Cedrick
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A 26 year old woman comes to the physician because of a 2 year history of recurrent episodes of cystitis that are associated with sexual intercourse
her symptoms began after she married her husband
vital signs are normal
physical examination and urinalysis shows no abnormalities
whcih of the following practices is most likely to decrease the frequency of these infections?
a.-douching on a weekly basis
b.-drinking 8 ounces of fluids immediately prior to inetrcourse
c.-having her husband use a condom
d.-using a diaphram for contraception
e.-voiding soon after intercourse
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| robin082006
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C, this q has been discussed.
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| Cedrick
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oh ok,and I agree
C
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| docarchana
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i think E is the better choice..
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| X-Ray
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C
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| Allymd
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I agree with E...
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| blueocean
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E-
preventive measures for cystitis include:
drinking large amounts of fluid
voiding after intercourse
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| Addicudo
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My best guess .. E .. !
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| Addicudo
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http://www.prep4usmle.com/forum/comments.php?id=3... that are associated with sexual intercourse
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... Idle hands are the DeVilS play ground ...
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| klimt
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E sounds better...it was my first choice too
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| smal
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E,
quite an unusual thing.
i marked C
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| ManuNastai
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Robin my friend, you see? The answer was discussed, but wasn't decided. I also go with E
It is not unusual at all! I just happened to ask my nephrology professor the other days why do women get repeated cystitis and what prophilactic measures should be taken. The thing is that, as was stated earlyer, it is not a STD; women get it because during sexual intercourse, the penis "forces" the normal perineal flora, in which eColi and s. Saprophiticus are major constituents, up the urethra. By emptying the blader postcoital, you wash away those bacteria preventing infection. Another measure would be medication precoital, but that's uncomfortable but the best choice for preventing it in repeated infections (singledose of TMP-SMX or single dose of quinolones)
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"Love is the only inflamation of the heart that drains in the vagina" (translation after Dr Petre Florescu, Professor of Pathology, UMF "Iuliu Hatieganu", Cluj Napoca
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| drfax
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Why not B.??
it is also a good way to make u pee after a while, so the same as E.
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| ManuNastai
Transilvanian..
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because after that the sex partener would be disturbed by the water bouncing in the woman's stomack
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"Love is the only inflamation of the heart that drains in the vagina" (translation after Dr Petre Florescu, Professor of Pathology, UMF "Iuliu Hatieganu", Cluj Napoca
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| saturn
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i think its e
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| aim
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e
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