Review Guide Flashcards

1
Q

will the pH be lower or high with bacterial vaginosis

A

increases >4.5

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2
Q

Tx for BV

A

Flagyl 500 mg BIGx 7 days

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3
Q

what will the vagina look like w/ atrophic vaginitis

A

smooth, pale, shiny w/ few or absent vaginal folds

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4
Q

tx for symptomatic atrophic vaginitis

A

water-soluble lubricatns and/or vaginal estrogens

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5
Q

Tx for candidiasis

A

fluconazole, miconazole, clotrimazole

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6
Q

gold standard for dx of gonorrhea

A

culture

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7
Q

tx for gonorrhea

A

Cefriaxone 250 mg IM

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8
Q

what must you also tx for if you are treating gonorrhea

A

chlamydia

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9
Q

tx for chlamydia

A

1 g azithromycin PO once OR

doxy 100 mg BID X 7 days

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10
Q

alternative tx for chlamydia in pregnancy

A

amoxicillin 500 mg PO TID x 7 days

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11
Q

Recurrent small grouped vesicles on an erythematous base, esp. in orolabial & genital areas

A

herpes simplex

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12
Q

diagnosis of herpes simplex

A

viral cultures

TZANCK SMEAR

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13
Q

what causes syphilis

A

treponema pallidum

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14
Q

first stage of syphilis

A

chancre- red, round firm ulcer that is painless

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15
Q

second stage of syphillis

A

maculo papular rash (palsm and soles)
condyloma lata (flat, warty like papules)
flu like symptoms

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16
Q

tertiary syphilis

A

granulomas of skin (gummas)

neurosyphilis

17
Q

Tx for syphillis

A

IM Penicillin G

18
Q

what organism causes chancroid

A

Haemophilus ducreyi

19
Q

PAINFUL , soft ulcer w/ necrotic base surrounding erythema & ragged edges
a. very tender & produce FOUL d/c

A

chandroid

20
Q

tx for chancroid

A

azithryomycin 1 g PO in a single dose or Ceftriaxone 250 g IM

21
Q

o High assoc. w/ men & HIV, reportable dz
o Tender inguinal lymphadenopathy
o Genital ulcer is often not evident

A

lymphganuloma venereum

22
Q

how to figure out estimated due date

A

(LMP + 7 days) subtracting 3 months plus 1 year (Naegele’s rule)

23
Q

what is a preterm infant?

A

born between 20-37 weeks

24
Q

when is morning sickness usually the most severe

A

week 10

25
Q

is an extreme form of nausea & vomiting → by dehydration, weight loss (up to 5%), and ketonuria.

A

o Hyperemesis gravidarum

26
Q

when does the mom begin to feel the baby’s movements

A

weeks 18-20

weeks 14-16 w/ multiparity

27
Q

cervix appears blue, due to increased bld flow

A

Chadwick’s sign

28
Q

• Can see cardiac activity on transvaginal US around how many weeks

A

6 weeks