Module 4 Handouts Flashcards
What is the treatment for BV?
Metronidazole (will decrease metabolism of alcohol leading to adverse side effects)
What is required to confirm a BV diagnosis?
3 of 4 conditions:
- Thin homogenous discharge adhering to vaginal walls
- elevated pH
- (+) KOH whiff test w/ fishy odor
- clue cells
What is a diagnosis of chancroid?
Painful ulcer on genitals and unilateral lymphadenopathy
Treatment for chancroid?
Azithromycin, Ceftriaxone, ciprofloxacin, erythromycin
Treatment for chlamydia?
Azithromycin, doxycycline, erythromycin
Treatment for candidiasis?
creams, vaginal suppositories, fluconazole
Treatment for balanitis
Mycolog
Treatment for Trichomoniasis
Metronidazole
Treatment for all 3 stages of syphilis
Benzathine
Treatment for neuro syphilis
IV aqueous crystalline Penicillin G
Treatment for non specific cervicitis or non specific urethritis
Azithromycin and Doxycycline
Treatment for HPV
Cryotherapy, Pedophyllin, Aldara
Treatment for Gonorrhea
Cefriazone, Cetriaxone (plus chlamydia treatment)
Treatment for HSV-1 and 2
Acyclovir, famciclovir, valacyclovir
Treatment for PID
Levofloxacine, then Metronidazole
Treatment for Epidiymitis
Ceftriaxone
Treatment for Pubic Lice (crabs)
Elamite or Kwell
The greatest risk factor for transmitting HIV
Sexual Transmission
Who is recommended to have the OPT OUT approach of testing for HIV?
Everyone ages 13-64
What are provisions of the OPT OUT approach?
Testing everyone has shown to identify more infected people and prevent transmissions. Informed written consent to the test has been replaced by Informed documented consent. This means that you cannot test someone and then tell them why they are tested.
What is the window for a confirmatory test of HIV on Western Blot?
6 months after infection b/c that is how long it takes the body to make Abs against HIV (some newer tests claim six weeks)
What is considered HIV (+) status according to testing?
2 (+) ELISAs
1 (+) Western Blot
Briefly Explain the 4 Phases of HIV infection
- Asymptomatic, CD4 >500
- Early Symptomatic, CD4 200-500
- Late Symptomatic, CD4 50-200
- Advanced HIV, CD4 <50
Why is viral eradication of HIV not possible with today’s medicine?
Virus hides on reservoirs like GALT
What type of HIV viral inhibitors function to prevent the virus from binding to receptors on T cell membranes?
CD4 and Chemokine Receptor drugs. They bind the receptors and occupy them so the virus cannot.
