021715 GU infec

Question 1

thick yellow discharge

Answer 1

gonorrhea

Question 2

diagnosis for trichomonas

Answer 2

easy right at the time–microscopic exam of discharge

Question 3

diagnosis of ureaplasma

Answer 3

PCR or culture

Question 4

diagnosis for chlamydia and gonorrhea

Answer 4

PCR probe for urine

Question 5

symptoms of gonorrhea

Answer 5

can be asymptomatic, esp in women
males: urethritis w dysuria, purulent discharge, epididymitis, prostatitis, urethral strictures

females: urethritis, endocervicitis, can progress to PID

Question 6

tx for gonorrhea

Answer 6

ceftrixaone

Question 7

symptoms of chlamydia trachomatis

Answer 7

similar to gonorrhea

Question 8

chlamydia trachomatis-tx?

Answer 8

azithromycin or doxycyline

AND ceftriaxone

Question 9

symptoms of trichomonas vaginalis

Answer 9

mostly asymptomatic

in females-can hv scant watery discharge. could also lead to vaginitis with itching and painful urination

Question 10

tx for trichomonas vaginalis

Answer 10

metronidazole

Question 11

ureaplasma urealyticum

Answer 11

bacteria of mycoplasma family
NO CELL WALLS-beta lactams are useless
very slow rate of growth–takes long time to detect (can grow on cell free media unlike chlamydia)

Question 12

diagnosis for ureplasma

Answer 12

nucleic acid based is preferred

Question 13

“diagnostic” smell-ammonia smell

Answer 13

ureaplasma urealyticum

Question 14

tx for ureplasma urealyticum

Answer 14

erythromycin, doxycycline

Question 15

shotty inguinal nodes -mean?

Answer 15

irregular to touch-sm bumps

Question 16

painful lesions

Answer 16

• herpes (will rupture so may not see vesicles)
• chancroid (will never see vesicles)-from haemophilus ducreyi
• lymphogranuloma venereum (subtype of chlamydial organism)

Question 17

non painful lesions

Answer 17

syphilis
molluscum
genital wart

Question 18

chancroid is caused by

Answer 18

haemophilus ducreyi

Question 19

symptoms of HSV

Answer 19

vesicles that can rupture can cause ulcers

Question 20

symptoms of chancroid

Answer 20

painful ulcerated lesion with LAD

Question 21

syphilis is caused by what organism

Answer 21

treponema pallidum

Question 22

treponema pallidum symptoms

Answer 22

primary stage-painless ulcer
secondary-systemic spread to multiple organs and CNS (fever, rash, condyloma latum/wart)

latent-asymptomatic and noninfectious (except in preg). can relapse to secondary stage or remain asymptomatic for decades

tertiary-due to immune system driven damage to multiple organs

Question 23

diagnosis of treponema pallidum

Answer 23

nucleic acid-based best
darkfield microscopy
serology

Question 24

tx for treponema pallidum

Answer 24

benthazine penicillin

Question 25

large eosinophilic inclusions in cytoplasm

Answer 25

molluscum contagiosum

Question 26

how do skin warts come about in HPV?

Answer 26

due to replication of skin

Question 27

chancroid tx

Answer 27

azithromycin,ceftriaxone,cipro

Question 28

“clue” cells with shaggy, irregular borders from adherent bacteria

Answer 28

bacterial vaginosis (not really an infection)

Question 29

Amsel’s criteria for bacterial vaginosis

Answer 29

vaginal pH greater than 4.5
presence of clue cells in vaginal fluid
milky vaginal discharge
release of amine/fishy odor after adding 10% KOH to vaginal fluid

current diagnosis done with nucleic acid based technique

Question 30

tx for bacterial vaginosis

Answer 30

nitroimidazoles (metronidazole, tinidazole) or clindamycin

recurrence is common

Question 31

candida becomes a problem when

Answer 31

following administration of antibiotics, oral contraceptives, menses, pregnancy, diabetes, use of corticosteroids