Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Clin Med Lab 2 - Final! > DV/STIs > Flashcards

DV/STIs Flashcards

1
Q

what do you think when you see, perihepatitis in the setting of PID

A

fitz hugh curtis syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

fitz hugh curtis syndrome causes inflammation in the liver __

and __ surfaces

of the anterior __

A

capsule

perineal

RUQ

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

fitz hug curtis syndrome causes pain in __ (2)

and referred pain to __

A

RUQ and pleuritic

right shoulder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what 2 STIs are associated w. fitz hugh curits syndrome

A

gonorrhea

chlamydia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

chandelier sign is __,

classically in the setting of __

A

cervical motion tenderness

PID

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what exam is used to assess for chandelier sign

A

bimanual exam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

stages of syphilis

A

early

late

neuro

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

stages of early syphilis

A

primary

secondary

early latent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

single painless chancre at the site of inoculation

regional adenopathy

A

early syphilis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

systemic illness w. rash, fever, malaise

+/- pharyngitis, hepatitis, condyloma lata, alopecia

A

early secondary syphilis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what do you think when you see “money spots”

A

syphylitic rash on palms and soles of feet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

period when a pt is infected w. treponema pallidum via serology but has no sx w.in first year of infxn

A

early latent syphilis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

syphilis w. CV sx or gummatous dz

A

tertiary syphilis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

asymptomatic syphilis that occurs more than one year after initial infxn

A

late latent syphilis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

t/f: neurosyphilis can occur at any time during course of infxn

A

T!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

first line tx for early syphilis

A

penicillin G benzathine 2.4 million units IM one

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

first line tx for late syphilis

A

penicillin G benzathine 2.4 million units once weekly x 3 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

tx for neurosyphilis

A

aqueous penicillin G 3-4 million units IV q 4 hr for 10-14 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what do clue cells on a wet prep make you think

A

BV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what do budding hyphae on a wet prep make you think

A

yeast infxn (candidiasis)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what do WBC on a wet prep make you think

A

infxn

sample contamination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what do RBC on a wet prep make you think

A

irritation

infxn

trauma

menstruation

sample contamination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what might you see on a wet prep for chlamydia and gonorrhea

A

increased WBC

increased platelets

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

gonorrhea is often asymptomatic, name 3 sx if not

A

cervicitis w. mucopurulent d.c

pruritis

dysuria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

preferred dx testing for gonorrhea

A

NAAT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

NAAT testing for gonorrhea is __ in women

and __ in men

A

vaginal swab

urine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

tx for gonorrhea

A

ceftriaxone 500 mg IM x 1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

why would you add doxy to gonorrhea tx

A

if chlamydia is not ruled out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

what routine combo tx for gonorrhea and chlamydia is NO longer recommended

A

azithromycin plus ceftriaxone

30
Q

mc symptom of chlamydia

A

trick question!

mc asymptomatic

31
Q

if not asymptomatic, 4 sx of chlamydia

A

cervicitis

d.c

dysuria

abnormal vaginal bleeding

32
Q

2 sx of chlamydia in men

A

epididymitis

chronic prostatitis

33
Q

dx testing for chlamydia

A

NAAT

  • vaginal swab for women*
  • urine for men*
34
Q

tx for chlamydia

A

doxycycline 100 mg po bid x 7 days

35
Q

tx for chlamydia in pregnant pt or pt w. doxy contraindication

A

azithromycin 1 go PO x 1

36
Q

herpes is divided into

A

primary infxn

recurrent infxn

37
Q

2 presentations for primary herpes infxn

A

asymptomatic/mild

fever/constitutional sx w. painful genital ulcers

38
Q

unilateral small vesicular or ulcerative lesions

+/- vulvar irritation or fissures

A

recurrent herpes infxn

39
Q

5 dx testing options for herpes

A

viral culture w. fluid from unroofed vesicle

PCR

direct fluorescent abs

Tzanck smear

serologic testing

40
Q

problem w. viral culture

A

50% sensitivity

41
Q

what dx test for herpes has low sensitivity and low specificity

A

Tzank smear

42
Q

positive Tzanck smear findings

A

multinucleated giant cells

43
Q

tx for herpes

A

symptomatic only: acyclovir or valacyclovir for flare ups/suppressive

44
Q

mc presentation of BV

A

asymptomatic

45
Q

if BV is symptomatic what are 2 sx

A

thin off-white vaginal d.c

fishy odor

46
Q

fishy odor in BV is worse w. (2)

A

sex

menses

47
Q

what dx criteria is used for BV

A

Amsel

48
Q

what must be available to use Amsel testing

A

microscopy

49
Q

what is Amsel criteria

A

¾ of the following:

homogenous thin white/gray d.c that coats vaginal walls

vaginal pH > 4.5

(+) whiff-amine test w. 10% KOH

clue cells on saline mount

50
Q

for Amsel criteria, clue cells must be at least __% epithelial cells

A

20

51
Q

tx for BV

A

metronidazole

OR

clindamycin

52
Q

t/f: for BV, metronidazole and clindamycin can be oral or topical

A

T!

53
Q

what do you think when you see: cottage cheese like, thick white vaginal d.c, intense and pruritis

A

candidiasis

54
Q

candidiasis might also present w. (3)

A

vulvar burning

dysuria

dyspareunia

55
Q

dx testing for candidiasis

A

wet mount showing budding yeast, hyphae

56
Q

what makes candidiasis easier to see on wet mount

A

KOH

57
Q

tx for candidiasis

A

oral fluconazole x 1 dose

OR

topical clotrimazole or miconazole

58
Q

problem w. oral fluconazole

A

LOTS of ddi’s

59
Q

what do you think when you see, purulent malodorous, greenish yellow thin vaginal d.c

A

trichomoniasis

60
Q

other sx associated w. trichomoniasis

A

burning

dyspareunia

pruritis

dysuria

lower abd pain

61
Q

what do you think when you see strawberry cervix

A

trichomoniasis

62
Q

t/f: trich can be asymptomatic

A

T

63
Q

t/f: asymptomatic trich is mc in women

A

F! it is mc in men

64
Q

gs dx test for trich

A

NAAT

65
Q

what would a wet mount show for trichomoniasis

A

motile trichomonads

66
Q

important to remember when using microscopy for trich dx

A

do not turn on the microscope light → can kill motile trichmonads

67
Q

tx for trich

A

metronidazole or tinidazole x 7 days

68
Q

t/f: medical professionals in CO are required to report DV

A

F!

69
Q

4 criteria for provider if pt declines police involvement for DV

A

pt must be > 18 yo

must report serious injury (GSW/stab)

injuries must be documented as DV

must refer pt to advocate or counselor for safe plan

70
Q

healthcare providers are required to report DV in what 2 pt populations

A

kids

elderly

71
Q

when are pt’s most at risk in a DV relationship

A

when leaving the relationship

Clin Med Lab 2 - Final! (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions