Womens Health

Question 1

+clue cells
+whiff test (fishy odor)

What is this and what is the tx?

Answer 1

Bacterial vaginosis
Whiff test (strong fishy odor released with KOH)
Tx: metronidazole (Flagyl) -think flagella treated with Flagyl

No need to treat partner

Question 2

Pseudo hyphae and spores with WBC;
White cheese like curd discharge, itching,swelling, redness

What is this and what is the tx?

Answer 2

Candida Vaginitis
Tx: miconazole, (Monistat) clotrimazole

Question 3

Protozoan w/ flagella seen on wet mount, strawberry cervix (punctate hemorrhages), dysuria
Test: wet mount withOUT KOH
Tx and what is this?

Answer 3

Trich
Tx with Metronidazole (Flagyl)
Tx partner too!

Note: wet mount without KOH bc/KOH will kill the Protozoa

Question 4

Chronic scaly erythematous rash that looks like eczema and starts on the nipple and spreads to areola and dc may be straw colored or bleeding- type of cancer

Answer 4

Pagers disease

Question 5

What does the Tzank Smear test for?

Answer 5

Evaluates herpetic infections (oral, genital, skin). A positive smear shows large abnormal nuclei in squamous epithelial cells.

Question 6

Pap Pap Smears
Q 3 years for ages ——
Q 3-5 years for ages —
Stop >__

Answer 6

Pap Smears
Q 3 years for ages 21-29
Q 3-5 years for ages 30-65
Stop >65

Question 7

Syphillis
Primary
Secondary
Tertiary

Answer 7

Syphillis
Primary: chancre (painless ulceration)
Secondary: condylomata lata, rash on hands and soles of feet
Tertiary: gumma (non cancerous growths), neuro and heart problems

Question 8

Tx for Syphillis
Test for Syphillis

Answer 8

Tx: penicillin G (think: syphillis affects penis with painless chancre so tx with PENIcillin)
Test: RPR or VDRL for screening
If positive, confirm with FTA-ABS

Question 9

Signs of pregnancy

Answer 9

1. Presumptive (no period, quickening, n&v)
2. Probable
   (Goodell’s sign- softening of the cervix, Chadwick’s sign - increased blood flow, Hegar’s sign- softening of the isthmus of the cervix, +hCG, ballottment (pushing and floating mass felt)
3. Positive (palpation of fetus by MD or NP, visualizing fetus on US, ascultation of fetal heart tones)

Question 10

Negele’s Rule

Answer 10

LMP + 9 months + 7 days

Question 11

Test group B strep by week

Answer 11

Week 35-37

Question 12

Avoid Macrobid in 3rd trimester of pregnancy d/t

Answer 12

Neonatal hemolytic anemia

Question 13

-Rh incompatibility scenario
-Test to detect Rh?
-When should rhogam be administered?
-

Answer 13

Rh+ baby (think baby is positive, cute and cuddly)
Rh- mom
Coombs test detects Rh antibodies
1st dose 28 weeks and 2nd within 72 hours of delivery