Following a visit to her campus medical clinic motivated by ...

[awywial]

Following a visit to her campus medical clinic motivated by persistent abdominal pain and dyspareunia, a 20-year-old female college student has been referred for a diagnostic workup to rule out pelvic inflammatory disease.
 
  Her elevated white cell and C-reactive protein levels lead her care provider to suspect pelvic inflammatory disease (PID). What follow-up question is most likely to help with the differential diagnosis?
  A)
  Are you using tampons during your period or do you normally use pads?
  B)
  What does your daily hygiene routine usually consist of?
  C)
  How many sexual partners have you had?
  D)
  Have you ever had a therapeutic abortion in the past?

Question 2

Which of the following factors are known to contribute to vaginal yeast infections? Select all that apply.
 
  A)
  Inflammation of the Skene and Bartholin glands.
  B)
  Poorly controlled diabetes
  C)
  Recent antibiotic therapy
  D)
  Excessive physical exercise
  E)
  Use of oral contraceptives
  F)
  High hormone levels during pregnancy

[bd5255]

Answer to Question 1

Ans:
C

Feedback:

Having multiple sex partners is a factor that has been identified in the development of PID. The use of tampons, inadequate hygiene, and a history of TA are less likely to predispose to PID.

Answer to Question 2

Ans:
B, C, E, F

Feedback:

Reported risk factors for the overgrowth of C. albicans include recent antibiotic therapy, which suppresses the normal protective bacterial flora; high hormone levels owing to pregnancy or the use of oral contraceptives, which cause an increase in vaginal glycogen stores; and uncontrolled diabetes mellitus or HIV infection, because they compromise the immune system. Exercise and glandular inflammation are not noted risk factors for yeast infections.

[awywial]

Thank you

[bd5255]

Happy to help you