Blueprints Obstetrics Ch16

Front 1

UTI dx rate ?

Back 1

1% / year

Front 2

High bacterial count w/o inflammatory cells.

Back 2

contamination

Front 3

How to R/O pyelonephritis.

Back 3

Check costovertebral angle tenderness (CVAT).

Front 4

Cystitis + negative culture.

Back 4

Interstitial Cystitis

Front 5

Pyelonephritis tx ?

Back 5

hospitalization
IV ABX

Front 6

MC cause of vulvitis & vulvar pruritis ?

Back 6

candidiasis

Front 7

knife cut vulvar ulcers

Back 7

Crohn's ds

Front 8

tender, highly destructive vulvar lesion with fenestrations

Back 8

Behcet's disease A multisystem, chronic recurrent disease characterised by ulceration in the mouth and genitalia, iritis, uveitis, arthritis and thrombophlebitis. Often treated with immunosuppressive therapy (corticosteroids, chlorambucil).

Front 9

chancre 3 weeks after innoculation + regional adenopathy

Back 9

syphilis (T. pallidum)

Front 10

maculopapular rash and/or moist papules (palms & soles)

Back 10

syphillis, secondary
1-3 months after primary stage resolves

Front 11

Tx for syphillis pts w/ penicillin allergery.

Back 11

desensitization to penicillin

Front 12

Ha, fvr, malaise, pharyngitis, rash.
2-8 hrs after penicillin for syphilis
also observed in Lyme ds

Back 12

Jarisch-Herxheimer reaction

Front 13

% of women antibody + for HSV

Back 13

25-30%

Front 14

HSV-2
HSV-1

Back 14

66% (2/3)
33%

Front 15

Incidence of Haemophilus ducreyi

Back 15

78 reported cases in 2000
Often dx of exclusion due to difficulty culturing the bug.

Front 16

Haemphilus ducreyi tx

Back 16

ceftriaxone 250mg IM X 1
Azi 1g oral X 1
erythromycin 500 mg QID X 7 days

Front 17

L-serotypes of Chlamydia trachomatis
TX ?

Back 17

lyphogranuloma venereum (LGV)
- a systemic ds
doxycycline 100mg BID for 21 days

Front 18

second stage of LGV
third stage of LGV

Back 18

inguinal syndrome
anogenital syndrome

Front 19

name 3 nonulcerative lesions

Back 19

molluscum contagiosium (Pox)
Phthirus pubis (crab louse)
Sarcoptes scabiei (the itch mite)

Front 20

incidence of genital warts (HPV)
(condyloma acuminata)

Back 20

1/1000
HPV 6 & 11
HPV 16, 18, 31 cx cervical CA

Front 21

Efudex 5%

Back 21

5-Fu cream for HPV

Front 22

Name 3 tx for HPV that aren't tricholoroacetic acid or podophyllin.

Back 22

Efudex 5%
Aldara (imiquimod)
Condylox (podofilox)

Front 23

molluscum lesions anywhere but hands and soles
Wright's or Giemsa stain
"water warts"

Back 23

molluscum contagiosum

Front 24

confined to pubic hair

Back 24

P. pubis (pediculosis)
Sarcoptes scabiei - found anywhere

Front 25

MC pathogenic vaginal protozoan

Back 25

Trichomonas

Front 26

Maintains vaginal pH below 4

Back 26

Lactobacillus sp.

Front 27

BV Tx.

Back 27

Metronidazole 500 mg PO BID x 7d
Clindamycin 200 mg PO TID x 7d
2 g single dose therapy is in study.

Front 28

Predisposing factors for candidal overgrowth.

Back 28

broad-spectrum ABX (remember this)
DM
AIDS / immunosuppressive therapies

Front 29

When are yeast infections most likely?

Back 29

late luteal phase

Front 30

100% sensitive for yeast infections
Most sensitive culture ?
Tx ?

Back 30

Gram's stain
Sabouraud's agar
Monistat-7 or terazole cream

Front 31

#1 cx of vaginitis & vulvitis ?

Back 31

Candida

Front 32

unicellular, anaerobic, flagellated protozoan
3 million cases annually
slightly larger than a WBC

Back 32

trichomonas vaginalis

Front 33

worse at menses due to transient pH increase

Back 33

Trichomonas vaginalis

Front 34

Name the 3 geographic areas of female reproductive infection.

Back 34

Upper reproductive tract.
Cervix.
Lower reproductive tract.

Front 35

Two MC causes of cervicitis, and the only organisms causing mucopurulent cervicitis.

Back 35

Neisseria gonorrhoeae
Chlamydia trachomatis

Front 36

How to dx cervicitis ?

Back 36

Cervical motion tenderness in the absence of other signs of PID.

Front 37

Neisseria gonorrhoeae progression

Back 37

fever & erythematous macular skin lesions
tenosynovitis
septic arthritis

Front 38

Thayer-Martin chocolate agar 90% sensitive

Back 38

Neisseria gonorrhoeae

Front 39

2 million infections / year.

Back 39

Neisseria gonorrhoeae

Front 40

Why has Chlamydia trachomatis infection appeared to increase compared to N. Gonorrhoeae ?

Back 40

PCR for C. trach DNA
(traditionally hard to dx b/c it is an obligate intracellular parasite that cultures poorly).