OBYGN

Question 1

BV

Answer 1

gram stain 
pH >4.5
\+ whiff test 
clue cells 
Metro 500mg po BID x7
or 
Clinda 300mg po BID x7

Question 2

complications of BV

Answer 2

pregnant women are at higher risk for pre term delivery

Question 3

criteria for admission for PID

Answer 3

preg
tubo ovarian abscess
peritoneal signs
inability to be compliant or tolerate po meds

Question 4

management of PID

Answer 4

ceft 250mg IM + doxy 100mg po BID x14
or
cefox 2mg IM + probenecid 1g po + doxy 100mg po BID x14

can add metro 500mg po BID x14 days

Question 5

complications of PID

Answer 5

pelvic adhesions 
infertility 
TOA 
fitz hugh curtis 
increased ectopic  preg

Question 6

TOA

Answer 6

unilateral adnexal tenderness fullness, fever, purulent discharge
pelvic US or CT

Question 7

management of TOA

Answer 7

broad spec abx 
(cefox or cefote) + doxy 
clinda and gent 
amp-sulf + doxy or metro  
tx fail -> lap 
abscess >9cm increased risk for sx and incidence

Question 8

screening test for syphillis and confirmatory test

Answer 8

screening RPR and VDRL

confirmatory FTA-ABS

Question 9

jarisch herxheimer rxn

Answer 9

release of spirochetes when tx given due to host immune respons

tx - self limited

Question 10

risk factors of candida

Answer 10

preg
immunocompromised 
DM 
hormonal contraceptives
recent abx

Question 11

tx of candida

Answer 11

fluconazole 150mg po once

Question 12

tx of trich

Answer 12

metro 2g po x1
or
500mg BID x7

Question 13

gold standard dx of genital hsv

Answer 13

viral culture

Question 14

risk factors for cervical cancer

Answer 14

high risk sexual hx

smoking