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1. Bacterial Vaginosis This is an alteration in the normal vaginal flora; most common
cause of vaginitis among reproductive age women
2. Lactobacilli BV is caused by a loss of this
3. >4.5 A loss of lactobacilli in BV results in an elevated pH greater
than this, and subsequent overgrowth of bacteria
4. Fishy Odor BV results in this kind of smell
5. Asymptomatic; clear, white or BV is usually this, but may have this color discharge that is
gray reported more commonly after sexual intercourse and after
completion of menses
6. Clue cells diagnosis of BV has these kind of cells on a wet mount
7. Bacterial Vaginosis Risk factors for this include:
AA
2 or more sex partners in 6 months
New partner
8. Metronidazole 500mg PO BID Standard 3 treatments for BV
for 7 days OR
Metronidazole gel 0.75%
(5g) Intravaginally, once or
twice/day for 5 days OR
Clindamycin cream 2%, one full
applicator (5g) intravaginally at
bedtime for 7 days
9. No Do sex partners need to be treated with BV?
, BV, VVC, trich, PID, UTI/pyelo
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10. metronidazole gel twice weekly recurrent treatment of BV (long term)
for 4-6 weeks
11. Antibacterial/antiprotozoal Metronidazole is this kind of medication
12. Anaerobic Metronidazole only works against this kind of bacteria
13. Metallic taste, nausea, h/a, dry Side effects of metronidazole
mouth, dark colored urine
14. No alcohol Do not have this while taking metronidazole
15. 24 hours after completion Do not have alcohol for this long after completion of metron-
idazole
16. PID, PROM, PTL, acquire other Complications of BV
STDs or HIV
17. Yes Can pregnant women take metronidazole?
18. Vulvovaginal Candidiasis This is a disruption of the host environment, can cause
candida organisms to transform from a commensurate to
pathologic role
19. C. albicans This bacteria is responsible for vulvovaginal candidiasis
85-90% of the time
20. Itching, thick, white, curdy vagi- S/S of vulvovaginal candidiasis
nal discharge ; erythema, irrita-
tion, dysuria and dyspareunia
21. pH In vulvovaginal candidiasis the cervix appears normal, and
this is normal also
22. Primary treatment for vulvovaginal candidiasis