L20 urethritis and trichomoniasis

Question 1

what do you tx w/ PID

Answer 1

infection + inflammation

Question 2

c. trachomatis dx

Answer 2

gold standard is isolation in cx

more sensitive is nucleic acid probes

Question 3

vag candidiasis presentation

Answer 3

thick, white, frothy, non odorous discharge

itching

irritation

burning during sex/ urination

vag pain

Question 4

risk factors for bacterial vaginosis

Answer 4

hx of STDs

sexually active

IUD

prior pregnancy/ abortion

Question 5

trichomoniasis presentation

Answer 5

M- asymptomatic, +/- slight clear discharge

F- frothy malodorous discharge that can create an environement for further infection of bacterial vaginosis

Question 6

trichomonas vaginalis morph

Answer 6

flagellate protozoa

extracellular anaerobe

trophozoite only

Question 7

c. trachomatis presentation

Answer 7

M- uretritis, watery discharge

F- cervicitis, salpingitis, PID

baby- conjunctivitis

lypmhogranuloma

Question 8

complications of repeat/ chronic salpingits/PID

by c. trachomatis

Answer 8

sterility

ectopic pregnancy

baby can catch (conjunctivitis/ PNA)

Question 9

trichomonas tenax is in

Answer 9

mouth

Question 10

usual causes of PID

Answer 10

n. gonorrhea
c. trachomatis

Question 11

presentation of PID

Answer 11

lower ab pain

discharge

painful intercourse

fever/ chills

scarring

dysmenorrhea

Question 12

dx of bacterial vaginosis, needs to have 3 of these things:

Answer 12

homogeneous secretions

clue cells

fishy amine odor when KOH is added

pH > 4.5

curved gram negative or gram variable rods

Question 13

psittacosis =

Answer 13

chlamydiophyila psittaci

(chlamydia)

Question 14

chancroid presentation

Answer 14

painful, bleeding, soft ulcer that develops quickly

gets bigger and more sprout up

bubo (painful inguinal LAD)

Question 15

trichomonas dx

Answer 15

wet mount- common

cx- sensitive

MAB

DNA probe

Question 16

trichomonas hominis is in

Answer 16

intestine

Question 17

what kind of person presents w/ chancroid

Answer 17

tropical country

male (F- asymptomatic)

Question 18

common species of vulvovaginal candidiasis

Answer 18

albicans (80-90%)

tropicalis

glabrata

Question 19

PID dx

Answer 19

fever

leukocytosis

high ESR

clinica presentation (can be inaccurate)

Question 20

clamydia trach infectious form

Answer 20

elemenary body

Question 21

etiology of chancroid

Answer 21

haemophilus ducreyi

Question 22

chancroid dx

Answer 22

difficult b/c bubo is sterile and sometimes many organisms in the chancre

media needs growth supplements

PCR based method available

Question 23

chlamydia trach intracellular form

Answer 23

reticulate body

Question 24

not an STD

Answer 24

bacterial vaginosis

can be grow in environment created by STD though (trichomonas vag)

Question 25

chalmydia trachomatis morph

Answer 25

gram neg

need host ATP (obligate intracellular)

Question 26

protein scaffolding of infected cells cllapse causing mucosal cells to separate

Answer 26

c. trachomatis