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NUR114 Sexuality > Pizzotti Sexuality 5 > Flashcards

Pizzotti Sexuality 5 Flashcards

1
Q

Two types of erectile dysfunction

A

Organic ED and Functional ED

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2
Q

What is Organic ED?

A

Organic ED is a gradual deterioration of function

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3
Q

What is Functional ED?

A

Functional ED is periods of ED that occur suddenly usually after a period of high stress

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4
Q

What are the three important points for caring of a patient with ED?

A

Do not take nitrates with PDE 5 inhibitors, Injecting the penis with vasodilating drugs, Penile implants

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5
Q

What are the three common tumor markers that confirm testicular cancer?

A

alfa fetoprotein, hCG and LDH

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6
Q

What is Oligospermia?

A

low sperm count

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7
Q

What is azoospermia?

A

absence of living sperm

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8
Q

On what point should we educate patients with testicular cancer?

A

on sperm banking options

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9
Q

In testicular cancer which gas may be used as part of surgery?

A

carbon dioxide

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10
Q

In which two parts of the body, will a testicular cancer patient feel pain after surgery?

A

chest or shoulder pain may be expected after surgery

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11
Q

In testicular cancer, what does open orchiectomy results in?

A

sterility

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12
Q

In testicular cancer surgery, what is the next step after orchiectomy?

A

A silicone implant may be put in place after orchiectomy

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13
Q

In testicular cancer surgery, what may be used after orchiectomy?

A

External beam radiation

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14
Q

What is priapism?

A

uncontrolled and long maintained erection without sexual desire

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15
Q

What is paraphimosis?

A

Constricted prepuce or foreskin

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16
Q

What is cryptorchidism?

A

When testicles fail to descend

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17
Q

What is a hydrocele?

A

Fluid around testicle

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18
Q

What is a spermatocele?

A

cystic mass on epididymis

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19
Q

What is a varicocele?

A

dilated veins

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20
Q

What does transgender mean?

A

A term to describe patients who self identify as the opposite gender or a gender that does not match their natal sex

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21
Q

What does transsexual mean?

A

A person who has modified his or her natal body to match the appropriate gender identity, either through cosmetic, hormonal, or surgical means

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22
Q

Three populations who are at greatest risk for acquiring STDs

A

Pregnant women, adolescents and men who have sex with men or MSM

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23
Q

What is syphilis?

A

A complex sexually transmitted disease or STD that can become systemic and cause serious complications, including death.

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24
Q

What are the four stages that syphilis progresses through?

A

Primary, Secondary, Latent and Tertiary

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25
Q

What to you call a syphilis ulcer?

A

Chancre

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26
Q

What is the first sign of primary syphilis?

A

Chancre

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27
Q

How does the chancre begin to grow during primary syphilis?

A

As a small papule.

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28
Q

During primary syphilis how many days does it take for a chancre to break down into its typical appearance?

A

Within 3 to 7 days

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29
Q

What are four characteristics of a primary syphilis chancre with its typical appearance?

A

Painless, Indurated or hardened, Smooth, Weeping lesion

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30
Q

When does secondary syphilis develop?

A

Secondary syphilis develops 6 weeks to 6 months after the onset of primary syphilis.

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31
Q

What is the period after the second stage of syphilis called?

A

period of latency

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32
Q

When does the late latent syphilis start?

A

more than 1 year after infection.

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33
Q

Which stage of syphilis is not infectious except to the fetus?

A

late latent syphilis

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34
Q

What is a treponemes?

A

a spirochete bacterium that is parasitic or pathogenic in humans and warm blooded animals, including the causal agents of syphilis

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35
Q

Why is it important to wear gloves during the physical examination of a syphilitic patient?

A

You must wear gloves while palpating any lesions because of the highly contagious treponemes that are present.

36
Q

What is the usual screening and/or diagnostic nontreponemal test?

A

Rapid Plasma Reagin or RPR

37
Q

Which drug is prescribed for a syphilitic patient?

A

penicillin G

38
Q

What can happen when a syphilitic patient uses benzathine penicillin G?

A

Allergic reactions

39
Q

Name five allergic manifestations that can occur after using benzathine penicillin G

A

rash, edema, shortness of breath, chest tightness, anxiety

40
Q

What should doctors explain to syphilitic patients about their partners?

A

The importance of partner notification and treatment

41
Q

What are the two serotypes of herpes simplex virus (HSV) which affect the genitalia?

