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Women's Health > Vaginitis Differentiation > Flashcards

Vaginitis Differentiation Flashcards

1
Q

What is the symptom presentation in Trichomoniasis? (3 items)

A

discharge, itch, 50% asymptomatic

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2
Q

What is the description of the vaginal discharge in Trichomoniasis? (3 items)

A

Frothy, gray or yellow-green; malodorous

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3
Q

What are the clinical findings in Trichomoniasis? (2 items)

A

Cervical petechiae “strawberry cervix” and “whiff” test is often positive

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4
Q

What is the pH that is often found in Trichomoniasis?

A

> 4.5

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5
Q

What is found on a Trichomoniasis positive NaCl Wet Mount? (2 items)

A

Motile flagellated protozoa and many WBCs

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6
Q

What is the typical symptom presentation in Candidiasis? (4 items)

A

Itch, discomfort, dysuria and thick discharge

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7
Q

What are the clinical findings in Candidiasis? (2 items)

A

Inflammation and erythema

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8
Q

What is the typical pH seen in Candidiasis?

A

usually < 4.5

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9
Q

What is seen on a NaCl Wet Mount in Candidiasis?

A

Few WBCs

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10
Q

What is seen on a KOH Wet Mount in Candidiasis?

A

Pseudohyphae

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11
Q

What is the symptom presentation in Bacterial Vaginosis? (3 items)

A

Odor, discharge, itch

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12
Q

How is the discharge described in Bacterial Vaginosis?

A

Homogenous adherent, thin, milky white; malodorous “foul fishy”

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13
Q

What is the typical pH found in Bacterial Vaginosis?

A

> 4.5

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14
Q

What is the results to the KOH “whiff” test in Bacterial Vaginosis?

A

positive

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15
Q

What is seen on a NaCl Wet Mount when the patient has Bacterial Vaginosis? (2 items)

A

Clue cells (>20%) and no or few WBCs

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16
Q

What are the initial treatment options for Herpes Simplex Virus? (4 options)

A

1- acyclovir 400mg TID x 7-10 days
2- acyclovir 200mg 5x daily for 7-10 days
3- Famciclovir 250mg TID x 7-10 days
4- Valacyclovir 1g BID x 7-10 days

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17
Q

What is the episodic therapy for recurrent HSV? (4 items)

A

1- Acyclovir 400mg TID for 5 days
2- Acyclovir 800mg BID for 5 days
3- Valacyclovir 500mg BID x 3 days
4- Valacyclovir 1 g daily for 5 days

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18
Q

What is the treatment of choice for clients with syphilis, syphilis in pregnancy and congenital syphilis?

A

2.4 million units of Benzathine PCN G

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19
Q

If there is a suspected or culture proven chancroid what is the treatment of choice? (3 options)

A

1- 1 g of azithromycin x 1
2- Ceftriaxone 250mg IM x 1
3- Ciprofloxacin 500mg BID x 3 days
4- Erythromycin 500mg po TID x 7 days

20
Q

What are the high risk types of HPV because of their cause of cervical cancer.

A

16 and 18

21
Q

What type of cells are found in patient who has HPV

A

squamous intraepithelial lesions

22
Q

What does a colposcopy with directed biopsy for HPV evaluation involve? (4 steps)

A

1- application of a 3-5% solution of acetic acid to the tissue of the vulva or cervix
2- after several seconds the affected tissue will turn white
3- the white tissue is then examined under magnification
4 directed biopsy is done on the most abnormal tissue

23
Q

What is the diagnostic test that is used to differentiate between low-risk and high-risk HPV types?

A

DNA: Nucleic Acid Hybridization

24
Q

Is BV considered a STI

A

no

25
Q

WHAT IS THE MOST PREVALENT FORM OF VAGINITIS AMONG WOMEN OF CHILDBEARING AGE?

A

Bacterial Vaginosis

26
Q

What is the treatment for bacterial vaginosis? (2 methods)

A

1- ORAL METRONIDAZOLE 500 MG BID FOR 7
DAYS OR GEL (0.75%) INTRAVAGINALLY ONCE FOR
5 DAYS
2- CLINDAMYCIN 300 MG BID X 7
DAYS OR 2% CREAM PER VAGINA HS X 7 NIGHTS

27
Q

What is the most common Candida species?

A

ALBICANS

28
Q

What is the treatment of trichomoniasis?

