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oral board studying prep book > Office-Vaginitis, TB, Medical ethics > Flashcards

Office-Vaginitis, TB, Medical ethics Flashcards

1
Q

What is normal vaginal pH?

A

Between 3.8-4.5

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2
Q

What is the definition of recurrent yeast infections?

A

> /=4 infections per year

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3
Q

How do you treat recurrent yeast infection?

A

Diflucan 150mg PO on days 1,3,5 then weekly for 6 months

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4
Q

What common infections cause vaginitis?

A

BV
Yeast
Trichomonas

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5
Q

How do you diagnose vaginitis?

A

History
Physical
Pelvic exam
pH
10%KOH
Wet prep slide

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6
Q

What is the workup for recurrent yeast infections?

A

HIV
FBS
Yeast culture

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7
Q

What is the counseling for recurrent yeast infection?

A

Avoid wet undergarments/prlonged wet bathing suits or workout clothes
Avoid tight jeans
Avoid non-cotton underwear

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8
Q

What are positive diagnostic factors for BV infection?

A

pH>4.5
+amine test
>20% clue cells
White gray homogenous discharge

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9
Q

How do you diagnose TB?

A

PPD test administered intradermally
IGRA blood test for latent TB
CXR
Endometrial biopsy

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10
Q

What is a positive PPD test?

A

> 10mm in duration after 48hrs

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11
Q

What would you see on CXR for tuberculosis?

A

Apical cavitation
Hilar lymphadenopathy

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12
Q

What would you see on endometrial biopsy for TB?

A

Langhans giant cells on histology
Mycobacterium tuberculosis on culture

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13
Q

What is the treatment for TB?

A

Isoniazid
Rifampin
Ethambutol

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14
Q

What is the length of treatment for TB?

A

6-9 months

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15
Q

What are the basic principles of medical ethics?

A

Autonomy
Beneficience
Nonmaleficence
Justice

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16
Q

What does autonomy mean?

A

Patient has right of choice

17
Q

What does Beneficence mean?

A

Promote health and welfare

18
Q

What does Nonmaleficence mean?

A

Do no harm

19
Q

What does Justice mean?

A

Equal service to everyone

20
Q

What are the ethical requirements for informed consent?

A
  1. Adequate, accurate, understandable information
  2. Patient ability to reason and understand information
  3. Opportunity for patient to ask questions
  4. Patient intentional and voluntary choice to accept or refuse care/treatment/physician recommendations

oral board studying prep book (50 decks)

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