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FEMALE GENITOURINARY SOAP NOTE FOR1
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FEMALE GENITOURINARY SOAP NOTE FOR1
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FEMALE GENITOURINARY SOAP NOTE FORMA sexually active woman should be aware that genital herpes simplex virus?? -
ANSWER may be transmitted to a partner or newborn even in the absence of lesions
because of viral shedding.
Susan is 9 months pregnant and asks you about using umbilical cord blood after
birth for newborn DNA identification. What do you tell her?? - ANSWER This cord
blood sample is identical to the genetic profile of the infant.
A 17 year old female patient request to start Depo-Provera injections as her method
of birth control. She discloses that she has had four sexual partners in the past year.
Her last menstrual period was 12 days ago and she had unprotected intercourse 3
days ago. The appropriate managment for this patient would be to?? - ANSWER
advise her to use another method for now and return with her next menses??
The simplest and safest method of suppressing lactation after it has started is to?? -
ANSWER gradually wean the baby to a bottle or cup over a 3week period.
In a premenopausal woman, the biggest heart attack risk factor is?? - ANSWER
cigarette smoking
First-line treatment for polycystic ovary syndrome is?? - ANSWER a combination of
diet modification, weight loss, and stress management.
If a woman is using the basal body temperature method of birth control and does not
want to become pregnant, when would you tell her to avoid unprotected
intercourse?? - ANSWER From the beginning of the menstrual cycle until the BBT
has been elevated for 3 days.
Which of the following is a sexually transmitted infection?? - ANSWER Trichomonal
vaginitis
In a patient diagnosed with cervical gonococcal infection, you would also suspect a
co-infection with?? - ANSWER chlamydia
Jennifer, age 27, is complaining of lower abdominal pain. After doing some
laboratory studies, you find leukocytosis, an elevated erythrocyte sedimentation rate,
and an elevated C-reative protein level. Whcih is the most appropriate diagnosis?? -
ANSWER Pelvic inflammatory disease
Human papillomavirus may lead to ?? - ANSWER cervical dysplasia
Gerri, a 33 year old female patient, complains of external vaginal irritation after
adding new fabric softener to her laundry. You have diagnosed her with recent
vaginitis. The treatment of choice for this condition includes?? - ANSWER rewashing
undergarments without fabric softener and applying corticosteroids to the affected
area.
, A dancer from an adult club down the street comes in for a renewal of her birth
control pill prescription. She says that everything is fine. ON examination, you find
grayish white vaginal discharge, and cervical motion tenderness. Which of the
following differential diagnosis is most unklikely?? - ANSWER Interstitial cystitis
Leiomyomas are found ?? - ANSWER within the uterine wall
When a woman complains of dyspareunia in the lower back during orgasm, you
should consider?? - ANSWER endometriosis
A 27 year old female presents to your office for a Mirena insertion. She reports that
her menses started 3 days ago and is normal. How soon after insertion will she be
able to safely rely on it for contraception?? - ANSWER Immediately
Mary, age 50, desires hormone replacement therapy for her hot flashes, which she
can't stand. You've discussed the pros and cons and given her some alternative
suggetions. Her mother had a history of osteoporosis. You have decided to initiate
therapy for 1 year. She asks you if she also needs to take calcium or vitamin D for
prevention of osteoporosis. How do you respond?? - ANSWER Yes, calcium intake
should be increased to 1200mg/day along with 600mg of vitamin D to decrease bone
turnover and increase intestinal absorption.
Julia, age 60, asks you about taking Fosamax. What do you tell her about using this
medication?? - ANSWER In addition to its efficacy in the treatment of osteoporosis in
postmenopausal women, it is also useful for the prevention of osteoporosis.
Which type of breast cancer involves infiltration of the nipple epithelium and has an
initial symptom of itching or burning of the nipple?? - ANSWER Paget's disease
Which type of incontinence has associated symptom of recurrent cystitis?? -
ANSWER stress incontinence
The most common type of vaginal infection is?? - ANSWER bacterial vaginosis
Which of the following is an indication for a colposcopy?? - ANSWER a pap smear
showing dysplasia
Which of the following statements do you use when instructing women about their
fertile period?? - ANSWER Ovulation occurs on the 14th day, plus or minus 2 days,
before the next menses.
Jennifer, a 25-year old female patient, complains of dysuria. In taking a thorough
history to formulate a diagnosis, it is most important to ask?? - ANSWER Do you
have an associated vaginal discharge or irritation??
Sydney, age 21, is taking an oral contraceptive. She complains of acne. How should
you adjust the estrogen in the OC?? - ANSWER Increase the estrogen content
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