N675L Week 7 Quiz – Gynecology (GYN) and Sexually Transmitted Infections (STI)(Real quiz graded A)

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Week 7 – Gynecology (GYN) and Sexually Transmitted Infections (STI) When seen on a wet mount like the following, clue cells would indicate the treatment by which of the following? Rocephin (Ceft... riaxone) 250mg IM x 1 and Azithromycin 1 g PO x 1 Flagyl (Metronidazole) 500mg PO BID x 7 days No treatment needed Diflucan (Fluconazole) 150mg PO x 1 The uterus should sound to ______ cm when measuring for Mirena IUD insertion to allow for the arms to open and proper alignment to occur. 6-9 cm; measured and forgotten about. 6-10 cm; measured and documented in the chart. 1-3 cm; measured and forgotten about. 3-5 cm; measured and documented in the chart. If cervical stenosis is met when performing IUD insertions, which of the following should be used to overcome resistance? 6 - 9 cm 12 - 15 cm 9 - 12 cm 3 - 6 cm A female patient and her male partner are diagnosed with trichomonas. She has complaints of vulvall itching and discharge. He is asymptomatic. How should they be treated? They both should receive metronidazole A 40 year old female patient returns to your clinic to review her pap smear results from the previous week. You tell her the test is abnormal with “atypical squamous cells of undetermined significance and HPV positive”. What is the appropriate next step of the following? Repeat cytology in 1 year Repeat cytology immediately Perform or refer out for colposcopy Repeat cytology in 2-4 months After an IUD is placed, the threads should be cut so approximately ______ are visible. This should then be _________. 3 cm; measured and documented in the chart. 3 cm; measured and forgotten about. 6 cm; measured and documented in the chart. 6 cm; measured and forgotten about. You suspect that the patient you are seeing has HIV. which of the following is a sensitive screening test for human immunodeficiency virus? Combination HIV-1 and HIV-2 antibody immunoassay with P 24 antigen HIV antibody test ELISA test Western blot test A 35 year old female presents for her well-woman exam with no complaints and no significant medical history. She admits to occasional unprotected intercourse with her partner, which is an unstable, but safe relationship. Upon exam, you note a green, frothy and malodorous discharge she states she has noticed on occasion, but thought it was normal. Wet mount shows the following image with a positive “Whiff Test”. What is your likely diagnosis?: Bacterial Vaginosis Vaginal candidiasis Trichomonas vaginalis Atrophic vulvovaginitis Clue cells are found in patients who have: Bacterial vaginosis [Clue cells are hallmark sign of bacterial vaginosis and can be seen in a microscopic exam.] A 21-year-old college student has recently been informed that he has HPV infection on the shaft of his penis. With the following methods can be used to visualize subclinical HPV lesions on the penile skin? Apply acetic acid to the penile shaft to look for acetowhite changes Lesions of HPV infection will turn white with application of acetic acid. Routine use of this procedure to detect mucosal changes due to HPV is not recommended because results do not influence clinical management (per CDC). An initial pharmacological approach to the patient was diagnosed with primary dysmenorrhea could be: Acetaminophen NSAIDs prior to the onset of menses Combination of acetaminophen and NSAIDs NSAIDs at the time symptoms begin or onset of menses Pain associated with dysmenorrhea is likely due to prostaglandins. NSAIDs are prostaglandin synthesis inhibitors. They are usually started at the onset of menses or onset of symptoms and continued for 2-3 days depending on symptom pattern. There is no demonstrated increase in efficacy when acetaminophen is added or given alone. A 45 year old diabetic female presents with c/o vaginal itching and discharge that began after douching post-menstruation approximately one week ago. Upon exam, you find thick, white discharge with a curdlike consistency and erythema generally in the vuvlvogavinal region. Under a wet mount you see the following below. Which of the following is an appropriate treatment for this patient? Rocephin (Ceftriaxone) 250mg IM x 1 and Azithromycin 1 g PO x 1 Flagyl (Metronidazole) 500mg PO BID x 7 days Diflucan (Fluconazole) 150mg PO x 1 [Show More]

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