Vaginitis
BLEED
Menopause
Vaginitis 2
100
Normal vaginal pH
Less than 4.5 (NOT in prepubertal or post menopausal women)
100
Normal number of days of menstrual flow?
5d
100
What is the Climacteric Period?
Menopause
100
Yellow froathy vaginal discharge on spec
Trich
200
BV increases the risk of what? (in non pregnant pt)
PID, post gyn surgery infections, STD acquisition
200
Best modality for evaluating the myometrium
TVUS
200
T/F Estrogen and progesterone reduce the risk of CHD?
F they increase risk
200
Trich
300
Patient presents with vulvar erythema, what organism that commonly causes vaginitis can be excluded?
BV
300
Best modality for evaluating intra-cavitary issues?
SIS
300
Benefits of HRT?
Improove night sweats, sleep, hot flush, bone health
300
Define recurrent BV?
3+ confirmed episodes in 1 year
400
You have a patient with a +BV result on an affirm. She has no sx. What do you do?
Nothing
400
Define menorrhagia
Heavy bleeding with loss greater than 80cc
400
What are the risks of HRT?
Stroke and CVD, gallbladder dz, possible breast CA
400
Tx for recurrent BV?
After tx with oral metronidazole.. offer 2x weekly metrogel for 16wks (consider boric acid as well)
500
List Amsels criteria
Homogenous thin grey VD on vaginal walls
More than 20% clue cells on saline microscopy
pH of >4.5
+KOH whiff test
500
Whats dis
Adenomyosisss
500
T/F there is an indication for HRT to reduce the risk of CHD
F
500
Pt has no sx and +BV on an affirm. Do you place an IUD?
There is no evidence to recommend tx prior to IUD placement. (UTD does rec tx if undergoing gynecologic surgery... plus affirm is screening not diagnostic)