genital infections

Question 1

candidiasis dx

Answer 1

perineal/vaginal swab

testing can be done with a Gram stain or wet film examination

Question 2

candidiasis predisposing factors

Answer 2

pregnancy
high dose COC
broad spectrum antibiotics
DM
HRT
immunosuppression

Question 3

tx candidiasis

Answer 3

topical imidazoles

–clotrimazole,econazole and miconazole

Question 4

trichomonas vaginalis s&s

Answer 4

vulval soreness&itching
foul smelling vaginal discharge,sometimes frothy yellowish green in nature
dysuria and abdominal discomfort
appearance of strawberry cervix d/t presence of punctate hge

Question 5

trichomonas dx

Answer 5

microscopy vaginal discharge and culture in finnberg-whittington or Diamond’s medium

Question 6

trichomonas mx

Answer 6

both partner should be treated and should be screened fo STD

metronidazole

Question 7

bacterial vaginosis s&s

Answer 7

fishy malodorous vaginal discharge
asx carriers
more prominent and following menstruation
creamy or greyish white vaginal discharge
ph 4.5 to 7.0
common species:gardnerella vaginalis,mycoplasma hominis,bacteroides

Question 8

bact vaginosis mx

Answer 8

metronidazole

clindamycin

Question 9

candidiasis s&s

Answer 9

• vulval itching and soreness,thick curdy vaginal discharge,dysparaeunia and dysuria
• vulval edema,excoriation,redness and eryhtema
• normal vaginal pH