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AMK > Genito-urinary > Flashcards

Genito-urinary Flashcards

1
Q

stress incontinence Mx

A

duloxetine

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2
Q

urge incontinence Mx

A

oxybutynin

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3
Q

candidiasis Px in men and women, Mx

A

Women: white curdy discharge
Men: red glazed plaques
Mx: fluconazole

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4
Q

Bacterial vaginosis Px and Mx

A

fishy odour, grey discharge
Metronizadole / clindamycin

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5
Q

Trichomoniasis Px and Mx

A

yellow frothy discharge
metronizadole

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6
Q

Chlamydia Px, Dx, Mx

A

dysuria, intermenstrual bleeding, discharge
NAAT test from endocervical swab
Mx = doxycycline

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7
Q

Gonorrhoea Px Mx

A

dysuria, intermenstrual bleeding, discharge
Mx: azithromycin / ceftriaxone

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8
Q

Genital herpes Px, Dx and Mx , cause

A

painful genital ulcers, vaginal discharge, dysuria
NAAT test
Aciclovir
Caused by: herpes simplex 2

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9
Q

genital warts cause and Px

A

HPV
painless lumps

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10
Q

bilateral abdominal pain, adnexal tenderness, fever
cervical motion tenderness

A

Pelvic inflammatory disease Px

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11
Q

Fitz Hugh Curtis Syndrome

A

happens in PID, when adhesions form between the liver and abdominal wall. causes inflammation and RUQ pain

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12
Q

Mx of PID

A

ofloxacin
metronizadole

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13
Q

HIV in pregnancy

A

<50 copies = vaginal delivery, >50 = C section
breast feeding is not recommended

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14
Q

primary syphilis Px

A

genital / perianal lesions, painless

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15
Q

secondary syphilis

A

maculopapular rash on legs, face, arms

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16
Q

tertiary syphilis

A

granulomatous like lesions, neuropsyphilis

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17
Q

Mx of syphilis

A

1 dose benzathine penicilline (IM???)

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18
Q

Px of Benign prostatic hyperplasia

A

enlarged smooth, asymmetrical prostate, palpable bladder, weak urine flow, urgency, terminal dribbling

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19
Q

Mx of BPH

A

tamsulosin
finasteride

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20
Q

acute scrotal pain, swelling, not settled by pain, 2ndary to UTI

A

epididymo-orchitis

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21
Q

severe testicle pain, loss of cremasteric reflex in young boys, + Mx

A

testicular torsion
Mx = surgery

22
Q

diagnosing PCOS

A
  1. anovulation
  2. hyperandrogenism (hirsutism)
  3. ovarian volume >10cm
23
Q

chlamydia shape and gram stain

A

gram -ve rod

24
Q

gonorrhoea shape and gram stain

A

gram -ve diplococci

25
Q

Paraphimosis Px and Mx

A

the foreskin is retracted but cannot be replaced, this constricts the venous return of the penis and causes the glans penis to swell up

Mx: Soak it in hypertonic solution to draw fluid out, then attempt to manually replace the foreskin.

26
Q

Phimosis Px and Mx

A

when the foreskin can’t be retracted, due to scarring of the foreskin.

Mx: supportive, maintain hygiene

27
Q

Low sperm count and mobile mass in the scrotum

A

Could be a varicocele enlargement of the pampiform plexus, meaning that blood isn’t cooled to the optimum temp before it reaches testes, which reduces sperm production

28
Q

what to test initially for erectile dysfunction

A

HbA1C

29
Q

what to test initially in male infertilityq

A

semen analysis

30
Q

red swollen head of penis

A

paraphimosis

31
Q

curvature during erection

A

peyronies disease

32
Q

Dx of BPH (imaging)

A

ultrasound with post-voidal bladder volume

33
Q

1st and 2nd and 3rd line for menorrhagia

A
  1. mirena coil
  2. mefanemic acid
  3. tranexamic acid
34
Q

contraindications to cocp

A

> 35 yrs >20 cigs a day
hypertension
current breast cancer
previous VTE
hepatitis, liver cirrhosis
migraines with aura

35
Q

what to give if cocp is contraindicated

A

pop
implant

36
Q

semen analysis normal values

A

vol: ≥ 1.5ml
pH: ≥ 7.2
concentration: ≥ 15 million per ml
number: ≥ 39 million per ejaculation
motility: ≥ 40%

37
Q

lymphogranuloma venereum Px and cause

A

caused by chalmydia trachomatis
presents with genital ulcers and painful inguinal lymphadenopathy

38
Q

Mx of lymphogranuloma vereneum

A

three weeks of doxycycline

39
Q

renal colic pain relief

A

IM diclofenac 75mg

40
Q

lichen planus Px

A

red/purple plaques with overlying lacy white stripes

41
Q

lichen sclerosus Px

A

pale shiny skin
white plaques

42
Q

what strains of HPV are assoc with cervical cancer

A

16 & 18

43
Q

what strains of HPV are assoc with genital warts

A

11

44
Q

what organism gives rise to syphilis

A

treponema pallidum

45
Q

what infection is commonly associated with reactive arthritis

A

chlamydia

46
Q

yellow/green frothy malodorous discharge
strawberry cervix
what is this and MX

A

trichomonas
metronidazole BD for 7 days

47
Q

how to treat bladder cancer

A

TURBT + intravesical chemo (Bcg)

48
Q

management of chlamydia

A

7 days of doxycycline 12 hourly

49
Q

azithromycin dose for chlamydia

A

1g single dose and then
500mg OD for two days

50
Q

missed pill at the start or end of pack
what to do

A

take missed pill
emergency contraception

51
Q

missed pill in middle of the pack
what to do

A

take missed pill
continue as normal
condoms for 7 days

AMK (29 decks)

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