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Flashcards in gynecology Deck (10)
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1

Tx for gonococcal urethritis

Cefritaxone (250 mg IM) once (and also treat for Chlamydia)

2

Tx for non-gonococcal urethritis (chlamydia)

Azithromycin once (OR) Doxycycline x 7 days

3

what does PCOS do to LH and FSH

increases pituitary synthesis of LH (and decreases pit synthesis of FSH) (LH:FSH ratio > 2)

4

PCOS effects of LH and FSH

- increased LH increases ovarian synthesis of androgens --> hirsuitism
- androgens aromatized to estrogen in adipose --> increases risk of endometrial Cancer
- increased estrogen has positive feedback on LH (and negative on FSH) --> suppressed FSH causes follicle degeneration (anovulation)
- fluid accumulation creates subcortical cysts that enlarge ovaries

5

if premenopausal is still menstruating, what day of cycle to test FSH

day 3 (if FSH increased, best marker of menopause)

6

in what stage of syphilis do widespread mucucutaneous lesions occur

secondary stage, 4-10 weeks after chancre appeared

7

what are the stages of syphilis

primary, secondary, latent, and tertiary

8

what forms in tertiary syphilis

gummas (necrotic nodules)
- also neurosyphilis affects CNS
- aortic syphilis affects CVS (aneurysm)
- 3-10 years after initial infection

9

Tx for trichomoniasis

metronidazole

10

trichomoniasis phys exam finding

red "strawberry" spots on vaginal walls and cervix