Women’s Health: Gynecological
Infections Exam 179 Questions and
Answers (Latest Update 2024/2025)
GRADED A+
What can cause cervicitis? - CORRECT ANSWERS - gonorrhea
- chlamydia
- Trichomoniasis
- HSV
- HPV
How to diagnose cervicitis? - CORRECT ANSWERS Cervical friability
Purulent cervical exudate
Who is at greater risk of gonorrhea? - CORRECT ANSWERS Women <25 yo who
are sexually active
Do we report gonorrhea to health department? - CORRECT ANSWERS Yes
What is "the clap"? - CORRECT ANSWERS Gonorrhea
What are common clinical manifestations of gonorrhea? - CORRECT ANSWERS -
can be asymptomatic
- purulent vaginal discharge
- urinary frequency
- dysuria
- rectal pain
- vaginal burning/itching
What are uncommon symptoms of gonorrhea? - CORRECT ANSWERS - acute
pharyngitis
- conjunctivitis
- endocarditis and meningitis
What are complications of gonorrhea? - CORRECT ANSWERS - PID
- Fitz-Hugh Curtis syndrome
- Salpingitis
- ectopic pregnancy
- endocarditis
- meningitis
- pregnancy complications
,What causes gonorrhea? - CORRECT ANSWERS Neisseria gonorrhoeae
What is Neisseria gonorrhoeae? - CORRECT ANSWERS Gram negative diplococci
which causes gonorrhea
(think Gonorrhea=Green)
What is used to diagnose gonorrhea? - CORRECT ANSWERS NAAT- genital swab
What is the drawback of NAAT test for gonorrhea? - CORRECT ANSWERS Does
not test for sensitivity
How do we treat gonorrhea? - CORRECT ANSWERS - cover for gonorrhea prior to
results
- ceftriaxone IM once (500mg <150kg and 1g IM >150kg)
- if cephalosporin allergy—> gentamicin IM (240mg) and azithromycin (2g PO)
What is most commonly reported infectious diseases in US? - CORRECT ANSWERS
Chlamydia
Who has an increased risk of chlamydia? - CORRECT ANSWERS People with
multiple sexual partners and lower socioeconomic status
What are the clinical manifestations of chlamydia? - CORRECT ANSWERS -
women commonly are asymptomatic
- mucopurulent vaginal discharge
- pelvic pain
- dyspareunia
- conjunctivitis
- pharyngitis
What are complications of chlamydia? - CORRECT ANSWERS - PID
- fits-Hugh Curtis syndrome
- genital lymphgranuloma venereum
- reactive arthritis
- neonatal conjuncitivits, pneumonia, otitis media
What causes chlamydia? - CORRECT ANSWERS Obligate intracellular organism
(ATYPICAL)
What is used to diagnose chlamydia? - CORRECT ANSWERS NAAT- genital swab
preferred or urine
What is treatment for chlamydia? - CORRECT ANSWERS Doxycline 100mg PO
BID x 7 days
If pregnant: azithromycin 1g PO once
, When should you test of cure for chlamydia? - CORRECT ANSWERS 4-6 weeks
following end of tx in patients with:
- suboptimal tx options
- pregnancy
- persistent symptoms
- concern for noncompliance
Why do we treat both chlamydia and gonorrhea? - CORRECT ANSWERS
What is the pathogenesis of PID? - CORRECT ANSWERS Comprises various
inflammatory disorders of the female upper genital tract:
- endometriosis
- Salpingitis
- tubo-ovarian abscesses
- pelvic peritonitis
What are MC causes of PID? - CORRECT ANSWERS gonorrhea and chlamydia
What normal flora can cause PID? - CORRECT ANSWERS G. Vaginalis
H influenzae
S agalactiae
Increased risk of PID _____ weeks following IUD insertion - CORRECT ANSWERS
3
What are clinical manifestations of PID? - CORRECT ANSWERS - mild/moderate:
- vaginal discharge
- pelvic pain; bilateral
- abdominal pain
- dyspareunia
- increased pain with ambulating (PID SHUFFLE)
- fever can occur
What are complications of PID? - CORRECT ANSWERS - endometritis
- Salpingitis
- septic pelvic thrombophlebitis
- infertility: one single episode of Salpingitis causes infertility in 12-18% of women
How to diagnose PID? - CORRECT ANSWERS - cervicitis with + cervical motion
tenderness on bimanual exam (+ chandelier's sign)
What is tx for PID? - CORRECT ANSWERS - <150 kg ceftriaxone 500 mg IM once
- >150 kg ceftraixone 1g IM once
- if cephalosporins allergy: gentamicin 240 mg IM once and azithromycin 2g PO once
- doxycycline 100 mg PO BID x 14 days
