Women's Health Infections

Question 1

What are the manifestations of chlamydia? (2)

Answer 1

• Friable cervix (bleeds easily)
• Mucopurulent discharge

Question 2

Describe the treatment of chlamydia (2)

Answer 2

• Azithromycin (safe if pregnant)
• Doxycycline (not safe if pregnant)

Question 3

Describe the presentation of gonorrhea in men compared to women (2)

Answer 3

• Men seek treatment because of symptoms
• Women are symptomatic until complications such as PID occur

Question 4

Newborn exposure to chlamydia / gonorrhea in birth canal can cause ______

Answer 4

Opthalmia neonatorum (blindness)

Question 5

How is opthalmia neonatorum treated in a newborn?

Answer 5

Erythromycin eye ointment

Question 6

PID especially affects what structures? (2)

Answer 6

• Fallopian tubes
• Ovaries

Question 7

Describe the presentation of PID

Answer 7

Usually asymptomatic - may not realize until trying to conceive

Question 8

PID leads to …

Answer 8

Scarring / infertility

Question 9

What is the primary manifestation of PID?

Answer 9

Lower abdominal cramping

Question 10

What typically causes PID?

Answer 10

Undiagnosed STI

Question 11

IUDs are primarily associated with what complication?

Answer 11

Infection leading to infertility (PID)

Question 12

Describe the education associated with PID (2)

Answer 12

• No intercourse for 3 weeks
• Remove IUD within 24 - 48 hours of broad spectrum antibiotics

Question 13

What is the primary complication associated with pregnancy in a woman with PID?

Answer 13

Ectopic pregnancy - due to fallopian tube scarring

Question 14

What condition is associated with severe menstrual pain / rectal cramping?

Answer 14

Endometriosis

Question 15

Endometriosis can typically be managed with ______

Answer 15

Hormonal birth control

Question 16

Ovarian cysts and fibroid tumors are …

Answer 16

NOT cancerous

Question 17

What is the purpose of pap smears?

Answer 17

Detection of cervical cancer

Question 18

How often should pap smears occur?

Answer 18

Annually

Question 19

What are the manifestations of cervical cancer? (3)

Answer 19

• Abnormal / heavy bleeding
• Pain during intercourse
• Dysuria

Question 20

If a pap smear reveals abnormal cells, it should be repeated in ______

Answer 20

3 - 6 months

Question 21

Describe the treatment of cervical cancer (3)

Answer 21

• Cryosurgery
• Laser treatment
• Hysterectomy - last resort

Question 22

What is the primary manifestation of ovarian cancer?

Answer 22

Severe bloating

Question 23

______ is known as the “silent killer” because manifestations often do not present early

Answer 23

Ovarian cancer

Question 24

When should baseline mammograms occur?

Answer 24

35 - 45 years old

Question 25

Describe the difference between fibroadenoma and breast cancer lumps (2)

Answer 25

- Fibroadenoma = moveable / fluctuate in size - Breast cancer = do not move / do not fluctuate in size

Question 26

______ increases the risk of developing breast cancer

Answer 26

Hormone replacement therapy

Question 27

What are the manifestations of breast cancer? (4)

Answer 27

- Dimpling - Pulled in nipple - Nipple discharge - Localized redness / rash

Question 28

Describe perimenopause (3)

Answer 28

- Occurs before menopause - Menses become irregular - Lasts 2 - 8 years

Question 29

Describe education during perimenopause

Answer 29

Use contraception - pregnancy can still occur even with irregular menses

Question 30

What is menopause?

Answer 30

Absence of menstruation for 1 full year

Question 31

When does menopause occur?

Answer 31

45 - 52 years old

Question 32

What are the manifestations of menopause? (8)

Answer 32

- Hot flashes - Night sweats - Insomnia - Irritability - Tachycardia - Weight gain - Urinary frequency - Vaginal dryness

Question 33

If menstruation suddenly begins again after years of absence, it is most likely an indication of ______

Answer 33

Endometrial cancer