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PCII-Exam 2 > Module 4A STIs,STDs, and HIV/AIDS > Flashcards

Module 4A STIs,STDs, and HIV/AIDS Flashcards

1
Q

True or False:
Any commercial sexual activity with a minor, even without force, fraud, or coercion is considered trafficking.

A

True

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2
Q

what is human trafficking?

A

Human trafficking occurs when a trafficker exploits an individual with force, fraud, or coercion to make them perform commercial sex or work.

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3
Q

what is stockholm syndrome?

A

trauma bonding with trafficker or other victims

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4
Q

what is the preferred treatment for bacterial vaginosis?

A

metronidazole 500 mg BID for 7 days
OR
Metronidazole gel 0.75% and one 5 gm applicator intravaginally, 1x/day for 5 days

also can use clindamycin oral and cream

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5
Q

what is the treatment for cervicitis?

A

Doxycycline 100 mg orally bid for 7 days

OR

1g azithromycin orally, single dose

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6
Q

what is the treatment for chlamydial infections in adults and adolescents?

A

doxycycline 100 mg BID for 7 day

OR

azithromycin 1 gm orally, single dose

OR

levofloxacin 500 mg orally, daily for 7 days

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7
Q

what is the treatment for chlamydia in PREGNANT women?

A

azithromycin 1 gram orally, single dose

OR

Amoxicillin 500 mg orally TID for 7 days

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8
Q

what is the treatment for epididymitis in men?

A

because it is most likely caused by sexually transmitted chlamydia and gonorrhea, the treatment is for that

Ceftriaxone 500 mg IM in a single dose + doxycycline 100 mg BID for 10 days

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9
Q

what is the treatment for epididymitis in men who have sex with men?

A

most likely caused by sexually transmitted chlamydia and gonorrhea.

Ceftriaxone 500 mg IM, single dose + levofloxacin 500 mg orally daily for 10 days

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10
Q

what is the treatment for genital herpes simplex in the first clinical episode?

A

acyclovir 400 mg orally TID for 7-10 days
OR
Valacyclovir 1 gm orally BID for 7-10 days
OR
famciclovir 250 mg orally TID for 7-10 days

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11
Q

what is the treatment for suppressive therapy of HSV2?

A

valacyclovir 500 mg orally daily
OR
Acyclovir 400 mg orally BID
OR
Famciclovir 250 mg orally BID

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12
Q

what is the treatment for episodic therapy for recurrent HSV2?

A

acyclovir 800 mg orally BID for 5 days
OR
Famciclovir 1gm orally BID for 1 day
OR
Valacyclovir 500 mg orally BID for 3 days

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13
Q

what is the treatment for gonococcal infections?

A

Ceftriaxone 500 mg IM in a single dose

this tx is good for all types of pts (including pregnancy)

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14
Q

what is the treatment for gonococcal infections if a patient has a cephalosporin allergy?

A

Gentamicin 240 mg IM in a single dose + azithromycin 2 g orally in a single dose

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15
Q

what is the treatment for pediculosis pubis?

A

Permethrin 1% cream rinse applied to affected area, wash after 10 minutes

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16
Q

what is the treatment for pelvic inflammatory disease look like?

A

Treatment for gonorrhea, chlamydia, and BV

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17
Q

what is the treatment for scabies?

A

permethrin 5% cream applied to all areas of the body (from neck down), wash after 8-14 hours

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18
Q

what is the treatment for primary, secondary, and early latent syphilis ?

A

benzathine penicillin G 2.4 million units IM in a single dose

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19
Q

what is the treatment for late latent syphilis?

A

benzathine penicillin G 7.2 million units total, administered as 3 doses of 2.4 million units IM each at 1 week intervals

20
Q

what is the treatment for trichomoniasis for women?

A

metronidazole 500 mg BID for 7 days

21
Q

what is the treatment for trichomoniasis for men?

A

metronidazole 2 gram orally in a single dose

22
Q

what is the minimum age for children to get the HPV vaccine?

A

9 years old

23
Q

what are the benefits of male circumcision?

A

decreases HIV, HPV, and genital herpes

24
Q

what are the 5 P’s?

A

partners, practices, protection, past STDs, and prevention of pregnancy

25
Q

what is EPT?

A

expedited partner therapy

26
Q

Is EPT permissible in the state of Texas?

A

Yes

27
Q

What are the recommendations for screening for asymptomatic STDs?

A

Gonorrhea
Chlamydia
Syphilis
Hepatitis B
Hepatitis C
HIV
Trichomoniasis
Cervical

28
Q

what are the screening recommendations for chlamydia and gonorrhea?

A

screen under the age of 25

29
Q

what are the screening recommendations for chlamydia and gonorrhea in pts aged 25 and older?

A

if at increased risk, screen. Chlamydia infection should have a test of cure 4 weeks after treatment and be retested within 3 months. Gonorrhea, retest after 3 months.

30
Q

what are the screening recommendations for pregnant patients?

A

retest during 3rd trimester for women under 25 or if at risk.

31
Q

In what populations should be screened for syphilis?

A

hx of incarceration or commercial sex work, geography, race/ethnicity

32
Q

when should pregnant patients be screened for syphilis?

A

at their first prenatal visit and retested at 28 weeks of gestation

Texas law requires test for syphilis at time of delivery

33
Q

When is herpes screening done?

A

It is not routine, evidence does not support routine HSV2 serologic screening among asymptomatic pregnant women.

34
Q

how is trichomoniasis screened for?

A

It is done with the pap smear.

All pregnant women should be screened at their first prenatal visit.

35
Q

what lab test will be used to test for hepatitis B in pregnant patients and when?

A

HBsAg and at first prenatal visit

Texas law requires testing again at time of delivery

36
Q

what is the screening recommendation for chlamydia and gonorrhea in men?

A

insufficient evidence to support

37
Q

what is the screening recommendation for chlamydia and gonorrhea in men who have sex with men?

A

at least annually, regardless of condom use

38
Q

what is the screening recommendation for syphilis screening in men who have sex with men?

A

at least annually, or every 3-6 months if at increased risk

39
Q

what is the screening recommendation for trichomoniasis in men? and in men who have sex with men?

A

all men aged 13 to 64 years can get screened

MSM-at least annually for sexually active

40
Q

what should be tested for hepatitis B in men who have sex with men?

A

HBsAg, HBV core antibody, HBV surface antibody

41
Q

what std is not reportable?

A

Trichomoniasis

42
Q

what are the 4 amsel’s criteria?

A

think milk like discharge
clue cells
pH greater than 4.5
fishy odor

only need 3/4 to treat a patient

43
Q

what are the two oncogenic HPV subtypes?

A

16 and 18

can cause cancer to the cervix, vulva, vagina, anus, penis, oropharynx

44
Q

what is Jarisch-Herxheimer reaction?

A

it is a reaction after the initiation of abx therapy for syphilis
fever, malaise, chills, nausea, vomiting, chills and rash can occur
usually resolves on its own

45
Q

when should truvada be started?

A

within 72 hours

46
Q

what is the CD4 count that makes a clinical diagnosis of AIDS?

A

less than 200

PCII-Exam 2 (4 decks)

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