Vaginitis

Question 1

Vaginitis 3 key symptoms

Answer 1

pain, discharge, pruritius

Question 2

What is vaginitis?

Answer 2

inflammation of the vagina

Question 3

Vaginitis results from a disruption of normal ____ / ____

Answer 3

ecosystem/flora

Question 4

Common causes of vaginitis
[1]
[2]
[3]

Answer 4

Menstrual cycle
Sexual Activity
Contraceptive choice
Antibiotics
Hygienic products

Question 5

3 common types of vaginitis
[1]
[2]
[3]

Answer 5

[1] Bacterial
[2] Trichomoniasis (parasite)
[3] Vaginal Candidiasis (yeast)

Question 6

This type of vaginitis presents WITHOUT itch

Answer 6

bacterial

Question 7

This type of vaginitis presents with a FISHY odour

Answer 7

bacterial

Question 8

This type of vaginitis is odourless & has a cottage cheese discharge

Answer 8

vaginal candidiasis (yeast)

Question 9

This type of vaginitis has a grey or milky, thin, copious discharge

Answer 9

bacterial

Question 10

This type of vaginitis has a yellow frothy discharge

Answer 10

trichomoniasis (parasite)

Question 11

This type of vaginitis has an acidic PH

Answer 11

vaginal candidiasis (yeast)

Question 12

Non-Pharm vaginal hygiene that should not be recommended:
1)
2)
3)

Answer 12

1) douching
2) genital deodorants
3) tight/synthetic underwear

Question 13

Non-Pharm vaginal hygiene that should be recommended:
1)
2)
3)
4)

Answer 13

Wash perineal area daily with warm water and mild soap
Genital wash is acceptable
Lubricants
Cotton underwear

Question 14

Complimentary medicine such as probiotics have insufficient evidence, although may recommend _______

Answer 14

L. acidophilus

Question 15

Bacterial vaginosis preferred treatment:

Answer 15

Metronidazole (safe in pregnancy/BF) or topical metronidazole

Question 16

Bacterial vaginosis does not require treatment of sexual partners, T or F?

Answer 16

True

Question 17

Bacterial vaginosis: treatment is only indicated in _______ patients

Answer 17

symptomatic

Question 18

Trichomoniasis requires all patients / sexual partners be treated, T or F? (Hint: there is an exception to this)

Answer 18

True, except asymptomatic pregnant women

Question 19

Trichomoniasis preferred treatment:

Answer 19

Metronidazole 2 g single dose or 500 mg BID x 7d

Question 20

Uncomplicated vaginal candidiasis criteria =
1.
2.
3.
4.

Answer 20

1. <3 episode per year
2. mild symptoms
3. non pregnant
4. probably pathogen c.albicans

Question 21

Vaginal candidiasis requires treatment of sexual partners, T or F?

Answer 21

False

Question 22

Oral antifungals are contraindicated in __________ ?

Answer 22

Pregnancy

Question 23

Vaginal candidiasis can be self-treated unless:
1.
2.
3.

Answer 23

1. first infection or <12
2. fever/pelvic pain
3. less than 2 months since last infection

Question 24

Preferred treatment for vaginal candidiasis:

Answer 24

1. Fluconazole 150 mg po one dose
   Clotrimazole oral or topical
   Miconazole oral of topical
   Teraconazole vaginal cream

Question 25

Criteria for complicated vaginal candidiasis?
1.
2.
3.
4.

Answer 25

1. > 4 episode per year
2. severe symptoms
3. pathogen c.glabrata
4. pregnancy, diabetes aids

Question 26

Treatment preferred in complicated vaginal candidiasis:

Answer 26

Fluconazole 150 mg x 3 doses

Only topical azole therapies, applied for 7 days, are recommended for use among pregnant women.