Reproductive Flashcards

1
Q

What is stage one of fibrocystic breast condition?

A

Premenstrual fullness and tenderness occurring on the menstrual cycle

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2
Q

Physiologic modularity of the breast including lobules, ducts, and stromal tissue

A

Fibrocystic Breast Condition

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3
Q

What is the most common breast problem of women between 20-50 years of age?

A

Fibrocystic Breast Condition

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4
Q

Solid, slowly enlarging, benign mass; round, firm, easily movable, non-tender and clearly delineated from the surrounding tissue

A

Fibroadenoma

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5
Q

How can ductal ectasia be managed?

A

Warm complex and antibiotics

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6
Q

How can fibrocystic breast condition be managed?

A

Symptomatic management, hormonal manipulation, drug therapy, diuretics, avoiding caffeine, mild analgesics, and limiting salt

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7
Q

What is stage two of fibrocystic breast condition?

A

Multiple nodular areas in both breasts

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8
Q

Benign breast problem of women approaching menopause caused by dilation and thickening of the collecting ducts in the sub-areolar area

A

Ductal Ectasia

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9
Q

What are fibroadenomas made up of?

A

Connective tissue that is unattached to the surrounding breast tissue

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10
Q

Benign process in the epithelial lining of the duct, forming a pedunculated outgrowth of tissue

A

Intraductal Papilloma

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11
Q

What are the symptoms of fibrocystic breast condition?

A

Ropey, bumpy, lumpy breast tissue that is tender, painful, and burning characterized by fibrosis and cysts

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12
Q

What vitamins should be increased when a patient has fibrocystic breast condition?

A

Vitamins C, E, and B complex

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13
Q

What is the most common breast mass in women under the age of 30?

A

Fibroadenoma

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14
Q

Why do the symptoms of fibrocystic breast condition usually go away after menopause?

A

Because estrogen decreases

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15
Q

What is stage three of fibrocystic breast condition?

A

Microscopic cysts associated with pain, tenderness, or burning in women 35-55

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16
Q

What is fibrocystic breast condition caused by?

A

An imbalance of of estrogen to progesterone ration with more estrogen and less progesterone

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17
Q

What are the signs of ductal ectasia?

A

Hard, tender mass with irregular boarders, greenish brown nipple discharge, enlarged axillary nodes, redness and edema over the site of the mass

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18
Q

Where are fibroadenomas often located?

A

The upper outer quadrant

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19
Q

When do the symptoms of fibrocystic breast condition usually resolve?

A

After menopause

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20
Q

In what age range does intraducal papilloma occur in?

A

40-55

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21
Q

What types of adjunctive therapy can be used for patients with breast cancer?

A

Radiation therapy, chemotherapy, SERMs, hormonal therapy and targeted therapy

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22
Q

What should patients with premenstrual syndrome eat?

A

Limit sugar, red meat, alcohol, coffee, tea and chocolate

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23
Q

Vaginal bleeding that occurs after a 12 month cessation of menses after the onset of menopause

A

Postmenopausal bleeding

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24
Q

Vaginal mucosa is dry, thin, and traumatized easily with intercourse

A

Atrophic vaginitis

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25
Q

What are the signs of intraductal papilloma?

A

Bloody or serous nipple discharge

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26
Q

Soft, red, oval tissue masses in cervix

A

Cervical polyps

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27
Q

Tissue overgrowth in uterus that is a precursor of endometrial cancer

A

Endometrial hyperplasia

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28
Q

How long is radiation therapy used after breast cancer?

A

6-7 weeks

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29
Q

Benign condition of breast enlargement in men

A

Gynecomastia

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30
Q

What are the genes that put patients at risk for breast cancer?

A

BRCA1 & BRCA2

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31
Q

Most commonly diagnosed invasive cancer in women

A

Breast cancer

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32
Q

An early form of breast cancer that does not metastasize

A

Noninvasive breast cancer

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33
Q

How is intraductal papilloma diagnosed?

A

By ruling out breast cancer

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34
Q

Gross removal of a tumor from a breast

A

Lumpectomy

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35
Q

What are the causes of postmenopausal bleeding?

A

Atrophic vaginitis, cervical polyps, or endometrial hyperplasia

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36
Q

What is the key to survival for breast cancer patients?

A

Early detection

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37
Q

What are the causes of gynecomastia?

A

Primary cancer, drugs, aging, obesity, estrogen excess, liver disease, hyperthyroidism, androgen deficiency, chronic renal failure, or alcoholism

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38
Q

What do breast cancers in men usually present as?

A

Hard, non painful subareolar masses

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39
Q

What stages of breast cancer is chemo used for?

A

Stage 2 or higher

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40
Q

Highly aggressive form of invasive breast cancer that presents as redness, swelling and rash of the breast skin that may or may not be itching, painful, or thickened

A

Inflammatory breast cancer

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41
Q

What causes endometrial hyperplasia?

A

Declining ovarian stimulation, leading to prolonged estrogen stimulation

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42
Q

What are the types of noninvasive breast cancer?

A

Ductal carcinoma in situ and lobular carcinoma

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43
Q

What is the key to diagnosis breast cancer?

A

Ultrasounds

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44
Q

When should mammograms start?

A

Yearly at 40

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45
Q

Why does primary dysmenorrhea occur?

A

Increased production and release of uterine prostaglandins

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46
Q

Removal of the portion of a breast that contains a tumor

A

Partial Mastectomy

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47
Q

Most common type of breast cancer that spreads from mammary ducts to surrounding tissue characterized by irregular, poorly deformed masses

A

Invasive breast cancer

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48
Q

What is a SERM?

A

An estrogen receptor blocking agent, like tamoxifen

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49
Q

What is the purpose of Herceptin?

A

It blocks HER2/neu gene expression to slow or stop growth of cancer cells

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50
Q

Breast affected by cancer, along with skin and axillary nodes is completely removed

A

Modified Radical Mastectomy

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51
Q

A benign problem of endometrial tissue implantation outside the uterine cavity

A

Endometriosis

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52
Q

What is the key diagnostic procedure for endometriosis?

A

Laparoscopy

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53
Q

What are the signs and symptoms of menopause based on?

A

The level of hormones and estrogen swings

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54
Q

What is the surgical management for dysfunctional uterine bleeding?

A

Hormone manipulation

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55
Q

Inflammation of the lower genital tract

A

Simple vaginitis

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56
Q

If a patient has amenorrhea, what else should they be assessed for?

A

Hirsutism, galactorrhea, and nutritional status

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57
Q

What conditions are dysfunctional uterine bleeding associated with?

A

Endocrine disturbances, polycystic ovary disease, stress, extreme weight loss, long term drug use and anatomic abnormalities

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58
Q

What is endometriosis caused by?

A

Birth defects

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59
Q

How can simple vaginitis be managed?

A

Perineal cleaning after urination or defecation, wearing cotton underwear, avoiding strong douches and feminine hygiene sprays, avoiding tight fitting pants, using estrogen creams, eating yogurt with antibiotics

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60
Q

What are the signs of uterine prolapse?

A

Dyspareunia, backache, pressure in the pelvis, bowel or bladder problems

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61
Q

Septic shock characterized by abrupt high temperature, headache, sore throat, vomiting, diarrhea, generalized rash, and hypotension

A

Toxic shock syndrome

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62
Q

Absence of a menstrual period

A

Amenorrhea

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63
Q

Nonspecific term used to describe bleeding that is excessive or abnormal in amount or frequency without predisposing anatomic or systemic conditions

A

Dysfunctional Uterine Bleeding

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64
Q

How long does perimenopause last?

A

10 years

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65
Q

What is simple vaginitis caused by?

A

Menopause, STD, Trichomonas, candida, changes in normal flora, alkaline pH, tampons and condoms, douches or sprays, health problems such as diabetes

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66
Q

What are the causes of amenorrhea?

A

Abnormalities of the reproductive tract

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67
Q

What is the surgical manipulation for dysfunctional uterine bleeding?

A

DNC, endometrial ablation, and hysterectomy

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68
Q

What are the symptoms of endometriosis?

A

Pain, dyspareunia, painful defection, sacral backache, hypermenorrhea, and infertility

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69
Q

How is amenorrhea treated?

A

Hormone replacement, ovulation, stimulation, and periodic progesterone withdrawal

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70
Q

How is toxic shock syndrome treated?

A

Penicillin or vancomycin

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71
Q

What is the treatment for rectocele?

A

High-fiber diet, stool softeners, laxatives, and surgery

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72
Q

What is the treatment for cystocele?

