Reproductive

Question 1

Trichomonas vaginalis

Answer 1

• thin, malodorous vaginal discharge that is yellow/green
• confirmed through wet-mount microscopy
• does not need to be reported

Question 2

Hormonal implants

Answer 2

• replaced every 3 years

Question 3

IUD

Answer 3

• cause serious maternal and fetal consequences
• if pregnant, remove IUD

Question 4

Contraceptive rings

Answer 4

• may be reinserted
• rinse with water within two to three hours

Question 5

Progestin

Answer 5

• contraception
• may cause hypertension
• can cause clots/stroke
• risk in 21 days postpartum
• risk when smoke more than 15 cigarettes a day

Question 6

Contraception patch

Answer 6

• every 7 days
• high risk for venous thromboembolism

Question 7

Vaginitis

Answer 7

• inflammation of vagina
• wear loose clothes
• cotton underwear
• avoid tampons

Question 8

Endometriosis

Answer 8

• 25-35 years old
• cyclical is CLASSIC SIGN
  
  • occurs in cycles
• dyspareunia
  
  • painful intercourse
• infertility
• heavy menstrual bleeding
• worse during period
  
  • pelvic pain/pressure
  • urinary and bowel irregularities
• DIAGNOSE
  
  • transnational ultrasound
  • vaginal examination
• TREAT
  
  • NSAIDs for pain
  • estrogen + progestin contraceptives
    
    • suppress ovarian function
    • reduce endometriosis activity and pain

Question 9

Pelvic inflammatory disease (PID)

Answer 9

• infected reproductive organs
• fever
• caused by
  
  • untreated
    
    • bacterial vaginosis
    • STI
      
      • gonorrhea/chlamydia