Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

FNP practice 2021-2022 > GU/Repro SM > Flashcards

GU/Repro SM Flashcards

(59 cards)

Start Studying
1
Q

Strawberry cervix

A

trichomoniasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

clue cells, positive whiff test

A

bacterial vaginosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Friable cervix

A

gonorrhea or chlamydia

too many WBCs to count

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

painful, burning vesicles

A

herpes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

chlamydia treatment

A

doxycycline

azithromycin - pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

gonorrhea treatment

A

ceftriaxone (Rocephin)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

chlamydia and gonorrhea treatment

A

ceftriaxone & doxycycline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Trichomoniasis or bacterial vaginosis treatment

A

Metrondiazole (Flagyl)

do not drink alcohol - disulfiram-like reaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Syphillis treatment and diagnosis? Confirmatory test? Symptoms

A

IM penicillin G (bicillin)
RPR, FTA-ABS
symptoms - painless chancre 3-6 weeks, rash on palms and soles, neurosyphilis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Non-hormonal option for contraception

A

paragard

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What contraception causes osteoporosis?

A

depo-provera
stop after 5 years
supplement with calcium and vitamin D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What contraception is safe for breast feeding?

A

progestin only = mini pill

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What contraception cannot be used in patients that have migraines with aura?

A

combination options

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What specific type of birth control has the highest risk for clots?

A

ortho-evra patch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are contraindications for combination OCP?

A 
liver disease
>35 and smoker
history of clots/current - DVT, PE
heart disease or uncontrolled HTN
migraines with aura
<6 weeks postpartum
breast cancer
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What should be done for a woman that misses two active birth control pills?

A

CDC take the most recent missed pill, get rid of other missed pills, use a back up method

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Who should be given progestin-only options?

A

breastfeeding patients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What should be ordered for a childbearing age woman presenting with abdominal complaints?

A

hCG test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

presumptive pregnancy signs

A

subjective

breast tenderness, nausea, amenorrhea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

probable pregnancy signs

A

hcg, Hegar, Chadwick, Goodell

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

positive pregnancy signs

A

objective - PUFF
palpitation of fetus
ultrasound of fetus
fetal heart tones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

fundal height at 12 weeks

A

rising above symphysis pubis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

fundal height at 20 weeks

A

umbilicus, measuring +/- 2 cm as weeks of gestation = normal. Starts at 20 weeks, regresses starting at 36 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is completed 35-37 weeks gestation?

25
When is gestational diabetes?
24-28 weeks
26
When is Rhogam given?
week 28 and 72 hours postpartum
27
Asymptomatic UTI in pregnancy is treated with?
``` CAMP cephalosporins amoxicillin macrobid penicillin ```
28
What antibiotic cannot be administered in the 1st trimester? 3rd trimester?
``` 1st = cephalosporins 3rd = macrobid ```
29
What antibiotic CANNOT be administered during pregnancy?
NO ciprofloxacin - fluoroqinolones, not safe <18 years of age (babies
30
When is AFP testing completed in pregnancy? What is this? high? low?
16-20 weeks gestation alpha fetoprotein level high - neural tube defect low - down's syndrome
31
What prevents neural tube defects?
folic acid history of = 4 mg no hx = 0.4 mg
32
What are down's syndrome at higher risk of?
cervical spine instability Alzheimer's hypothyroidism
33
What must be done if a child with Down's syndrome wants to play sports?
Cervical spine XRAY
34
Describe placenta previa
pain-LESS bleeding, soft uterus, bleeding
35
Describe placenta abruption
PAINFUL bleeding, hard uterus, bleeding
36
What is the treatment for mastitis? Allergy? What if symptoms persist after treatment?
Dicloxicillin allergic to pcn = clindamycin, macrolides refer! may need mammogram
37
When are pap smears started? HPV?
age 21 regardless of sexual status, every 3 years | age 30, every 5 years if both pap and hpv
38
What results require referral immediately for colposcopy?
LISL - low grade HISL - high grade CIN 2 and 3 = BAD
39
Atypical squamous cells of undetermined significance
HPV screening regardless of age | colposcopy if positive HPV
40
What is the treatment for genital warts?
TCA acid
41
Is it normal to see vaginal bleeding in a post-menopausal woman?
NO! | refer for endometrial biopsy
42
What is hormone replacement therapy? Risks? Alternatives? (name the drug)
risks - diabetes, blood clots, CV disease | alternatives - SSRI (paroxetine/paxil), IUDs, vaginal creams, herbal supplements
43
What herbal supplements are commonly used for menopause?
ginseng - increases bleeding time | black cohash - hot flashes
44
Hormone replacement therapy increases risk of what type of cancer?
ovarian
45
PCOS are at a higher risk of
diabetes/insulin resistance hyperlipidemia certain cancers
46
What is galactorrhea? What should be ordered? What medication class causes this?
milky discharge expressed from breast associated with breast stimulation order prolactin (rule out prolactinoma) atypical antipsychotics
47
What is found on digital rectal exam of a patient with benign prostatic hyperplasia?
symmetrically enlarged, rubbery prostate with urinary frequency and hesitancy
48
What medications treat BPH? side effect?
alpha blockers -zosins terazosin, doxazosin orthostatic hypotension, TAKE AT BEDTIME
49
What herbal supplement helps BPH symptoms? What medication shrinks the size of the prostate?
saw palmetto | Finasteride/Proscar
50
What is the PSA cutoff for referring?
4 | must have greater than 10 years to live to treat prostate cancer, slow growing
51
Positive Prehn sign. Describe and what is this associated with?
relief of pain when elevating the scrotum and is associated with Epididymitis
52
What is the treatment of epididymitis for a patient <35 years old? >35 years old?
``` <35 = doxycycline or ceftriazone/rocephin >35 = levofloxacin (E.coli) ```
53
Severe unilateral testicular pain and absent cremasteric reflex is?
testicular torsion | REFER!
54
What labs are the best indicators of kidney function?
eGFR creatinine BUN - less specific
55
What indicates kidney damage on urinalysis and needs referral?
RBCs or WBCs casts | glomularnephritis vs pyelonephritis
56
What are first line medications for nonpregnant UTI patient?
Macrobid Bactrim Ciprofloxacin
57
What should be ordered for a recurring UTIs?
kidney ultrasound
58
What is the immediate concern with a patient has erectile dysfunction? What medications are used? What should be ordered before prescribing?
heart concerns, underlying cardiac issues PDE-5 (penis does not erect) order an EKG!
59
What medication cannot be given with PDE-5 inhibitiors?
nitroglycerin

FNP practice 2021-2022 (19 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions