2: STI Sequelae

Question 1

• Urethral strictures
• epididymitis
• PID
• neonatal conjunctivitis/pneumonia

Answer 1

Nongonococcal Urethritis (NGU)

Question 2

Significant risk for maternal morbidity and preterm birth.

Answer 2

PID

Question 3

Liver Cancer

Answer 3

1. Hep B
2. Hep C

Question 4

Systemic infection and death.

Answer 4

1. Syphilis
2. HIV

Question 5

Secondary infection with staph.

Answer 5

Molluscum

Question 6

Health problems in newborn:

1. Low birth weight
2. premature delivery
3. stillbirth

Answer 6

Syphilis

Question 7

Cirrhosis

Answer 7

1. Hep B
2. Hep C

Question 8

• Rare, febrile episode within 24 hours of treatment called Jarisch-Herxheimer.
• Myalgia
• Headache

Answer 8

Syphilis

Question 9

1. Paraphimosis
2. Phimosis

Answer 9

Chancroid

Question 10

Rare complication that occurs in 2 stages.

1. First stage is characterized by bacteremia, chills, fever, skin lesions.
2. Second stage has acute septic arthritis, effusions (wrists, knees, ankles).

Answer 10

Disseminated Gonococcal Infection (DGI)

Question 11

1. Ectopic preg
2. preterm labor
3. pelvic abscess
4. infertility
5. Chronic abd pain
6. pelvic adhesions
7. premature hysterectomy
8. depression

Answer 11

PID

Question 12

1. PID
2. infertility (both men and women)
3. Reiter’s syndrome (eye infx, urethritis, and arthritis)
4. preterm delivery

Answer 12

Chlamydia

Question 13

High risk of developing PID with delayed treatment.

Answer 13

1. Chlamydia
2. Gonorrhea

Question 14

AIDS

Answer 14

HIV

Question 15

Causes conjunctivitis in newborns.

Answer 15

Gonorrhea

Question 16

• Neuralgia
• meningitis
• ascending myelitis
• urethral strictions/retention
• lymphatic suppuration
• pregnancy loss/preterm delivery (primary infx in 3rd semester)
• neonatal infection (50% if acquired close to birth)

Answer 16

Herpes

Question 17

1. Persistent infection
2. cervical, penile, vulvar, vaginal, anal, and oropharyngeal cancers

Answer 17

HPV

Question 18

Complications can include:

1. tubo-ovarian abscess
2. ectopic pregnancy
3. infertility
4. chronic pelvic and abdominal pain
5. dyspareunia

Answer 18

PID

Question 19

1. Women may develop:
   
   1. PID
   2. ectopic pregnancy
   3. infertility
2. Men may develop:
   
   1. epididymitis
   2. infertility (rare)
3. Both can become septic
4. May spread to newborn and cause complications

Answer 19

Gonorrhea

Question 20

1. Secondary excoriation
2. risk of salpingitis
3. low birth weight
4. premature birth
5. HIV infx

Answer 20

Trichomoniasis

Question 21

Most common coinfection is trichomoniasis.

Answer 21

HIV

Question 22

Alopecia or losing lateral 1/3 of eyebrow.

Answer 22

Syphilis

Question 23

HIV-positive have a high risk of co-infection.

Answer 23

Trichomoniasis

Question 24

Common coinfection is bacterial vaginosis.

Answer 24

PID

Question 25

Pelvic abscess or bartholin’s abscess.

Answer 25

Gonorrhea