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PANCE 2024 > Reproductive > Flashcards

Reproductive Flashcards

1
Q

When you think of cyclical pain what do you think of?

A

Endometriosis

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2
Q

3 D’s of endometriosis

A

Dysmenorrhea
Dyschezia
Dyspareunia

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3
Q

What does endometriosis often cause in women?

A

Infertility

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4
Q

Uterine characteristics in endometriosis

A

Fixed retroverted uterus with decreased mobility

+/- nodules in the rectovaginal septum

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5
Q

Test of choice and definitive diagnostic for endometriosis

A

TOC = TV U/S = Ground Glass Appearance

Def = Biopsy during laparoscopy

+”powder burn” and chocolate cysts with ovarian cysts+

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6
Q

Management of endometriosis

A

NSAIDS
COCs
Progestin
Danazol
GnRH agonists = leuprolide

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7
Q

If you want to treat endometriosis and save fertility potential what would you do?

A

Laporoscopy with ablation

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8
Q

What 3 types of fibriods arise from the myometrium

A

Submucosal
Intramural
Subserosal

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9
Q

What are the uterine findings commonly in fibriods

A

Firm Nontender irregular shaped.

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10
Q

What hormone controls uterine fibroids

A

Estrogen

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11
Q

3 sxs that can occur in uterine fibroid ; other wise ASX

A

Pelvic pressure / pain
Menorrhagia
Constipation

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12
Q

What imaging do you use to evaluate submucosa or intramural lesions?

A

Infusion sonohysterogram

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13
Q

What is the surgical management of fibriods that preserves fertility

A

Myomectomy

Def = hysterectomy

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14
Q

When thinking risk for endometrial cancer think

A

Increased estrogen exposure

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15
Q

MC type of endometrial cancer

A

Adenocarcinoma

MC GYN malignancy

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16
Q

How does ovulation effect endometrial cancer?

A

If you chronically dont ovulate [PCOS] you are more at risk

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17
Q

Suspect endometrial cancer if a women presents how?

A

Postmenopausal bleeding

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18
Q

During pelvic U/S endometrial stripe greater than what equals time for more imaging?

A

4mm ; get an endometrial biopsy

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19
Q

What is the med management of endometrial hyperplasia and when would you use it?

A

Progestin and only if patient still desires to be pregnant and there is no atypia present—> otherwise hysterectomy

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20
Q

Describe the 3 types of ovarian cysts

A

Follicular

Corpus luteum cyst

Neoplastic = #1 Teratoma ; Endometrioma ; Cystadenoma

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21
Q

What will ruptured ovarian cyst likely have (4)

A

Distention
Unilateral POOP
Fever
Guarding

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22
Q

What is the ovarian tumor marker

A

CA125

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23
Q

Follicular ovarian cyst U/S findings:

A

Unilocular thin walled anechoic

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24
Q

Corpus luteum cyst pelvic U/S findings

A

Diffuse thick walled with peripheral blood flow

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25
Q

What are the types of physiologic ovarian cysts

A

Follicular and corpus luteum

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26
Q

What size ovarian cyst usually requires surgery

A

Greater 5 cm

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27
Q

What 2 ligaments are involved in ovarian torsion

A

Infundibulopelvic and ovarian ligaments

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28
Q

What is the definitive diagnostic for ovarian torsion and what does it show

A

Laporoscopy

= enlarged ovary
Absent blood flow
Peripherally displaced follicles

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29
Q

What is the sign associated with Doppler flow U/S for ovarian torsion

A

Whirlpool sign = twisting of the vascular pedicle of the enlarged ovary

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30
Q

Remember that PCOS has increased what?

