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91 Cards in this Set
- Front
- Back
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if the provider rules out all other causes of bleeding like fibroids and cancer, then we can diagnose it as DUB which is a hormonal imbalance. T or F
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True
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What are the treatments for DUB?
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Hormones
D&C if pt doesnt respond 2 Horm Hysterectomy endometrial ablation |
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A lady with endometrial cancer or ovarian cancer should be referred to a gyn oncologist. T or F
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T
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what is a cyst?:
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A sac filled with fluid
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What is a fibroid?
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A solid tumor
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what are the most common years of fibroids?
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20-40 years. these years are the years of highest estrogen
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Fibroids that stick inside the uterus can contribute to more bleeding. True or False?
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True
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if the fibroids are growing rapidly what do we give?
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giving them progesterone 2 help the bleeding, and balance the estrogen can help 4 sometime
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on regular exam where do you feel the fibroids?
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Posterior
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Treating fibroids can be treated by?
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Myelectomy procedure. which is removal of the myeloma.
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A woman with multiple fibroids that are growing rapidly may need a hysterectomy. True or False
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True
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If a women had a hysterectomy. what would the nursing care be?
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Physiologic impact by having uterus removed
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when can a vaginal hysterectomy be done?
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when the uterus is small
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abdominal hysterectomy is necessary for what?
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for large fibroids. and they could have the complications of any abdominal surgery would have.
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could they remove the uterus thru laprascope?
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yes. where its chopped up thru the vagina.
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Distribution of beta1receptors
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Heart SA node, AV node, atrial and ventricular muscle, His-Purkinje, kidney
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women dont need pap smears who have had hysterectomies, because theres no cervix to test. true or false.
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true
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what is a bartholemian cyst?
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the bartholemian gland secretes mucous into the opening of the vagina. the tract and the opening from the bartholemian gland get blocked and the gland can swell up with fluid in it which is a cyst. but if it gets infected and swells up it can be an abscess.
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what is the treatment of a bart gland or abscess thats big enough 2 cause discomfort.
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An I & D.
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Most women when its an abcess there in agony. true or false
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true
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Uses of a blockers
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Hypertension, pheochromocytoma, BPH (selective a1 blocker)
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if your preparing the exam room for an I and D what do you have to have?
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Cat
local anesthetic gloves gauze 2 mop up drainage have them sign a consent have culture tube |
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if its an abscess we put them on tetra cycline or keplax. true or false
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true
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what is plan B?
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a high dose of progesterone
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which emergency contraception is available OTC in certain pharmacys for women above 17?
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Plan B
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Plan B treatment should be done within how many hours of unprotected sex?
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within 72 hours
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Plan B isnt over the counter for underage 17 year olds. true or false
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true
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what are the effects of high dose progesterone?
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Nausea
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there are other methods to emergency contraception then just plan B, like what?
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if the patient is on BCP's taking a big dose like 4 pills would cause the same effect
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what does a big does of hormones do, in this case progesterone?
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it slows down ovulation
slows transport of ovum thickens cervical mucus interferes with implantation |
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Ethical problem of giving birth control pills to a teenager
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but without them you know she would have multiple partners and have children that are unwanted and not care for
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we dont like to give BCP's to someone who is pregnant. true or false?
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True
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if fertilization has already occurred and implantation, what is emergency contraception going to do?
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nothing
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if a lady is breast feeding, but not exclusively, and wants birth control pills. how long do we give it?
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we only give progesterone for 6 weeks, because estrogen suppresses lactation in those 1st 6 weeks
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The COC take how long to be effective?
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2 weeks
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The deprovera injection if its given in the first 3-5 days of a menstrual cycle, will it be effective right away?
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yes, and it will be in effect by the time of ovulation
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if depo is given later on, do they need a backup method? and for how long?
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yes, for 2 weeks
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when do we start the pills?
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we start during a period or soon after it starts and use backup for 2 weeks
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if were talking about backup 2 prevent pregnancy, is condoms okay?
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Yes
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any women under what age do we offer screening for gonorrhea and chlamydia when they come for gyn exam.
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under 26
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when a women on on birth control pills the bleeding is related to what
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hormonal withdrawl
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hormones suppress what?
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Ovulation
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what is infertility?
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if the couple have been trying for a year and have not become pregnant.
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what is primary infertility?
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if she's never been pregnant.
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what is secondary infertility?
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if she has been pregnant before, but now cant and has been trying for a year and more
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in our assessment what do we want to find out?
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have they been on BCP before
how long have they stopped taking history of menstrual cycle how long is the cycle do you know time of cycle we can have them do basal body charting |
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in the cervix, most women uterus is ante verted and ante flexed. what does this mean?
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it means the uterus is flexed forward and tilted forward
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if the uterus is retroverted and retroflexed where would the cervix be?
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the cervix would be pointing toward the rectum, anteriorly, right under the symphis pubis
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women may have infertility due to stds. t of f? and whats going on?
