Reproductive tract infections

Question 1

when does cloudy, sticky or slightly yellow discharge occur?

Answer 1

several days before ovulation

Question 2

when does heavy-egg white, stretchy thin consistency discharge appear?

Answer 2

1-3 after ovulation

Question 3

when does clear, watery discharge appear?

Answer 3

just before period

Question 4

what kind of cells are present in BV?

Answer 4

clue cells

Question 5

which types of vaginal problems can you see using a wet mount?

Answer 5

BV, rich, yeast

Question 6

what will KOH cause if there is BV or trick?

Answer 6

a fishy odor

Question 7

What will the pH of vagina be in BV, Trich or atrophic vaginitis?

Answer 7

> 4.5

Question 8

normal vaginal pH

Answer 8

3.8-4.5

Question 9

KOH, wiff test, amine test are all the same thing?

Answer 9

yes

Question 10

where is vaginal sample collected for a gram stain?

Answer 10

anterior or lateral walls of vagina

Question 11

where do you collect for GC/C?

Answer 11

cervical os, leave swab in for 20-30 seconds

Question 12

will a yeast infection change the pH alone?

Answer 12

no

Question 13

Hyphae and pseudohyphae are what?

Answer 13

immature yeast

Question 14

complicated or uncomplicated yeast infections:

mild to moderate vulvovaginal candidiasis and likely to be C.albicans and non-immunocompromised women

Answer 14

uncomplicated

Question 15

what kind of anti fungal ok in pregnancy?

Answer 15

“azoles”

Question 16

gold standard for BV test?

Answer 16

gram stain

Question 17

what 3 symptoms must have along with the gram stain to diagnose BV

Answer 17

thin, white discharge, clue cells, pH >4.5, or fishy odor

Question 18

do clue cells have a well defined boarder?

Answer 18

no

Question 19

which test is comparable to gram stain?

Answer 19

BV Bluetest

Question 20

is BV treatment PO or intravaginal with pregnancy?

Answer 20

PO

Question 21

Trich s/s

Answer 21

yellow-green discharge, odor, parities (itchy), discharge worse with menstration

Question 22

are patients usually symptomatic with trich?

Answer 22

no

Question 23

Trich treatment

Answer 23

flagly 2gm POx1
OR
Tinidazole 2gm POx1
OR
flatly 500mg PO BIDx7 days

Question 24

when should you treat a symptomatic pregnant patient with trich?

Answer 24

at anytime during pregnancy

Question 25

when should you treat an asymptomatic pregnant patient with trich?

Answer 25

after 37 weeks

Question 26

when do you retest with trich/GC/C?

Answer 26

3 months

Question 27

which medication for trich should you avoid in pregnancy? and what if they are breastfeeding

Answer 27

Tinidazole

If not pregnant and breastfeeding, defer breastfeeding for 72hrs after Tinidazole given

Question 28

who should be screen annually for GC/C

Answer 28

<24 year olds and women at risk

Question 29

what is the recommendation for screening men for GC/C

Answer 29

individual bases

Question 30

GC/C s/s in men

Answer 30

watery discharge, dysuria, epididymitis, unilateral testicular swelling and tenderness

Question 31

GC/C s/s in women

Answer 31

dysuria, vag discharge, bleeding between periods, post coital bleeding, mucopurulent cervical discharge

Question 32

Nucleic acid amplification test (NAAT) is used for which STI?

Answer 32

Chlamydia

Question 33

culture and gram stain is used for which STI?

Answer 33

Gonorrhea

Question 34

treatment for Gonorrhea in pregnancy?

Answer 34

cephalosporin or azithromycin

Question 35

treatment for chlamydia in pregnancy?

Answer 35

azithromycin or amoxicillin

Question 36

Expedited partner treatment can’t be used in which types of people d/t high risk of HIV?

Answer 36

Gay men with gonorrhea

Question 37

how long after treatment for GC should patient abstain from sex?

Answer 37

7 days

Question 38

How many days post treatment should you do a Test of Cure for complicated Gonorrhea (Pharyngeal)

Answer 38

14 days (also doNAAT)

Question 39

women with PID should also get taste for

Answer 39

GC/C and HIV

Question 40

what happens to a women body with PID

Answer 40

tubal scarring which can eventually cause scarring

Question 41

s/s PID

Answer 41

cervicalmotion tenderness, dyspareunia, abnormal bleeding, uterine and adnexal tenderness

Question 42

In order to diagnose PID, you need pelvic/abdominal pain which no other cause and one of the following 3 symptoms

Answer 42

• cervical motion tenderness
• uterine tenderness
• adnexal tenderness

Question 43

what kind of diagnostics can be used to diagnose PID other than s/s?

Answer 43

endometrial biopsy, MRI, transvaginal US

Question 44

If a patient with PID does not show significant improvement within 72 hours then what do you do?

Answer 44

hospitalize

Question 45

if a pregnant patient has PID do you hospitalize?

Answer 45

yes