OBGYN Flashcards
Within how much time can HIV post-exposure prophylaxis be initiated?
72 hours
2 main recommended treatment regimens for Chlamydia.
Azithromycin 1 g x1 or doxycycline 100 mg BID for 7 days
Why do you not use erythromycin for chlamydia over azithromycin or doxycycline?
has more GI side effects and patients will be less compliant
What other things should people be tested for that are diagnosed with chlamydia?
HIV, GC, and syphilis
How long should people abstain from sex after starting chlamydia treatments?
7 days and after resolution of symptoms
What should pregnant women taken for chlamydia?
azithromycin 1 g, doxy is contraindicated
Bacteria vaginosis is from an overgrowth of what kind of bacteria?
anaerobic bacteria
How do you prep the microscope slide of vaginal discharge for diagnosis?
one slide with some drops of 0.9% NS , the other slide with KOH
What two microscopic findings can be seen on candidiasis?
hyphae or blastospores
What are the 3/4 criteria needed for dx of BV?
- homogeneous, thin, white discharge that smoothly coats the vaginal walls;
- clue cells (e.g., vaginal epithelial cells studded with adherent coccobacilli) on microscopic examination;
- pH of vaginal fluid >4.5; or
- a fishy odor of vaginal discharge before or after addition of 10% KOH (i.e., the whiff test).
What does the OSOM BV Blue test detect?
sialidase activity
3 treatment regimens for BV?
- metronidazole 500 mg PO BID for 7 days
- Metronidazole gel 0.75%, one full applicator (5 g) intravaginally, once a day for 5 days
- Clindamycin cream 2%, one full applicator (5 g) intravaginally at bedtime for 7 days
What should be avoided which giving metronidazole and for how long?
alcohol for 24 hours after completion
How long should people avoid alcohol after taking metronidazole vs tinidazole?
24 hours vs 72 hours
What should not be used if a female is using clindamycin cream? Why?
condoms, breaks down latex or rubber products because it’s oil-based