A

Kegel exercises or surgery

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73
Q

What generally causes follicular cysts to rupture?

A

Torsion

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74
Q

What are theca-luatein cysts a result of?

A

Molar pregnancy

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75
Q

What causes polycystic ovaries?

A

High levels of luteinizing hormone overstimulate the ovaries

76
Q

What is the sign of a fibroid?

A

Midcycle bleeding

77
Q

Small, purplish red cyst occurring after ovulation and often with increased secretion of progesterone causing low abdominal or pelvic pain

A

Coprus Luteum Cyst

78
Q

Protrusion of the rectum through a weakened vaginal wall

A

Rectocele

79
Q

What are the common complications of hysteroscopic surgery?

A

Fluid overload, embolism, hemorrhage, perforation of the uterus, bowel or bladder and ureter, persistent increased menstrual bleeding, and incomplete suppression of menstruation

80
Q

Obstruction of the duct of the Bartholin’s gland caused by infection, thickened mucus near the ductal opening or trauma such as lacerations or episiotomy

A

Bartholin Cyst

81
Q

What is the best stool softener?

A

Milk of magnesia

82
Q

Pedunculated tumors arising from the mucosa and extending to the opening of the cervical os

A

Cervical polyps

83
Q

What are the symptoms of rectocele?

A

Constipation, hemorrhoids, fecal impaction, feelings of rectal or vaginal fullness

84
Q

What is the treatment for polycystic ovary?

A

Oral contraceptives, surgery, or clomiphene

85
Q

What are the symptoms of cystocele?

A

Difficulty in emptying the bladder, urinary frequency and urgency, urinary tract infection, and stress urinary incontinence

86
Q

What is the most common type of endometrial cancer?

A

Adenocarcinoma

87
Q

What can happen if a corpus luteum cyst ruptures?

A

Intraperitoneal hemorrhage

88
Q

For which stages of endometrial cancer is a TAHBSO recommended?

A

Stage 2 and above

89
Q

What are the clinical manifestations of cervical cancer?

A

Painless vaginal bleeding, watery, blood-tinged vaginal discharge that may become dark and foul smelling, leg pain, flank pain, unexpected weight loss, pelvic pain, dysuria, hematuria, rectal bleeding, chest pain and cough

90
Q

What are the adverse affects of radiation therapy for endometrial cancer?

A

Nausea, bladder infections, pain, diarrhea, and DVTs

91
Q

What is the main symptom of endometrial cancer?

A

Postmenopausal bleeding

92
Q

Uncommon cysts hat develop as a result of prolonged stimulation of the ovaries by excessive amount of hCG

A

Theca-Luatein Cysts

93
Q

What are the stages of uterine prolapse classified by?

A

The degree of decent of the uterus

94
Q

What is the most common type of ovarian cancer?

A

Serous adenocarcinoma

95
Q

What are the symptoms of vulvar cancer?

A

Irritation or itching in the perineal area or a sore that will not heal

96
Q

What type of cancers are cervical and vulvar generally?

A

Squamous cell carcinomas

97
Q

What test identifies abnormal vulvar cells?

A

Touidine blue test

98
Q

Protrusion of the bladder through the vaginal wall due to weakened pelvic structures

A

Cystocele

99
Q

What is vaginal cancer associated with?

A

Diethylstilbestrol

100
Q

What are the symptoms of ovarian cancer?

A

Abdominal discomfort, dyspepsia, indigestion, gas and distention

101
Q

What are the symptoms of fallopian tube cancer?

A

Postmenopausal bleeding, increased abdominal pain, watery vaginal discharge, and leukorrhea

102
Q

What is the rarest gynecological cancer?

A

Fallopian tube cancer

103
Q

What drugs can be used to treat BPH?

A

5-Alpha reductase inhibitor, Alpha-1 selective blocking agents, lycopene, and estrogens and androgens

104
Q

What type of cancer is prostate cancer?

A

Adenocarcinoma

105
Q

What is the post op care after a radical prostatectomy?

A

Hydration with IV therapy, caring for wound drains, preventing emboli, preventing pulmonary complications, antibiotics, analgesics, laxatives, and antispasmodics

106
Q

Three-way urinary catheter with a 30- to 45- mL retention balloon through the urethra into the bladder

A

Continuous Bladder Irrigation

107
Q

Inability to achieve or maintain an erection for sexual intercourse

A

Erectile dysfunction

108
Q

What information does a duplex doppler give for a patient experiencing erectile dysfunction?

A

Blood supply

109
Q

What are the symptoms of BPH?

A

Hyperirritable bladder, urgency, frequency, hesitancy, hydroureter, diverticula, hydronephrosis, dribbling, hematuria

110
Q

Where does prostate cancer metastasize to?

A

Lymph nodes, bones, lungs, and liver

111
Q

What should the nurse do for post op TURP patients?

A

Encourage voiding, increasing fluid intake, and monitor for bleeding

112
Q

Why is it very important to document the time a catheter is removed from a patient?

A

Because they need to void in a specified amount of time

113
Q

What are the side effect of continuous bladder irrigation?

A

Post op bleeding and the urge to void continuously

114
Q

When does BPH occur?

A

Late 50s - early 60s

115
Q

In who is testicular cancer most common?

A

Men 15 - 35 years old

116
Q

What are therapies for erectile dysfunction?

A

Drug therapy, vacuum devices, intraurethral applications, intracorporal injections, and prosthesis

117
Q

Glandular units in the prostate that undergo an increase in the number of cells resulting in enlargement of the prostate gland

A

Benign Prostatic Hyperplasia

118
Q

How is a hydrocele treated?

A

Drained via needle and string or removed surgically

119
Q

A small, asymptomatic sperm-containing cyst that develops on the epididymis along side the testicle

A

Spermatocele

120
Q

What should be measured when a patent is catheterized?

A

Intake and Output

121
Q

What complications can occur after a radical prostectomy?

A

Urinary incontinence and erectile dysfunction

122
Q

A cluster of dilated veins that occur behind and above the testes causing infertility

A

Varicocele

123
Q

What electrolyte would be elevated in a patient with prostate cancer?

A

Calcium

124
Q

Cystic mass usually filled with straw colored fluid that forms around the testis resulting from impaired lymphatic drainage of the scrotum, causing swelling of the tissue surrounding the testes

A

Hydrocele

125
Q

What are the types of nonsurgical management for prostate cancer?

A

Radiation, hormonal therapy, chemotherapy, and targeted therapy

126
Q

What type of cancer is penile?

A

Epidermoid or squamous cell

127
Q

When is scrotal trauma most likely to occur?

A

During puberty

128
Q

What is the clinical manifestation of penile cancer?

A

Painless warlike growth or ulcer

129
Q

What can cause priapism?

A

Thrombosis, leukemia, sickle cell, DM, malignancies, abnormal reflex, drugs, and prolonged sexual activity

130
Q

How is priapism treated?

A

Enemas, catheterization, and surgical intervention

131
Q

Constricted prepuce that cannot be retracted over the glans so that it remains down around the tip of the penis

A

Phimosis and Paraphimosis

132
Q

Torsion of the testes involving a twisting of the spermatic cord

A

Scrotal Trauma

133
Q

Acute testicular inflammation resulting from trauma or infection

A

Orchitis (Mumps)

134
Q

What causes nonbacterial/chronic pelvic pain syndrome?

A

Viral illness or STD, autoimmune disease, or allergies

135
Q

Uncontrolled and long-maintained erection without sexual desire, causing the penis to become large and painful

A

Priapism

136
Q

How is penile cancer prevented?

A

Circumcision

137
Q

What is the treatment for orchitis?

A

Bedrest with scrotal elevation, ice, pain meds, and antibiotics

138
Q

Inflammation of the epidermis resulting from an infection or noninfectious source such as trauma

A

Epididymitis

139
Q

Infection of the lower urinary tract that causes urethral discharge and a boggy, tender prostate

A

Bacterial prostatitis

140
Q

Why is scrotal trauma a surgical emergency?

A

The testes are very sensitive to any decrease in blood flow

141
Q

What is the treatment for epididymitis?

A

Bedrest with scrotal elevation

142
Q

How long does it take for secondary syphilis to develop?

A

Six weeks to six months after onset

143
Q

How long does latent syphilis last?

A

One year

144
Q

How long does secondary syphilis last?

A

Four to twelve weeks

145
Q

What confirms a syphilis diagnosis?

A

Venereal Disease Research Laboratory serum test

146
Q

Which type of syphilis requires more than one penicillin dose?

A

Late latent syphilis

147
Q

What does primary syphilis look like?

