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Flashcards in GYN Deck (31):
1

primary amenorrhea

no menses by age 16

2

secondary amenorrhea

menses cease after establishment

3

PAP results - Bethesda classification of dysplasia
CIN 1

HPV or mild dysplasia

4

PAP results - Bethesda classification of dysplasia
CIN 2

moderate dysplasia

5

PAP results - Bethesda classification of dysplasia
CIN 3

severe dysplasia

6

PAP results - Bethesda classification of dysplasia
CIS

carcinoma in situ

7

Refer for cervical dysplasia when?

no later than CIN 2

8

When to start PAP testing?

age 21

9

Woman age 21 - 29
frequency and type of PAP testing

every 3 years

cytology only

10

Woman 30 - 65
frequency and type of PAP testing

every 3 years if cytology

OR

every 5 years if cytology and HPV testing

11

When to stop PAP screening?

age 65 - 70 depending on overall health and risk factors

12

What are the 3 major causes of vaginitis?

trich
BV
cadidiasis

13

What are the signs and symptoms of trich?

malodorous, frothy yellowish-green discharge
pruritis / itching
vag erythema
"strawberry patches" on cervix and vagina
dysparunia
dysuria

14

What is the microscopic test for trich?

SALINE prep
see motile trichomonads

15

What is the treatment for trich?

metronidazole (Flagyl) -- an antibiotic despite -azole suffix

16

What are the signs and symptoms of BV?

watery, gray, "fishy" discharge
vaginal spotting

17

What is the microscopic test for BV?

SALINE prep
see clue cells

what are clue cells -
epithelial cells with poorly defined borders

18

What is the treatment for BV?

metronidazole (Flagyl) -- an antibiotic despite -azole suffix

OR
clindamycin (Cleocin)

19

What are the signs and symptoms of vaginal candidiasis?

thick, white, curd like discharge
vulvovaginal erythema
pruritis

20

What are the microscopic findings of vaginal candidiasis?

KOH prep
shows psuedohyphae

looks like "spaghetti and meatballs"

21

What is the treatment for vaginal candidiasis?

miconazole (Mono-stat)

terconazole
butaconazole

--> these ARE antifungals with -azole suffix

22

Metronidazole vs miconazole -- which is the ABT?

metronidazole

23

What does PID look like?

flu symptoms
+
GYN

24

What are the signs and symptoms of PID?

fever
chills
nausea / vomiting
vaginal discharge
dysuria
dysparunia

25

Physical exam findings in PID?

adnexal tenderness
abdominal tenderness
fever > 38 C

26

Treatment of PID for most

class: fluoroquinalone

ofloxacin
OR
levofloxicin +/- metronidazole (Flagyl)

27

Treatment of PID for more refractory disease

class: cephalosporin + tetracycline + other stuff

cefoxitin + probenecid + doxy +/- metronidazole (Flagyl)
OR
ceftriaxone + doxy +/- metronidazole (Flagyl)

28

What is the effect of probenecid?

slows renal excretion rate of ABT making regimen more effective

29

What is the usual cause of abnormal uterine bleeding?

endocrine dysfunction

30

Somatic symptoms of PMS/PDD have to do with what?

physical symptoms

31

Management of PMS/PDD most supported in the literature?

caffeine restriction