Yeast Infections and Prescription Precautions

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the recommended age to start Pap screening according to the American Cancer Society?

  • 21 years
  • 30 years
  • 35 years
  • 25 years (correct)

What is the recommended frequency of primary HPV testing alone for patients aged 25 and above according to the American Cancer Society?

  • Every seven years
  • Every year
  • Every five years (correct)
  • Every three years

At what age does the American College of Obstetrics and Gynecology recommend cytology alone for Pap screening?

  • 21 years (correct)
  • 25 years
  • 30 years
  • 35 years

What is the recommended Pap screening method for ages 30 through 65 according to the United States Preventive Task Force?

<p>All of the above (D)</p> Signup and view all the answers

According to the text, how often does ACOG recommend co-testing for Pap screening in the age group 30 through 65?

<p>Every five years (C)</p> Signup and view all the answers

What is the age at which the American Cancer Society updated their screening guidelines in 2020 to increase the starting age for Pap screening?

<p>25 years (A)</p> Signup and view all the answers

What is the leading cause of absenteeism for women less than 30 years old?

<p>Primary dysmenorrhea (D)</p> Signup and view all the answers

Which condition results from pelvic pathology and is more severe than primary dysmenorrhea?

<p>Secondary dysmenorrhea (A)</p> Signup and view all the answers

What is the primary etiology of dysmenorrhea based on activity impairment?

<p>Elevated prostaglandin PGF2a production (A)</p> Signup and view all the answers

Which risk factor is associated with primary dysmenorrhea?

<p>Age under 30 (C)</p> Signup and view all the answers

What is the likely cause of pelvic pain occurring at or around the time of menses without any pathologic cause?

<p>Primary dysmenorrhea (C)</p> Signup and view all the answers

What treatment is recommended for patients with secondary dysmenorrhea who have lack of response to NSAIDs or hormonal treatment?

<p>Ultrasound and/or laparoscopy (A)</p> Signup and view all the answers

What is the most common causative organism of vulvovaginal infection resulting in a labial mass or cyst?

<p>E. coli (B)</p> Signup and view all the answers

What should be given for inflammation and pain in patients with Bartholin's cyst?

<p>NSAIDs (B)</p> Signup and view all the answers

What may be needed if the Word catheter does not work for refractory Bartholin's cysts?

<p>'Marsupialization' (A)</p> Signup and view all the answers

What should be done if infection is suspected in a Bartholin's cyst?

<p>Culture and sensitivity of the contents of the cyst (A)</p> Signup and view all the answers

What should patients with refractory Bartholin's cysts refrain from until the area heals?

<p>Vaginal intercourse (C)</p> Signup and view all the answers

What should be re-evaluated in about seven to ten days for patients with Bartholin's cysts?

<p>Patients' symptoms (C)</p> Signup and view all the answers

Which of the following is NOT a risk factor for candidiasis?

<p>Regular exercise (A)</p> Signup and view all the answers

What is the characteristic feature of candidiasis in terms of vaginal discharge odor?

<p>No odor (A)</p> Signup and view all the answers

What is the recommended treatment for recurrent vulvovaginal candidiasis (RVVC) if non-albicans species are involved?

<p>Oral fluconazole weekly for six months (C)</p> Signup and view all the answers

What is the most common cause of Bartholin gland cysts?

<p>Chronic inflammation due to mechanical irritation (B)</p> Signup and view all the answers

What is the characteristic size of Bartholin gland abscesses?

<p>1-3 cm (A)</p> Signup and view all the answers

What is the recommended treatment for Bartholin gland cysts?

<p>Incision and drainage (C)</p> Signup and view all the answers

Which diagnostic test is used to confirm candidiasis?

<p>$10 ext{%}$ KOH prep under the microscope (A)</p> Signup and view all the answers

What is the characteristic feature of candidiasis in terms of vaginal pH?

<p>&lt; 4.5 (C)</p> Signup and view all the answers

Which drug is recommended as prophylactic therapy for HIV-infected women with recurrent vulvovaginal candidiasis (RVVC)?

<p>Oral fluconazole 200 mg weekly (D)</p> Signup and view all the answers

Which age group is most commonly affected by Bartholin gland cysts?

<p>Women older than 60 (A)</p> Signup and view all the answers

What is the main reason for ensuring an adequate sample of both the ecto and endocervix using either the brush or the spatula?

<p>To prevent the need for repeat Pap tests due to inadequate specimens (B)</p> Signup and view all the answers

What does the cytology report component indicate with regard to adequacy of the sample?

<p>Presence of endocervical cells (D)</p> Signup and view all the answers

What is the categorization system used for cytologic grading?

