Urological/STD/Men and Women's Health Flashcards Preview

NP course > Urological/STD/Men and Women's Health > Flashcards

Flashcards in Urological/STD/Men and Women's Health Deck (57)
Loading flashcards...
1

Most common UTI bacteria

e. coli, p mirabilis, k pneumoniae, enterobacter, s. saprophyticus

2

Midstream bacterial count for UTI

100,000 organisms

3

Nitrites indicate what type of bacteria in sample?

Usually gram - nitrate producers

4

Hyaline cast

most common, low urine flow, dehydration, vigorous exercise

5

Type of cast - crystals

No clinical significance

6

Type of cast - RBC

Always pathological, consider glomeruloneephritis, urinary tract injury

7

Type of cast - WBC

Consider inflammation or infection such as pyelonephritis. Not a UTI

8

Type of cast - epithelial

Acute tubular necrosis (poisoinng), hepatitis

9

How long tx an uncomplicated UTI

3 days

10

What should you always do before tx pylonephritis?

Get a culture

11

Kegal exercises - How many?

3 sets of 8-12 3-4 times weekly for 15-20 weeks

12

Hallmark finding on urolithiasis (stone formation)

Severe pain waxes and wanes, may radiate to groin, testicles, suprapubic area, and labia

13

What is the gold standard for dx of urolithiasis?

Helical CT

14

Dx HIV

Establish dx with EIA or ELISA, confirmed with Western Blot

15

What live vaccines should you never give with HIV?

shingles, chicken pox, MMR

16

Lab testing with HIV

CD4 counts and viral load at dx and every 3-4 months, screen for Hep A, B, C. Glucose and lipid panel, STD assessment

17

When is HIV considered AIDS?

CD4 count less than 200

18

Bacterial vaginosis

Polymicrobial clinical syndrome resulting from replacement of natural flora with high concentrations of anaerobic bacteria

19

Hallmark sx of bacterial vaginosis?

Profuse grayish-white malodorous vaginal discharge

20

Gold standard for dx of bacterial vaginosis

gram stain absence or decreased lactobacilli

21

Treatment of bacterial vaginosis

metronidazole 500mg BID 7 days

22

Chlamydia associated with

PID, infertility, ectopic pregnancy

23

What age is Chlamydia most common in?

under 25 years old

24

Sx Chlamydia

often asymptomatic, mucopurulent cervicitis, friable cervix with pain on movement

25

What is important to do with dx of Chlamydia?

Retest in 3 months

26

Dx studies Chlamydia

NAAT with urine or vaginal swabs, DNA probe, culture

27

Tx Chlamydia

Doxycycline 100mg BID 7 days OR azithromycin 1 gram once

28

Gonorrhea sx in males

purulent urethral discharge, dysuria, testicular pain, or no symptoms

29

Gonorrhea sx in females

Often asymptomatic, endocervical discharge, dysuria, bartholins gland abcess

30

Dx studies in Gonorrhea

Gram stain of exudate, DNA probe, culture