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73 Cards in this Set
- Front
- Back
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What is the primary action of an IUD?
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Prevents sperm from reaching the ovum
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This pill increases risk of ectopic pregnancy?
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Progesterin only contraceptive pill
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Contraceptive method associated with increase in UTI's?
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Diaphram
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Effectiveness of the male condom with typical use?
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14%
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how do combined oral contriception pills aid in preventing pregnancy?
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Ovulation suppression
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How long is a testicular torsion reversable?
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12 Hours
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Painful urination associated with gonorhea is due to what?
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Inflamation of the urethra
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U A positive for nitrites and leukocyte esterase?
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Cystitis
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Flank pain, CVA tenderness, N/V?
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Pyelonephritis
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The most common causitive Orchitis in men less than 35 years old?
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Nisseria gonorhea, or chlamydia
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What is the most common causative agent for Pyelonephritis?
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Esteri Choli
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18 year old male C/o gentetal itching with nits in pubic hair? What is most common complication?
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Crab lice, and Excoriations with bacterial infection
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Multiple bilateral breast lumps that appear and disapear throught the month?
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Fibrocystic condition
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What is the difference between primary and secondary amenorhea?
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Primary cessation comes prior to starting menses
Secondary anytime it stops for Pregnancy, lactation, and menapause |
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PT involved in MVA, complaining of abd muscle pain, rigidity, and has blood in urine?
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Suspect bladder trauma
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24 year old female c/o dysuria w/ external burning, urine neg, pelvic exam shows edematous mucosa and vulva?
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Bacterial Vaginitis
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What is the name for canadiasis?
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Psuedohyphae
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An overgrowth of anerobic organisms?
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Bacterial vaginitis
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What is the causitive agent for syphilis?
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Treponema palladium
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Older male complaining of progressive urinary frequency, urgency, and decreased size and force to stream?
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Benign Prostatic hypertrophy
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Older male complaining of acute urinary frequency, urgency, and decreased size and force to stream?
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Prostititis
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Inability to retract forskin?
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phimosis
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retracting of foreskin over glans?
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paraphimosis
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What class of drugs causes Erectile dysfunction?
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Hypertensives
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Female with endometriosis placed on oral contraceptives when should she follow up?
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3-6 months for 2 years
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PMS occurs with greatest severity in which stage of menarchy?
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Luteal stage
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What are the 8 factors of endometrial cancer?
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Nuliparity
Obesity Chronic Amenorrhea Menopause Diabetes Estrogen Replacement HTN Tamoxyfin use |
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What is the instruction for Sexual assult?
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NAVMEDCOMINST 6310.1
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What is the instruction for females on sea duty who become pregnant?
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OPNAVINST 6000.1
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What are the 3 etiologies associated with renal failure
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Prerenal, postrenal, and intrensic
Most common is Prerenal |
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reversible renal hypoperfusion
Decrease in intravascular volume Change in vascular resistance Low cardiac output |
Prerenal
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What is the most reliable sign of renal trauma?
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Hematuria
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What is the etiology for bladder trauma?
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Blunt trauma
will be worse if bladder full |
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WHat are signs exam findings for bladder trauma?
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Suprapubic tenderness
Abdominal distention Absent bowel sounds – due to fluid intraperitoneal rupture Peritoneal signs – intraperitoneal rupture Obturator test positive |
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What is the mortality rate of bladder trauma?
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20% due to associated injuries
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What is the main cause of penile trauma?
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Zippers most common,
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What scrotal mass will not illuminate and is caused by trauma to the scrotum and testes?
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Hematacele, blood
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Testicular Torsion will present how?
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Tenderness
Elevated horizontal teste Absent cremaster reflex Most common on left side |
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How do you know if the treatment for torsion has worked?
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Pain subsides
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What treatment for superficial vaginal lacerations?
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Absorbable sutures
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What class of medications are preferred for pregnant service women?
