STI/contraception

Question 1

treatment for BV

Answer 1

metronidazole

Question 2

treatment for candida yeast

Answer 2

fluconazole

Question 3

treatment for trichomonas

Answer 3

metronidazole

Question 4

treatment for chlamydia

Answer 4

azithromycin

Question 5

treatment for Gonorrhea

Answer 5

ceftriaxone + azithromycin

Question 6

thin milky discharge, malodor

Answer 6

BV

Question 7

itching, burning, thick white discharge

Answer 7

candida (yeast)

Question 8

itching, irritation, gray discharge

Answer 8

trichomonas

Question 9

Pain
Uterine and/or adnexal tenderness 
Cervical motion tenderness (CMT)
Fever (less than 1/3 of patients)
Nausea/vomiting

Answer 9

PID

Question 10

PIDSequelae

Answer 10

1. Chronic pelvic pain
2. Infertility/subfertility
3. Ectopic pregnancy

Question 11

outpatient antibiotic treatment

Answer 11

ceftriaxone IM, cefoxitin IM/ probenecid po and doxycycline

Question 12

inpatient antibiotic treatment

Answer 12

“cefoxy-Doxy”

cefotetan, cefoxitin and doxycycline

Question 13

treatment for chancroid and granuloma inguinale

Answer 13

azithromycin

Question 14

treatment of LGV

Answer 14

doxycyline

Question 15

treatment of syphilis

Answer 15

penicillin G

Question 16

treatment of HSV

Answer 16

antivirals; symptomatic treatment

Question 17

painful, shallow ulcers- usually multiple

Answer 17

HSV

Question 18

painless rimmed ulcer- usually single

Answer 18

syphillis

Question 19

herpes-like ulcers at first; then grooved inguinal mass

Answer 19

LGV

Question 20

tender papules at first;then sepiginious, friable ulcers

Answer 20

chancroid

Question 21

painless papules at first; then painless, beefy ulcerative mass

Answer 21

granuloma inguinale

Question 22

stage of syphillis:

Painless ulcer with raised edges, almost always single. Highly infectious.

Answer 22

primary syphillis

Question 23

stage of syphillis:

Maculo-papular rash on palms;
Condyloma latum; systemic symptoms.

Answer 23

secondary syphillis

Question 24

stage of syphillis:

Skin & bone: gumma
CV: aortic aneurysm, aortic insufficiency
Neuro*: Tabes dorsalis, Argyl-Robertson pupil, blindness, paresis

Answer 24

tertiary syphillis

Question 25

Demyelination of the dorsal columns Loss of proprioception, vibration, and fine touch Loss of DTRs High-stepping, foot-slapping gait

Answer 25

Tabes dorsalis

Question 26

Light-near dissociation “Accomodates but does not react” Constricts for near focus but not with bright light Can be seen in other dorsal midbrain lesions Adie syndrome, pinealomas, brain stem infarction and MS

Answer 26

argyll Robertson pupil

Question 27

Non-painful, usually non-pruritic scattered papules with central umbilication from DNA pox vitus

Answer 27

molluscum contagiosum

Question 28

Non-painful, non-pruritic verrucous papules and plaques from HPV

Answer 28

condyloma accuminatum

Question 29

Interdigitary and genital itching; erythematous papules with linear burrows.

Answer 29

scabies

Question 30

Intense pruritus; systemic symptoms (fever, malaise) if severe.

Answer 30

pubic louse

Question 31

__________ also thickens cervical mucous, thins endometrium, and decreases tubal peristalsis

Answer 31

Progesterone

Question 32

``` 4-7 days of placebo Continuous use (skip placebo week) Vary in EE dose and type of progestin ```

Answer 32

Combined OCPs

Question 33

Wear weekly x 3 weeks, then 1 week off Can also use continuously Approximately twice the VTE as other combined methods; unclear why.

Answer 33

Transdermal patch

Question 34

Insert vaginally and leave in x 3 weeks, then 1 week off | Can also use continuously

Answer 34

Transvaginal ring

Question 35

Depo is what type of hormone?

Answer 35

progesterone only

Question 36

most effective birth control method and progesterone only

Answer 36

implant

Question 37

__________releases free copper which prompts inflammatory response, creates a highly spermicidal intrauterine environment

Answer 37

Copper-IUD

Question 38

_________ causes thickens cervical mucus, partially inhibits ovulation, thins endometrium

Answer 38

LNG-IUD

Question 39

Plan B

Answer 39

Progesterone blocks LH surge, inhibiting ovulation Use within 3 days Reduces risk of pregnancy by ~75%

Question 40

Ella

Answer 40

anti-progesterone 98% | More effective than Plan B

Question 41

- An anti-progesterone | - Causes detachment of embryo and further anti-progesterone cascade

Answer 41

mifepristone

Question 42

- Prostaglandin E1 analog approved for treatment of gastric ulcers - Causes cervical softening and uterine contractions

Answer 42

misoprostol

Question 43

1st trimester options for abortion

Answer 43

1. manual vacuum 2. electric vacuum 3. medical

Question 44

2nd trimester options for abortion

Answer 44

1. dilation and evacuation | 2. induction of labor