OB/GYN- UWISE Exam | Questions & 100% Correct Answers (Verified) | Latest Update | Grade A+

What should be done in a patient with ASCUS and HPV+ ? : colposcopy What should be discussed/ordered in a young sexually active female? : contraception and G/C (STI) screening In what terms is a PAP not indicated? : 1. hysterectomy (unless 2/2 cervical CA) 2. age 65-70 if had 3 consecutive neg pap smears or 2 neg and no h/o CIN What 2 measures are needed at every yearly well woman exam in elderly? 2 | P a g e : rectovaginal bimanual mammogram What is the recommending screening for PAPs in 30- 65 yo? : q5 years if include HPV What should be done in a 28 yo with HSIL? : immediate colpo or LEEP!!! (regardless of HPV ordered or not) What is likely reason for lower abd pain, adnexal tenderness, fever, CMT and vaginal discharge? : acute salpingitis (PID) If syphilis is suspected, what should be ordered? : treponemal specific test 3 | P a g e What should always be done if you are suspicious for herpes? : offer screening for other STIs What is seen in a patient with yellow frothy discharge and erythematous patches on cervix? : strawberry cervicitis motile ovoid protozoa with flagella What is seen in a patient with BV? : clue cells fishy odor with drop of KOH What is seen in a patient with thick white clumpy discharge? : (yeast) budding yeast and pseudo-hyphae 4 | P a g e What is the cause of suspected herpes with recurrent negative cultures? : have 10-20% false negative rate (lesions very early in course better to culture) In what situation is informed conset not needed? : emergency situation if delay in treatment would risk patients health/life What should be done in a patient requesting C/S because she is scared of pain? : agree with decision after proper counseling and perform c/s at 39 weeks What is the view on HIPPA? : it is the responsibility of the of physicians/healthcare workers; may be fined and/or assessed criminal pena