Infections of OB/Gyn

Question 1

Presentation: “Cottage chese,” pseudohyphae on KOH prep, history of diabetes, antibiotic treatment or pregnancy

Answer 1

What is the bug?
Candida sp.
What is the Rx?
Topical or oral Antifungal

Question 2

Presentation: Bugs can be seen swimming under microscope; pale green, frothy, watery discharge; “strawberry cervix’

Answer 2

Bug? T. vaginalis

Rx? Metronidazole

Question 3

Presentation: Maloderous discharge; fishy smell on KOH preparation, clue cells

Answer 3

Bug? G. vaginalis

Rx? Metronidazole

Question 4

Presentation: Venereal warts, koilocytosis on Pap smear

Answer 4

Bug? Human papillomavirus

Rx: Acid, cryotherapy, laser, podophyllin

Question 5

Presentation: Multiple shallow, painful ulcers; recurrence and resolution

Answer 5

Bug? Herpes virus

Rx? Acyclovir

Question 6

Presentation: Painless chancre, spirochete on darkfield microscopy

Answer 6

Bug? Syphilis(stage I)

Rx? Penicillin

Question 7

Presentation: Codyloma lata, maculopapular rash on palms, serology

Answer 7

Bug? Syphilis(stage II)

Rx? Penicillin

Question 8

Presentation: Dysuria, positive culture and antibody tests

Answer 8

Bug? C. trachomatis. Most common STD.

Rx? Doxycycline or azithromycin

Question 9

Presentation: Mucopurulent cervicitis; gram negative bug on gram stain

Answer 9

Bug? Neisseria gonorrhoeae

Rx? Ceftriaxone or fluroquinolone

Question 10

Characteristic appearance of lesions with intracellular inclusions.

Answer 10

Bug? Molluscum

Rx? Curette, cryotherapy or electrocauterizaiton/coagulation

Question 11

Crabs; look for itching; lice can be seen on pubic hairs.

Answer 11

Bug? Pediculosis

Rx: permethrin cream (or malathion)