A

Insulin resistance with hyperinsuinemia

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31
Q

Lab findings in PCOS

A

Incr LH / FSH
Incr estrogen / progesterone
Incr total testosterone

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32
Q

Pelvic U/S findings in PCOS

A

Enlarged ovary multiple cysts
String of pearls

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33
Q

Can PCOS benefit from progestin only therapy

A

Yes — because PCOS lacks the ability to ovulate which requires progestin ; progestin is often low

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34
Q

What is the most common ovarian cancer ; common in what age

A

Epithelial Cell common in age over 50

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35
Q

What sxs do you think of with ovarian cancer and what risk factors

A

Abdominal Distention
Bloating
Early satiety
Weight loss

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36
Q

Virchows node and sister Mary and Joseph node can be present in what pelvic cancer

A

Ovarian cancer

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37
Q

Size greater than what is concerning for ovarian malignancy

A

10cm

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38
Q

What cervical cancer precursor is the most common etiology

A

HPV 16 and 18

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39
Q

What is a common findings in cervical dysplasia / cancer

A

Post coital bleeding

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40
Q

Does a woman with total hysterectomy need HPV or Pap testing

A

NO!

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41
Q

HPV screening is age what?

A

21-65

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42
Q

When can you consider HrHPV[preferred] or co testing every five years

WHAT ELSE?

A

Age 25 +

Pap test every 3 years ; starting at 21 +

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43
Q

What is the acetic acid stain for HSIL

A

Off white dull color
Coarse vascular pattern

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44
Q

When should a women be referred to colposcopy

A

Over 25 with LSIL or ASC-H

Over 29 with ASCU-US and +HPV

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45
Q

Age 21-24 with ASC-US or LSIL

And

Over 29 with HPV + and NILM

A

Repeat Pap in 1 year

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46
Q

Age over 29 ASCU-US and negative HPV

A

Repeat Pap in 3 years

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47
Q

What level of tissue change requires long term follow up 25 years +

A

CIN 2 and CIN 3

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48
Q

CIN2 but desires child bearing treatment

A

Excisional LEEP

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49
Q

4 signs of PID

A

Previous positive NAAT [G/C]
Fever
Muco discharge
ABD Pain /‘/ Postcoital bleeding

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50
Q

Dont forget to look for what in PID with pelvic U/S

A

Tubo-ovarian abscess

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51
Q

Out patient management of PID

A

Ceftriaxone + Doxy + Metronidazole

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52
Q

PID + Vibreonous string + Violin string adhesions = What syndrome?

A

Fitz Hugh Curtis

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53
Q

Dont forget what in BV

A

Usuallllllyyyyyy white copious discharge with odor due to increase in amines [FISHY]

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54
Q

3 of 4 criteria for BV include :

A

Thin white/gray discharge
Clue cells
pH of vaginal fluid greater than 4.5
Fish after whiff test 10% POTASSIUM HYDROXIDE

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55
Q

FIRST CHOICE for BV management

A

Metro by mouth BID x 7 days

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56
Q

2 important risk factors for yeast infection

A

Diabetes

Recent antibiotic use

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57
Q

Wet mount for yeast infection shows what

A

Psuedohyphe or spores

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58
Q

What would make a yeast infection complicated? (5)

A

Not infected by C. Albicans
Pregnant
Immune comp = Diabetes
Greater than 3 episodes per year
Severe sxs

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59
Q

How can you treat complicated yeast infection

A

Oral FLUCONAZOLE every 72 hours in 3-4 doses

Topical azole 7-14 days

Topical clotrimazole or Miconazole for 7 days if pregnant

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60
Q

Describe PE for Trichomonaisis

A

Frothy yellow-green discharge
Malodorous
Strawberry punctuate hemm cervix

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61
Q

Talk about TRICH treatment

A

Metro PO is first line ; 7 days

Tinadzole = 2nd

MUST TREAT PARTNER

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62
Q

Will amines be positive in TRICH?

A

Yes, bitch!

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63
Q

PALM COIEN for AUB

A

Polyp
ADENOMYOSIS
LEIOMYOMA
Malignancy

Coagulopathy
Ovulatory dysfunction
Endometrial
Iatrogenic
NOT CLASSED

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64
Q

Postcoital bleeding suggests what?

