Exam 3 - STIs

Question 1

Gonorrhea

epi/transmiss

Answer 1

• developed countries
• 15-19 yo’s
• sx more apparent in men
• contracted through sinful acts

Question 2

Gonorrhea

sx

Answer 2

• purulent d/c, dysuria, urethritis
• women often asx (rude!)
• other: proctitis, pharyngitis, conjunctivitis (baby clap)

Question 3

Gonorrhea

complications

Answer 3

• women: PID, endometritis, salpingitis, tub-ovarian abscess
• men: epididymitis
• rare: dissem’d dz, polyarthritis, hemorrhagic/pustular rash

Question 4

Gonorrhea

dx

Answer 4

-gram stain, culture lesions, nucleic acid amplification

Question 5

Gonorrhea

tx

Answer 5

-Ceftriaxone IM + Zithromax for the chlamydia

that you probably also got

Question 6

Chlamydia

epi/transmiss

Answer 6

• most are asx
• co-infection wit da clap
• more common in men, more sx in men
• transmiss: i woke up like dis

Question 7

Chlamydia

sx

Answer 7

-men: urethritis (NGU), d/c (less purulent than clap),
epididymitis, prostatitis
-women: urethritis, mild d/c, cervicitis, PID, endometritis,
salpingitis
-babes: conjunctivitis, pneumonia
rare: aseptic reactive arthritis
rare, tropical: lymphogranuloma venerum (papule->mass)

Question 8

Chlamydia

dx

Answer 8

nucleic acid test

Question 9

Chlamydia

tx

Answer 9

1) zithromax 1g PO

2) doxycycline

Question 10

Trichomoniasis
(T. vaginalis)
transmiss/epi

Answer 10

• self-lim’d in men

- highly contagious

Question 11

Trichomoniasis
(T. vaginalis)
sx

Answer 11

-men: asx
-women: sometimes asx; d/c, inflamm, dyspareunia,
premature birth

Question 12

Trichomoniasis
(T. vaginalis)
dx

Answer 12

-wet prep of secretions, RAT

Question 13

Trichomoniasis
(T. vaginalis)
tx

Answer 13

metronidazole

Question 14

Chancroid
(H. ducreyi)
transmiss/epi

Answer 14

• asx women

- recent outbreak in US

Question 15

Chancroid
(H. ducreyi)
sx

Answer 15

-tender papule->ulcer

Question 16

Chancroid
(H. ducreyi)
dx

Answer 16

-gram stain: GNR school of fishies

Question 17

Chancroid
(H. ducreyi)
tx

Answer 17

Ceftriaxone OR Zithromax OR Quinolone

Question 18

BV

transmiss/epi

Answer 18

-Invasion of the Anaerobes!!!! (e.g. gardnerella)

Question 19

BV

sx

Answer 19

• mostly asx, except for that fishy odor

- your cat starts meowing at your no-no

Question 20

BV

dx

Answer 20

-coccobacillary forms on vag epithelium on gram stain

Question 21

BV

tx

Answer 21

metronidazole

Question 22

Syphillis
(T. pallidum)
transmiss/epi

Answer 22

• bumping uglies, fluids
• most infx’ous early in dz
• rapid dissemination

Question 23

Syphillis
(T. pallidum)
sx

Answer 23

-obliterative endarteritis, gumma lesions, tinnitus
-primary: painless ulceration at site of innoculation, adenopathy
-secondary: macpap rash at 2-8 wks, condylomata plaque, fever,
epitrochlear adenopathy, meningitis, CN palsy, glomeruloneph, etc etc
-latent: no sx, but high serological presence
-tertiary: CSF; meningovascular (seizure, infarct) or parenchymatous (bx/mood (paresis) and paresthesias)

Question 24

Syphillis
(T. pallidum)
dx

Answer 24

• RPR, particularly for secondary (3-6 wks)

- asx syphillis hard to dx

Question 25

Syphillis
(T. pallidum)
tx

Answer 25

penicillin IM for early dz, IV for CNS involvement

Question 26

HPV

transmiss/epi

Answer 26

• recent spike in cases
• highly contagious, often asx
• ass’d with malignancies of your ho parts

Question 27

HPV

sx

Answer 27

-warts! peen, vag, ayn

Question 28

HPV

dx

Answer 28

-colposcopy, acetic acid, DNA detection

Question 29

HPV

tx

Answer 29

-laser, cryotherapy, posophyllin

Question 30

HPV

prevention

Answer 30

-Gardasil for 4 types; covers 70% of HPV-related cancers