A

Ulcer on genitalia or any mucous membrane

148
Q

Where to genital herpes stay when dormant?

A

In the sacral ganglia

149
Q

When is genital herpes contagious?

A

During viral shedding

150
Q

How long does tertiary syphilis last?

A

Four to twenty years

151
Q

What does secondary syphilis look like?

A

Rash on palms and feet

152
Q

What is the incubation period for genital herpes?

A

Two to twenty days

153
Q

In what stage is syphilis contagious only to fetuses?

A

Latent syphilis

154
Q

What is the most common STD?

A

Genital Herpes

155
Q

How is syphilis spread?

A

Sexual contact, kissing, and close body contact

156
Q

What does tertiary syphilis look like?

A

Benign lesions of the gums, mucous membranes, and bones

157
Q

Genital warts caused by HPV

A

Condylomata Acuminata

158
Q

What is the goal of treatment for genital herpes?

A

To decrease the severity, promote healing, and decrease the recency of recurrent outbreaks

159
Q

What is the treatment for syphilis?

A

Penicillin

160
Q

Why does chlamydia cause infertility?

A

Scarring of the fallopian tubes

161
Q

Sexually transmitted bacterial infection of a gram negative diplococcus

A

Gonorrhea

162
Q

Complex infection process in which organisms from the lower genital tract migrate from the endocervix upward through the uterine cavity into the fallopian tubes

A

Pelvic Inflammatory Disease

163
Q

How is pelvic inflammatory disease diagnosed?

A

Rule out ectopic pregnancy and appendicitis

164
Q

What other infections can gonorrhea lead to?

A

Meningitis and endocarditis

165
Q

What does Condylomata Acuminata look like?

A

Initially single, small papillary growth that grow into large cauliflower-like masses

166
Q

What is presumed if a patient has gonorrhea?

A

They also have chlamydia

167
Q

What infections are caused by pelvic inflammatory disease?

A

Endometritis, salpingitis, oophritis, parametritis, peritonitis, and tubal or tubo-ovarian abscess

168
Q

What are the symptoms of gonorrhea?

A

In men, dysuria and penile discharge; in women, vaginal discharge, urinary frequency or dysuria

169
Q

What drugs may be prescribed to treat genital herpes?

A

Acyclovir, famciclovir, or valacyclovir

170
Q

What drugs are prescribed to treat gonorrhea?

A

Cephalosporins and zithromax or doxycycline

171
Q

What are the symptoms of chlamydia?

A

In men, urethritis, and women are asymptomatic

172
Q

What can the spread of gonorrhea cause in women?

A

Endometritis, salpingitis, and pelvic peritonitis

173
Q

In what position should patients with PID be in?

A

Semi-Fowlers

174
Q

Result of genital infection with one of three serotypes of Chlamydia which is spread systematically until it localizes in the genital or rectal lymph nodes

A

Lymphogranuloma Venereum

175
Q

Painful, soft genital lesions caused by infection and transmitted through contact with the ulcer or with the discharge

A

Chancroid

176
Q

What are the risk factors for PID?

A

Younger than 26, multiple sex partners, smoking, IUD, history of STDs

177
Q

What is the incubation period of a chancriod?

A

Three to ten days

178
Q

What is the most common complication of PID?

A

Infertility

179
Q

What is the clinical manifestation of lymphogranuloma venereum?

A

A groove in the penis

180
Q

What are the clinical manifestations of PID?

A

Lower abdominal pain, irregular vaginal bleeding, change in vaginal discharge, dysuria, dyspareunia, hunched over gait, fatigue, diaphoresis, hyperthermic, abdominal tenderness or rigidity, yellow or green cervical discharge, and a reddened or friable cervix

181
Q

What is the treatment for chancroids?

A

Azithromycin, ceftriaxone, ciprofloxacin, and erythromycin

182
Q

Which hepatitis is not generally a STD?

A

Hepatitis A

183
Q

What are the types of parasites?

A

Scabies, Pediculosis pubis, trichomoniasis, and candidiasis

184
Q

Painless nodules that are ulcerated and vascular and bleed easily on contact

A

Granuloma Inguinale

185
Q

What is the real name for crabs?

A

Pediculosis pubis

186
Q

How is granuloma inguinale treated?

A

Doxycycline

187
Q

How is granuloma inguinale diagnosed?

A

By the presence of Donovan bodies in the ulcers