A

Cervical pathology

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65
Q

First line imaging for AUB

A

Pelvic U/S

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66
Q

What is hormonal vs non hormonal way to treat acute AUB ?

A

Hormonal = IV estrogen

Non hormonal = TXA ;; intrauterine Tamponade

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67
Q

3 thins common if no menarche before 15 with secondary sex characteristics

A

Outflow obstruction

Mullerian agenesis

Androgen sensitivity

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68
Q

3 etiologies of no menarche by 13 with no sex characteristics

A

Turner syndrome 45 XO

Illness, anorexia

Athletes

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69
Q

Dont forget what if your patient presents with amenorrhea

A

Check for pregnancy

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70
Q

What is ASHERMAN s syndrome

A

Intrauterine adhesions with fibrous tissue bands by trauma to the basal layer or INFECTION

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71
Q

What two heart complications are assoc with Turner’s syndrome

A

Coarctation of the aorta
And
Bicuspid aortic valves

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72
Q

Describe Turner’s syndrome 45XO

A

Low set ears
Wide set nipples
Web Neck
Minimal breast buds

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73
Q

Amenorrhea with which signs would make me concerned for pregnancy

A

Chadwicks and Hegars

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74
Q

What are the results of progesterone challenge in PCOS

A

Administer progesterone and get a withdrawal bleed, suggesting low levels of progestin

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75
Q

If there is no withdrawal bleed after progesterone challenge what can you do

A

Estrogen + progestin challenge

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76
Q

After estrogen progestin challenge if there is a withdrawal bleed what do you suspect

A

Primary ovarian failure

HYPOTHALMIC amenorrhea

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77
Q

After estrogen + progestin test is there is a withdrawal bleed what do you suspect

A

Primary ovarian failure

HYPOTHALMIC amenorrhea

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78
Q

If there is no withdrawal bleed after estrogen + progestin testing then what do you suspect?

A

ASHERMAN syndrome

Cervical stenosis

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79
Q

Lactational mastitis is most often due to what microbe?

A

Staph A.

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80
Q

Periductal non lactational mastitis can occur if patient has what 2 risk factors

A

Tobacco use

Squamous Metaplasia

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81
Q

Imaging studies for mastitis are only indicated when?

A

If patient is not lactating

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82
Q

What are the PO ABX of choice for mastitis

A

Dicloxacilin and cephalexin

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83
Q

MRSA txm think:

A

Bactrim

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84
Q

Unilateral fluctuant tender breast mass with fever think ;

A

Breast Abscess

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85
Q

U/S results of breast abscess are often

A

Ill defined borders with septations

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86
Q

Age most at risk for fibroadenoma

A

15-35

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87
Q

Firm round rubbery discrete non tender mobile breast mass is a ;

A

Fibroadenoma

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88
Q

What size fibroadenoma usually gets excised

A

Greater than 5 cm

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89
Q

What is the effect of E and P on fibrocystic breast changes

A

E= stimulates the ducts

P= stimulates the stroma

90
Q

Describe fibrocystic breast changes

A

Usually BILATERAL and PAINFUL mobile smooth changes in size.

91
Q

Pharm management for fibrocystic breast changes

A

Danazol

Tamoxifen

92
Q

What is the most common type of breast cancer

A

Infiltration duct carcinoma

93
Q

4 important risk factors for breast cancer

A

Early menarche
Late menopause
Birth of a child after age 35
Nulliparity

94
Q

Describe a breast cancer lump

A

Fixed non tender firm lump with IRREGULAR BOARDERS

95
Q

What location on the breast is most concerning for cancer

A

Upper outer margin

96
Q

Hallmark of Paget’s disease

A

A scaly raw burning lesion that begins on the nipple then spreads to the Areola

97
Q

Almost all women with inflammatory breast cancer have what and what is the characteristic sign

