Infections Flashcards
What STD is gram negative intracellular diplococci?
Gonorrhea
Most accurate way to diagnose Gonorrhea?
NAAT of discharge or urine
Tx for gonorrhea?
Ceftriaxone 500mg IM in a single dose
Should you treat the partners?
yep
What is the most common sexually transmitted infection?
Chlamydia
Gold standard to diagnose chlamydia?
NAAT
Tx for chlamydia?
Maybe now its azithromycin but i think book answers will be doxycycline 100mg PO BID for 7 days
If someone is pregnant with chlamydia how do you treat them?
azithromycin 1gm X 1 dose or amoxicillin 500 TID x 7 Days
a 22-year-old patient presents with a complaint of painful blisters on the vulva and vaginal introitus. She admits to a prodrome of burning, tingling, and pruritus before the appearance of lesions. Upon examination, you note vesicles on an erythematous base.
What do they have?
Herpes simplex virus
What is the gold standard for Dx herpes simplex virus?
Viral culture
other than viral culture which is the gold standard for Dx herpes simplex what else can you do to Dx it?
PCR
Tx for herpes
- acyclovir
2. Valacyclovir- this is the best 1000mg bid for 7 days to 10 days
When would you implement suppressive therapy for herpes simplex? and what is it?
For those with severe or frequent > or = 6 recurrent episodes per year
Use Valacyclovir 500mg once daily
What HPV type causes genital warts?
HPV 6 and 11
> 90% of cervical cancer is associated with what HPV types?
HPV 16, 18, 31, 33, and 35
What is the name of the flesh colored skin fleshy lesions caused by HPV? and what subtypes cause it?
Condylomata acuminata
and HPV 6, 11, 16, 18, 31, 33, and 35
What kind of cells will you see on a pap smear that are typical for cervical warts?
Koilocytic squamous epithelial cells in clumps
Do HPV spontaneously go into remission months to years later?
yes
In the office what can you apply to get rid of HPV warts?
podophyllin or trichloroacetic acid (TCA)
What cream can you prescribe for a patient to apply to get rid of HPV warts?
topical imiquimod
What HPV types does the 9 v-valent vaccine target?
6, 11, 16, 18, 31, 33, 45, 52 and 58
at what age can the 9-valent HPV vaccine be initiated?
at 9
