Exam 3 - S Transmitted Diseases Flashcards

1
Q

Which STD is known as “The Great Sterilizer?”

A

Gonorrhea

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

What bacteria causes Gonorrhea?

A

Neisseria gonorrhea

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

What are the only known hosts for Gonorrhea?

A

HUMANS

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

Where does infection occur in Gonorrhea?

A

At point of contact - penis, vagina, anus, oral cavity

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

How is the bacteria Neisseria gonorrhea classified?

A
  • Gram negative

- Diplococci

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

Who is high risk for Gonorrhea?

A

MSM (men having sex with men)

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

What age group is at the highest risk of developing Gonorrhea?

A

Between the ages of 15-30

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

Who is highest risk for developing Gonorrhea?

A
  • Multiple partners

- Unprotected sex

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

What is the timeline for onset of symptoms in men for Gonorrhea?

A

Males are symptomatic in 2-8 days past exposure

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

What is the timeline for onset of symptoms in females for Gonorrhea?

A

Females are symptomatic within 10 days post exposure by are commonly asymptomatic

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

In Gonorrhea, males are symptomatic ___ to ___ days post exposure.

A

In Gonorrhea, males are symptomatic 2 to 8 days post exposure.

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

In Gonorrhea, females are symptomatic within ___ days post exposure, but are commonly asymptomatic.

A

In Gonorrhea, females are symptomatic within 10 days post exposure, but are commonly asymptomatic.

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

In males, where does Gonorrhea spread to?

A
  • Epididymis

- Prostate

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

In females, where does Gonorrhea spread to?

A
  • Cervix

- Bartholin and Skene glands

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

T/F: In untreated, Gonorrhea can disseminate (spread) to other parts of the body.

A

TRUE

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

What happens to infected tissue in Gonorrhea?

A

It becomes red, inflamed, and covered with a purulent exudate

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

T/F: Gonorrhea has vaginal/penile discharge.

A

TRUE

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

T/F: Gonorrhea does not have urinary frequency.

A

FALSE

- Gonorrhea does have urinary frequency.

19
Q

What are the following s/s commonly associated with?

  • Pelvic tenderness
  • Menorrhagia
  • Abdominal pain
20
Q

T/F: Arthritis can occur if Gonorrhea is left untreated and begins to disseminate.

21
Q

What can occur with infants passing through the birth canal of a mother with Gonorrhea?

A

Gonococcal Ophthalmia Neonatorum

22
Q

What 5 things can be done for diagnosis of Gonorrhea?

A

1) Hx of unprotected sex, recently
2) Physical findings
3) Gram negative diplococci on gram stain
4) Enzyme immunoassay
5) DNA amplification

23
Q

Which is more reliable, enzyme immunoassay or DNA amplification?

A

DNA amplification - best test

24
Q

What does a gram stain positive for Gonorrhea look like (classified as)?

A

GRAM NEGATIVE, DIPLOCOCCI

25
Which two drugs should not be used in treating Gonorrhea?
1) PCN | 2) AZITHROMYCIN
26
What drug class is used to treat Gonorrhea?
3rd Generation Cephalosporin
27
Name the 3rd Gen cephalosporin that is used to treat Gonorrhea.
CEFTRIAXONE
28
What route of Ceftriaxone is used to treat Gonorrhea?
IM or IV
29
T/F: Ceftriaxone is not used PO to treat Gonorrhea.
TRUE
30
What is the preferred treatment for Gonorrhea?
1) Ceftriaxone 250 mg IM, once PLUS 2) Azithromycin 1 g PO, once
31
What is the generic of Rocephin?
Ceftriaxone
32
What is the generic of Zithromax?
Azithromycin
33
What two drugs are used to treat Gonorrhea?
Ceftriaxone PLUS Azithromycin
34
What is an alternative to Azithromycin in the treatment of Gonorrhea?
DOXYCYCLINE
35
When Doxycycline is used as an alternative to Azithromycin in the treatment of Gonorrhea, what is the dosing and frequency?
Doxycycline 100 mg PO, Twice a day x 7 days
36
What is a concern in using Ceftriaxone in the treatment of Gonorrhea?
Resistance - it's the last drug we have
37
What class of drugs does Azithromycin belong to?
MACROLIDES
38
What is a concern in Doxycycline?
TEETH STAINING
39
What is another preferred drug if Ceftriaxone is not available in treating in Gonorrhea?
CEFIXIME
40
When Ceftriaxone not available, and Cefixime PLUS Azithromycin is used, when do you need to test of cure?
IN 1 WEEK
41
What is the treatment if a patient is cephalosporin-allergic?
Azithromycin 2 g PO, once PLUS Test of cure in 1 week
42
What constitutes a severe pcn-allergy?
``` Hives = moderate to severe Anaphylaxis = severe ```
43
T/F: A cephalosporin allergy is similar to a penicillin allergy.
TRUE | -Both are structurally similar; if allergic to one, then likely allergic to the other