Module 4 Handouts

Question 1

What is the treatment for BV?

Answer 1

Metronidazole (will decrease metabolism of alcohol leading to adverse side effects)

Question 2

What is required to confirm a BV diagnosis?

Answer 2

3 of 4 conditions:

1. Thin homogenous discharge adhering to vaginal walls
2. elevated pH
3. (+) KOH whiff test w/ fishy odor
4. clue cells

Question 3

What is a diagnosis of chancroid?

Answer 3

Painful ulcer on genitals and unilateral lymphadenopathy

Question 4

Treatment for chancroid?

Answer 4

Azithromycin, Ceftriaxone, ciprofloxacin, erythromycin

Question 5

Treatment for chlamydia?

Answer 5

Azithromycin, doxycycline, erythromycin

Question 6

Treatment for candidiasis?

Answer 6

creams, vaginal suppositories, fluconazole

Question 7

Treatment for balanitis

Answer 7

Mycolog

Question 8

Treatment for Trichomoniasis

Answer 8

Metronidazole

Question 9

Treatment for all 3 stages of syphilis

Answer 9

Benzathine

Question 10

Treatment for neuro syphilis

Answer 10

IV aqueous crystalline Penicillin G

Question 11

Treatment for non specific cervicitis or non specific urethritis

Answer 11

Azithromycin and Doxycycline

Question 12

Treatment for HPV

Answer 12

Cryotherapy, Pedophyllin, Aldara

Question 13

Treatment for Gonorrhea

Answer 13

Cefriazone, Cetriaxone (plus chlamydia treatment)

Question 14

Treatment for HSV-1 and 2

Answer 14

Acyclovir, famciclovir, valacyclovir

Question 15

Treatment for PID

Answer 15

Levofloxacine, then Metronidazole

Question 16

Treatment for Epidiymitis

Answer 16

Ceftriaxone

Question 17

Treatment for Pubic Lice (crabs)

Answer 17

Elamite or Kwell

Question 18

The greatest risk factor for transmitting HIV

Answer 18

Sexual Transmission

Question 19

Who is recommended to have the OPT OUT approach of testing for HIV?

Answer 19

Everyone ages 13-64

Question 20

What are provisions of the OPT OUT approach?

Answer 20

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 Informed written consent to the test has been replaced by Informed documented consent.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.

Question 21

What is the window for a confirmatory test of HIV on Western Blot?

Answer 21

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)

Question 22

What is considered HIV (+) status according to testing?

Answer 22

2 (+) ELISAs

1 (+) Western Blot

Question 23

Briefly Explain the 4 Phases of HIV infection

Answer 23

1. Asymptomatic, CD4 >500
2. Early Symptomatic, CD4 200-500
3. Late Symptomatic, CD4 50-200
4. Advanced HIV, CD4 <50

Question 24

Why is viral eradication of HIV not possible with today’s medicine?

Answer 24

Virus hides on reservoirs like GALT

Question 25

What type of HIV viral inhibitors function to prevent the virus from binding to receptors on T cell membranes?

Answer 25

CD4 and Chemokine Receptor drugs. They bind the receptors and occupy them so the virus cannot.