Review Guide

Question 1

will the pH be lower or high with bacterial vaginosis

Answer 1

increases >4.5

Question 2

Tx for BV

Answer 2

Flagyl 500 mg BIGx 7 days

Question 3

what will the vagina look like w/ atrophic vaginitis

Answer 3

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

Question 4

tx for symptomatic atrophic vaginitis

Answer 4

water-soluble lubricatns and/or vaginal estrogens

Question 5

Tx for candidiasis

Answer 5

fluconazole, miconazole, clotrimazole

Question 6

gold standard for dx of gonorrhea

Answer 6

culture

Question 7

tx for gonorrhea

Answer 7

Cefriaxone 250 mg IM

Question 8

what must you also tx for if you are treating gonorrhea

Answer 8

chlamydia

Question 9

tx for chlamydia

Answer 9

1 g azithromycin PO once OR

doxy 100 mg BID X 7 days

Question 10

alternative tx for chlamydia in pregnancy

Answer 10

amoxicillin 500 mg PO TID x 7 days

Question 11

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

Answer 11

herpes simplex

Question 12

diagnosis of herpes simplex

Answer 12

viral cultures

TZANCK SMEAR

Question 13

what causes syphilis

Answer 13

treponema pallidum

Question 14

first stage of syphilis

Answer 14

chancre- red, round firm ulcer that is painless

Question 15

second stage of syphillis

Answer 15

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

Question 16

tertiary syphilis

Answer 16

granulomas of skin (gummas)

neurosyphilis

Question 17

Tx for syphillis

Answer 17

IM Penicillin G

Question 18

what organism causes chancroid

Answer 18

Haemophilus ducreyi

Question 19

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

Answer 19

chandroid

Question 20

tx for chancroid

Answer 20

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

Question 21

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

Answer 21

lymphganuloma venereum

Question 22

how to figure out estimated due date

Answer 22

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

Question 23

what is a preterm infant?

Answer 23

born between 20-37 weeks

Question 24

when is morning sickness usually the most severe

Answer 24

week 10

Question 25

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

Answer 25

o Hyperemesis gravidarum

Question 26

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

Answer 26

weeks 18-20 | weeks 14-16 w/ multiparity

Question 27

cervix appears blue, due to increased bld flow

Answer 27

Chadwick's sign

Question 28

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

Answer 28

6 weeks