D120 Exam Questions with 100% Correct
Answers
Bacterial Vaginosis
S/S: Fishy odor, thin gray discharge
DX; +whiff test, +clue, PH<4.5
Treatment: Metronidazole 500mg BIDx 7 days
Alternative: metronidazole 0.75% cream x 5 days
Clindamycin cream 2% cream x 7 days
* Do not give metronidazole to pregnant women.
Vulvovaginal candidiasis
S/S: Vulvar and vaginal itching, cottage cheese discharge no odor
DX: budding yeast, or +Hyphae
Treatment: Clotrimazole 1% for 7-14 days (2% for 3 days)
Diflucan 150mg x1 dose
Trichomoniasis vaginitis
S/S: Yellow green discharge, discharge odorous. strawberry cervix
DX: PH<4.5, - Whiff test, +trich, Flagellated protozoa
Treatment: Metronidazole 2gram x1.
or Metronidazole 500mg BID 7 days
Tinidazole 2g single does for 5 days (if does not clear up)
Chlamydia
, Treatment: Azithromycin 1g x 1 dose
Alternative treatment: Doxy 100mg BID x 7 days
Gonorrhea
Treatment: Ceftriaxone 250mg IM 1 dose + Azithromycin 1g x 1 dose.
Alternative treatment: Cefixime 400mg 1 dose, + Azithromycin 1g X 1 dose.
*If allergic to PCN Azithromycin 2g x 1 dose.
genital warts preferred treatment
Excision of warts using trichlotacetic acid
Mammo recommendations for ACOG
40-75 Q 1-2 years
Clinical breast exam starting at 25
USPSTF Mammo recommendations
50-74 Q 2 years
PAP recommendations
21-65(despite being sexually active)
HPV cytology every 5 years
Birth control when breast feeding
Birth control with out estrogen Progesterone only
Bimanual pelvic exam looking for
infection and inflammation
Gardisil HPV vaccine
Answers
Bacterial Vaginosis
S/S: Fishy odor, thin gray discharge
DX; +whiff test, +clue, PH<4.5
Treatment: Metronidazole 500mg BIDx 7 days
Alternative: metronidazole 0.75% cream x 5 days
Clindamycin cream 2% cream x 7 days
* Do not give metronidazole to pregnant women.
Vulvovaginal candidiasis
S/S: Vulvar and vaginal itching, cottage cheese discharge no odor
DX: budding yeast, or +Hyphae
Treatment: Clotrimazole 1% for 7-14 days (2% for 3 days)
Diflucan 150mg x1 dose
Trichomoniasis vaginitis
S/S: Yellow green discharge, discharge odorous. strawberry cervix
DX: PH<4.5, - Whiff test, +trich, Flagellated protozoa
Treatment: Metronidazole 2gram x1.
or Metronidazole 500mg BID 7 days
Tinidazole 2g single does for 5 days (if does not clear up)
Chlamydia
, Treatment: Azithromycin 1g x 1 dose
Alternative treatment: Doxy 100mg BID x 7 days
Gonorrhea
Treatment: Ceftriaxone 250mg IM 1 dose + Azithromycin 1g x 1 dose.
Alternative treatment: Cefixime 400mg 1 dose, + Azithromycin 1g X 1 dose.
*If allergic to PCN Azithromycin 2g x 1 dose.
genital warts preferred treatment
Excision of warts using trichlotacetic acid
Mammo recommendations for ACOG
40-75 Q 1-2 years
Clinical breast exam starting at 25
USPSTF Mammo recommendations
50-74 Q 2 years
PAP recommendations
21-65(despite being sexually active)
HPV cytology every 5 years
Birth control when breast feeding
Birth control with out estrogen Progesterone only
Bimanual pelvic exam looking for
infection and inflammation
Gardisil HPV vaccine
