Question

question 6
1 pts
what should be used for women whose hirsutism remains refractory after 6 months of combined oral contraceptive use?
antandrogens
progestogens
metformin
gnrh
question 7
1 pts
how does vaginosis differ from vaginitis?
it must be treated with metronidazole.
the discharge does not contain white blood cells.
the discharge does not have an odor.
it causes itching and/or burning.
question 8
1 pts
what distinguishes pyelonephritis from cystitis?
the infection has descended to the bladder.
the infection has ascended to the kidneys.
the infection is caused by e. coli bacteria.

Explanation:

Question 6

Hirsutism refractory to combined oral contraceptives (COCs) is managed with antiandrogens, as they counteract androgen effects. Progestogens, metformin, and GnRH are not primary for this refractory case.

Vaginosis (e.g., bacterial vaginosis) differs from vaginitis (inflammatory) as vaginosis discharge lacks white blood cells (no inflammation), while vaginitis has them. Metronidazole use, odor, and itching/burning don't distinguish them (vaginosis can have odor, vaginitis can itch).

Pyelonephritis is kidney infection (infection ascends to kidneys), cystitis is bladder infection. Infection descending to bladder is cystitis, E. coli can cause both, so the key is infection ascending to kidneys.

Answer:

A. Antiandrogens

Question 7