis - PCN G (tetracycline if allergic, or desensitize)
granuloma inguinale (azithro)
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10
Q

how long will treponemal test remain positive?

A

forEVER

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11
Q

first line treatment for PMS

A

SSRI

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12
Q

which of the following is NOT associated with PCOS?

DMII
CAD
Non-alcoholic fatty liver disease
OSA
metabolic syndrome
A

CAD

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13
Q

gold standard for BV?

A
gram stain, but amsel criteria is more efficient
amine whiff test
clue cells >20%
thin gray, white discharge
pH >4.5
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