male/female reproductive Flashcards

1
Q

What is normal vaginal pH?

A

3.8-4.2

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2
Q

What are distinct features of candida infections? How is it treated?

A

low pH, white curdy discharge, pseudohyphae (spaghetti and meatballs), tx with fluconazole etc.

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3
Q

What are distinct features of bacterial vaginosis? How is it treated?

A

high pH, thin, white/gray discharge, positive “whiff” test with fishy odor, clue cells, some itching, tx with metronidazole or oral or topical, clindamycin

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4
Q

What are distinct features of chlamydia/nongonococcal urethritis?

A

irritative voiding symptoms, some drainage, large number WBCs and CERVICITIS, tx with azithromycin 1gm x1 or doxy

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5
Q

What are distinct features of gonorrhoea/gonococccal urethritis? How is it treated?

A

irritative voiding symptoms, some drainage, large number WBCs, tx with rocephin IM x1, and azithromycin x1 dose.

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6
Q

What are distinct features of trichomoniasis? How is it treated?

A

dysuria, severe itching, yellow-green vaginal discharge, cervical petechial hemorrhages “strawberry spots” High pH. tx with metronidazole x1 dose

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7
Q

What are distinct features of PID? How is it treated?

A

cervical motion tenderness, abd pain, fever. tx with rocephin plus doxycycline

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8
Q

How is epididymoorchitis treated in 35 y/o?

A

> 35 rocephin plus doxy

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9
Q

What type of incontinence is associated with lifting?

A

stress

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10
Q

What type of incontinence occurs during acute illness?

A

transient

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11
Q

What type of incontinence occurs in the presence of mobility issues?

A

functional

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12
Q

What type of incontinence is described as strong sensation of needing to void?

A

urge

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13
Q

What is a palpable “nest of worms” scrotal mass that is only evident in standing position:

A

variocele

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14
Q

What is collection of serous fluid that causes painless scrotal swelling easily recognized by transillumination?

A

hydrocele

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15
Q

What is characterized by scrotal pain and loss of cremasteric reflex?

A

testicular torsion

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16
Q

What is a retracted foreskin that cannot be brought forward to cover the glans?

A

paraphimosis

17
Q

what is cryptorchidism?

A

when testicle is located in inguinal canal or abdomen

18
Q

what is phimosis?

A

when the foreskin cannot be pulled back to expose the glans

19
Q

What tanner stages do breast development occur in?

A

begin at stage II and end at stage V

20
Q

What is a special consideration in drospirenone as part of birth control pill?

A

good for acne-check K.

21
Q

What are absolute contraindications to oral contraceptives?

A

MyCUPCAKES: Migraines with focal neurologic aura, CAD or CVA, Undiagnosed vaginal bleeding,Pregnant, Liver tumor/disease, Estrogen-dependent tumor, Thrombus, Smoker age 35 or over

22
Q

What are relative contraindications to oral contraceptives?

A

Migraine with non-focal neurological findings, smoker younger than 35, fracture, depression, hyperlipidemia

23
Q

what meds can interact with oral contraceptives?

A

ampicillin, tetracycline, rifampin, anticonvulsants, st johns wort

24
Q

How long after sex is morning after pill effective?

A

up to 72 hours, but best within first 24

25
Q

what does prolonged >2yrs use of depoprovera potentially cause?

A

osteoporosis

26
Q

How are contraceptive precautions divided?

A

category 4 (absolute contraindication) to category 1 (no restriction)

27
Q

At what tanner stage does penis lengthen?

A

Stage III-your middle finger is long and thin (3rd finger)

28
Q

At what tanner stage does penis widen?

A

Stage IV

29
Q

At what tanner stage does breast bud form?

A

Stage II

30
Q

At what tanner stage does secondary breast mound form?

A

Stage IV