ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
Trichomonas vaginitis diagnosis criteria: - ANSWERS-bacterial infection of lower
urinary tract
profuse, frothy, greenish, foul-smelling discharge
PH > 5.0
vaginal erythema with multiple small petechiae
wet mount=increase polymorphonuclear cells & motile flagellates
QUESTION 2
trichomonas vaginitis treatment - ANSWERS-Metronidazole PO
*treat partner* sex avoided or condom use until symptoms resolve
increase incidence of HIV, perinatal complications
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, CMN 572 UNIT 1 EXAM 2025
QUESTION 3
side effects & contraindications of metronidazole - ANSWERS-N/V with alcohol
Contraindications: neutropenia & CNS diseases
QUESTION 4
atrophic vaginitis symptoms & treatment - ANSWERS-vaginal dryness, thinning,
burning, itching, painful intercourse
pre-pubertal, lactating & postmenopausal women
PH of vagina is abnormally high 5-7.0
Tx: intravaginal estrogen cream
QUESTION 5
cervical polyps symptoms & diagnosis - ANSWERS-intermenstrual or postcoital
bleeding
soft, red protrustion from cervical canal at external os
Dx: microscopic exam confirms benign polyp
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, CMN 572 UNIT 1 EXAM 2025
QUESTION 6
leukorrhea - ANSWERS-white/yellow mucous discharge from the vagina
QUESTION 7
polycystic ovary syndrome (PCOS) symptoms & diagnosis criteria - ANSWERS-
persistant anovulation leading to enlarged ovaries, amenorrhea/oligomenorrhea
obesity, hirsutism and infertility
2 out of 3 to diagnose:
1. oligomenorrhea or amenorrhea
2. hyperandrogenism
3. polycystic ovaries on US
QUESTION 8
Signs of Hyperandrogenism - ANSWERS-Hirsutism (excess facial or body hair)
Persistent acne and/or oily skin.
Alopecia (thinning hair on the head)
Insulin resistance
Acanthosis nigricans (rough, darkly pigmented areas of skin)
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, CMN 572 UNIT 1 EXAM 2025
High blood pressure
QUESTION 9
Chancroid symptoms and treatment - ANSWERS-Caused by Haemophilus
ducreyi-reportable
painful, tender genital ulcer with foul discharge
Tx: azithromycin, sexual partners with contact in past 10 days also treated
QUESTION 10
Lymphogranuloma venereum (LGV) - ANSWERS-tender inguinal
lymphadenopathy, often with genital ulcers
Dx: isolating Chlamydia from enlarged lymph node
Tx: Doxycyline
found in subtropic areas & SE US
QUESTION 11
Postpartum Endomyometritis - ANSWERS-common cause fever in postpartum pt
fever & uterine tenderness
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