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Flashcards in Cervical Disorders Deck (48)
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1

What is used for STD testing?

Nucleic Acid Amplification Test (NAAT)

2

What is a "chandelier sign"?

Cervical Motion Tenderness (CMT) on bimanual pelvic examination

3

_______ _____ is a polymicrobial syndrome that results in replacement of normal flora (lactobacillus) of the vagina with anerobic bacteria.

Sx include.....

Watery/Grey Discharge
Absence of urinary Sx
Absence of pain
"Fishy" Odor

Bacterial Vaginosis

4

In bacterial vaginosis.....

Would the pH of the vagina be more acidic or basic than baseline?

More Basic ( >4.5)

5

What criteria is used to diagnose bacterial vaginosis?

Amsel Criteria (Need 3 of 4)

6

The presence of what on wet prep would be diagnostic of bacterial vaginosis?

Clue Cells

7

What medication is first line for treatment of Bacterial vaginosis?

Metronidazole (Flagyl) 500 mg BID x7 days

8

What STD results from a protozoan infection?

Trichomonas Vaginalis

9

What would be seen on wet prep in a patient with trichomonas?

Numerous WBC
Motile Trichomonads

10

What are TWO first line treatments for Trichomonas?

2 g of Metornidazole x1 dose

OR

2 g of Tinidazole x1 dose

11

In which STD would you more likely expect to have colored/purulent discharge.....

Trichomonas or Bacterial Vaginosis?

Trichomonas

12

What is the most commonly reported bacterial infection in the US?

Chlamydia

(Gonorrhea is 2nd most)

13

Are males or females more likely to be asymptomatic with chlamydia infections?

Females are more likely to be asymptomatic

Males often have dysuria

14

What are long term sequelea of chlamydial infections in females?

PID
Infertility
Ectopic Pregnancy
Chronic Pelvic Pain
Neonatal Infection

15

How is chlamydia diagnosed?

What would be observed on a wet prep?

NAAT

Wet Prep: WBCs

(Use these in combination with clinical suspicion)

16

T/F: Routine annual STD screening should occur in all sexually active females <25 y.o.

True

17

During what trimester should all pregnant women be screened for STDs?

1st

18

How is Gonorrhea treated?

25 mg of Ceftriaxone IM

PLUS

1 g Azithromycin PO

(*both given in a single dose)

19

How is chlamydia treated?

1 g Azithromycin PO

20

_______ _______ is described as a sporadic, uncomplicated fungal overgrowth

Vuvlovaginal Candidiasis

21

What is the most common causative agent of Vuvlovaginal Candidiasis

Candida Albicans

22

T/F: Abx use is NOT a risk factor for developing Vuvlovaginal Candidiasis

False

It is a risk factor

23

What are common symptoms of Vuvlovaginal Candidiasis?

Pruritis
Burning
Thick, White Discharge

24

What may be seen on wet prep in Vuvlovaginal Candidiasis?

Yeast

25

What medication is typically used to treat Vuvlovaginal Candidiasis?

150 mg of Fluconazole PO x1 dose

26

An 18 year-old female comes to the clinic with the complaint of increased vaginal discharge and vaginal odor. She also complains of urinary frequency and dysuria. On physical examination there is evidence of thin, gray, frothy discharge in her vagina. The cervix appears erythematous and the vaginal pH is 6. Which of the following is the most likely diagnosis and how would you treat it?

A. Candida vulvovaginitis, treat with Terconazole
B. Bacterial vaginosis, treat with Metronidazole
C. Trichomonas vaginitis, treat with Metrogel
D. Chlamydia trachomatis, treat with Azithromycin
E. Trichomonas vaginitis, treat with Tinidazole

E. Trichomonas vaginitis, treat with Tinidazole

27

Is genital HSV more commonly related to HSV 1 or HSV2?

HSV 2

28

How can HSV 1 or HSV 2 cervicitis/vaginitis be dianosed?

Culture

(*DNA polymerase chain reaction can also be used and more sensitive)

29

T/F: topical acyclovir is effective for treating HSV cervicitis/vaginitis

False

It is not effective

30

What medications can be used to treat HSV cervicitis/vaginitis?

Oral Acyclovir/Famicyclovir/Valcyclovir