A

1- METRONIDAZOLE 2 GMS PO X1 FOR ALL PARTNERS

IF NEED TO RETREAT 500 MG BID X 7 DAYS

29
Q

What is chlamydial infections associated with? (6 items)

A 
1- URETHRITIS
2- ACUTE URETHRAL SYNDROME
3- SALPINGITIS
4- PID
5- INFERTILITY
6- PERIHEPATITIS
30
Q

WHAT IS THE TREATMENT MANAGEMENT FOR CHLAMYDIAL INFECTIONS WITH UNCOMPLICATED URETHRAL, ENDOCERVICALN AND RECTAL INFECTIONS? (2 METHODS)

A

AZITHROMYCIN 1 G X 1 OR

DOXYCYLCINE 100 MG BID X 7 D

31
Q

WHAT IS THE TREATMENT MANAGEMENT FOR CHLAMYDIAL INFECTIONS DURING PREGNANCY?

A

ERTHROMYCIN 500 MG PO QID X 7 D

32
Q

WHAT IS THE TREATMENT OR UNCOMPLICATED URETHRAL, ENDOCERVICAL,
PHARYNGEAL OR RECTAL INFECTION OF GONORRHEA? (3 METHODS)

A

1- CEFTRIAXONE 250MG IM X1
2- CEFIXIME 400 MG PO X 1
3- AZITHROMYCIN 2 GM PO X1

33
Q

WHAT ARE THE SYMPTOMS OF HERPES?

A 
1- MULTIPLE PAINFUL VESICULAR LESIONS
2- FEVER
3- CHILLS
4- MALAISE AND SEVERE DYSURIA
5- LYMPHADENOPATHY
34
Q

SYMPTOMS OF HERPES PEAK IN ___ DAYS AND MAY LAST ___-___ WEEKS

A

5; 2-3

35
Q

WHAT IS THE DIAGNOSTIC TEST FOR HERPES AND WHEN IS THE BEST TIME TO OBTAIN THE SAMPLE?

A

CELL CULTURE AND PCR; DURING THE VESICULAR PHASE

36
Q

WHAT IS THE DIAGNOSTIC TEST FOR SYPHILIS (2 items)

A

VDRL OR RPR

37
Q

WHAT IS THE TERTIARY/LATENT TREATMENT FOR SYPHILIS?

A

2.4 M UNITS IM WEELY X3 WEEKS

38
Q

WHAT IS FOUND ON THE PHYSICAL EXAM OF SOMEONE WITH SYPHILIS?

A

ULCERATIVE LESION WITH NECROTIC BASE (MAY BE MULTIPLE)

39
Q

WHAT IS THE TREATMENT PLAN FOR PATIENTS WITH LOW RISK HPV VS THE TREATMENT PLAN FOR PATIENTS WITH HIGH RISK HPV?

A

LOW RISK: REPEAT IN 1 YR

HIGH RISK: REFER FOR COLPO

40
Q

WHAT ARE THE TREATMENT OPTIONS FOR EXTERNAL HPV? (5 OPTIONS)

A 
1- TRICHLORACETIC ACID 80-90%
2- LIQUID NITROGRN CRYOTHERAPY:
3- IMIQUIMOD 5% CREAM
4- PODOFILOX 0.5%
5- PODOPHYLLIN 10-25%
41
Q

Presentation of this disease: primary starts with chancre at site of bacterial entry, secondary is flu-like symptoms with a maculopapular rash on the palms and soles, and tertiary presents with cardiovascular, neurologic, dermatologic or bone disease.

A

sypilis

42
Q

_____ is characterized by a painful vesiopapule lesion

A

chancre

43
Q

Normally HPV lesions are painless but they can cause: (4 items)

A

1- malodorous vaginal discharge
2- pain and burning with urination
3- pruritis
4- bleeding during/after coitus

44
Q

Many person with hepatitis B may have no symptoms during infection and develop lifelong immunity, but if symptoms do present that can include: (8 items)

A 
1- fatigue
2- loss of appetite
3- dark urine
4- light-colored bowel movements
5- nausea/vomiting
6- diarrhea
7- malaise
8- myalgia
45
Q

SOMEONE WHO IS EXPOSED TO HIV THROUGH SEX OR INJECTION DRUG USE, CAN USE THESE MEDICATIONS TO KEEP THE VIRUS FROM ESTABLISHING A PERMANENT INFECTION: (2 FORMS)

A 
1- TRUVADA
2- PEP MUST BE STARTED AS
SOON AS POSSIBLE TO BE EFFECTIVE—AND
ALWAYS WITHIN 72 HOURS OF A POSSIBLE
EXPOSURE

Women's Health (11 decks)

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