Approach to GU Complaint

Question 1

what is the average age of puberty in females? in males?

Answer 1

females: 10-14 years; males: 11-16 years

Question 2

what stage of thelarche does menarche usually start?

Answer 2

stage 3 or 4

Question 3

when do pubic hair and size of penis start?

Answer 3

from 9-13.5 years

Question 4

to be more thorough about a patient’s OB history what can you expand and how?

Answer 4

you can expand on para: TPAL: term delivers; preterm deliveries; abortion; live births

Question 5

what is a pap smear?

Answer 5

a cytology test to help screen for cervical cancer

Question 6

what is 99% of cervical cancer due to?

Answer 6

high risk HPV strains

Question 7

what is the most common area of precancerous lesions and cancers in the cervix?

Answer 7

the transformation zone

Question 8

what is the classic presentation of an ectopic pregnancy?

Answer 8

abdominal or pelvic pain with vaginal bleeding; other pregnancy related symptoms

Question 9

if you are suspecting an ectopic pregnancy and the patient is confirmed pregnant, what should you order?

Answer 9

a transvaginal ultrasonography

Question 10

what should you always do if you suspect ectopic pregnancy?

Answer 10

ALWAYS DO A PREGNANCY TEST

Question 11

what is the classic presentation of a UTI?

Answer 11

dysuria, urinary frequency, urinary urgency, suprapubic pain

Question 12

what is the most common cause of a UTI?

Answer 12

E. coli

Question 13

what demographic is testicular cancer most commonly found?

Answer 13

younger males; therefore it is important that they know how to perform a self testicular exam

Question 14

what is the classic presentation of an inguinal hernia?

Answer 14

pain with increased intra-abdominal pressure; may have palpable bulge on affected side

Question 15

What are the three bacterial STIs we discussed?

Answer 15

chlamydia, gonorrhea, and syphilis

Question 16

what are the two viral STIs we discussed?

Answer 16

herpes simplex 2 and HPV

Question 17

what is a key treatment for STIs?

Answer 17

behavioral counseling

Question 18

what is a male presentation with gonorrhea?

Answer 18

penile discharge and dysuria; or could be asymptomatic

Question 19

what is a female presentation with gonorrhea?

Answer 19

pelvic pain or mucopurulent vaginal discharge

Question 20

what is a female presentation with chlamydia?

Answer 20

vaginal discharge, vaginal bleeding, or pain with intercourse

Question 21

which sti can cause conjunctival infections?

Answer 21

chlamydia

Question 22

what are the stages of syphilis?

Answer 22

primary, secondary, latent phase, tertiary

Question 23

what is the presentation with primary syphilis?

Answer 23

chancre (a painless genital ulcer)

Question 24

what is the presentation with secondary syphilis?

Answer 24

joint pains, fatigue, enlarged lymph nodes, mucopapular rash

Question 25

what is the presentation with latent phase syphilis?

Answer 25

asymptomatic

Question 26

what is the presentation with tertiary syphilis?

Answer 26

neurosyphilis- confusion, headache, stiff neck, vision loss

Question 27

what is the classical presentation of genital herpes?

Answer 27

single or clusters of water-filled vesicles on the genitalia; may have a burning tingling pain prior to the vesicle appearance

Question 28

what is the classical presentation of HPV?

Answer 28

genital warts