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Is Infection Prevention primary or secondary?
Primary
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Is tx of UTI primary or secondary?
secondary
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T or F: Progesterone is responsible for releasing the egg
False: FSH
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Match: Absence of menses
A.
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Match: Painful menses
B.
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Match: Heavy prolonged menses
C.
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Match: Breakthrough bleeding (spotting)
C.
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The purpose of this test is to screen for cervical cancer cells, dysplasia
When should it be initially done?
How often after that?
- Pap Smears: done first after first sexual intercourse or by age 21
- Done annually after
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This is released during menstruation d/t destruction of endometrial cells of the uterine muscles
Prostaglandins
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This type of menses is described as painful menstruation with cramping. What tx can be given?
- Dysmenorrhea: NSAIDS (ibuprofen and naproxen)
- Second-line = oral contraceptives
- Others: chiropractic or acupuncture
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T or F: Symptoms of PMS start normally the week before menses start
True
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With PMDD, which antipsychotic med might you see given once a day?
Prozac (Sarafem)
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What might these s/s indicate:
- Intense pruritus (severe itching)
- erythema
- dysuria (painful urination)
- thick curd like discharge
What is tx?
- Vaginitis (Vulvovaginal Candidiasis): vaginal yeast infection
- Tx: antifungal azoles
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What do these s/s indicate:
- Fishy odor (especially after sex)
- thin, grayish discharge
What is tx?
- Bacterial Vaginosis
- Tx: Metrogel (Flagyl)
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T or F: Vaginitis can cause preterm labor
True: Bacterial vaginosis should be treated with Metrogel (flagyl)
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What do these s/s indicate:
- profuse, frothy yellow/green discharge
- vulvovaginal irritation
- dysuria (painful urine)
- Dyspareunia (painful sex)
What is the tx?
- Vaginitis (Trichomoniasis)
- Tx: Metronidazole (Flagyl)
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What are the two major causes of PID (Pelvic Inflammatory Disease)?
What is tx?
- Chlamydia and Gonorrhea
- Tx: abx and pain meds
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This is when there are endometrial tissues at sites OUTSIDE the endometrial cavity.
It can s/s: dysmenorrhea, pelvic pain, bleeding
What are tx?
- Endometriosis
- Tx: NSAIDS, Progestogens
- - Danazol therapy for fertility
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Fill in:
Untreated GC/Gonorrhea if untreated can cause __a__. Treatments include __b__.
- a. PID
- b. Zithromax/Rocephin
-
This STD is 70% of cervical cancers.
How is it treated? Prevented?
- HPV 16 and 18:
- - Gardasil Vaccine: (11 or 12 years old should get two shots of HPV vaccine six to twelve months apart)
- - Series of 3 injections: now then in 2 months, and then in 4 months
-
What is tx for HSV I & II? (herpes)
What are its s/s?
- Tx: Valtrex (Antiviral)
- s/s: flu-like symptoms, painful sore/blister
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T or F: If someone wih HSV I & II (herpes) is asymptomatic, they won't spread it to their partner
False
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What is tx for syphilis (painless chancre on lips, genitalia, or anus)?
C.
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What is tx for bacterial vaginosis (grayish white vaginal discharge, fishy odor)?
B.
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What is tx for Trichomoniasis (purulent, gray/yellow vaginal discharge)?
a. PCN
b. Metronidazole
c. Tindamax
d. Clindamycin
b and c
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This oral contraceptive thickens cervical mucus and thins the lining of the uterus (endometrium) — preventing sperm from reaching the egg.
Minipill: progesterone dose
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When using oral contraceptive pill, you should take the pills within ___ hour period same time everyday.
What about progesterone pill?
- 3 hour period
- Progesterone: within 1 hour qd
-
What are the danger signs of birth control pills? (Hint: ACHES)
- A - abdominal pains
- C - chest pain or SOB
- H - headaches
- E - eye problems
- S - Severe extremity pain/numb
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Women who are this age should not take the pill.
List other contraindications
- >35y/o
- Hx of MI or CVA
- DVTs
- Unexplained vaginal bleeding
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T or F: Women over 35 y/o should not take birth control pills and progesterone
False: can take progesterone
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The use of this oral contraceptive for 2 or more years can cause bone loss. What should be taken for teens on this?
Depo-provera: enough calcium and vitamin D
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T or F: Mini Pill (Progesterone) is a good alternative for women breastfeeding
True
-
Women with HTN should not take Progesterone
false: they should not be on the Pill
-
Progesterone can be given as an IM injection __a__ mg, every __b__ weeks.
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1. Women >40y/o should get mammogram every ___ years
2. Clinical breast exams for ages 20-40 every __ years, and ___ years for >40.
- 1. 1-2
- 2. 3 years 20-40 y/o, yearly after 40
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