vaginitis

Question 1

ph of vagina is normally…

Answer 1

acidic

Question 2

ph of a normal vaginal flora

Answer 2

ph 3.8-5

Question 3

component that is rich in the squamous cell, supplying lactobacilli for growth and lactic acid production

Answer 3

glycogen

Question 4

common causes of vaginitis

Answer 4

ANTIBIOTICS (killing lactobacilli), sexual activity, mens, COC

Question 5

what vaginitis is a STI

Answer 5

trichomoniasis

Question 6

which has pruritus??

Answer 6

tricho and Vag candidiasis has pruritus, bac vaginosis (no pruritus)

Question 7

characterized by a fishy odor

Answer 7

bacterial vaginosis

Question 8

frothy discharge

Answer 8

trichomoniasis

Question 9

smell of candidiasis

Answer 9

cottage cheese like

Question 10

only postive in whiff test

Answer 10

bacterial vaginosis (due to anaerobic bacteria, that produce amines– fish odor)

Question 11

no evidence complementary medicine

Answer 11

black cohosh

Question 12

first line treatment of bacterial vaginitis

Answer 12

metronidazole for 7 days (OK for preg and breastfeeding, Metro vaginal gel, clinda vaginal cream

Question 13

second line bacterial vaginisti

Answer 13

clinda oral

Question 14

do you have to treat your sexual partner in bac vaginosis

Answer 14

NO!

Question 15

first line of trichomoniasis

Answer 15

metronidazole 2g PO single dose (hold breast feeding), Metro 500 x 7 days

Question 16

treat sexual partneres in trichomoniasis

Answer 16

Yes!!!

Question 17

treat asymptomatic trichomoniasis

Answer 17

YES

Question 18

UNCOMPLICA vuvovaginal candidiasis first line

Answer 18

fluco, clotri, miconazole, terconazole

Question 19

candidiasis that is less than 3 times a year, mild symp, not preg

Answer 19

UNCOMPLICATED

Question 20

less than 12 years old, candidiasis can self treatment possible

Answer 20

NO. also pregnant, immuno,

Question 21

if C. glabrata. compli or uncomplli

Answer 21

COMPLI

Question 22

first line of complica candidiasis

Answer 22

fluconazole 150 for Q72h x 3 doses, then weekly for 6 months

Question 23

second line complica candidiasis

Answer 23

vaginal clotrimazole

Question 24

non albicans infection treatment,

Answer 24

boric acid vaginal!!!!!!!