NM701 MINI FINAL EXAM QUESTIONS AND ANSWERS
WITH COMPLETE VERIFIED SOLUTIONS GRADED A++
these STIs love the cervix
- gonorrhea
- chlamydia
gonorrhea & chlamydia can lead to
- PID --> cxing tube scarring/infertility
chlamydia testing
- NAAT
chlamydia on exam
- mucopurulent endocervical d/c
- spontaneous or easily-induced endocervical bleeding
chlamydia Sx
- asymptomatic in most cases
- vague discomfort
- post-coital spotting
- dysuria
- pyuria --> pus in urine
- mucopurulent endocervical d/c
chlamydia differential Dx
,- gonorrhea
- PID
- vaginitis
- trich
- endometriosis
- ectopic preg
- ovarian cyst
chlamydia not preg Tx
- azithromycin 1 gram PO x1
or
- doxycycline 100 mg PO BID x7 days
partner Tx is a must for chlamydia & gonorrhea
- anyone in last 60 days
gonorrhea & chlamydia screening
- annual for < 25 yrs
or
- with new or multiple partners in those > 25 yrs
- at 1st prenatal visit & 3rd trimester if increased risk or < 25 yrs
BV & trich can lead to
- increased risk for HIV --> d/t inflammation & irritation of mucosa
- active infection with trich confers a 2-3 fold risk of acquiring HIV infection
gonorrhea
,- looks & acts the same as chlamydia
- loves cervix but also loves pharynx & rectum
gonorrhea testing
- NAAT
or
- culture on Thayer Martin media --> reserve for Tx failure
gonorrhea on exam
- mucopurulent or purulent cervical d/c
- cervix easily bleeds with minimal contact
- bartholin's glands or skene's glands maybe infected
gonorrhea Sx
- nonspecific vaginal d/c
- intermenstrual bleeding
- dysuria
- low abd pain
- dyspareunia
gonorrhea Tx
- ceftriaxone 250 mg IM x1
&
- azithromycin 1 gram PO x1
trich
, - infection with a protozoan, T. vaginalis --> is motile, ovalshaped, anaerobic, &
flagellated
- organism attaches to cells & lactobacilli disappear
trich d/c is
- yellow/green
- frothy
- mucopurulent
- copious
- malodorous
trich testing
- wet mount --> fastest
- NAAT
- OSOM
trich incubation period
- 5-28 days
trich Sx is often
- sudden onset
- may occur during or after menses
- can come & go
trich Sx
- often asymptomatic
- frothy, green yellow, copious mucopurulent d/c
- fishy & malodorous odor
WITH COMPLETE VERIFIED SOLUTIONS GRADED A++
these STIs love the cervix
- gonorrhea
- chlamydia
gonorrhea & chlamydia can lead to
- PID --> cxing tube scarring/infertility
chlamydia testing
- NAAT
chlamydia on exam
- mucopurulent endocervical d/c
- spontaneous or easily-induced endocervical bleeding
chlamydia Sx
- asymptomatic in most cases
- vague discomfort
- post-coital spotting
- dysuria
- pyuria --> pus in urine
- mucopurulent endocervical d/c
chlamydia differential Dx
,- gonorrhea
- PID
- vaginitis
- trich
- endometriosis
- ectopic preg
- ovarian cyst
chlamydia not preg Tx
- azithromycin 1 gram PO x1
or
- doxycycline 100 mg PO BID x7 days
partner Tx is a must for chlamydia & gonorrhea
- anyone in last 60 days
gonorrhea & chlamydia screening
- annual for < 25 yrs
or
- with new or multiple partners in those > 25 yrs
- at 1st prenatal visit & 3rd trimester if increased risk or < 25 yrs
BV & trich can lead to
- increased risk for HIV --> d/t inflammation & irritation of mucosa
- active infection with trich confers a 2-3 fold risk of acquiring HIV infection
gonorrhea
,- looks & acts the same as chlamydia
- loves cervix but also loves pharynx & rectum
gonorrhea testing
- NAAT
or
- culture on Thayer Martin media --> reserve for Tx failure
gonorrhea on exam
- mucopurulent or purulent cervical d/c
- cervix easily bleeds with minimal contact
- bartholin's glands or skene's glands maybe infected
gonorrhea Sx
- nonspecific vaginal d/c
- intermenstrual bleeding
- dysuria
- low abd pain
- dyspareunia
gonorrhea Tx
- ceftriaxone 250 mg IM x1
&
- azithromycin 1 gram PO x1
trich
, - infection with a protozoan, T. vaginalis --> is motile, ovalshaped, anaerobic, &
flagellated
- organism attaches to cells & lactobacilli disappear
trich d/c is
- yellow/green
- frothy
- mucopurulent
- copious
- malodorous
trich testing
- wet mount --> fastest
- NAAT
- OSOM
trich incubation period
- 5-28 days
trich Sx is often
- sudden onset
- may occur during or after menses
- can come & go
trich Sx
- often asymptomatic
- frothy, green yellow, copious mucopurulent d/c
- fishy & malodorous odor
