Exam 2 - Chlamydia Flashcards
1
Q
Common organism causing chlamydia
A
Chlamydia trachomatis (bacterium)
2
Q
True/false: chlamydia is the most common reportable bacterial STI in the U.S.
A
True
- Mostly asymptomatic and occurs in women <25 years old
3
Q
Chlamydia: screening recommendations
A
- Routine screening for all sexually active adolescents and young women through 24 years
- Afterwards, screen only at-risk patients
4
Q
Undiagnosed and untreated infection can ascend the genital tract to cause ___
A
PID
5
Q
Chlamydia: physical exam findings
A
- Increased vaginal discharge, spotting
- Dysuria, dyspareunia
- Ocassional pelvic pain
- Mucopurulent cervical discharge or cervicitis
- Abdominal tenderness or cervical motion tenderness
- Adnexal fullness or uterine tenderness
6
Q
True/false: Chlamydia infections can also present with an bartholin gland infection, salpingitis, or PID
A
True
7
Q
Blood prep for chlamydia may show increased ____
A
WBCs
8
Q
Chlamydia: diagnostic testing
A
NAAT
- Men: urine clean catch first thing in morning
- Female: self swab
9
Q
Chlamydia: differential diagnoses
A
- Gonorrhea
- Trichomoniasis
- PID
- Appendicitis
- Cystitis
10
Q
Chlamydia: effects during pregnancy and on newborn
A
- Can cause rupture of fallopian tubes
- Cause fetal or neonatal conjunctivitis, PNA
- Transmission during birth
- Increased risk of ectopic pregnancy
11
Q
Chlamydia: treatment
A
Azithromycin 1g PO single dose
Alternatives:
- Doxycycline, erythromycin, levofloxacin, ofloxacin
12
Q
Chlamydia: patient education
A
- All sexual partners are treated; refrain from sex until 7 days after completion of treatment
- Test of cure NOT required unless -
- Pregnant
- Those who are not compliant
- Those who develop symptoms that persists past treatment period
- Early reinfection is suspected
- Rescreening needed 3 weeks after treatment