A

LAD

Peau De Orange

98
Q

What is the effect on ALP in Breast Cancer

A

Increased

99
Q

What 4 things are often decreased for a mom during pregnancy

A

Peripheral vascular resistance

And

Blood pressure

And

Esophageal sphincter tone

And

Gastric motility

100
Q

When should you expect to hear fetal heart tones

A

10-12 weeks

101
Q

When should you expect to hear fetal heart tones

A

10-12 weeks

102
Q

What is a Chadwick’s and Hegars and when should you expect them?

A

7 weeks = CHADWICKS = Blue Violet appearance of cervix

12th week = HEGARS = upper uterus enlarged lower part is empty

103
Q

Define Naegles Rule

A

Take LMP + 7 days - 3 months + 1 year = EDD

104
Q

What med can cause neural tube defects

A

Valproate

105
Q

What markers are high in Down syndrome for quad screen

A

Inhibin and HCG

106
Q

When do you administer anti D IG

A

If Rh - negative ; at 28 weeks! // and within 72 hours if hemmorhage

107
Q

What is an important test at 35 weeks gestation

A

GBStrep

108
Q

What is the best estimate of age around 20 weeks gestation

A

Crown rump length

109
Q

PROM is defined as

A

Premature rupture after 37 weeks gestation

110
Q

Most common cause of PPROM

A

Genital tract infection

111
Q

What is the color of nitrazine paper for PROM or negative test. Also what can test for PROM

A

PROM positive = BLUE ; also positive FERN TEST of amniotic fluid

Intact = Orange

112
Q

How can you manage PROM if no contraindications to labor or vaginal delivery

A

Oxytocin

113
Q

What two medications can aid in cervical ripening

A

Misoprostol and PGE2

114
Q

What is the benefit of cervical ripening

A

It helps the cervix soften and thin out so that cervix can be made suitable for delivery within 24 hours

115
Q

If the AFI shows olyghydraminos you need to be thinking

A

PROM // PPROM

116
Q

What is the acronym for remembering the different tocolytics

A

It’s Not My Time

Indomethacin
Nifedipine
Mag Sulfate
Terbutaline

117
Q

PROM in less than 34 weeks don’t forget to administer what 2 tings

A

Antenatal corticosteroids

Magnesium sulfate at less than 32 WEEKS

118
Q

PROM over 34 weeks gets what

A

HOSPITALIZE

119
Q

MC of spontanous abortion

A

Genetic defects not compatible with life

120
Q

What 4 abortion types occur specifically in the first 20 weeks

A

Threatened
Inevitable
Complete
Incomplete
Missed [ALL TYPES]

121
Q

Management for Spont abortion

A

Mifepristone then misoprostol with ion 24 hours

D&C if no improvement = surgery

122
Q

Define abruptio placentae ; can cause what kind of bleeding

A

-Prelabor separation of the implanted placenta from the uterine wall

-Rupture of maternal vessels in decidua basalis

3rd TRI VAG BLEEDING + PAIN + CONTRACTIONS

External Bleed = if lower uterus

Internal Bleed = if superior uterus

123
Q

Previas are what

A

Painless BRIGHT RED BLOOD after 20 weeks gestation ;; placenta down and implanting over the cervical os

124
Q

What is the thing to know about previa management

A

No speculum until after U/S

125
Q

3 risk factors for placenta previa

A

Hypertension
Cocaine
Trauma

126
Q

When is it safe to deliver placenta previa

A

36-37 weeks gestation

127
Q

What is the #1 risk factor for ectopic pregnancy

A

Previous ectopic pregnancy

128
Q

What is the preferred therapy for ectopic and what does it do and when given ?

