Vaginal & Vulvovaginal Disorders

Question 1

Which vaginal disorder consist of irritation, itching, and dysuria?

Answer 1

Bacterial Vaginosis

Question 2

Which vaginal disorder consist of erythema, itching, and vulvar edema?

Answer 2

Trichomoniasis

Question 3

Which vaginal disorder has a fishy odor?

Answer 3

Bacterial Vaginosis

Question 4

Which vaginal disorder has no odor?

Answer 4

Trichomoniasis

Question 5

Which vaginal disorder has increased thin/watery discharge, off-white or even discolored?

Answer 5

Bacterial Vaginosis

Question 6

Which vaginal disorder has yellow-green discharge?

Answer 6

Trichomoniasis

Question 7

Which vaginal disorder requires partner to be treated?

Answer 7

Trichomoniasis

Question 8

Which vaginal disorder doesnt require partner to be treated?

Answer 8

Bacterial Vaginosis

Question 9

Bacterial Vaginosis has what kind of odor?

Answer 9

Fishy

Question 10

Bacterial Vaginosis has what kind of discharge?

Answer 10

Thin, watery, off-white or even discolored

Question 11

Bacterial Vaginosis does/does not require partner to be treated

Answer 11

does not

Question 12

Trichomoniasis has what kind of symptoms?

Answer 12

Erythema, itching, and vulvar edema

Question 13

Trichomoniasis has what kind of odor?

Answer 13

Non-odorous

Question 14

Trichomoniasis has what kind of discharge?

Answer 14

Yellow-green

Question 15

Trichomoniasis does/does not require partner to be treated

Answer 15

Does require

Question 16

Bacterial Vaginosis has what kind of symptoms?

Answer 16

Vaginal irritation, itching, and dysuria

Question 17

What is the most causative organism for vulvovaginal candidiasis?

Answer 17

Candida albicans

Question 18

What kind of discharge does vulvovaginal candidiasis have?

Answer 18

Thick cottage cheese kind

Question 19

What kind of odor does vulvovaginal candidiasis have?

Answer 19

Non-odorous

Question 20

What kind of symptoms do vulvovaginal candidiasis have?

Answer 20

Same as Trichomoniasis

Question 21

What are the pharmacologic Tx for vulvovaginal candidiasis?

Answer 21

1. Clotrimazole (3-7 days)
2. Miconazole (1-7 days)
3. Tioconzole (1 day)

Question 22

What is the MOA of anti-fungals?

Answer 22

Inhibits fungal p450, decreases synthesis of ergosterol,, and damages fungal cell wall membrane

Question 23

What kind of interaction does anti-fungals have?

Answer 23

Warfarin, increased bleeding + bruising

Question 24

When should you use antifungals?

Answer 24

At night before bedtime to reduce leakage

Question 25

Antifungals + Pregnancy

Answer 25

Can be used during 1st trimester, but provider has to be notified

Question 26

What age group shouldn’t use antifungals?

Answer 26

<12 yrs old

Question 27

Vulvovaginal candidiasis exclusions?

Answer 27

1. Fever or pain in lower ab, back or shoulder
2. Corticosteroids, antineoplastics
3. Recurrent VVC (4 in a year or 1 in last 60 days)
4. First incidence of VVC
5. pH greater than 4.5

Question 28

What are the pharmacologic Tx for Atrophic Vaginitis?

Answer 28

Astroglide, KY Jelly, Replens

Question 29

What should you avoid for Atrophic Vaginitis?

Answer 29

Petroleum jelly

Question 30

How often should you lubricate for Atrophic Vaginitis?

Answer 30

PRN