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M & W Health NP
Info & Q: NP EXAM
| Question | Answer |
|---|---|
| First line tx for dysmenorrhea? | NSAIDS and ibuprofen |
| Mechanism of Action for NSAIDS? | inhibit prostaglandin synthesis; prostaglandin cause the uterus to contract |
| Girls that have amenorrhea are at risk for what? | osteoporosis because of prolonged hypoestrogenic states |
| Increase risk of cervical cancer when exposed to? | HPV |
| ACOG: When should girls get first cervical cytology screening? | 3 years after first intercourse or by age 21 |
| ACOG: Women up to age 30 should have cervical screening cytology how often? | Annual because younger women are at higher risk |
| ACOG: "LOW RISK" Women over age 30 should have cervical screening cytology how often? | A "LOW RISK" pt after 3 negative screenings on 3 consecutive visits then can prolong screen to every 2-3 yrs |
| ACOG: "HIGH RISK" Women over age 30 should have cervical screening cytology how often? | Annual because "HIGH RISK" includes multiple partners, HIV etc. |
| Assessment Finding: Thick, white, curd-like vaginal discharge usually with c/o intense itching | Vulvovaginal Candidiasis; yeast infection |
| If suspect candidiasis, why do KOH prep? | Looking for budding yeast thus confirmation of Dx |
| Tx for Typical Yeast? | Fluconazole (Diflucan) PO; OTC antifungals work pretty good too so if pt taking OTC and not better give something to tx Atypical yeast |
| Tx for Atypical Yeast? | Terconazole (Terazol) suppository or cream |
| What tx for pregnant women with candidiasis? | NO PO; use topical "azole" for 1 week; no 3 day tx |
| Another name for Stein Leventhal Syndrome is? | Polycystic Ovarian Disease (PCOS) |
| Assessment Findings: Oligomenorrhea or amenorrhea; hyperandrogenism, hyperinsulinemia, possibly obesity | PCOS |
| What is Oligomenorrhea? | fewer than 9 menses per yr |
| What is Amenorrhea? | no menses for 3 or more months |
| Describe Hyperandrogenism: | hirsutism (facial hair), acne, seborrhea, alopecia, voice changes, hypertrophy of the clitoris |
| Tx for PCOS if pregnancy is desired? (maybe not so comfortable in giving) | Clomiphene (Clomid) causes "litter" |
| Tx for PCOS if pregnancy is disired? (comfortable in giving) | Metformin |
| Black kohash (phytoestrogens) an herb is contraindicated in which women? | Hx of breast Ca |
| Combined OCs are contraindicated in a pt with what? | DVT |
| A 15 year old female has never menstruated what is important to assess? | Tanner Stage |
| At what age no matter the Tanner stage should you be concerned that the girl has not started menstruating? | Age 16 |
| When should we advise backup method of birth control even if on combined OCs? | If the pt is on Antibiotic |
| The whiff test is used to test for? | Bacterial Vaginosis (BV) |
| Dx Trichomoniasis with slide or culture? | slide |
| Dx Gonorrhea with slide or culture? | culture |
| Dx Yeast with slide or culture? | slide |
| Dx Chlamydia with slide or culture? | culture |
| Dx Bacterial Vaginosis with slide or culture? | side |
| Dx Syphilis with slide or culture? | culture |
| Clue cells indicate what? | bacterial vaginosis (BV) |
| Hyphae and spores indicate what? | candida, yeast |
| What is the treatment for BV? | metrondiazole (Flagyl) |
| What education should we tell pts taking metrondiazole? | Avoid alcohol; produces disulfiram effect where there is increase in acetaldehyde causing "hangover" effect |
Created by:
dprest
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