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32 Cards in this Set
- Front
- Back
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___ irritation and itching are the reasons for approx. 10% of visits to the ob/gyn office
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vulvar irritation
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erythema, edema, and skin ulcers are all indications of possible___?
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infection
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ulcerative lesions should clue you in to looking for what 3 disease processes?
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herpes simplex
syphilis crohn's disease |
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neurodermatitis is another name for ___?
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chronic pruritis
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diffuse reddening of the vulvar skin accompanied by itching and/or burning, but without obvious cause, should suggest a ______?
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secondary allregic vulvitis
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in older patients, intense itching of the vulva may occur because of ___?
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atrophic changes brought on by reduced estrogen levels
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vulvar itching assoc. with itching of the mons may be caused by__?
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p. pubis (crabs) or s. scabei (itch mite)
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the most common sx assoc. with infections of the vagina is ___
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discharge
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Normal vaginal secretions have __ odor
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no odor
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normal pH of the genital tract before puberty is __-__? After puberty (reproductive age) it is __-__?
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6-8
3.5-4.5 |
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Pt. with ___usually c/o a "musty" or "fishy" vaginal odor with thin gray-white to yellow discharge.
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bacterial vaginosis
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A positive "whiff" test is indicative of what type of vaginal infection?
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bacterial vaginosis
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A diagnosis of bacterial vaginitis is made by the confirmation of 3 of 4 criteria...what are the criteria?
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-homogeneous discharge
-pH >4.5 -positive 'whiff' test -presence of clue cells |
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what is the treatment of bacterial vaginosis?
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-oral metronidazole bid x7 days
-metrogel bid x 5 days or -cleocin vag cream qd x 7 days |
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a flagellate protozoan that lives only in the vagina, skene's ducts, and male or female urethra is ___?
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trichomonas
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t/f
it is not necessary to treat the partner of a pt. infected with trichomonas? |
false; over 60% of pt's partners will test positive for trich,,,so tx the partner also
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Many cases of trich are ___
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asymptomatic
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What are the symptoms of a trichomonas infection?
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-can be asymptomatic
-vulvar itching or burning -copious discharge with rancid odor -dysuria -dyspareunia |
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What is a big s/e of taking metronidazole that you must tell your patients?
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alcohol abstinence is imperative or your pt. may experience a disulfiram-like rxn
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estimates show that up to 25% of pt.s with trich also have __
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BV
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Approx. 90% of 'yeast' infections are caused by what organism?
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candida albicans
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t/f
candida infections are most often found to be coexisting with another infection such as trich |
false, generally do not coexist with other infections
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candidiasis is more likely to occur in women who are....
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pregnant, diabetic, obese, immunosuppressed, on OCP, or steroids
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Practices that keep the vaginal area warm and moist, such as tight clothing or habitual panty liner use, may increase the risk of a __ infxn
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yeast-candida albicans
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the most common complaint for women with candidiasis is__
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itching
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symptoms of a vaginal yeast infection could include...
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-itching
-external dysuria -dyspareunia -burning sensation |
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A thick, adherent 'cottage cheese' discharge with a pH of 4-5 is found in what type of vaginal infections?
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yeast-candida a.
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the diagnosis of candidiasis is based on history, PE, and confirmed by the identification of __ and __buds in wet mounts of vaginal secreations.
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hyphae and buds
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Latex agglutination tests may be of particular use for ____ strains because they no demonstrate the pseudohyphae on wet prep.
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non-candida albicans
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treatment of candida infections is primarily with the topical application of one of the synthetic___
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imidazoles
-monistat -femstat -mycelex-G are examples |
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the most common sexually transimitted organism in the US is ___
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chlamydia trachomatis
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pt's c/o often bitterly of persistent vaginal d/c, odor, or both, without a readily identifiable cause or response to treatment, are diagnosed with__ __
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chronic vaginitis
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