STI & GYN Review Flashcards
What is the Bethesda System?
System used to categorize PAPS
Types of Birth Control
- The Pill
- Depo shot
- The Sponge
- IUD
- Spermicide
LMP
Last menstrual period
Which way should the gown be open for an exam?
Open to the front
Vaginitis
Infection of the vagina
STD
Sexually Transmitted Disease
STI
Sexually Transmitted Infection
VDRL
A blood test for syphilis
2 STI’s have very similar symptoms in the male, discharge and dysuria, while there are fewer symptoms in the female. What are these 2 STI’s?
- Gonorrhea
- Chlamydia
What is flagyl and what does it help treat?
- Brand name for metronidazole
- Antibiotic
- Used to treat PID, endocarditis, and bacterial vaginosis
Metronidazole
Generic name for the medication flagyl
Nits
Egg of Lice
Pediculosis
Infestation of Lice
Why shouldn’t a Pap smear be taken from a woman during menses?
Could give a false or inaccurate reading of red blood cells
Acetic Acid
Main component of vinegar
What is the purpose of a pap test?
to detect and screen for cervical cancer
Why shouldn’t a patient douche before a pap test/smear?
- Can wash away surface cells
- normal pH can also be altered
Identify 3 sexually transmitted diseases that are caused by bacteria…
- Gonorrhea
- Syphilis
- Chlamydia
Identify 3 STD’s that are caused by viruses…
- Genital Warts
- Herpes
Condylomata
Another name for genital warts
Fixative
protects slide from contaminants like dust and bacteria
What is the purpose of a bimanual pelvic exam?
- Determine size, shape, and position of uterus and ovaries
- Detect tenderness and lumps
What is another name for a pelvic exam?
Bimanual exam
How does a provider perform a pelvic/bimanual exam?
Provider inserts index and middle fingers of one hand into vagina and the other hand is placed on woman’s lower abdomen.
Purpose of fixing the Pap smear slide?
- Firmly attach cells
- Dry the cells to the slide
What are barrier methods (safeguards for STI’s)?
- condoms
- abstinence
- spermicidal foam/sponge
which 2 STI’s are often closely related and a person is more likely to have both when they have one?
- Gonorrhea
- Chlamydia
what is the purpose of the wet mount/wet prep?
preparing slide for microscope viewing
are wet mount and wet prep the same thing?
YES
Fixation
Alcohol based spray in direct smear used to harden specimen
Exfoliated Cells
All tissues including malignant will slough off cells (shedding dead cells)
What is another name for Gardnerella?
Bacterial Vaginosis
What test is done with Gardnerella?
Whiff test
What smell is associated with the whiff test?
Fishy smell
What antibiotic is taken for Gardnerella?
Flagyl
What important thing needs to be known when taking Flagyl?
Absolutely NO alcohol!!
What color is the discharge for Garnerella (Bacterial Vaginosis)?
Grey or yellow discharge
What does candida albicans mean?
yeast infection
what test is associated with candida albicans?
KOH prep
what is the consistency of discharge with candida albicans?
- thick cottage cheese like consistency
What smell does Candida Albicans have?
none-ODORLESS
With Candida Albicans, what is one of the main complaints?
Real itchy vulva
Strawberry Cervix is associated with what STI?
Trichomoniasis
what color/consistency is the discharge for trichomoniasis?
-green and yellow frothy discharge
how is trichomoniasis treated?
Flagyl (remember no alcohol)
What is trichomoniasis classified as?
protozoa
Chancre
Bump that comes when someone has syphilis
Is syphilis contagious?
Yes
Is syphilis bacterial or viral?
bacterial
what can come from a late diagnosis of syphilis?
organic damage/death
blood test associated with syphilis
VDRL
What is used to treat Syphilis?
penicillin
Can you still get chlamydia/gonorrhea w/o cervix?
YES
Genital Warts is caused from what virus?
HPV (Human Papilloma Virus)
what is another name for genital warts?
condylomata
what is the normal incubation period for genital warts?
1-3 months
how do you get rid of genital warts?
- get rid of them by burning them
- cryotherapy
Is there a cure for HPV/Genital Warts?
NO
What color discharge do you have with gonorrhea?
yellow
symptoms of gonorrhea
dysuria, dysperenea (painful intercourse)
what anitbiotics may you be given for gonorrhea?
zithromax
what disease can gonorrhea lead to?
PID (Pelvic Inflammatory Disease)
what can gonorrhea cause in men?
infertility
is gonorrhea bacterial or viral?
Bacterial
what color and consistency of discharge is associated with chlamydia?
white/yellow thick discharge
Is Chlamydia bacterial or viral?
Bacterial
what can chlamydia cause?
- PID (pelvic inflammatory disease)
- Infertility w/ untreated women
what is the most prevalent STD?
Chlamydia
how often should self breast exam be performed?
once a month
when is the best time to do BSE?
1 week after period
