L24: STD's Flashcards

1
Q

Syphillis, Chancroids, Lymphogranuloma Venereum, and Genital Herpes belong to which group:
A. Genital Ulcer Disease
B. Warts and Papilomma
C. Cervicitis, Urethritis + PID

A

A. Genital Ulcer Disease

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2
Q

True or False: Gonorrhea and Chlamydia are cervicitis, urethritis, and PID

A

True

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3
Q

True or False: PID is associated with ectopic pregnancies

A

True

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4
Q

True or False: Gonorrhea and Chlamydia are common co-infections

A

True

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5
Q

Which pathogen is responsible for transmission of syphillis

A

Treponema pallidum

  • gram negative
  • spirochete
  • visible by dark field only!
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6
Q

How does T. pallidum lead to syphillis?

A
  1. Direct contact
  2. Break in skin/mucosal membrane
  • humans are sole reservoir
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7
Q

Localized lesions (latent period is associated with) which stage of syphillis?

Systemic lesions refer to which stage?

Neuro and cardiac symptoms, as well as gumma, are associated with which stage?

A

Primary
Secondary
Tertiary (damage done by immune response)

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8
Q

Hard chancre/genital ulcer with a button induration, both of which are typically PAINLESS, is associated with which stage of syphilis?

A

Primary

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9
Q

Low grade fever, highly infectiously lesions, rash of palms and soles, and involvement of many organs are signs of which stage of syphilis?

A

Stage 2

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10
Q

____: A slow, progressive inflammatory disease affecting any organ system; refractory to abc therapy and fatal.

A

Stage 3 Syphilis

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11
Q

How can one develop congenital form of Syphilis?

A

A mother who has syphilis can give it to her child
- Neonates often die
- If they live, they go through all three stages

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12
Q

Treat any of the stages of Syphilis?

A

Long acting benzathine penicillin (tetracycline, Azithromycin)

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13
Q

_____: Reaction that often occurs after initiation of syphilis treatment

A

Jarisch-Herxheimer Reaction
- Flu like sx
- Endotoxic shock like response related to rapid release of components by dead or dying treponemas; rarely fatal

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14
Q

Soft Chancroid is characterized by pain and is caused by the gram negative, fastidious rod-shaped bacterium ____

A

H. ducreyi

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15
Q

Chancroid increases the risk of acquiring ___

A

HIV

  • attracts T cells
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16
Q

Treatment of Chancroid?

A
17
Q

How do Chancroids compare to herpes?

A

Chancroids are larger and more ragged

18
Q

If you observe Gram (-) rods in “school of fish arrangement” it is likely which pathogen?

A

H. ducreyi (Chancroids)

19
Q

What causes Lymphogranuloma Venereum?

A

Chylamydia

20
Q

Lymphogranuloma Venereum manifestations?

A
21
Q

Can you treat herpes? cure?

A

Yes - treat (Acyclovir)

22
Q

__ is the most preventable STD

A

HPV

23
Q

Koilocytosis suggests ___

A

HPV

24
Q

True or False: Neiserria gonorrhea is gram (-) diplococci while Chlymydia is obligate intracellular bacterium

A

True

25
Q

___ is the only protozoan parasite that causes STD

Tx?

A

Trich (Vaginitis)

Metronizaole

26
Q

Tx for BV?

A

Metronizaole