Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

OB/GYN > STIs > Flashcards

STIs Flashcards

1
Q

Thick white cottage cheese-like discharge + itching or excoriations

A

Candida
May also have erythematous vulvar findings with satellite lesions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Inflamed itchy vaginal mucosa + yellow/green discharge

A

Desquamative vaginitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Gray/opaque foul-smelling discharge

A

Bacterial vaginosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Non-specific yellow/green vaginal discharge without systemic manifestation

A

Trichomonas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Which has inflammation - bacterial vaginosis vs Trichomoniasis?

A

Trichomoniasis - yellow-green, malodorous, frothy discharge

As opposed to off-white, fish odor discharge

Use metronidazole and treat partner

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Viral-like symptoms followed by burning/irritation prodrome before lesions appear

A

HSV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What should you do for someone with suspected Hep B from partner?

A

Unvaccinated: Partner is HBsAG+: One dose HBIG and HBV series; otherwise only HBV series
Vaccinated: Responder: No further treatment; otherwise HBIG + HBV series or HBIGx2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Symptoms: Lower abdominal tenderness; uterine/adnexal tenderness; mucopurulent cervicitis

A

Acute salpingitis

DDx: Endometriosis (which does not have fever)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Complications of salpingitis

A

Chronic pelvic pain; hydrosalpinx; tubal scarring; ectopic pregnancy; infertility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Genital itching with small black powder like substance on pubic hair

A

Lice (Phthiraptera)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Clue cells on wet prep

A

Bacterial vaginosis - fuzzyness around cells is due to bacteria coating
Treatment: Metronidazole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Treatment for bacterial yeast infection

A

Clotrimazole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

CDC recommends what course of action after Chlamydia treatment?

A

Test for reinfection at 3 months; TOC no longer recommended

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What areas of skin does secondary syphilis encompass?

A

Trunk, palms, soles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is Fitz-Hugh-Curtis syndrome?

A

Perihepatitis - due to ascending upper genital tract infection involving the hepatic capsule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the HIV intrapartum treatment plan for pregnant patients?

A

Viral load <=50: ART + vaginal
Viral load >50 <1000: ART + zidovudine + vaginal
Viral load >1000: ART + zidovudine + cesarean

17
Q

What should be avoided in prenatal care in HIV+ pregnant patients if viral load is detectable?

A

Amniocentesis

18
Q

What should be avoided during intrapartum delivery in HIV+ patients?

A

AROM
Fetal scalp electrode
operative vaginal delivery

19
Q

How often should HIV testing be done in pregnant patients?

A

Viral load monthly until undetectable, then every 3 months
CD4 count every 3 months
Resistance testing if not previously performed

20
Q

What is used for HIV pre-exposure prophylaxis?

A

Emtricitabine-tenofovir disoproxil fumarate (TruvadaTM)

21
Q

Congenital HSV has what risks? How to prevent?

A

Seizures, blindness, developmental delay

Prevent via antiviral at 36 wks, cesarean if lesions/prodromal at labor

22
Q

Which infection can cause friable, macular cervical lesions (“strawberry cervix”)?

A

Trichomonas can cause acute cervicitis and these lesions –> postcoital bleeding, dyspareunia

Chlamydia can also cause cervicitis and friable lesions with postcoital bleeding

23
Q

Most common cause of sterile pyuria in sexually active patients

A

Chlamydia

24
Q

Deep staining intracytoplasmic cysts

A

Donovan bodies - Klebsiella - granuloma inguinale

25
Q

Extensive, progressive ulcers without LAD

A

Granuloma inguinale - Klebsiella

26
Q

Initial painless shallow ulcers followed by confluent painful inguinal LAD (buboes)

A

Chlamydia - also has intracytoplasmic chlamydial inclusion bodies

27
Q

Multinucleated giant cells and intranuclear inclusions

A

Cowdry type A - HSV

28
Q

Multiple and deep painful ulcers initially, gray/yellow exudate

A

Chancroid (H ducreyi)

Can also have buboes

29
Q

Organisms clump in long parallel strands

A

Chancroid - H ducreyi - “school of fish”

30
Q

Vulvovaginal candidiasis - treatment

A

Topical antifungal + single dose of oral fluconazole

31
Q

How does PID treatment differ from simple cervicitis?

A

Ceftriaxone IM + Doxycycline PO 14d +/- Metronidazole PO 14d

OB/GYN (29 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions