Gynecological Disorders — Flashcards

Flashcard 1: _____ end of the Ayre's spatula is used for taking Pap smear (from squamocolumnar junction, portio vaginalis of cervix)

Answer: Bifid

Flashcard 2: The **Red Kit** (NACO Kit 5) contains _____ and partner treatment is not required.

Answer: Acyclovir 400 mg (BD for 7 days)

Extra: The Red Kit (Kit 5) is indicated for herpetic genital ulcers. It is the only NACO kit where partner treatment is specifically noted as **not required** (unless the partner is also symptomatic). **NACO STI Kits Summary:** • Kit 1 (Grey): Urethral/Cervical discharge • Kit 2 (Green): Vaginal discharge • Kit 3 (White): Genital ulcer (non-herpetic) • Kit 4 (Blue): Genital ulcer (non-herpetic, Penicillin allergic) • **Kit 5 (Red): Genital Herpes** • Kit 6 (Yellow): Lower abdominal pain (PID) • Kit 7 (Black): Scrotal swelling

Flashcard 3: _____ end of the Ayre's spatula is used for taking samples for vaginal cytology

Answer: Blunt

Flashcard 4: The instrument shown in the image is _____ speculum

Answer: Auvard

Flashcard 5: Transvaginal _____ is done to differentiate between the bicornuate uterus and a septate uterus if either is suspected on HSG

Answer: 3D ultrasonography

Flashcard 6: Identify the type of hymen: _____

Answer: Parous

Flashcard 7: Venetian blind appearance on USG is suggestive of _____

Answer: Adenomyosis

Flashcard 8: CDC Minimum Clinical Criteria for the diagnosis of PID (one or more required): 1. _____ tenderness 2. Uterine tenderness 3. Adnexal tenderness

Answer: Cervical motion

Extra: According to the CDC, empiric treatment for PID should be initiated in sexually active young women and other women at risk for STIs if they are experiencing pelvic or lower abdominal pain, if no cause for the illness other than PID can be identified, and if one or more of these minimum clinical criteria are present on pelvic examination. Additional criteria that support the diagnosis include fever (>38.3°C), abnormal cervical/vaginal discharge, and elevated ESR/CRP.

Flashcard 9: _____ vaginalis presents with a yellow-green discharge (color)

Answer: Trichomonas

Flashcard 10: _____ does change the vaginal pH

Answer: Gardnerella vaginalis