Reproductive Health - Cervicitis and PID exam
1. Who are STIs MC in?: MC in adolescents and young adults aged 15-24 years
2. What is the MC STI?: MC = Chlamydia
3. What is the MCC of cervicitis?: MCC = STI
4. What is cervicitis and what does it affect?: - inflammation of the uterine cervix that affects the
columnar epithelial cells of endocervical glands and may also affect squamous epithelium of ectocervix
5. What are the MCO for acute cervicitis?: MCOs = Chlamydia trachomatis > Neisseria gonorrhoeae
- also HSV, Mycoplasma genitalium, Trichomonas vaginalis
6. What is chronic cervicitis usually caused by?: - mechanical irritation (trauma from surgical
instruments or foreign objects)
- chemical irritation (latex, vaginal douches, spermicides, contraceptive creams)
7. What are the characteristic symptoms of cervicitis?: - PURULENT or mucopurulent (yellow)
endocervical EXUDATE
- endocervical bleeding that is easily caused by gently passing endocervical swab through cervical os
1/5
, May also be asymptomatic
8. What are additional possible symptoms of cervicitis?: - dysuria
- urinary frequency
- dyspareunia
- vulvovaginal irritation
- edema of cervical ectropion
- postcoital bleeding
9. How does a normal cervix appear of a nulliparous female?: Smooth and round
10. What is nulliparous?: - no vaginal delivery
11. How does a normal cervix appear of a parous female?: Uneven, wide, "fish mouth"
12. Who is cervicitis MC in?: MC in <25 y/o
13. What appears on PE of cervicitis?: - purulent/mucopurulent discharge on ectocervix or exuding
from endocervical canal
- bleeding upon touching cervix with a cotton swab (friability)
14. What type of physical exam should be performed if cervicitis is suspected
2/5
1. Who are STIs MC in?: MC in adolescents and young adults aged 15-24 years
2. What is the MC STI?: MC = Chlamydia
3. What is the MCC of cervicitis?: MCC = STI
4. What is cervicitis and what does it affect?: - inflammation of the uterine cervix that affects the
columnar epithelial cells of endocervical glands and may also affect squamous epithelium of ectocervix
5. What are the MCO for acute cervicitis?: MCOs = Chlamydia trachomatis > Neisseria gonorrhoeae
- also HSV, Mycoplasma genitalium, Trichomonas vaginalis
6. What is chronic cervicitis usually caused by?: - mechanical irritation (trauma from surgical
instruments or foreign objects)
- chemical irritation (latex, vaginal douches, spermicides, contraceptive creams)
7. What are the characteristic symptoms of cervicitis?: - PURULENT or mucopurulent (yellow)
endocervical EXUDATE
- endocervical bleeding that is easily caused by gently passing endocervical swab through cervical os
1/5
, May also be asymptomatic
8. What are additional possible symptoms of cervicitis?: - dysuria
- urinary frequency
- dyspareunia
- vulvovaginal irritation
- edema of cervical ectropion
- postcoital bleeding
9. How does a normal cervix appear of a nulliparous female?: Smooth and round
10. What is nulliparous?: - no vaginal delivery
11. How does a normal cervix appear of a parous female?: Uneven, wide, "fish mouth"
12. Who is cervicitis MC in?: MC in <25 y/o
13. What appears on PE of cervicitis?: - purulent/mucopurulent discharge on ectocervix or exuding
from endocervical canal
- bleeding upon touching cervix with a cotton swab (friability)
14. What type of physical exam should be performed if cervicitis is suspected
2/5
