[Exam 3] Chapter 57: Management of Patients with Female Reproductive Disorders (Page 1686-1696)

Question 1

What is Candidiasis?

Answer 1

A fungal or yeast infection, caused by strains of Candida

Question 2

Candidiasis: What can change this from an asymptomatic state to active?

Answer 2

The use of antibiotics agents decreases bacteria, therby altering the natural proctective organisms

Question 3

Candidiasis: This occurs more often in what conditions?

Answer 3

Pregnancy or wht a systemic condition such as diabetes or HIV

Question 4

Candidiasis: Clinical manifestations of this?

Answer 4

Vaginal discharge that causes itching and subsequent irritation.

Question 5

Candidiasis: How is diagnosis made?

Answer 5

Microscopic identifcation of spores and hyphae (long, branching filamentous structurs) on a glass slide

Question 6

Candidiasis: How to treat this?

Answer 6

Antifungal agents . Agents inserted into vagina with applicator at night

Question 7

Bacterial Vaginosis: What is this caused by?

Answer 7

Overgrowth of anaerobic bacteria and Gardnerella vaginlis normally found in vagina and absence of lactobacilli

Question 8

Bacterial Vaginosis: Risk factors for this?

Answer 8

Douching after menses, smoking, or multiple sex partners

Question 9

Bacterial Vaginosis: Signs and Symptoms here?

Answer 9

Does not produce discomfort

Didscharge is heavier than normal and gray/yellowish in color

Question 10

Bacterial Vaginosis: WWhat makes this unique?

Answer 10

Characteized by fishlike odor that is noticeable during sexual intercourse

Question 11

Trichomoniasis: What is this?

Answer 11

Flagellated protozoan that causes a common STI called trich.

Question 12

Trichomoniasis: Signs of this?

Answer 12

Vaginal discharge that is thin (frothy), yellow to yellow-green color with odor, malodorous and very irritating

Question 13

HPV: Where can this be found?

Answer 13

Lesions of the skin, cervix, vagina, anus, penis, and oral cavity

Question 14

HPV: What symptom does this cause?

Answer 14

Condylomata (warty growths) that can appear on the vulva, vagina, cervix, anus

Question 15

HPV: Best way to prevent it?

Answer 15

Recommends routine vaccination of boys and girls 11-12 year sof age before becoming sesxually active

Question 16

HSV2: What is this?

Answer 16

Recurrent , lifelong vrial infection that causes herpetic lesions (blisters) on the external genitalia and occassionaly on the vagina and cervix

Question 17

HSV2: What is the initial infection like?

Answer 17

Verey painful and blisters may take 2-4 weeks to heal

Question 18

HSV2: What can recurrences be associated with?

Answer 18

Stress, sunburn, dental work, or inadequate rest or poor nutrition

Question 19

HSV2: What is HSV1 associated?

Answer 19

cold sores of the lips,

Question 20

HSV2: What does this look like?

Answer 20

Itchinig and pain occur at site, and area becomes red and edematous.

Question 21

HSV2: How does the infection begin?

Answer 21

Macules and papules and progress to vesicles an dulcers

Question 22

HSV2: How deos the vesicular state appear?

Answer 22

Appears as a blister, which later coalesces, ulcerates, and encurts

Question 23

HSV2: Primary site of infection in women?

Answer 23

Labia

Question 24

HSV2: What may appear 3-4 days after lesions appear?

Answer 24

Influenza like symptoms

Question 25

What is Endocervictisi?

Answer 25

Inflammation of the mucosa and the glands of the cervix tha tmay occur when organisms gain access to the cervical glands after intercourse

Question 26

Endocervicitis: Most common causes of this?

Answer 26

Chlamydia and Gonorrhea

Question 27

Endocervicitis: Untreated chlaydia infections lead to what?

Answer 27

Can spread to fallopian and uterus leading to serious complications including PID

Question 28

Endocervicitis: What symptoms does Chlamydia produce?

Answer 28

No symptoms but cervical discharge, dyspareunia, dysuria, conjunctivitis and perihepatitis

Question 29

PID: What is this?

Answer 29

Inflammatory condition of the pelvic cavity that may begin with cervicitis and ivolve the uterus, fallopian tubes, ovaries, pelvic peritoneum or pelvic vascular system

Question 30

PID: What are common causes of this?

Answer 30

Honorrheal, and Chlamydial organisms

Question 31

PID: What are soem consequences that can occur?

Answer 31

Fallopian tubes become narrow and scarred, which increase risk of ectopic pregnancy

Question 32

PID: After childbirth, how does infection enter?

Answer 32

Pathogens are disseminate ddirectly through the tissues that support the ureters by way of lymphatic tissue and blood vessels

Question 33

PID: What is a common cause of Salpinhitis?

Answer 33

Inflammation of the fallopian tube, and is chlamydia and possibly accompanied by gonorrhea