Answers to women’s health quiz

1.  Fibrocystic, cysts

2. .imbalance of progesterone and estrogen

3.  F.

4.  .mammography, sonography, needle biopsy

5.   restrict sodium intake, mild diuretic, limit caffeine, oral contraceptives, Danocrine (danazol), aspiration of cysts, surgical removal
6. mastitis
7. D
8. B
9. Endometriosis
10. inflammation, fibrosis, formation of adhesions
11. B
12. cause unknown
13. C.
14. laparoscopy or laparotomy
15. surgical and medical therapies
16. Pregnancy or menopause.  Oral contraceptives, Danocrine (danazol)
17. ovarian cysts
18. pressure, cramping, constipation,
19. ultrasound, CT scan, laparoscopy
20. oral contraceptives, surgery if the cyst is large
21. luteal
22. diary, when Sx occur and to what extent
23. avoid caffeine, alcohol, refined sugars, and salt, increase intake of complex carbohydrates, Vit B complex and Vit E
24. oral contraceptives, prostaglandin inhibitors, antidepressants, diuretics
25. C.
26. use of tampons, contraceptive sponges and diaphragms
27. fever, chills sore throat, H/A, sunburn like rash, with peeling of skin on palms and soles, ulcerations of mucous membranes
28. D.
29. basic hygiene, change tampons every 1-4hrs, don not leave contraceptive sponges and diaphragms in place for longer than 24hrs
30. Candida albicans
31. recent antibiotic therapy, immunosuppression, HIV
32. T
33. oral or intravaginal antifungals (clotrimazole, miconazole)
34. the partner must also be treated
35. Gardnerella
36. thin, watery vaginal discharge w/ “fishy” odor, pruritis, presence of clue cells on microscopic exam
37. KOH
38. metronidazole (Flagyl)
39. avoid alcohol during Tx and up to 48 hrs after
40. B.
41. oral metrondazole
42. PID, infertility, ectopic pregnancy
43. C.
44. azithromycin, doxycycline or erythromycin
45. multiple blister like vesicles that rupture and form ulcerations, pain, dysuria, flu-like Sx
46. Zovirax (acyclovir), Valtrex (valacyclovir)
47. Syphilis
48. painless chancre appears at entry site, fever, loss of wt, malaise
49. 6 weeks and 6 months, wart-like eruptions, acute arthritis, enlargement of the liver and spleen
50. 2 years
51. CNS, eyes, ears, bones and any body organ, often fatal
52. RPR, VDRL
53. penicillin or doxycycline
54. PID, infertility, ectopic pregnancy
55. D.
56. T.
57. Rocephin (ceftriaxone) IM plus doxycycline or erythromycin
58. Genital warts, human papilloma
59. single or multiple soft, grayish pink, cauliflower-like lesions
60. cyotherapy, podofilox, podophyllin, laser Tx, trichloroacetic acid
61. multiple sex partners, Hx of PID, recent GYN procedure, IUD
62. E.
63. laparoscopy
64. D.
65. Group B streptococcal infection
66. NO!, at least 3 months
67. implantation of the fetus outside the uterus, usually in the fallopian tube
68. laparoscopy, ultrasound, laparotomy
69. methotrexate
70. hemorrhage
71. termination of pregnancy prior to viability
72. cervix is open, heavy bleeding, fetus passed, placenta retained, severe cramping, uterus smaller than expected for length of pregnancy, usually needs a D&C
73. abnormal development of placenta resulting in fluid-filled grape-like clusters (hydropic vessels)
74. Choriocarcinoma- a highly malignant cancer
75. prevention of pregnancy during follow-up for at least 1 yr
76. cycle of violence- tension-building phase, acute battering, honeymoon phase
77. assure pt they did not do anything to cause the rape, do not allow them to shower or burn clothes- preserve as much evidence as possible