Lisa Adol- Gyn 2 Ucla/laughing

Front 1

most common cz of urethritis in boys/girl

Back 1

: Chlamydia; dx: + leukocyte esterase; NAAT: nucleic amplicfication; - wait 2 wks for test to cure

Front 2

DX ? : + LE, + cremasteric reflex; Nl Doppler;+ NAAT bugs

Back 2

Infx: epidimyititis: Chlamydia/gonnorea or urinary pathogens

Front 3

Sudden onset, bell clapper

Back 3

Testicular torsion

Front 4

Ink dot sign during transillumnation

Back 4

Torsion of testicular appendix

Front 5

Mass in inguinal canal; painful

Back 5

Incarcerated hernia

Front 6

Not painful, bag of worms above testis when pt stands, can cause testicular atrophy

Back 6

Varicocele

Front 7

Transillumates; cysts at head of epdidymis; no Tx needed

Back 7

Spermatocele

Front 8

Mucopus from os, -erosion; friability; Bleeding b/w period; (dysuria think urethritis and STI); asympx mainly; how dx, and tx?

Back 8

cervicitis : NAAT + Gonrhea/chlamydia
-TX: gonorrhea: cefpodoxime, cipro; ceftriaxone;
-Chlaymdia: tx even if neg test: zihromycin 1 g x 1; doxy x 7 if not pregnant; erythro x 7 d
-Ureaplasma: doxy or erythro

Front 9

- Adnexal tenderness, Cervical motion tenderness: ? cz, tx?

Back 9

PID: chlamydia vs gonorrhea
-cefotxitin 2 Q 6 OR Cefotetan: 2 Q 12
- doxy 10 q 12 x 14 d; OR clinda + gent
Out pt: ofloxacin 400 BID AND metro x 14 d

Front 10

sudden RUQ pain→R shoulder, NL LFT; esp w/ h/o OCP; h/o sex active

Back 10

Fitz-hugh curtis; “ PID tx; NEED TO DO pelvic exam first (before CT, LFT, etc…)

Front 11

arthritis in teents: 1 JOINT only!!! Knee and elbow – most common; migratory polyarthaglia;
-what's cause; how dx, and tx?

Back 11

Complx: gonnorrhea: + NAATs; cefriaxone or cipro

Front 12

White, grey, clear or mucoid; can be cottage cheese like;
<4.5, micro: Epithelail cells, few WBC, lactobacilli – long filaments; what's cause?

Back 12

physiologic leukorrhea

Front 13

White, curdlike w/ adherent plaques; itchy; thick, curdy
pH <4.5 Hi WBC, KOH: pseudohypae -budding yeast; sx: Itching, dysuria, dyspareunia; no odor; dx and tx?

Back 13

candida, fluconazole x 1

Front 14

Mucopus, friable cervicx, bloody d/c
-Most common bacterial STD; pH<4.5 Hi WBC, ~ other bugs; Urethritis, PID, perihepatitis
DX, tx?

Back 14

chlamydia; tx: azithro; ~ gonorrhea ; DX: NAAT

Front 15

Mucopus @ cervicx, yellow or green d/c
-usually asymp; pH <4.5; Hi hi WBC; Grm neg diplococci
~ other bugs; sx: Pharyngitis w/ or w/o PID, proctitis, arthritis, tenosynovitis, perihepat, skin lesions

Back 15

gonorrhea; ceftriaxone, + NAAT

Front 16

Grey, yellow or green, frothy malodor d/c; profuse; inflamm; pH > 4.5; Hi HI WBC, motile tric ~other STD
Vulvar itching, burning, pelvic discomfort; -strawberry cervix ; bubbly d/c

Back 16

Trich; Metronidazole; DX: see flagellated organisms

Front 17

Grey, white, thin, variable; pH > 4.5; Few WBC, + Clue cells (ragged edges) Fishy, cheesy odor; + WHIFF test!!!
-DX and TX?

