Infectious Dz

Question 1

Chlamydia S+S

Answer 1

Bacterial pathogen
Usually asymptomatic
Bleeding after intercourse
Urinary pain and frequency
Cervicitis (discharge)
Penile discharge

Question 2

Risk factors for chlamydia

Answer 2

Age < 25
Unprotected sex
Hx of previous STIs

Question 3

Complications of chlamydia

Answer 3

Pelvic inflammatory dz -> infertility, ectopic pregnancy
Pregnancy complications (preterm birth, neonatal conjunctivitis or pneumonia, postpartum endometritis)

Question 4

Interventions for chlamydia

Answer 4

PO abx (doxycycline, azithromycin during pregnancy)
Report infx to PH
Test for other STIs

Question 5

Pt teaching for chlamydia

Answer 5

Avoid sex for 7 days after completing abx
Future STI prevention (contraceptives)

Question 6

HPV S+S

Answer 6

Most are asymptomatic
Itching
Painless bumps
Pink-flesh colored growths
White-gray colored growths
(Genital warts)

Question 7

Tx of HPV

Answer 7

Treatment destroys infected tissue
Recurrence and reinfection may occur
Genital wart removal: topical agents, cryotherapy, laser surgery
Requires multiple courses

Question 8

Complications for HPV

Answer 8

Increased risk for developing oral, genital, cervical cancers

Question 9

Trichomonas S+S

Answer 9

Bleeding after intercourse
Urinary pain and frequency
Thin, frothy vaginal discharge w/ vulvovaginal erythema

Question 10

Syphilis S+S (3 types)

Answer 10

Primary: painless genital ulcer
Secondary: diffuse rash, lymphadenopathy, oral lesions, hepatitis
Tertiary: affects CNS, cardiovascular; tumor-like lesions

Question 11

Syphilis tx

Answer 11

Retest syphilis test
Perform pregnancy test
Assess PCN allergy
Notify PH department

Question 12

Varicella

Answer 12

(chicken pox)
Airborne
Manifests as vesicles that begin on trunk and move outward

Question 13

Herpes zoster

Answer 13

(shingles)
After varicella, virus remains dormant in nervous system like herpes simplex
Pops out as painful lesions of skin along dermatome

Question 14

Herpes zoster tx

Answer 14

Antiviral meds and creams

Question 15

Atopic dermatitis is AKA

Answer 15

eczema

Question 16

Atopic dermatitis S+S

Answer 16

Intense itchy
Dry skin/scaling
Erythema

Question 17

Atopic dermatitis in children vs adults

Answer 17

Children: all over body
Adults: extremities

Question 18

Complications of atopic dermatitis

Answer 18

Lichenification (thickened skin)
Secondary infx: bacterial or viral

Question 19

Tx of atopic dermatitis

Answer 19

Topical steroids or immunomodulators
Oral antihistamine

Question 20

Pt teaching of atopic dermatitis

Answer 20

Use slightly warm water and gentle soaps
Avoid excessive bathing or washing
Gently pat dry after bathing, moisturize w/ emollients
Wear soft, cotton clothing
Avoid triggers (heat, low humidity)

Question 21

Rheumatic fever patho

Answer 21

Immune-mediated complication of untreated group A Streptococcus infx -> multibody system inflammation

Question 22

Rheumatic fever S+S

Answer 22

JONES
Joints (migratory arthritis)
Carditis
Nodules (subcutaneous)
Erythema marginatum
Sydenham chorea

Question 23

Tx of rheumatic fever

Answer 23

PCN
Supportive care
Arthritis: rest, activities to perform in bed, anti-inflammatory agents, alternate heat/ice
Chorea: help pt grasp objects, prevent falls

Question 24

Pt teaching of rheumatic fever

Answer 24

Long-term abx
Monthly ppx PCN
Adherence is important
Routine cardiology appt
Resume physical activity when symptoms subside
Report streptococcal infx