Vaginal/Dysuria

Question 1

Etiology of candida

Answer 1

C. albicans (90%)
C. garbralta
C. tropicalis

Question 2

White, curdy DC that adheres to vaginal walls

Answer 2

Candida

Question 3

Tx for candida

Answer 3

Fluconazole or any vaginal azole (3-7 d)

Question 4

Tx for recurrent candida

Answer 4

Inductions with vaginal azole (4-7d)
or fluconazole PO (1,3,7)
Maintenance: fluconazole weekly or clotrimazole intravag weekly

Question 5

Tx for severe candida

Answer 5

nductions with vaginal azole (4-7d)
or fluconazole PO (1,3,7)
Maintenance: fluconazole weekly or clotrimazole intravag weekly
+ low potency topical steroid

Question 6

Tx for non albicans candida

Answer 6

Nonfluconazole azole (posaconazole)

Question 7

NS: 5-10 WBC/HPF + Lactobacilli
KOH: Pseudohyphae/ yeast buds

Answer 7

Candida

Question 8

Tx for desquamative inflammatory vaginitis

Answer 8

2% clindamycin intravag
10% hydrocortisone
(4-6 weeks)

Question 9

Bacterial Vaginosis

Answer 9

G. Vaginalis **
Prevotella
Mobiluncus
M. hominis

Question 10

grey/white, thin, homogenous, fishy smell

Answer 10

Bacterial Vaginosis

Question 11

NS: 1-3 WBC/HPF , decreased lacto, increased bacteria, clue cells
pH >4.5

Answer 11

Bacterial Vaginosis

Question 12

Tx for bacterial vaginosis

Answer 12

Metronidazole oral/gel or

Clindamycin cream

Question 13

green/yellow, thin, frothy, malodorous

Answer 13

Trichomonas

Question 14

NS: >10 WBC/HPF , Trichomonads, decreased lacto

Answer 14

Trichomonas

Question 15

Diagnostics for Trichomonas

Answer 15

PCR assay
Affirm VPII
OSOM rapid trichomonas test

Question 16

Diagnostic for Bacterial Vaginosis

Answer 16

Culture of no value.
Affirm VP III
OSOM blue BV test

Question 17

Tx of Trichomonas

Answer 17

Metronidazole PO

Tindazole PO

Question 18

NS: >10 WBC/HPF , intracellular diplococci (GC)

Answer 18

Gonorrhea Chlamydia

Question 19

Diagnostics for gonorrhea Chlamydia

Answer 19

CT/GC NAAT (nucleic acid amplification test)

Question 20

Tx for Chlamydia

Answer 20

Azithromycin

or Doxycycline

Question 21

Tx for Gonorrhea

Answer 21

Ceftriaxone IM AND Azithromycin PO

Cefixime PO or Azithromycin PO (test for cute 7 d)

Question 22

Partner Treatment

Answer 22

Trichomonas
Gonorrhea
Chlamydia

Question 23

Etiology of UTI

Answer 23

E. Coli
Klebsiella
Proteus
S. Saphro

Question 24

vaginal fluid is bactericidal at pH

Answer 24

4.5

Question 25

Tx of UTI

Answer 25

1. Trimethoprim and sulfamethoxazole (Septra) PO 2. Nitrofurantoin (microbic, Macrodantin) 3. Fosftomycin (Moonurol) 4. Fluroquinolones (Ciprofloxacin and Levofloxacin) - resistance/allergy

Question 26

Tx of UTI for children

Answer 26

``` Cefixime (Supra) -daily Cefdinir (Omnicef) - daily Ceftibuten - daily x10 with fever x3-5 without fever ```

Question 27

Symptom relief for UTI

Answer 27

Phenazopyridine (Pyridium) AZO

Question 28

Recurrent UTI

Answer 28

Nitrofurantoin TMP-SMX DS Cephalexin Ciprofloxacin

Question 29

Tx of pyelonephritis

Answer 29

Fluroquinolones (Ciprofloxacin/Levofloxacin)

Question 30

Cytoscopy

Answer 30

assess presence of bladder glomerulations or bladder wall hunter's ulcers

Question 31

Medications for IC/BPS

Answer 31

Amitriptyline (Elavil) Pentosan polysufate sodium (Elmira) Hydrazine (Atarax)

Question 32

Lactobacilli

Answer 32

Metabolizes glycogen substrates into lactic acid

Question 33

Lactic acid

Answer 33

Maintains vaginal pH between 3.5 -4.5 restricting overgrowth

Question 34

Estrogen

Answer 34

Induces formation of mature squamous epithelium rich in glycogen