Final (Women's Health II)

Question 1

Clue Cells

Answer 1

Bacterial Vaginitis

Question 2

pH > 5

Answer 2

Atrophic Vagnitis

Question 3

psuedohyphae

Answer 3

Candida

Question 4

Abundant WBC

Answer 4

Trich/Candida

Question 5

Toxic Shock Syndrome

Answer 5

• Colonoization of Staphlococcus aureus, produces EXOTOXINS
• Trigger of immune response
• The criteria established by the Centers for Disease Control and Prevention (CDC, 1997) to diagnose TSS include fever > 38.9°C, hypotension, diffuse erythroderma, desquamation of the palms and soles, and the involvement of three or more major organ systems.

Question 6

Justice

Answer 6

duty to be fair

Question 7

Beneficience

Answer 7

duty to prevent harm and promote good

Question 8

Veracity

Answer 8

duty to be truthful

Question 9

Fidelity

Answer 9

duty to be faithful

Question 10

Autonomy

Answer 10

duty to respect one’s right to their own thoughts/actions

Question 11

utilitarianism

Answer 11

the happiness of the greatest number of people in the society is considered the greatest good.

Question 12

Infertility

Answer 12

1 year of unprotected frequent intercourse that has not resulted in conception

Question 13

Semen Analysis

Answer 13

• 2 specimens, 1 month apart
• ## Specimen arrival to lab within 30 minutes of ejaculation

Question 14

Clomid

Answer 14

• 50mg daily for 5 days beginning on the 5th day of menstrual cycle; max 3 courses.
• If ovulation does not occur after 1st course, increase dose to 100mg daily for 2nd course; max 100mg/day for 5 days. See full labeling.
  Contraindications:
  Primary ovarian failure. Ovarian cysts. Uterine leiomyomas. Abnormal vaginal bleeding. Thrombophlebitis. Liver disease. Depression. Uncontrolled thyroid or adrenal dysfunction. Organic intracranial lesions (eg, pituitary tumor). Pregnancy (Cat.X).
• Warnings/Precautions:
  Perform initial complete pelvic and endocrinologic exam. If ovarian enlargement occurs, hold dose until ovaries return to pretreatment size, and reduce dosage or duration of next course. Polycystic ovary syndrome. Discontinue if visual disorders occur. Nursing mothers.
• Adverse Reactions:
  Ovarian enlargement, abdominal pain and bloating, blurred vision, hot flashes, breast discomfort, depression, multiple births, ocular toxicity.
  How Supplied:
  Tabs—30

Question 15

Polycystic Ovarian Syndrome (PCOS)

Classic Features

Answer 15

Obese
Oligomenorrheic
Hirsutism, acne, acanthosis nigricans
Polycystic-appearing ovaries on ultrasound
Hyperandrogenism
Oligoovulation or Anovulation
Insulin resistance (50-70%)

Question 16

PCOS TX

Answer 16

• Weight loss and diabetic diet
• Metformin 500 mg, titrate to 1500/day x 5 weeks and assess for ovulation x 6 months
• Clomid is often added to induce ovulation
• Remember to have PNV onboard

Question 17

IUI (intrauterine insemination)

Answer 17

sperm collected and washed then placed in sterile medium. Sperm then concentrated in small volume of medium then inserted into uterus

Question 18

Endometriosis

Answer 18

• endometrial glands and stroma outside the endometrial cavity
• ONLY diagnosed via laproscopy
• Can affect fertility

Question 19

Simple Ovarian Cysts

Answer 19

• contain fluid
• < 5 cm = functional, will usually resolve spontaneous
• 5-7 cm = needs follow up in 3-4 months
• > 7 cm = needs referral to GYN

Question 20

Complex Ovarian Cysts

Answer 20

• more substance in the cysts like a septum, blood, and so on…may not resolve spontaneously
• Refer all of them

Question 21

Uterine Fibroid Tumors

Answer 21

• Non-malignant
• Leiomyomas grow in the smooth muscle lining and have more estrogen/progesterone receptors that other tissue in the area = get bigger and bleed a lot (annoying)
  Most common reason for hysterectomy in US

Tx:
NSAID, OCP, Lupron
Ablation
Surgery

Question 22

Cervical Cancer Symptom

Answer 22

abnormal vaginal bleeding or discharge

Question 23

Ovarian Cancer Symptom

Answer 23

• abnormal vaginal bleeding or discharge
• pelvic pain or pressure
• abdominal or back pain
• bloating
• changes in bathroom habits

Question 24

Uterine Cancer Symptoms

Answer 24

• abnormal vaginal bleeding or discharge

- pelvic pain or pressure

Question 25

Vaginal Cancer Symptoms

Answer 25

abnormal vaginal bleeding or discharge

Question 26

Vulvar Cancer Symptoms

Answer 26

- pelvic pain or pressure - itching or burning of the vulva - changes in vulvar color or skin (rash, warts, sores)