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categories A and more preffered is category b
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What is the difference in threatened and Inevitable abortions
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Blood apearing through a closed cervical OS is Threatend
Leaking amniotic fluid from an open OS is Inevitable |
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If woman has abortion what are complications?
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Depression needs consult
retained fetus |
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What is the initial reaction for woman with women problems
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Get HCG
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What is the term used for a pregnant patient with vomiting that loses at least 5% of her body weight? What medication should be prescribed?
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Hyperemisis gravidarim
Antiemetics and antihistamines |
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What are advantages of combined oral contaceptives?
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High rate of effectiveness
Use not associated with the act of intercourse Use controlled by the woman) Easy to use, convenient Rapid reversal of effects Considered safe for most women when there are no contraindications |
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WHat is a disadvantage of other progesterin only contrasceptives?
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If PT has depression already, Injections may increase S/S
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Spermacides must be left in place for how long?
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At least 6 hours
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what is the most effective form of Birth Control?
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Abstinence
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When should and IDC perform a sexual assult screening and exam?
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When a MEDEVAC cannot be completed within 24 hours, and samples must be taken within 2 hours.
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PT education for cystitis?
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Reassurance
Avoid feminine hygiene sprays and scented douches Wipe front to back Maintain good hydration Empty bladder immediately before and following intercourse |
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What is pain over the epididimus? what is the Phren's Sign?
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Epididimitis
Lift the testicals will relieve pain. |
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When will acute Prostitis apear?
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Acute or abruptly
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What is another name for yeast?
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psuedohyphae
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What are exam findings with PID?
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Positive tenderness to lower abdomen
Positive cervical motion tenderness Positive equal uterine and/or adnexal tenderness |
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What are the most common causitive agents in PID?
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Gonorhea and Chlamydia
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What lab test would you used to definatively ID gonorhea?
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Gram Stain
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WHat would you see in herpes?
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Genital lesions – vesicles progressing to pustules and then to ulcers
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What are the differential diagnosises for Herpes?
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Syphilis
Chancroid Lymphogranuloma venereum (LGV) Contact dermatitis |
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What is etiology of chanroid?
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Haemophilus ducreyi
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WHen should a PT with fibrocystic masses follow up?
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Re-examine at various intervals for persistent masses
or 7-10 days if above isn't an option |
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What medications can you give someone with fibrocistic masses?
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NSAIDS for pain
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Risk factors for Breast cancer
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age (older)
PMH (endometrial cancer, previous breast cancer, fibrocystic disease) early menarche (< age 12) late menopause (> age 50) reproductive history (nulliparous or late first pregnancy) Up to 40 Caucasian more prominent that African American |
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Differences in Breast cancer vs Fibroid masses?
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Fibroids mobile, painful, not affecting lymph nodes, rapid onset and disappearance
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What do you think if woman comes in with bloody white discharge?
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Think Cervical carcinoma until proven other wise
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1st thing you rule out in males for Hematuria?
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Bladder Cancer, # 4 cancer in males
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what mass is located upperpole of the testis adjacent to the epididymis
Mass is soft and fluctuant Can be transilluminated |
Spermatocele
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How will polycystic ovarian syndrom present?
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Aconthosis nigricans
Hirsutusm (hairy) Acne Male pattern baldness GU exam Enlarged clitoris and ovaries |
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What causes Glactorrhea?
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Pituitary tumors,
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What are complications of Glactorhea?
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If enlarging pituitary adenoma – risk of visual field loss
Osteoporosis if amenorrhea persists without estrogen replacement |
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What is the treatment for Dysmennorrhea?
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Oral contraceptives you want to increase progesterone
NSAIDs Analgesics |
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What are signs of Dysmennorrhea?
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Low, midline, wave-like, cramping often radiating to the back or inner thighs
Cramps last for 1 or more days |
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What causes Dysfunctional Uterine Bleeding (DUB)
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Hypothyroidism
Hyperthyroidism Liver disease Hypertension Diabetes mellitus Adrenal disorders |