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T.
chlamydia, gonorrhea can get into the tubes causing infection, adhesion, scarring, and in the pelvis causing PID, with adhesions and they may have infertility. |
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causes of infertility in the female
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tubal problems due to blkge, scarring
big fibroids or polyps inside the uterus ovulating from only one ovary |
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cervical factors in womens infertility could be because of what?
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mucous thats impenetrable
infection of the cervix cervical stenosis ashermans syndrome |
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what is ashermans syndrome?
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when the walls of the uterus adhere together after infection or D&C
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ashermans syndrome could be intentional or unintentional. t or f
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true
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the walls of the uterus can adhere together after endometrial ablation
true or false |
true
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the walls of the uterus could adhere together unintentionally after D&C. t or f
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true
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the walls of the uterus could adhere together after endometritis
true or false |
true
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hormonal factors in women could be what?
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thyroid problems
pituitary problems polycystic ovary disease |
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what is polycystic ovary syndrome?
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its a metabolic condition in which theres insulin resistance, irregular ovulation, and they tend to be 2 much estrogen, androgen, and 2 little progesterone
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Women with polycystic ovary system have higher risk for what?
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diabetes
endometrial cancer and are overweight |
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early menopause would be called what?
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premature ovarian failure
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what test are done to check tubal factors?
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checking fallopian tubes 4 patency
selfpingo hystogram |
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what is a self pingo hystogram?
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a fluid thats injected into the uterus thru the cervix to check for polyps or problems
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can they see the thickness of the endometrium w an ultrasound?
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Yes
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how can they see the tract of the fallopian tubes and what do they see?
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thru fluroscope, xray, or ultrasound. and they see if the tract of the fallopian tubes are blocked, or one of them
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we can check cervical problems other than observing when we do a speculum exam. and what do we check for?
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testing the cervical mucous for sperm antibodies and should be tested around ovulation
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if we want to check hormones, what hormone levels would we check?
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estradiol
progesterone from the pituitary we can check fsh, lh and prolactin |
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if we suspect polycystic ovaries what do we check?
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testosterone level in women and dheas.
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what is the long term treatment for POS?
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Metformin
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what is a poistcoidal test?
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test done after sex
it test men and women for sperm being able to penetrate the cervical mucous. |
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male infertility problems could be related to what?
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testosterone levels
sperm count hydrocele varicocele undescended testicles smoking marijuana or smoking increased levels of caffeine alcohol prostatitis |
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for men infertility what could be checked?
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hormones
sperm sperm motility |
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for men and women the affects of aging have an effect on sperm and ovum and may lead to infertility, miscarriages, and abnormal embryo.
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True
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sperm counts vary and could be influenced by lifestyle and should be checked more than once. true or false?
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True
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if the sperm count or motility remain low assisted reproduction may be the best option for the couple. t or f
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true
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seeing that people have sex at the right time. giving clomid 2 stimulate ovulation is sometimes done. T or F
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True
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what are the risk of clomid
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more than 25% will have multiple pregnancies
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infertility treatment could be what?
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advice
surgery hormonal treatment assisted reproduction |
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which of the following test used 2 diagnose the basis of infertility is done?
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hysteropingogram done early
laprascope exam done early Fsh done anytime endometrial biopsy later test to see if the endometrium is appropriate for implantation |
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the lutheal phase is the last 2 weeks after ovulation. True or false?
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True
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the lutheal phase is the progesterone phase, the last 2 weeks of the cycle after ovulation. true or false
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true
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what is a dormoid cyst?
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A cyst in the ovary that has embryonic cells which are partially developed.
there may be hair, skin, occasionally a tube. they can grow and cause problems, they should be removed. |
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when u take an non nsaid for its anti prostaglandin effect you should always take it with what, and why?
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food, because it can irritate the stomach, and cause bleeding
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you cant take what with flagyl or metromiazole?
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Alcohol
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acyclovir for herpes has to be taken how often for an acute attack?
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every 4 hours
5x every 24 hours |
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women who get recurrent outbreaks of herpes you can take 1 dose daily for prevention. true or false
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True
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Do gonorrhea and chlamydia gave 2 be reported to the public health department. Yes or no
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Yes
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Does trichomonas have 2 be reported? yes or no
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no
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Is HIV reportable?
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NO
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What are the complications of STI's
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Pelvic inflammatory disease
Infertility Tubal ovarian abscesses Ectopic pregnancies |
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when a women comes in with symptoms of PID and we are fairly sure its not appendicitis, after doing exams and testing, we don't know immediately what organisms is causing it so we give which 3 antibiotics?
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1) flagyl or metromiazole
incase she has bacterial vaginosis or trichomonas 2. shot of rocephin 250 mg IM we often give 500 mg just to be sure especially if its a large lady 3. Zithromax- in case they have chlamydia. |
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if a lady gets yeast infections easily what would we give?
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Dilucan, 1 tab, 1 dose, if she starts itching from all of this
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