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reproductive > STI/contraception > Flashcards

STI/contraception Flashcards

1
Q

treatment for BV

A

metronidazole

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2
Q

treatment for candida yeast

A

fluconazole

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3
Q

treatment for trichomonas

A

metronidazole

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4
Q

treatment for chlamydia

A

azithromycin

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5
Q

treatment for Gonorrhea

A

ceftriaxone + azithromycin

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6
Q

thin milky discharge, malodor

A

BV

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7
Q

itching, burning, thick white discharge

A

candida (yeast)

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8
Q

itching, irritation, gray discharge

A

trichomonas

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9
Q 
Pain
Uterine and/or adnexal tenderness 
Cervical motion tenderness (CMT)
Fever (less than 1/3 of patients)
Nausea/vomiting
A

PID

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10
Q

PIDSequelae

A
  1. Chronic pelvic pain
  2. Infertility/subfertility
  3. Ectopic pregnancy
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11
Q

outpatient antibiotic treatment

A

ceftriaxone IM, cefoxitin IM/ probenecid po and doxycycline

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12
Q

inpatient antibiotic treatment

A

“cefoxy-Doxy”

cefotetan, cefoxitin and doxycycline

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13
Q

treatment for chancroid and granuloma inguinale

A

azithromycin

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14
Q

treatment of LGV

A

doxycyline

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15
Q

treatment of syphilis

A

penicillin G

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16
Q

treatment of HSV

A

antivirals; symptomatic treatment

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17
Q

painful, shallow ulcers- usually multiple

A

HSV

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18
Q

painless rimmed ulcer- usually single

A

syphillis

19
Q

herpes-like ulcers at first; then grooved inguinal mass

A

LGV

20
Q

tender papules at first;then sepiginious, friable ulcers

A

chancroid

21
Q

painless papules at first; then painless, beefy ulcerative mass

A

granuloma inguinale

22
Q

stage of syphillis:

Painless ulcer with raised edges, almost always single. Highly infectious.

A

primary syphillis

23
Q

stage of syphillis:

Maculo-papular rash on palms;
Condyloma latum; systemic symptoms.

A

secondary syphillis

24
Q

stage of syphillis:

Skin & bone: gumma
CV: aortic aneurysm, aortic insufficiency
Neuro*: Tabes dorsalis, Argyl-Robertson pupil, blindness, paresis

A

tertiary syphillis

25
Q

Demyelination of the dorsal columns
Loss of proprioception, vibration, and fine touch
Loss of DTRs
High-stepping, foot-slapping gait

A

Tabes dorsalis

26
Q

Light-near dissociation
“Accomodates but does not react”
Constricts for near focus but not with bright light
Can be seen in other dorsal midbrain lesions
Adie syndrome, pinealomas, brain stem infarction and MS

A

argyll Robertson pupil

27
Q

Non-painful, usually non-pruritic scattered papules with central umbilication from DNA pox vitus

A

molluscum contagiosum

28
Q

Non-painful, non-pruritic verrucous papules and plaques from HPV

A

condyloma accuminatum

29
Q

Interdigitary and genital itching; erythematous papules with linear burrows.

A

scabies

30
Q

Intense pruritus; systemic symptoms (fever, malaise) if severe.

A

pubic louse

31
Q

__________ also
thickens cervical mucous,
thins endometrium,
and decreases tubal peristalsis

A

Progesterone

32
Q 
4-7 days of placebo
Continuous use (skip placebo week)
Vary in EE dose and type of progestin
A

Combined OCPs

33
Q

Wear weekly x 3 weeks, then 1 week off
Can also use continuously
Approximately twice the VTE as other combined methods; unclear why.

A

Transdermal patch

34
Q

Insert vaginally and leave in x 3 weeks, then 1 week off

Can also use continuously

A

Transvaginal ring

35
Q

Depo is what type of hormone?

A

progesterone only

36
Q

most effective birth control method and progesterone only

A

implant

37
Q

__________releases free copper which prompts inflammatory response, creates a highly spermicidal intrauterine environment

A

Copper-IUD

38
Q

_________ causes thickens cervical mucus, partially inhibits ovulation, thins endometrium

A

LNG-IUD

39
Q

Plan B

A

Progesterone blocks LH surge, inhibiting ovulation
Use within 3 days
Reduces risk of pregnancy by ~75%

40
Q

Ella

A

anti-progesterone 98%

More effective than Plan B

41
Q
  • An anti-progesterone

- Causes detachment of embryo and further anti-progesterone cascade

A

mifepristone

42
Q
  • Prostaglandin E1 analog approved for treatment of gastric ulcers
  • Causes cervical softening and uterine contractions
A

misoprostol

43
Q

1st trimester options for abortion

A
  1. manual vacuum
  2. electric vacuum
  3. medical
44
Q

2nd trimester options for abortion

A
  1. dilation and evacuation

2. induction of labor

reproductive (27 decks)

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