Answer 15

15.  Choice A is the correct answer.  Endometriosis presents frequently with dysmenorrhea, cyclic chronic pelvic pain, infertility, and dyspareunia.  One or all of these symptoms maybe present.  Definitive diagnosis can only be made by laparoscopy.

Question 15

15.  All of the following are symptoms of endometriosis except:

1. Incontinence
2. Infertility
3. Dyspareunia
4. Dysmenorrhea

Answer 14

14.  Choice D is the correct answer.  Rocephin is the treatment of choice for gonorrhea.  Doxycycline and Zithromax 1 gram PO covers for Chlamydia.  Flagyl is the treatment of choice for Trichomonas.  Flagyl also covers Gardnarella.  

Question 14

14.  Which of the following is the treatment of choice for gonorrhea?

1. Zithromax 1 gram PO times one dose
2. Doxycycline 100 mg PO BID
3. Flagyl 500 mg BID for 7 days
4. Rocephin 250 mg IM times one dose

Answer 13

13.  Choice A is the correct answer.  This is a bartholin cyst.  Surgical treatment is necessary with incision and drainage.  Penicillin G is the treatment for syphillis.  Chancre typically do not have purulent drainage.  Acyclovir is for herpes.  They are typically vesicular lesions on an erythematous base.  Diflucan is the treatment for candidiasis.

Question 13

13.  Your patient is a 28 year old female that presents with the condition shown in the picture below.  Which of the following is the best causative action?

1. Incision and drainage
2. Penicillin G 2.4 million units IM
3. Acyclovir 200 mg PO 5 times a day.  
4. Diflucan 150 mg PO times one dose

Answer 12

12.  Choice C is the correct answer.  Syphillis does not predispose women to vaginal candidia infections.  Diabetes, antibiotic use, and steroid therapy all predispose women to vaginal candidia infections.

Question 12

12.  All of the following conditions predisposes women to vaginal candidia infections except?

1. Diabetes
2. Antibiotic use
3. Syphillis 
4. Steroid therapy

Answer 11

11.  B is the correct answer.  This a syphillis chancre.  It is a painless lesion characteristically.  Bartholin Cysts are more internal.  Acyclovir would be appropriate for herpes simplex which are grouped vesicles on an erythematous base.  Triamcinolone cream is appropriate for steroid responsive dermatoses.  

Question 11

11.   Your patient presents with the lesion below on her external genitalia.  Which of the following is the best treatment?

  

1. Drain the Bartholin cyst
2. Penicillin G 2.4 million units IM
3. Start Acyclovir 
4. Start Triamcinolone Cream BID