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GU Flashcards

1
Q

This STI has a strawberry cervix?

A

Trichomoniasis

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2
Q

How do we treat Trichomoniasis?

A

Flagyl

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3
Q

This has clue cells and a positive whiff test?

A

BV

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4
Q

How do we treat BV?

A

Flagyl

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5
Q

This STD has a friable cervix?

A

Gonorrhea and Chlamydia

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6
Q

How do we treat Gonorrhea?

A

Rocephin (Ceftriaxone)

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7
Q

How do we treat Chlamydia?

A

Azithromycin

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8
Q

This has painful, burning vesicles?

A

Herpes

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9
Q

How do we treat Herpes?

A

Antiviral within 48-72 hours

Acyclovir

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10
Q

Painless chancre or a rash on palms and soles?

A

Syphilis

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11
Q

How do we diagnose syphilis?

A

RPR

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12
Q

How do we treat syphilis?

A

IM PCN

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13
Q

What do we worry about in pregnant women with syphilis?

A

Spontaneous abortions

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14
Q

What method of birth control increases your risk of osteoporosis?

A

Depo-provera
Do not use for longer than 5 years
Vit D and Ca supplements

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15
Q

What combined option has the highest risk of blood clots?

A

Ortho-evra patch

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16
Q

Contraindications to combination options of birth control?

A

Current clot, liver disease, greater than 35 and smoke

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17
Q

Anytime a female of childbearing age presents with a GU complaint we should order an?

A

HCG level

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18
Q

Presumptive pregnancy signs:

A

Subjective

N/V, quickening

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19
Q

Probably pregnancy signs:

A

HCG positive
Hegar (6-8 weeks)- softening uterine isthmus
Chadwick (6-8)- blue discoloration of cervix
Goodell (4 wk) cervical softening
enlarged uterus
ballottement

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20
Q

Positive pregnancy signs:

A

Objective
Palpation of fetus
Ultrasound
Fetal heart tones

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21
Q

When is pregnant woman screened for gestational diabetes?

A

24-28 weeks

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22
Q

Group B strep?

A

34-36 weeks

23
Q

How do we treat group B strep?

24
Q

When do we give Rhogam?

A

RH negative mom at 28 weeks and within 72 hours postpartum

25
When do we do AFP testing?
16-20 weeks
26
If AFP level is elevated it may indicate?
Neural tube defects
27
If AFP level is lower it may indicate?
Down syndrome
28
Those with Down syndrome have an increased risk of?
Alzheimers disease hypothyroidism cervical spine instability- must be cleared by x-ray of cervical spine to play sports.
29
Placental abruption presents with:
Pain, uterus hard to touch, bleeding, typically only in 3rd trimester
30
Placenta previa presents with:
Light, painless bleeding
31
What antibiotic is used to treat mastitis?
Dicloxacillin | If does not work, refer for mammogram
32
What results on PAP do we refer immediately?
CIN 2 and CIN 3
33
Treatment for ASCUS under 25?
Follow up 1 year
34
Treatment for ASCUS over 25?
HPV reflex testing and if positive colposcopy
35
Treatment of genital warts?
TCA acid
36
Women with PCOS are at higher risk of:
Insulin resistance HLD Certain cancers
37
Milky discharge from breast that is typically associated with breast stimulation.
Galactorrhea
38
What labs do we check with galactorrhea?
Prolactin to check for prolactinoma TSH/FSH Refer out
39
Symmetrically enlarged, smooth, rubbery, enlarged prostate with symptoms of urinary frequency and hesitancy.
BPH
40
Treaments for BPH:
1st line- -zosins- terazosin, cardura, flomax Take at bedtime due to risk of hypotension 2nd line- proscar to shrink prostate Herbal supplement- saw palmetto
41
PSA cutoff to refer=
4
42
Scrotum is swollen and angry with a positive prehn sign.
Epididymitis
43
What is a positive prehn sign?
Relief of pain when testicle is lifted.
44
Treatment for epididymitis?
Under 35- Rochepin and doxy | Over 35- Cipro or levaquin
45
This has a negative prehn sign and absent cremasteric reflex?
Testicular torsion | Refer to ED
46
RBC casts in UA indicate:
Glomulonephritis
47
WBC casts in UA indicate
Pyelonephritis
48
UTI treatment:
Macrobid, bactrim, cipro
49
Avoid bactrim with?
Warfarin
50
Treatment for UTI in pregnancy?
Augmentin
51
With chronic UTIs we should get?
Kidney US
52
If on nitro can patient take viagra?
NO
53
Boggy, tender prostate with fever, chills, and suprapubic pain.
Prostatitis
54
Prostatitis treatment?
Under 35- Rocephin and doxy | Over 35- copra or levaquin

ANCC Study (14 decks)

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