Ch8: STIs Flashcards

1
Q

Theories about the origin of syphilis (2)

A

1: may have begun in New World and been brought back to Europe by Columbus and his explorers
2: syphilis was already in Europe, just referred to as leprosy

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2
Q

Syphilis has also been referred to as

A

The “pox”

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3
Q

Syphilis treatment throughout history

16th cent, 20th cent, mid-20th cent

A
First mercury (1500)
Then arsenic (1900s)
Then penicillin (1940s)
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4
Q

When was the Tuskegee study?

A

1932-1972; 40 years

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5
Q

When did herpes come into cultural consciousness

A

1980s, known for being incurable

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6
Q

“Era of sexually transmitted diseases” happened around the ____ with which diseases

A

198s; HPV and HIV

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7
Q

How did HIV/AIDS happen

A

Humans butchering infected primates

1910 and 1950s

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8
Q

In the 1980s and 1990s, what was the #1 cause of death in men under 50?

A

AIDS :(

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9
Q

Worldwide, how many people live with HIV today?

A

37 million

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10
Q

How many new HIV infections occur each year

A

2,000,000

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11
Q

How many Canadians live with HIV today?

A

71,000

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12
Q

Population most affected by chlamydia in Canada

A

Young straight ppl 20-24

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13
Q

Chlamydia consequences (women) (5)

A

Infection may spread to uterus and Fallopian tubes
Pelvic Inflammatory Disease (PID)
Chronic Pelvic Pain (CPP)

Scarring can lead to infertility
Increased risk for ectopic pregnancy

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14
Q

What is PID and what causes it

A

PID = Pelvic Inflammatory Disease

Chlamydia!

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15
Q

Chlamydia consequences men (3)

A

Inflammation in epididymis (epididymitis)
Inflammation in urethra (urethritis)
Infertility

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16
Q

Chlamydia treatment and prevention

A

Oral antibiotics

Condom use

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17
Q

Gonorrhoea highest incidence

A

Men who have sex with men

Travellers who have sex abroad

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18
Q

Gonorrhea - symptoms

A

Yellow-green pus-like discharge from vag, urethra, anus

Throat pain common in cases of oral gonorrhea

Can cause PID in women > infertility

Rarely: untreated gonorrhea > bloodstream > joints, skin, organ tissues, brain

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19
Q

Chlamydia has high confection rate with

A

Gonorrhea

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20
Q

Gonorrhea treatment and prevention

A

Antibiotics

Condoms

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21
Q

Syphilis highest incident

A

Men who have sex with men
Travellers who have sex abroad
ppl living in or visiting areas of canada with outbreaks

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22
Q

Primary syphilis symptoms

A

Painless skin ulcers (open sore)

Swelling of lymph nodes near site of contact

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23
Q

Secondary syphilis symptoms

A

Rash on hands, feet, trunk

some have flat warty lesions on anogenital area

Patches of erosion or whitish skin in mouth or anogenital area

fever
Malaise
Jaundice
Muscle/joint aches
Patchy loss of hair
24
Q

Tertiary syphilis symptoms

A
Blood vessels
Heart
Eyes
Nervous system damage (sensory, brain) can occur
- psychosis!
“Syphilitic insanity”
25
Q

Syphilis infection increases risk of contracting

A

HIV

26
Q

Syphilis treatment and prevention

A

Penicillin injection

Condoms!

27
Q

HSV 1: Where is it?

A

Both orolabial and anogenital

28
Q

HSV2: Where is it?

A

Only anogenital

29
Q

Canadian prevalence for herpes

A

2013: 13.6% of Canadians tested positive for HSV-2

30
Q

Herpes transmission

A

Any type of genital/oral contact
Childbirth
Can be transmitted even if asymptomatic :’(

31
Q

Herpes symptoms: orolabial symptoms and genital symptoms

A

Orolabial: cold sore

Anogenital, first time: lesions on both sides of genitals
Anogenital, recurrence: lesions on only one side of genitals

32
Q

Herpes effects on babies infected at birth

A

infants with herpes maybe experience major neurological impairments :’( and in some cases, death :’(

33
Q

Herpes treatment and prevention

A

Condoms work, but herpes can also occur in areas that condoms don’t cover.

Antiviral drugs can prevent or shorten outbreaks if taken when symptoms are prodromal.

34
Q

HPV: what is it?

A

Genital warts!

35
Q

HPV: How many types are there in total, and how many infect the anogenital region?

A

120 total; 40 affect butt

36
Q

What fucking percentage of Canadians will become infected by a type of anogenital warts in their lifetime?

A

80 FUCKING PERCENT

37
Q

How is HPV transmitted

A

Skin-skin contact

38
Q

HPV at risk

A

Immunocompromised, men who have sex with men, everyone who has sex tbh

39
Q

HIV: at-risk people

A

MSM
Injection drug users
People from countries where HIV is endemic

40
Q

Endemic

A

Something (usually a disease) that is common or of a chronic prevalence in a certain area

41
Q

HIV transmission

A

When HIV+ person’s blood & bodily fluids contact HIV- person’s mucosa and bloodstream

Sex, drugs, HIV-infected moms giving birth

42
Q

Mucosa

A

Lining of many bodily orifices

43
Q

HIV: antiretroviral drug side effects + one downside

A

Nausea, diarrhea, abnormal fat deposits

Rigorous consistency is required

44
Q

Viral load

A

Virus per mL of blood

45
Q

HIV: prevention

A

Condoms are highly effective

Pre-exposure prophylaxis of antiretroviral drugs for those high at risk

46
Q

In Canada, antiretroviral drugs are covered in

BC
AB
Northwest Territories
Nunavut
PEI
New Brunswick

Not in Sask, MB, ON, Newfoundland, Nova Scotia, Quebec, Yukon Territories. :(

A

pre-

47
Q

What is hepatitis?

What are some of its symptoms?

A

inflammation of liver tissue

Jaundice and flu-like symptoms

48
Q

Hep A:

How is it transmitted?
What population(s) is it prevalent in?
A

Transmission: Mainly by fecal-oral routes, eg. Oral-anal sex, contaminated food and water

Populations:

  • “closed” communities where everyone eats the same food—an infected batch of food is served to many people
    Eg. Prison
  • MSM
49
Q

Hep B:

How is it transmitted?
What population(s) is it prevalent in?
A

Transmission: through sexual contact, sharing drug paraphernalia, sharing sex toys

Populations:

  • MSM
  • injection drug users
  • ppl from countries where disease is prevalent
  • places with poor blood screening and poor equipment sterilization
50
Q

Hep C:

How is it transmitted?
What population(s) is it prevalent in?
A
Transmission: 
Blood contact
Sharing drug paraphernalia
Sexual activities that cause trauma at the sites of sexual contact
But not through most sexual activities

Populations:
Injection drug users
Countries where there is poor infection control in health care settings
MSM

51
Q

Trichomoniasis

What is it

A

Parasitic infection

52
Q

Trichomoniasis symptoms

A

Women: Can have profuse yellow vaginal discharge, although is often asymptomatic

Men: often asymptomatic

Unisex: pain upon peeing and genital itching

53
Q

Course of trichomoniasis (5)

A
Potential infertility
Risk of cervical cancer
Inflammation of endometrium
Inflammation of uterus
Premature delivery
54
Q

Trichomoniasis treatment and prevention

A

Treatment: oral drug

Prevention: condoms

55
Q

Pubic lice and scabies: transmission

A

Direct contact

Contact with sheets and towels! Ew