PHRM 3820 Genital and Reproductive Disorders Questions with
Correct Answers (Grade A+)
Question 1: What are the 3 types of vaginal infections?
Answer: - bacterial vaginosis - trichomoniasis - vulvovaginal candidiasis
Question 2: What are the symptoms of bacterial vaginosis?
Answer: - thin off-white or discolored discharge - strong foul odor; "fishy"
Question 3: What is the MOA of bacterial vaginosis?
Answer: imbalance in normal flora
Question 4: What are the symptoms of trichomoniasis?
Answer: - yellow-green frothy discharge - malodorous - erythema and vulvar edema
Question 5: What is the MOA of trichomoniasis?
Answer: protozoan infection
Question 6: Which type of vaginal infection can be treated OTC?
Answer: vulvovaginal candidiasis
Question 7: What are the symptoms of vulvovaginal candidiasis?
Answer: - "cottage cheese" discharge - no odor - erythema and itching
Question 8: What are the 3 treatment goals of vulvovaginal candidiasis?
Answer: - relief of symptoms - eradication of infection - reestablishment of normal vaginal flora
Question 9: There has been an ___ incidence of C. albicans infections in last 2 decades.
Answer: increased
Question 10: What percent of women will have a yeast infection in their lifetime?
Answer: 75%
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, Question 11: What are the 4 criteria for uncomplicated VVC?
Answer: - sporadic or infrequent VVC - mild-to-moderate VVC - likely to be Candida albicans -
nonimmunocompromised
Question 12: What are the 4 criteria that could be complicated VVC?
Answer: - recurrent VVC (4+ infections/yr) - severe VVC - nonalbicans candidiasis (history) - diabetes,
immunocompromised, debilitation, immunosuppressive therapy
Question 13: How is bacterial vaginosis treated?
Answer: need PCP referral metronidazole and/or clindamycin
Question 14: How is trichomoniasis treated?
Answer: need PCP referral metronidazole and/or tinidazole
Question 15: How is VVC treated?
Answer: Rx - fluconazole OTC - clotrimazole, miconazole, tioconazole, butoconazole, terconazole
Question 16: Which bacterial infection requires partner management?
Answer: trichomoniasis (exam for STI)
Question 17: What are the 6 main factors for referral of VVC?
Answer: - pregnancy - <12yrs old - fever or pain in lower abdomen, back, or shoulder - medications
(steroids or antineoplastic) - medical conditions (DM, HIV) - recurrent VVC (4+ infections/yr)
Question 18: What are the 3 nonpharmacologic treatments for VVC?
Answer: - limit sucrose and carbohydrate consumption - increase consumption of yogurt with live cultures -
avoid tight-fitting, nonabsorbent clothing or underwear
Question 19: What are the 2 kinds of OTC pharmacologic treatments for VVC?
Answer: - OTC antifungals (clotrimazole, miconazole, tioconazole) - OTC formulations (vaginal creams,
suppositories, tablets)
Question 20: What are the side effects of vaginal treatment?
Answer: irritation and burning
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Correct Answers (Grade A+)
Question 1: What are the 3 types of vaginal infections?
Answer: - bacterial vaginosis - trichomoniasis - vulvovaginal candidiasis
Question 2: What are the symptoms of bacterial vaginosis?
Answer: - thin off-white or discolored discharge - strong foul odor; "fishy"
Question 3: What is the MOA of bacterial vaginosis?
Answer: imbalance in normal flora
Question 4: What are the symptoms of trichomoniasis?
Answer: - yellow-green frothy discharge - malodorous - erythema and vulvar edema
Question 5: What is the MOA of trichomoniasis?
Answer: protozoan infection
Question 6: Which type of vaginal infection can be treated OTC?
Answer: vulvovaginal candidiasis
Question 7: What are the symptoms of vulvovaginal candidiasis?
Answer: - "cottage cheese" discharge - no odor - erythema and itching
Question 8: What are the 3 treatment goals of vulvovaginal candidiasis?
Answer: - relief of symptoms - eradication of infection - reestablishment of normal vaginal flora
Question 9: There has been an ___ incidence of C. albicans infections in last 2 decades.
Answer: increased
Question 10: What percent of women will have a yeast infection in their lifetime?
Answer: 75%
Page 1
, Question 11: What are the 4 criteria for uncomplicated VVC?
Answer: - sporadic or infrequent VVC - mild-to-moderate VVC - likely to be Candida albicans -
nonimmunocompromised
Question 12: What are the 4 criteria that could be complicated VVC?
Answer: - recurrent VVC (4+ infections/yr) - severe VVC - nonalbicans candidiasis (history) - diabetes,
immunocompromised, debilitation, immunosuppressive therapy
Question 13: How is bacterial vaginosis treated?
Answer: need PCP referral metronidazole and/or clindamycin
Question 14: How is trichomoniasis treated?
Answer: need PCP referral metronidazole and/or tinidazole
Question 15: How is VVC treated?
Answer: Rx - fluconazole OTC - clotrimazole, miconazole, tioconazole, butoconazole, terconazole
Question 16: Which bacterial infection requires partner management?
Answer: trichomoniasis (exam for STI)
Question 17: What are the 6 main factors for referral of VVC?
Answer: - pregnancy - <12yrs old - fever or pain in lower abdomen, back, or shoulder - medications
(steroids or antineoplastic) - medical conditions (DM, HIV) - recurrent VVC (4+ infections/yr)
Question 18: What are the 3 nonpharmacologic treatments for VVC?
Answer: - limit sucrose and carbohydrate consumption - increase consumption of yogurt with live cultures -
avoid tight-fitting, nonabsorbent clothing or underwear
Question 19: What are the 2 kinds of OTC pharmacologic treatments for VVC?
Answer: - OTC antifungals (clotrimazole, miconazole, tioconazole) - OTC formulations (vaginal creams,
suppositories, tablets)
Question 20: What are the side effects of vaginal treatment?
Answer: irritation and burning
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