A

Methotrexate 1mg/kg

Inhibits folic acid metabolism

Gestational sac less than 4cm and Hemodynamically stable

129
Q

What is the acronym for HELLP in Preeclampsia

A

Need greater than 2 in Hemolysis

Hemolysis [Hgb , elevated bilirubin , blood smear weird, low hatpoglobin]
Elevated Liver Enzymes
Low Platelet Count

130
Q

What type of surgery is indicated in complicated ectopic pregnancy

A

Salpingostomy or ectomy

131
Q

Definition of chronic HTN in pregnancy

A

High Bp persists 12 weeks postpartum ;; transient if returns to normal but he 12 th week

132
Q

3 monitoring tips for gestational hypertension

A

Weekly NSTs
Weekly maternal blood pressure measurement
Patient education on signs and sxs

133
Q

First line Bp management med

A

IV Labetalol

134
Q

Measurements significant for Proteinuria that you need to know [6]

BP PITC

A

Bp over 140/90 on 2 occasions 4 hours apart or 160 / 110 confirmed twice

Proteinuria = creatine ration greater than 0.3 ;; serum creatine greater than 1 = kidney insufficiency

Thrombocytopenia = less 100,000K

Impaired liver function

Pulmonary edema

Cerebral disturbance = headaches, convulsions, vision disturbance

135
Q

What does mag sulfate do in preeclampsia

A

Seizure prophylaxis

136
Q

How long do you give mag sulfate for pre eclampsia

A

Continued until 24 hours PP

137
Q

When is screening for gestational diabetes

A

24 to 28 weeks

138
Q

Fasting

1 hr

2 hr

3 hr

Glucose in pregnancy testing values?

A

F = 95

1 hr = 180

2 hr = 155

3hr = 140

139
Q

Treatment of choice for medical management of gestational diabetes

A

Insulin

140
Q

What 3 type of insulin do not cross the placenta

A

Regular

Insulin Lispro

Insulin Aspart

141
Q

Physio overview of the menses cycle

A

Negative feedback

Hypothalamus —> GnRH to Pit Gland

Ovaries receive FSH and LH from Pit Gland

Ovaries secrete E and P which turn off the hypothalamus and pit gland

142
Q

Duration of menses that is considered normal

A

8 days

143
Q

MENSTRAUL phase

A

Day 1-7 ; FSH begins to rise

Follicle begins to form

144
Q

Ovulatory phase

A

7-14 day

Day 14 = LH surge for ovulation

145
Q

Luteal phase

A

14 - 28

Prepare the lining for fertilization

High levels of progesterone

146
Q

When should women have had menses

A

13 no secondary characteristics

Or 15 with secondary sex characteristics

147
Q

Amenorrhea with irregular cycles is defined as what time frame

A

6 months at least

148
Q

Common reasons for GnRH production insufficiency : 4

A

Eating disorders
Weight loss
Excessive exercise
Stress // Idiopathic

[delayed sex character // short stature ]

149
Q

Turner’s syndrome

A

XO

Ovary Dysgenesis

Dropper eyelids
Crowding of teeth
Web neck

150
Q

Mullerian dysgenesis think

A

No uterus or upper 2/3 of vagina BUT has ovaries

; some times missing other body parts

151
Q

Androgen insensitivity

A

XY ; Get Karyotype

Absent menses
Well developed breasts
Little pubic hair
Short depth vagina

[No uterus or ovaries//Atrophic testes internally]

152
Q

What is the most common cause of secondary amenorrhea in a young women

A

Pregnancy

153
Q

Ashemranns syndrome is usually due to

A

Several D &C previously

154
Q

Labs normal not pregnant with amenorrhea think what diagnostic

A

Progesterone challenge

155
Q

Regulate menses trying to get pregnant

A

Dopamine Agonist
Clomid
Elevated prolactin
Referral to specialist

156
Q

INTERMENSTRUAL bleeding think what causes

A

Polyps
Cervical CA
Birth control
Vaginal trauma

157
Q

AUB

A

PALM
Polyp , ADENOMYOSIS , leiyomama , malignancy

COEIN
Coagulopathy , ovulatory dysfunction , endometrial , iatrogenic , Not yet classified