Back 17

Bacterial vaginosis; Metronidazole

Front 18

White or clear, scant,; Inflammat – vaginally *most prevalent STD; pH <4.5; Hi WBC; Abnl pap; h/o genital warts, External or flat warts, vuvlovagintis, fissures

Back 18

HPV;

Front 19

Serosanguineous; painful ulcers!! Vag inflamm
-adenopathy; pH <4.5 Hi WBC; Stress, local trauma; Regional adenopathy w/ primary infx, prodromal intercurrent itching, pain

Back 19

HSV, acyclovir

Front 20

multiple purulent PAINFUL ulcers w/ ragged edges and tender inguinal adenopathy ; cz, how dx and tx?

Back 20

chancroid; cz: heamophilus ducrey (grm neg bacilli); Dx: cx; Tx: azthrimax, ceftriaxone, cipro, bactrim

Front 21

- papule, vesicle or pustule, firm +/- tender
+/- Tender U/L LAD; +/-rectal strictures
? cz, dx, tx?

Back 21

lymphogranuloma venerum; cz: chlaymdia trachomatis;
Tx: metronidazole

Front 22

most asymp-Sx pts- painful vesicles or ulcers) - tender inguinal LAD -F, dysuria, pruritus, HA;
-what's dx, cz, tx?

Back 22

HSV 2; dx: culture vesicle, DFA, PCR;
Tx: acyclovir

Front 23

Painless chancre-painless nodes -Stage 1: nontender ing LAD, hard chancre 2: condyloma lata: smooth raised flat topped bumps; F, w loss, ha, myalgia, sore throat -nonprurtic rash, incl hands; cz, dx, tx?

Back 23

syphyllis; cz: treponema pallidum;
Tx: pcn

Front 24

Painless chancre Painless nodes

Back 24

syphllis

Front 25

Painful ulcer Tender nodes

Back 25

chancroid

Front 26

Painful vesicle or ucler, Tender nodes

Back 26

HSV

Front 27

what do you do w/ ovarian cysts < 6 cm

Back 27

f/u U/S

Front 28

what do w/ Cst > 6 cm causing significant sx beyond discomfort

Back 28

needs laparoscopic cyst aspiration

Front 29

most prevalent STD; which ones ~ cancers; how prevent; dx?

Back 29

HPV: condylomata accuminatum; 16 – cervical cancer 50%; 16,18,31, 45 ~ cancers

Front 30

what's only drug approved for depression in kids?

Back 30

fluoxetine: prozac

Front 31

toxicit of this drug-->Clumsy, slurred speech, death; hypoglycemia; resp arrest aspiration, acidosis ;
-what's first thing you check, cz?

Back 31

alcohol intox; check glucose level; intubate

Front 32

Tacky, HTN, tooth grinding, talkative, restless, sz, depression; MI; what drug toxicity caused this and tx?

Back 32

cocaine and amphetamines; tx: benzo; nitroprusside

Front 33

? causes Pinpoint pupils, resp depression, coma death; what's treatment?

Back 33

heroine, give naloxone

Front 34

causes; paranoia; agitation, gynecomastia; tx?

Back 34

marijuana, benzo

Front 35

OD: nystagmus, HTN, muscle stiffnes, rage, rhabdo; cz, tx?

Back 35

phencylidine; give benzo/haldol

Front 36

causes: HTN, tacky, resp depression; W/drawal: tremor, tacy, HTN

Back 36

GHB: gammahydroxybutric acidintubate; benzo for sz;

Front 37

what causes Ophoid like hallucinogenic, anxiety, miosis, lethargy, ataxia, nystagmus?

Back 37

dextrmethorphan****; give nalaxone
*BIG BOARD QUEST!!

Front 38

causes Htn, sz, paranoia; tx?

Back 38

methamphetamine; give benzo, nitroprusside

Front 39

causes Dilated pupils, increased VS, sweating, tremrs, sz,

Back 39

LSD: give benzo; avoid neuroleptics