ID

Question 1

Syphilis - Primary, Secondary, Tertiary Symptoms

Answer 1

Primary = non-tender, non-painful, indurated chancre; 3-6weeksSecondary = maculopapular rash on palms/soles; condyloma lata; 2-8 weeks later; CNS manifestations possible in HIV ptsTertiary = cardiac (ascending aortitis), gummas, neurosyphilis (presents earlier in HIV pts), tabes dorsalis (broad-based gait)

Question 2

Syphilis Dx

Answer 2

RPR or VRDLconfirm with FTA-ABS

Question 3

Syphilis Tx

Answer 3

Penicillin

Question 4

Chancroid Presentation

Answer 4

Painful, ragged, non-indurated ulcers; may be multipleHaemophilus “do make you cry”** opposite of Syphilis (painful, indurated ulcer)

Question 5

LGV Chlamydia Presentation

Answer 5

Inguinal bubos, proctocolitis (Syphilis of the butt)Lymphatic obstruction, causing edema/elephantitis

Question 6

Gonorrhea Presentation

Answer 6

urethritis/cervicitis - thick, yellow dischargeasymptomaticdisseminated: monoarticular arthritis and/or dermatitislate complement deficiency **

Question 7

Gonorrhea Dx

Answer 7

NAATS from urine or urethral/cervical secretions(Chlamydia too)

Question 8

Gonorrhea Tx

Answer 8

ceftriaxone + azithromycintreat for chlamydia coinfection

Question 9

Chlamydia Presentation

Answer 9

urethritis/cervicitis - thin, white dischargeasymptomaticPIDReiter’s Syndrome **

Question 10

Epididymitis Bacteria Cause

Answer 10

**young, sexually active = gonorrhea, chlamydiaolder/not sexually active = coliform bacteria