158
Q

MC type of polyp

A

Cervical ; lobular red / pink pop out of the cervix

159
Q

ADENOMYOSIS is what

A

Enlarged uterus
Heavy prolonged periods

160
Q

Fibroids is what type of tumor

A

Smooth muscle
E and P receptors

Heavy and prolonged bleeding

MC : Submucous = deform uterine cavity ; heavy bleeding

Subserous uterus = mishappen ; asymmetrical

161
Q

What type of surgery preserves fertility in fibroids

A

Myomectomy

162
Q

Endometrial cancer think

A

Prolonged estrogen exposure
DIABETES

163
Q

Dx for endometrial cancer
Next step
Definitive

A

Next step = EMBx
Definitive = Endometrial curettage

164
Q

Iatrogenic AUB

A

BC // IUD
Anticoag drugs
TCAs SSRIs
HRT

165
Q

MC Molar Preg

A

Complete = 2 sperms ;

Grape like ; ground glass uterus ; vag bleeding l severe hyperemesis ; large uterus ; no fetal heart rate

TXM = D and C ; OCs for at least 1 year

166
Q

AUB with progesterone challenge should do what

A

Stop the bleeding

167
Q

Primary dysmenorrhea causes

A

Increased prostaglandins
Increased leukotriene levels

168
Q

MC cause of secondary dysmenorrhea

A

Endometriosis

169
Q

What is a way to decrease risk of endometriosis

A

Longer duration of lactation
Higher parity
Regular exercise

170
Q

Bimanual exam for endometriosis

A

Nodularity
Retroverted uterus

171
Q

ADE of danazol

A

Deepening of the voice that may be permanent

172
Q

When do PMS sxs occur

A

Second half of the menses cycle

173
Q

PMDD has what two things

A

Social impairment and prospective charting
5 total sxs from each group of sxs

174
Q

Dietary modifications proven for PMS / PMDD
[5]

A

Small frequent meals
More complex carbs
Fruits and Veggies
More Ca2+
Decrease caffeine , alcohol, tobacco, chocolate , sodium

175
Q

Medications 1st line PMS PMDD

A

Fluoxetine
-NSAIDS-

Non pharmaceuticals : calcium , B6, St Johns wort

176
Q

Ovarian cysts in what presentation = MC pathologic

A

Post menopausal

177
Q

Ovarian cysts are commonly

A

Follicular —> unilateral
Excessive response to NML function
Mobile small firm U/S

178
Q

PCOS presents with type of cysts

A

Bilateral cysts

179
Q

PCOS usually has a hx of what

A

Infertility

180
Q

Increased LH/FSH ratio then you think what

A

Endocrine dysfunction

181
Q

String of pearls =

A

PCOS

182
Q

What medication in addition to clomid can increase pregnancy outcomes

A

Metformin

183
Q

RF for ovarian cancer [5]

A

NULLIPAROUS
Late menopause
Diet in high fat
BRCA1/BRCA2
Family history

184
Q

Vague GI sxs with early satiety think

A

Ovarian cancer

185
Q

Ovarian cancer tumor markers ; management and if early stage high risk management ?

A

CA 125
CEA

Management = total hysterectomy and bilateral salpingo-oopherectomy

Early stage high risk = chemo / IV or intraperitoneal

186
Q

Management for cystic adnexal mass

A

Functional cysts = may diseasappear

Repeat sonogram in 6 weeks

187
Q

Solid adnexal mass management

A

Laparoscopy

188
Q

Ages 21-29 gets what PAP screening

A

PAP along every 3 years

189
Q

30-65 gets what PAP screening

A

PAP and HPV = every 5 years

PAP alone = every 3 years

190
Q

Over 65 years hx of pre cancer = what pap screening

A

PAP screening Q 3 years // 20 years after dx

191
Q

ASCUS vs HSIL management

A

ASCUS =
Repeat PAP in 1 year or HPV test ; AGE 21-24
HPV test alone = AGE 24-29
HPV + —> Colposcopy ; AGE 30 or older

HSIL =
Colposcopy / Bx

192
Q

Histology comes from what

A

Colposcopy

193
Q

CIN 1 do what

CIN 2/3

?

