Nelson - Sexually Transmitted Infections Flashcards
T/F: Most STIs are asymtpomatic and only detected by a lab test
T
What hormone increases during puberty causing vaginal epithelium to thicken and cornify and cellular glycogen content to rise
Estrogen
During puberty, estrogen causes vaginal epithelium to change making it resistant to penetration by what organism
Neisseria gonorrhea
During puberty, estrogen causes vaginal epithelium to change making it more susceptible to penetration by what organisms
1) Candida albicans 2) Trichomonas vaginalis
Refers to the change in vaginal cells of the ectocervix forming a border called the squamocolumnar junction
Cervical ectopy
When is susceptibility to ascending gonococcal infection in puberty highest
During menses when pH is 6.8-7.0
What are the 2 primary STI control strategies
1) Early detection
2) Early treatment
___% of males with urethritis are asymptomatic
30-50%
Classic physical finding in male urethritis
Mucoid or purulent discharge from urethra
Most commonly identified pathogens causing urethritis
Chlamydia trachomatis and Neisseria gonorrhea
Pathogens that are potential urethritis pathogens
HSV-1, HSV-2, EBV
T/F: In the typical sexually active adolescent male, dysuria and urethral discharge suggest the presence of an STI unless proven otherwise.
T
T/F: Epididymitis in adolescent males is most often associated with an STI
T
Most frequent cause of epididymitis
C. trachomatis and N. gonorrhea
Findings consistent with a presumptive epididymitis
1) Unilateral scrotal swelling and tenderness
2) Hydrocele
3) Palpable swelling of the epididymis
4) History of urethral discharge
