Vulvovaginal Infections & PID Flashcards
The finding of <10^2/mL bacterial concentration is suggestive of which of the following causative agent?
A. Escherichia coli
B. Staphylococcus saprophyticus
C. Chlamydia trachomatis
D. Staphylococcus aureus
C. Chlamydia trachomatis
<10^2/mL : C. trachomatis / N. gonorrhoeae (acute urethral syndrome)
> 10^2/mL : E. coli / S. saprophyticus (bacterial UTI)
All of the following almost always cause abnormal odor of vaginal discharge EXCEPT:
A. Bacterial vaginosis
B. Trichomoniasis
C. Gonorrhea
D. None of the options
C. Gonorrhea
Which of the following shows lesions of cervix called “strawberry cervix”?
A. Trichomoniasis
B. Bacterial vaginosis
C. Candidiasis
D. Any of the options
A. Trichomoniasis
All of the following produces vaginal fluid with a pH >4.5 EXCEPT:
A. Trichomoniasis
B. Bacterial vaginosis
C. Candidiasis
D. Any of the options
C. Candidiasis
Acidic: Candidiasis
Basic: Trichomoniasis & BV
Which of the following is/are commonly used to treat vaginal trichomoniasis?
A. Metronidazole
B. Tinidazole
C. Miconazole
D. Any of the options
D. Any of the options
Metronidazole; and
Tinidazole (longer half life, fewer GI effects)
Which of the following produces white or gray vaginal discharge?
A. Trichomoniasis
B. Bacterial vaginosis
C. Candidiasis
D. Any of the options
B. Bacterial vaginosis
Trichomoniasis: yellow
Candidiasis: white
Which of the following demonstrates pseudohyphae or hyphae by microscopic examination?
A. Trichomoniasis
B. Bacterial vaginosis
C. Candidiasis
D. Any of the options
C. Candidiasis
Which of the following is/are commonly used to treat vulvovaginal candidiasis?
A. Miconazole
B. Clotrimazole
C. Fluconazole
D. All of the options
D. All of the options
“IMIDAZOLES”
All of the following are cardinal signs of mucopurulent cervicitis EXCEPT:
A. Green mucopurulent discharge
B. Endocervical bleeding
C. Edematous cervical ectopy
D. None of the options
A. Green mucopurulent discharge
“Violin-string” adhesions can be seen in which of the following PID manifestations?
A. Endometritis B. Salpingitis C. Perihepatitis D. Periappendicitis E. Any of the options
C. Perihepatitis (Fitz-Hugh-Curtis syndrome)
Which of the following is the recommended regimen for outpatient PID?
A. Ceftriaxone + Clindamycin + Metronidazole
B. Ceftriaxone + Doxycycline + Metronidazole
C. Cefotetan + Doxycycline
D. Clindamycin + Gentamicin
B. Ceftriaxone + Doxycycline + Metronidazole
Hospitalization of PID patients is considered with all of the following EXCEPT:
A. Uncertain diagnosis B. Pelvic abscess suspected C. Failed to respond to outpatient therapy D. Patient has HIV infection E. None of the options
E. None of the options
Which of the following drugs in PID is/are used to cover possible chlamydial infection?
A. Ceftriaxone
B. Doxycycline
C. Metronidazole
D. All of the options
B. Doxycycline
Ceftriaxone = gonococcal Doxycycline = chlamydial Metronidazole = enhance activity against anaerobes
Which of the following is/are part of minimum criteria in diagnosing acute PID?
A. Abnormal purulent discharge B. Cervical motion tenderness C. Thickened fallopian tubes D. Elevated ESR/CRP E. All of the options
B. Cervical motion tenderness
Minimum: CMT, Uterine tenderness, adnexal tenderness
Additional: Fever, abnormal purulent discharge, elevated WBCs in saline, elevated ESR/CRP, (+) N. gonorrhoeae/C. trachomatis
Definitive: Endometrial biopsy, Sonography, Doppler studies, Laparoscopy
Which of the following is considered as gold standard in diagnosing acute PID?
A. Endometrial biopsy
B. Pelvic sonography
C. Doppler studies
D. Laparoscopy
D. Laparoscopy
