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31 Cards in this Set
- Front
- Back
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Cells in vagina and cervix.
Prepubescent and Puberty. |
Prepubescent: squamous
Puberty: Columnar |
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Normal Flora in urethra.
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Staphylococci
Corynebacterium Anaerobes NH Strep |
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Normal Flora in Vagina.
Prepubescent & Postmenopausal. |
Increased Staph, Strep, coliforms
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Normal Flora in Vagina.
Reproductive years. |
Decreased Staph
Increased Lactobacilli, Strep Low # of coliforms |
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Most common Non-gonococcal urethritis.
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Chlamydia
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Bacterial Vaginosis.
What are the indications? |
Fishy smelling odour
clue cells covered with bacteria alkaline pH in vagina increased mobiluncus, Gardnerella vaginalis Watery non-inflammatory exudates |
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What are the symptoms of Candida albicans?
and what disease does it cause? |
thick, cheesy discharge
itchy Vaginitis |
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What are the symptoms of Trichomonas vaginalis infection?
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yellow-green discharge, profuse
itchy |
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Vaginal Swab, what we look for?
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Yeast
BV |
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Cervical Swab, what we look for?
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GC
Chlamydia trachomatis |
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Vag-Rectal Swab, what we look for?
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Group B Strep
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What are the symptoms of GC in male and females?
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Male: urethritis, dysuria, purulent discharge
Female: 20% symptoms of urethritis 80% painful intercourse, lower abd pain, irreg bleeding |
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What disease conditions does Chlamydia trachomatis cause in neonates?
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neonatal pneumonia
neonatal conjunctivitis |
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Drug of choice for GC
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Ceftriazone (IM)
Ciprofloxacin Cefixime (oral) Tetracycline, Doxycycline |
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Drug of choice for Chlamydia trachomatis.
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Tetracycline
Erythromycin |
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Drug of choice for Trachomonas vaginalis.
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Flagyll (metronidazole)
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Drug of choice for Haemophilus ducreyi.
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Erythromycin
Ceftriazone Ciprofloxacin |
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Drug of choice for Treponema pallidum (syphillus)
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Penicillin
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Drug of choice for HSV (genital herpes) and HPV (genital warts).
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Sorry. No cure >_<
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Drug of choice for Group B strep.
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Penicillin
If allergic -> erythromycin or clindamycin |
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Selective media for isolation of GC.
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ML or TM and/or CHOC
5% CO2 24-72 hr 35oC |
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Why is CHOC plate added to isolate GC?
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To cover for vancomycin susceptible strains
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Cultural and non-cultural methods of detection of genital candidiasis.
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BAP: growth at 24 hours; small white opaque colonies; feet at 48 hours
Germ Tube: Inoculate small volume plasma, 35oC for 3 hours; examine at 2-3 hours max; look for long tubular arm extending from cell |
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What does Group B Strep cause in newborns?
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Pneumonia
Septicemia and/or meningitis |
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Meningitis in newborn is caused by?
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Group B Strep
Listeria E. Coli |
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Best time, site and method of screening pregnant women for Group B Strep
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Vag-Rectal Swab
35-37th week gestation |
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Development cycle of Chlamydia
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EB (inert) phagocytozed by columnar cell
Organize into RB (replicative) Multiply binary fission Reorganize into EB Cells dies, EB released |
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Why does Chlamydia need to live in human host?
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Unable to make high-energy compounds such as ATP
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What detection method is used for detecting LPS of EB?
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DFA
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What is a GC serological confirmation test? and how does it work?
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Phadebact monoclonal GC Test
Uses monoclonal mouse abs that binds to the outer membrane of GC -> co-agglutination |
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What is in BIGGY?
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Bismuth sulfite
Glucose Glycine Yeast |
