STI and GYN

Question 1

Trichomonasis

Answer 1

lower abdominal pain, green-yellow discharge that can be frothy and malodorous, and pain and itching around the vagina.
Strawberry cervix

Question 2

BV

Answer 2

gray or milky discharge with fishy odor
Clue cells
vaginal pH >4.5

Question 3

Yeast Infection

Answer 3

Cottage cheese like discharge
Hyphae

Question 4

Endometriosis

Answer 4

Pain during intercourse and defecation

Question 5

Syphillis Rash

Answer 5

slightly nontender raised lesion with a punched-out appearance

Question 6

UTI Children

Answer 6

abdominal pain, urinary frequency, and dysuria. Often fear or urinating due to pain.

Question 7

Epidymitis Causes

Answer 7

Older adult = E. Coli
Younger Adult = STI (Chlamydia)

Question 8

ASCUS on PAP (<30 year old)

Answer 8

HPV test. If HPV positive, consider colposcopy. If negative, repeat PAP in one year

Question 8

Herbs for menopause

Answer 8

Soy isoflavones
Evening primrose
Black cohosh
(be careful with estrogen meds)

Question 9

Chlamydial Treatment

Answer 9

Doxycycline 100mg bid for 7 days
or
Azithromycin 1g once
or
Amoxicillin for pregnancy

Question 10

Gonorrhea Treatment

Answer 10

Rocephin IM

Question 11

Bactrim side effect of note

Answer 11

Stevens Johnson / TENS

Question 12

Mastitis v. Inflammatory Breast CA

Answer 12

Both have swelling, redness, tenderness.

Only mastitis has fever

Question 13

BV on wet mount

Answer 13

blurred edge epithelial cells (clue cells)

Question 14

Branching or budding pseudohyphae on wet mount

Answer 14

candiadisis

Question 15

Trich on wet mount

Answer 15

Mobile organisms with flagella

Question 16

Pregnancy weight gain

Answer 16

1-5 in first trimester
Then 1 lb per week in second/third

Question 17

Genital herpes and pregnancy

Answer 17

Acyclovir at 36 weeks until delivery if there are any herpes lesions at any point during pregnancy

Question 18

Fibroadenomas

Answer 18

Fibroadenomas (A) are characterized by a well-defined, painless, mobile breast mass. They are the most common type of breast mass in adolescents and young adults.

Question 19

condylomata acuminata

Answer 19

multiple skin-colored, verrucous papules and plaques on her groin and perineum. Imiquimod (Zyclara) to treat (or cryotherapy)

Question 20

Lipid screening recommendations

Answer 20

Every 5 years unless risk factors are present

Question 21

Highest risk factor in women for heart disease

Answer 21

early menopause before the age of 40 with no estrogen replacement therapy

Question 22

Orbital Cellulitis

Answer 22

orbital cellulitis affects the extraocular muscles and periorbital fat
ocular pain and eyelid erythema and swelling, but only orbital cellulitis causes painful eye movements
IV ABX!