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Exam Revision > Repro 2 > Flashcards

Repro 2 Flashcards

1
Q

most common bacterial STI in UK

A

chlamydia

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2
Q

what type of organism is chlamydia

A

gram -ve intracellular bacterium

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3
Q

Symptoms of chlamydia in women

A 
post coital bleeding 
intermenstrual bleeding 
lower abdomen pain 
pain during sex 
(70% asymptomatic)
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4
Q

symptoms of chlamydia in men

A

urethral discharge
dysuria
urethritis
(50% asymptomatic)

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5
Q

1st line STI investigation in females

A

vulvovaginal swab

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6
Q

1st line STI investigation in males

A

first void urine sample

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7
Q

Tx of chlamydia

A

azithromycin 1g one off dose
OR
7 day course of doxycycline

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8
Q

gram -ve diplococci that causes purulent discharge in males

A

gonorrhoea

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9
Q

Tx gonorrhoea

A

IM ceftriaxone + azithromycin 1g

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10
Q

which forms of HPV cause genital warts

A

6 + 11

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11
Q

which forms of HPV cause cervical cancer

A

16 + 18

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12
Q

tx genital warts

A

podophyllotoxin
imiquimod
cryotherapy

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13
Q

clue cells on microscopy

A

bacterial vaginosis

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14
Q

symptoms of bacterial vaginosis

A

fishy odour discharge

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15
Q

+ve whiff test

A

bacterial vaginosis

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16
Q

tx bacterial vaginosis

A

metronidazole

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17
Q

spirochaete

A

treponema pallidum

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18
Q

what does treponema palladium cause

A

syphilis

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19
Q

tx syphilis

A

benzathine penicillin

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20
Q

which form of herpes causes recurrent infections

A

HSV 2

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21
Q

investigation of herpes

A

swab of deroofed blister for PCR

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22
Q

tx herpes

A

aciclovir

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23
Q

what is trichomonas vaginalis

A

protozoan parasite

24
Q

Tx of trichomonas vaginalis

A

metronidazole

25
Q

yeast structure with budding

A

candida

26
Q

thick white discharge

A

candida

27
Q

frothy yellow discharge

A

trichomonas vaginalis

28
Q

investigation for bacterial prostatitis

A

mid stream urine sample

29
Q

lymphogranuloma serovars

A

L1-L3

30
Q

importance of lactobacillus in the vaginal flora

A

produces lactic acid + hydrogen peroxide

- inhibits growth of other bacteria

31
Q

what organism causes bacterial prostatitis

A

E.coli

32
Q

Tx bacterial prostatitis

A

ciprofloxacin 28 days

33
Q

Tx bacterial prostatitis if high c diff risk

A

trimethoprim 28 days

34
Q

Lynch syndrome

A

autosomal dominant
cancer predisposition syndrome
increased risk of endometrial, ovarian + colorectal cancer

35
Q

most common ovarian cyst

A

follicular

36
Q

CA 125

A

raised in 80% of ovarian cancers

37
Q

CEA

A

especially elevated in mucinous ovarian tumours

38
Q

1st line investigation ovarian cancer

A

USS

39
Q

most common benign ovarian tumour

A

serous cystadenoma

- bilateral

40
Q

psammoma bodies

A

papillary thyroid cancer

serous cysadenocarcinoma

41
Q

coffee bean nuclei

A

brenner tumour of ovary

- tumour of transitional epithelium

42
Q

most common ovarian germ cell tumour

A

teratoma

43
Q

what does a choriocarcinoma secrete

A

HCG

44
Q

call Exner bodies

A

granulosa cell tumour

45
Q

endometriosis

A

endometrial glands + stroma outside uterine body

46
Q

what do granulosa cell tumours secrete

A

oestrogen

47
Q

what tumour is associated with endometriosis

A

clear cell carcinoma

48
Q

most common malignant germ cell tumour

A

dysgerminoma

49
Q

1st line Ix endometriosis

A

TRANSVAGINAL USS

50
Q

diagnostic of endometriosis

A

laparoscopy with biopsy

51
Q

1st line investigation of endometrial cancer

A

TRANSVAGINAL USS

52
Q

painless bright red bleeding >24 weeks

A

placenta previa

53
Q

management of placenta previa

A

C section 37-38 weeks

54
Q

painful blood loss >24 weeks

A

placental abruption

55
Q

Tx of placental abruption

A

emergency C section

56
Q

when does premenstrual syndrome occur

A

luteal phase

Exam Revision (32 decks)

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