Infections Exam 179 Questions and
Answers (Latest Update 2024/2025)
GRADED A+
What can cause cervicitis? - CORRECT ANSWERS - gonorrhea
- chlamydia
- Trichomoniasis
- HSV
- HPV
How to diagnose cervicitis? - CORRECT ANSWERS Cervical friability
Purulent cervical exudate
Who is at greater risk of gonorrhea? - CORRECT ANSWERS Women <25 yo who
are sexually active
Do we report gonorrhea to health department? - CORRECT ANSWERS Yes
What is "the clap"? - CORRECT ANSWERS Gonorrhea
What are common clinical manifestations of gonorrhea? - CORRECT ANSWERS -
can be asymptomatic
- purulent vaginal discharge
- urinary frequency
- dysuria
- rectal pain
- vaginal burning/itching
What are uncommon symptoms of gonorrhea? - CORRECT ANSWERS - acute
pharyngitis
- conjunctivitis
- endocarditis and meningitis
What are complications of gonorrhea? - CORRECT ANSWERS - PID
- Fitz-Hugh Curtis syndrome
- Salpingitis
- ectopic pregnancy
- endocarditis
- meningitis
- pregnancy complications
,What causes gonorrhea? - CORRECT ANSWERS Neisseria gonorrhoeae
What is Neisseria gonorrhoeae? - CORRECT ANSWERS Gram negative diplococci
which causes gonorrhea
(think Gonorrhea=Green)
What is used to diagnose gonorrhea? - CORRECT ANSWERS NAAT- genital swab
What is the drawback of NAAT test for gonorrhea? - CORRECT ANSWERS Does
not test for sensitivity
How do we treat gonorrhea? - CORRECT ANSWERS - cover for gonorrhea prior to
results
- ceftriaxone IM once (500mg <150kg and 1g IM >150kg)
- if cephalosporin allergy—> gentamicin IM (240mg) and azithromycin (2g PO)
What is most commonly reported infectious diseases in US? - CORRECT ANSWERS
Chlamydia
Who has an increased risk of chlamydia? - CORRECT ANSWERS People with
multiple sexual partners and lower socioeconomic status
What are the clinical manifestations of chlamydia? - CORRECT ANSWERS -
women commonly are asymptomatic
- mucopurulent vaginal discharge
- pelvic pain
- dyspareunia
- conjunctivitis
- pharyngitis
What are complications of chlamydia? - CORRECT ANSWERS - PID
- fits-Hugh Curtis syndrome
- genital lymphgranuloma venereum
- reactive arthritis
- neonatal conjuncitivits, pneumonia, otitis media
What causes chlamydia? - CORRECT ANSWERS Obligate intracellular organism
(ATYPICAL)
What is used to diagnose chlamydia? - CORRECT ANSWERS NAAT- genital swab
preferred or urine
What is treatment for chlamydia? - CORRECT ANSWERS Doxycline 100mg PO
BID x 7 days
If pregnant: azithromycin 1g PO once
, When should you test of cure for chlamydia? - CORRECT ANSWERS 4-6 weeks
following end of tx in patients with:
- suboptimal tx options
- pregnancy
- persistent symptoms
- concern for noncompliance
Why do we treat both chlamydia and gonorrhea? - CORRECT ANSWERS
What is the pathogenesis of PID? - CORRECT ANSWERS Comprises various
inflammatory disorders of the female upper genital tract:
- endometriosis
- Salpingitis
- tubo-ovarian abscesses
- pelvic peritonitis
What are MC causes of PID? - CORRECT ANSWERS gonorrhea and chlamydia
What normal flora can cause PID? - CORRECT ANSWERS G. Vaginalis
H influenzae
S agalactiae
Increased risk of PID _____ weeks following IUD insertion - CORRECT ANSWERS
3
What are clinical manifestations of PID? - CORRECT ANSWERS - mild/moderate:
- vaginal discharge
- pelvic pain; bilateral
- abdominal pain
- dyspareunia
- increased pain with ambulating (PID SHUFFLE)
- fever can occur
What are complications of PID? - CORRECT ANSWERS - endometritis
- Salpingitis
- septic pelvic thrombophlebitis
- infertility: one single episode of Salpingitis causes infertility in 12-18% of women
How to diagnose PID? - CORRECT ANSWERS - cervicitis with + cervical motion
tenderness on bimanual exam (+ chandelier's sign)
What is tx for PID? - CORRECT ANSWERS - <150 kg ceftriaxone 500 mg IM once
- >150 kg ceftraixone 1g IM once
- if cephalosporins allergy: gentamicin 240 mg IM once and azithromycin 2g PO once
- doxycycline 100 mg PO BID x 14 days