<p>The Bethesda system (A)</p> Signup and view all the answers

What is recommended if a woman aged 30 years and older is HPV positive but cytology negative?

<p>Repeat co-testing at one year (D)</p> Signup and view all the answers

What is the management recommendation for LSIL in pregnancy?

<p>Colposcopy preferred, but acceptable to defer to postpartum (B)</p> Signup and view all the answers

What is the recommended treatment for persistent CIN II or III?

<p>Ablative or excisional methods (A)</p> Signup and view all the answers

What is a common risk factor for vulvovaginal candidiasis?

<p>Recent antibiotic therapy (A)</p> Signup and view all the answers

What recommendation is made for women with no lesion on colposcopy or CIN I preceded by lesser abnormalities?

<p>Follow up without treatment and co-test at 12 months. (A)</p> Signup and view all the answers

What is the management recommendation for ages greater than 24 with ASCUS?

<p>HPV testing preferred. If HPV positive, proceed to colposcopy. (A)</p> Signup and view all the answers

What is recommended if there's malignancy in vulvovaginal candidiasis?

<p>Ablative or excisional methods. (B)</p> Signup and view all the answers

What is recommended as first-line non-pharmacologic treatment for primary dysmenorrhea?

<p>Heating pad, hot bath, exercise, pelvic exercises, relaxation therapy (D)</p> Signup and view all the answers

Which imaging technique is recommended as second line if ultrasound is nondiagnostic and fibroids, ovarian torsion, deep endometriosis, or adenomyosis is suspected?

<p>MRI (D)</p> Signup and view all the answers

What do hormonal contraceptives directly suppress to provide relief in primary dysmenorrhea?

<p>Endometrial growth (D)</p> Signup and view all the answers

Which dosing regimen has been found to be superior for pain control with dysmenorrhea?

<p>Continuous dosing (C)</p> Signup and view all the answers

What is recommended as first-line hormonal contraceptive for secondary dysmenorrhea due to endometriosis?

<p>Estrogen-containing contraceptives (A)</p> Signup and view all the answers

Which type of contraceptives have been found to be just as effective as combined oral contraceptives for secondary dysmenorrhea?

<p>Levonorgestrel IUDs (D)</p> Signup and view all the answers

What has been shown to decrease primary dysmenorrhea, but to a lesser extent than combined options and IUDs?

<p>Subcutaneous and subdermal progestin-only contraceptives (C)</p> Signup and view all the answers

What is recommended as first-line pharmacologic treatment for primary dysmenorrhea?

<p>NSAIDs (D)</p> Signup and view all the answers

What are the possible NSAIDs that can be used for the pharmacologic treatment of primary dysmenorrhea?

<p>Ibuprofen, naproxen, celecoxib, mefenamic acid (B)</p> Signup and view all the answers

What do hormonal contraceptives limit in order to provide relief in primary dysmenorrhea?

<p>Endometrial growth resulting in reduced prostaglandin production (D)</p> Signup and view all the answers

What is the recommended screening interval for women aged 65 years or older with a history of adequate prior screening and no history of CIN II in the last 20 years?

<p>They should not be screened for cervical cancer (B)</p> Signup and view all the answers

What does CIN II refer to?

<p>Moderate dysplasia with high-grade lesion (A)</p> Signup and view all the answers

What is the most common presentation among patients with abnormal PAPs?

<p>Postcoital bleeding and cervical mass (C)</p> Signup and view all the answers

Which HPV types are associated with about 70% of all cancers?

<p>HPV 16 and 18 (A)</p> Signup and view all the answers

What is contraindicated during pregnancy unless cancer is identified or suspected?

<p>Treatment of CIN (C)</p> Signup and view all the answers

What is the age at which HPV immunization is recommended to start?

<p>11 to 12 years old (B)</p> Signup and view all the answers

Which type of HPV may cause genital warts?

<p>HPV 6, 11, 42, and 43 (C)</p> Signup and view all the answers

What are the risk factors associated with an increased risk of developing cervical cancer?

<p>In utero exposure to diethylstilbestrol, Previous treatment of a high-grade precancerous lesion or cervical cancer (A)</p> Signup and view all the answers

What is the recommended vaccine schedule for HPV immunization if it's begun on or after the 15th birthday?

<p>Three doses at zero, two, and six months (A)</p> Signup and view all the answers

Flashcards are hidden until you start studying

More Like This

Vaginal Thrush Pathophysiology Quiz
10 questions
Hongos y Candidiasis
24 questions

Hongos y Candidiasis

PeaceableAphorism avatar
PeaceableAphorism
Use Quizgecko on...
Browser
Browser