Women's Health EOR Exam Questions with Complete Answers

Causes and risk factors for post partum depression Correct Answer cause is not totally known, hypothryoidism is a cause is in some cases so screen if appropriate, women who had depression before or who have poor support systems are more likely to develop severe depression, psychotic features are possible Treatement for postpartum depression Correct Answer -consult psych for psychotherapy -antidepressant medication -support groups -involvement of services to relieve child care burden Presentation of postpartum depression Correct Answer -does not devote usual amount of attention to newborn Postpartum blues features and presentation Correct Answer -within 2 weeks of delivery, at heigh of hormonal change -common (50-85%), typical depressive emotions (plus elation?) -unrelated to the health of mother or baby, social situation, -more common in cultures where emotions are expressed and with family support Postpartum blues course and tx Correct Answer -usually self-limiting -lasts a few days to 2-3 weeks -20% will go on to develop depression in first postpartum year -tx consists of support from family, provider, and other mothers When does postpartum Depression develop Correct Answer weeks to months after delivery How is postpartum depression diagnosed Correct Answer standardized self report or physician screen When is the most likely time in a women's life to develop new onset psychosis? Correct Answer postpartum Most women with gonorrhea are (symptomatic / asymptomatic) Correct Answer asymptomatic carrieres Microbilogy of gonorrhea Correct Answer gram negative diplococcus Oxidase positive colonies Ferments glucose -grows in Thayer-Martin or Martin-Lester medium Gonorrhea sx Correct Answer purulent vaginal discharge Urinary frequency and dysuria Rectal discomfort Sx of disseminated gonorrhea Correct Answer triad of polyarthralgia, tenosynovitis, and dermatitis, or purulent arthritis without dermatitis May be septic The major complication of gonorrhea in females Correct Answer salpingitis Prevention and tx of gonorrhea Correct Answer -abstain from sexual activity for 7 days after tx is started -re-examine after 3 weeks to rule out tx failure or reinfection -use condoms Tx with 250mg ceftriaxone and (1g azithromycin or 100mg doxycycline bid x 7 days) Tx for disseminated gonorrhea Correct Answer -admit -ceftriaxone 1g IM or IV q24h or cefotaxime or ceftizoxime 1g IV q8h -penicillin allergic spectinomycin 2g IM q12h Tx for infant born to untreated mother with gonorrhea Correct Answer ceftriaxone 25-50mg/kg IV or IM NTE 125mg once The most commonly reported notifiable disease in the US Correct Answer chlamydia Microbiology of chlamydia Correct Answer obligate intracellular microorganisms Cell wall similar to gram negative Contain both DNA and RNA Divide by binary fission but grow intracellularly like viruses Can only be grown by tissue culture Risk factors for chlamydia Correct Answer obvious stuff - younger age, sexually active without barrier protection, lower status OCP use INCREASES risk? Sx of chlamydia infection Correct Answer may be asymptomatic -mucopurulent cervical discharge -hypertrophic cervical inflammation Appearance of PID on US Correct Answer ACUTE - "cogwheel sign" - incomplete septation of the tubal wall CHRONIC - "beaded string" - thin tubal wall Microbiology of syphilis Correct Answer treponema pallidum Spirochete