Micro - Systems (STDs & PID)

Question 1

What organism causes AIDS? What are the clinical features of this?

Answer 1

HIV; Opportunistic infections, Kaposi sarcoma, lymphoma

Question 2

What organism causes Chancroid? What are the clinical features of this?

Answer 2

Haemophilus ducreyi; Think: “It’s so painful, you ‘do cry’”; Painful genital ulcer, inguinal adenopathy;

Question 3

What organism causes Chlamydia? What are the clinical features of this?

Answer 3

Chlamydia trachomatis (D-K); Urethritis, cervicitis, conjunctivitis, reactive arthritis, PID

Question 4

What organism causes Condyloma acuminata? What are the clinical features of this?

Answer 4

HPV-6 and HPV-11; Genital warts, koilocytes

Question 5

What organism causes Genital herpes? What are the clinical features of this?

Answer 5

HSV-2, less commonly HSV-1; Painful penile, vulvar, or cervical vesicles and ulcers, can cause systemic symptoms such as fever, headache, myalgia

Question 6

What organism causes Gonorrhea? What are the clinical features of this?

Answer 6

Neisseria gonorrhoeae; Urethritis, cervicitis, PID, prostatitis, epididymitis, arthritis, creamy purulent discharge

Question 7

What organism causes Hepatitis B? What are the clinical features of this?

Answer 7

HBV; Jaundice

Question 8

What organism causes Lymphogranuloma venereum? What are the clinical features of this?

Answer 8

C. trachomatis (L1-L3); Infection of lymphatics, Painless, genital ulcers, Painful lymphadenopathy (i.el, buboes)

Question 9

What organism causes syphilis? What are the clinical features of primary, secondary, and tertiary syphilis?

Answer 9

Treponema pallidum; PRIMARY - Painless chancre; SECONDARY - Fever, lymphadenopathy, skin rashes, condyloma lata; TERTIARY - Gummas, tabes dorsalis, general paresis, aortitis, Argyll Robertson pupil

Question 10

What organism causes Trichomoniasis? What are the clinical features of this?

Answer 10

Trichomonas vaginalis; Vaginitis, strawberry cervix, motile in wet prep

Question 11

What are the top 2 bugs to consider for pelvic inflammatory disease? How do they generally differ in presentation?

Answer 11

Top bugs - Chlamydia trachomatis (subacute, often undiagnosed), Neisseria gonorrhoeae (acute)

Question 12

What is the most common bacterial STD in the United States?

Answer 12

C. trachomatis

Question 13

What physical sign is present in PID? What kind of discharge is present in PID?

Answer 13

Cervical motion tenderness (chandelier sign), purulent cervical discharge

Question 14

Name 4 conditions that may be included in PID.

Answer 14

PID may include salpingitis, endometritis, hydrosalpinx, and tubo-ovarian abscess.

Question 15

What syndrome can PID cause? What defines this syndrome?

Answer 15

Can lead to Fitz-Hugh-Curtis syndrome - infection of the liver capsule and “violin string” adhesions of peritoneum to liver

Question 16

For what 4 conditions/findings is salpingitis a risk factor?

Answer 16

Salpingitis is a risk factor for ectopic pregnancy, infertility, chronic pelvic pain, and adhesions