CMN 572 UNIT 1 QUESTIONS & ANSWERS
What does TPAL stand for? - Answer -Term birth-preterm deliveries-abortions-living
children
At what age does a woman have the option for mammogram every year? - Answer -40-
44
What age do women get a mammogram yearly? - Answer -45-54
When is a MRI of breast indicated? - Answer -patients that carry BRCA1/2 mutations or
very strong family hx of breast cancer
What vaginal ph indicates fungal infection? - Answer -4-5, acidic
What vaginal ph indicates BV and trichomonas? - Answer -5.5-7, alkaline
What do you test for with saline wet mount? What other two things could you test for? -
Answer -trichomonas. Candida albicans and BV looking for clue cells
If you do the "whiff" test and it smells "fishy" what does that indicate? - Answer -BV
What is required to dx UTI and use to guide tx? - Answer -culture and antibiotic
sensitivity testing
A patient has to sign a consent to have what blood test? - Answer -HIV
What two important group of pts benefit the most from colposcopy? - Answer -pts with
abn pap smear and DES-exposed daughters who may have dysplasia of the vagina or
cervix
What is the most frequently reported STD in US? - Answer -chlamydia
What organism causes chlamydia and incubation period? - Answer -c. Trachomatis. 7-
21 days
Who is at risk for chlamydia? (6) - Answer -adolescence, new/mult. Partners, hx of std,
current std, OC user, no barrier contraception
First line tx for uncomplicated chlamydia over 8 yr old? - Answer -1gm azithromycin po
or doxycyline BID for 7 days
What screening is done for chlamydia and what is the gold standard? - Answer -NAAT,
gold standard culture vagina/penis (esp sexual abuse)
, When are adolescents retested for chlamydia? - Answer -3-4 months after tx.
When do you retest pregnant women for chlamydia and how? - Answer -repeat NAAT 3
weeks after therapy, again in 3 months
What does screening for chlamydia reduce? - Answer -incidence of PID. Use NAAT
When do you screen <25 sexually active? - Answer -yearly
When do you screen for chlamydia if over 25? - Answer -if RF present
What STD's are reportable? - Answer -chlamydia, gonorrhea, syphillis
When are you going to evaluate/test/tx partners exposed to chlamydia and gonorrhea? -
Answer -within 60 days preceding dx
Who you going to evaluate and tx even if last sexual contact with chlamydia or
gonorrhea person was over 60 days? - Answer -most recent partner
How long do they abstain from sex after tx of chlamydia? - Answer -7 days post tx
Who can be asymptomatic with chlamydia? - Answer -both men and women
What organism causes gonorhhea? - Answer -n. Gonorrhoeae
Who is at risk for gonorrhea? - Answer -new/mult partners, no condoms, adolescents,
drug use, low socio-econ, prostitution, african americans
Uncomplicated gonorrhea is tx'd with? - Answer -cetriaxone 250mg IM and
azithromycin 1gm po x 1 dose
If pregant person has gonorrhea and allergy to azithromycin then what? - Answer -refer
to ID, needs desensitizing
What test for gonorrhea? If sexual abuse suspected then what do you do? - Answer -
NAAT. Culture must be done
When do you retest for gonorrhea and why? - Answer -3 months. Risk for reinfection
Who tends to be symptomatic with gonorrhea? - Answer -males
What symptoms of gonorrhea may men have? - Answer -urethritis, epididymitis
What symptoms of gonorrhea for women? - Answer -cervicitis, intermenstrual bleeding,
dysuria, lower AP, dyspareunia, easily inducible cervical bleeding, urethritis
What does TPAL stand for? - Answer -Term birth-preterm deliveries-abortions-living
children
At what age does a woman have the option for mammogram every year? - Answer -40-
44
What age do women get a mammogram yearly? - Answer -45-54
When is a MRI of breast indicated? - Answer -patients that carry BRCA1/2 mutations or
very strong family hx of breast cancer
What vaginal ph indicates fungal infection? - Answer -4-5, acidic
What vaginal ph indicates BV and trichomonas? - Answer -5.5-7, alkaline
What do you test for with saline wet mount? What other two things could you test for? -
Answer -trichomonas. Candida albicans and BV looking for clue cells
If you do the "whiff" test and it smells "fishy" what does that indicate? - Answer -BV
What is required to dx UTI and use to guide tx? - Answer -culture and antibiotic
sensitivity testing
A patient has to sign a consent to have what blood test? - Answer -HIV
What two important group of pts benefit the most from colposcopy? - Answer -pts with
abn pap smear and DES-exposed daughters who may have dysplasia of the vagina or
cervix
What is the most frequently reported STD in US? - Answer -chlamydia
What organism causes chlamydia and incubation period? - Answer -c. Trachomatis. 7-
21 days
Who is at risk for chlamydia? (6) - Answer -adolescence, new/mult. Partners, hx of std,
current std, OC user, no barrier contraception
First line tx for uncomplicated chlamydia over 8 yr old? - Answer -1gm azithromycin po
or doxycyline BID for 7 days
What screening is done for chlamydia and what is the gold standard? - Answer -NAAT,
gold standard culture vagina/penis (esp sexual abuse)
, When are adolescents retested for chlamydia? - Answer -3-4 months after tx.
When do you retest pregnant women for chlamydia and how? - Answer -repeat NAAT 3
weeks after therapy, again in 3 months
What does screening for chlamydia reduce? - Answer -incidence of PID. Use NAAT
When do you screen <25 sexually active? - Answer -yearly
When do you screen for chlamydia if over 25? - Answer -if RF present
What STD's are reportable? - Answer -chlamydia, gonorrhea, syphillis
When are you going to evaluate/test/tx partners exposed to chlamydia and gonorrhea? -
Answer -within 60 days preceding dx
Who you going to evaluate and tx even if last sexual contact with chlamydia or
gonorrhea person was over 60 days? - Answer -most recent partner
How long do they abstain from sex after tx of chlamydia? - Answer -7 days post tx
Who can be asymptomatic with chlamydia? - Answer -both men and women
What organism causes gonorhhea? - Answer -n. Gonorrhoeae
Who is at risk for gonorrhea? - Answer -new/mult partners, no condoms, adolescents,
drug use, low socio-econ, prostitution, african americans
Uncomplicated gonorrhea is tx'd with? - Answer -cetriaxone 250mg IM and
azithromycin 1gm po x 1 dose
If pregant person has gonorrhea and allergy to azithromycin then what? - Answer -refer
to ID, needs desensitizing
What test for gonorrhea? If sexual abuse suspected then what do you do? - Answer -
NAAT. Culture must be done
When do you retest for gonorrhea and why? - Answer -3 months. Risk for reinfection
Who tends to be symptomatic with gonorrhea? - Answer -males
What symptoms of gonorrhea may men have? - Answer -urethritis, epididymitis
What symptoms of gonorrhea for women? - Answer -cervicitis, intermenstrual bleeding,
dysuria, lower AP, dyspareunia, easily inducible cervical bleeding, urethritis