A

CIN1 = repeat pap in 6-12 months

CIN2/3 = cryotherapy CO2 laser

194
Q

Cold knife conization ADE vs. LEEP

A

Incompetent cervix

LEEP = less likely

195
Q

RF for cervical cancer ; MC

A

HPV 16 and 18
Smoking
Increased sex partners

MC : Sq Cell Cancer

POST COITAL BLEEDING

196
Q

Breast feeding warmth and discomfort

A

S Aureus
Mastitis
—> dicloxacilin

can lead to abscess localized PAIN
—> vancomycin

197
Q

Painful cyclic bilateral changes in shape or size ? And what treatment?

A

Fibrocystic breast disease

Vit E / Dec Caffiene // OCPs // Severe = Bromocriptine

198
Q

Fibroadenoma

A

Rubbery solid smooth breast mass
Mobile

MGMT = observe for small // large surgical

199
Q

RF for breast carcinoma

A

Prolonged estrogen
+/- Endometrial cancer
High fat / High BMI

200
Q

Painless stony hard unilateral mass

A

MC : infiltrating ductal carcinoma

Starts as ductal carcinoma [DCIS]

201
Q

pruritic scaly rash on nipple ; ABX/Fungals do not resolve

A

Pagets Disease

202
Q

Stepwise breast cancer Diagnostics

A

Mammo —> U/S —> Bx

203
Q

P and E positive breast cancer can be treated with

A

HRT

POST menopausal think : Letrozole

Pre menopausal think : Tamoxifen

204
Q

Fluid filled cysts =

A

Bilateral fibrocystic breast changes

205
Q

Treatment for prolapse // uterus , rectum , bladder

A

Cystocele = estrogen therapy
Pessary
Kegel exercises

206
Q

Make sure any one starting menopause requesting HRT have no hx of

A

Cancer , breast cancer, endometrial

207
Q

Common pH of candida vaginitis

A

4.0 - 5.0

208
Q

BV treatment

A

Metronidazole 7 days

IVag = 5 days [Metro]

Clindamycin IVag = 7 days

209
Q

Trichomonas ;

TXM

A

Protozoa

Metronidazole = single dose

Tinadazole 2 g
Single dose

AVOID ETOH

210
Q

Do females with Chlamydia have CMT

A

YES!

211
Q

C/G Test of choice

A

NAAT

212
Q

Preferred Chlamydia with pregnancy
TXM

A

Azithromycin x 1 dose

213
Q

Chlamydia txm non pregnant no G

A

Doxy

MUCOPURULENT DISCHARGE

214
Q

1 cause of septic arthritis in young , sexually active adults

A

Gonorrhea : DISSEMINATED INFXN

215
Q

Skin lesions for gonorrhea

A

Maculopapular lesions on the hands//feet

216
Q

Gonorrhea treatment

A

IM Ceftriaxone

217
Q

Genital warts HPV serotype

A

6 and 11

218
Q

Cauliflower like warts on external genitalia think

A

HPV

219
Q

HPV management : for warts

A

1st Line = podophyllotoxin -topical
Imiquimod

Pregnant = TCA ; acid

Clinician administered : Cryo ; surgical excision ; laser

220
Q

Vaccine recommendation for HPV

A

Girls an Boys
9-26

Rec age : 11-12

Up through age 45.

Dosing = 2 for less than 15 yrs; 3 for over 15 yrs

PANCE 2024 (15 decks)

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