Yeast Infections and Prescription Precautions
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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</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</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</p> Signup and view all the answers

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

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

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

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

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

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

    Which risk factor is associated with primary dysmenorrhea?

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

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

    <p>NSAIDs</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'</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</p> Signup and view all the answers

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

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

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

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

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

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

    What is the most common cause of Bartholin gland cysts?

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

    What is the characteristic size of Bartholin gland abscesses?

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

    What is the recommended treatment for Bartholin gland cysts?

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

    Which diagnostic test is used to confirm candidiasis?

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

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

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

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

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

    What is the categorization system used for cytologic grading?

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

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

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

    What is a common risk factor for vulvovaginal candidiasis?

    <p>Recent antibiotic therapy</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.</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.</p> Signup and view all the answers

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

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

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

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

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

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

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

    <p>NSAIDs</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</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</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</p> Signup and view all the answers

    What does CIN II refer to?

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

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

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

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

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

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

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

    Which type of HPV may cause genital warts?

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

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