A

type 1 or HSV 1 and type 2 or HSV 2

42
Q

What is the latin term for genital warts?

A

Condylomata Acuminata

43
Q

What cause genital warts?

A

Genital warts are caused by certain types of human papilloma virus (HPV)

44
Q

Which disease is the most common viral disease that is sexually transmitted?

A

Genital warts are the most common viral disease that is sexually transmitted and is often seen with other infections.

45
Q

What is the primary risk factor for development of cervical cancer?

A

HPV infection has been established as the primary risk factor for development of cervical cancer

46
Q

What are the three characteristics of condylomata acuminata lesions?

A

Small, white or flesh colored papillary growths

47
Q

What condylomata acuminata lesions will be after growth?

A

large cauliflower like masses.

48
Q

What should be the outcome of genital warts treatment?

A

The outcome of treatment is to remove the warts.

49
Q

Is there any therapy which eliminates the HPV infection?

A

No current therapy eliminates the HPV infection

50
Q

What are the two treatment options are there for patients with genital warts?

A

Podofilox or Condylox, Cryotherapy

51
Q

What should patients with genital warts be informed of?

A

That recurrence is likely

52
Q

What is Gardasil used for?

A

Gardasil is used to provide immunity for HPV types 6 and 11 or predominantly types causing warts, low risk for cervical cancer and 16 and 18 or high risk for cervical cancer

53
Q

What are the two predominant types of HPV which cause warts and have a low risk for cervical cancer?

A

HPV types 6 and 11

54
Q

Which are the two types of HPV with a high risk for cervical cancer?

A

16 and 18

55
Q

For which group of HPV patients are vaccines recommended?

A

The vaccine is recommended for males ages 9 to 26 years.

56
Q

For which group of syphilitic patients is cervarix prescribed?

A

9 to 25 year old females

57
Q

Cervarix protects against what strains of HPV

A

HPV types 16 and 18

58
Q

When are Gardasil and Cervarix recommended to be used?

A

before onset of sexual activity

59
Q

What are 5 signs and symptoms of a patient with Chlamydia Trachomatis?

A

Vaginal or Urethral discharge, Dysuria or painful urination, Frequent Urination, Pelvic pain, Irregular bleeding

60
Q

What is the gold standard for the diagnosis of Chlamydia Trachomatis?

A

A tissue culture from cervical os or center of cervical opening or the urethra

61
Q

What are the two drugs for treatment of Chlamydia Trachomatis?

A

Azithromycin with a brand named Zithromax or Doxycycline

62
Q

Which two factors shows signs of reducing Chlamydia infection rates?

A

Expedited partner therapy or EPT, treating and testing sexual partners for other STD’s shows signs of reducing chlamydia infection rates.

63
Q

Which percentage of Chlamydia infections are asymptomatic in women?

A

About 70%

64
Q

How does the infectious process occur in Pelvic Inflammatory Disease?

A

Organisms from the lower genital tract migrate from the endocervix upward through the uterine cavity into the fallopian tubes

65
Q

Name five infections in Pelvic Inflammatory Disease

A

Endometritis, Salpingitis, Oophoritis, Parametritis, Peritonitis

66
Q

Name two diseases that Pelvic Inflammatory Disease is one of the leading causes of them?

A

infertility and ectopic pregnancy

67
Q

What are 8 signs and symptoms of a patient with Pelvic Inflammatory Disease

A

Lower abdominal pain, Irregular vaginal bleeding, Dysuria, Increase in vaginal discharge, Dyspareunia or painful intercourse, Malaise, Fever, Chills

68
Q

What is gonorrhea?

A

A sexually transmitted bacterial infection

69
Q

What four things can happen in women by ascending spread of gonorrhea?

A

Pelvic Inflammatory Disease or PID, Endometritis or endometrial infection, Salpingitis or fallopian tube infection, Pelvic Peritonitis

70
Q

Who is more likely to get asymptomatic gonorrheal infection: men or women?

A

The infection can be asymptomatic in both men and women, but women have asymptomatic, or silent infections more often than do men.

71
Q

What are two symptoms of gonorrheal infection in men?

A

dysuria and a penile discharge

72
Q

Two types of penile discharge during gonorrheal infection

A

profuse, yellowish green fluid, scant, clear fluid

73
Q

Which 4 parts of the body are afftected due to gonorrhea infection?

A

urethra, prostate, seminal vesicles, epididymis

74
Q

What are three changes women may report in case of gonorrheal infection?

A

change in vaginal discharge, urinary frequency, dysuria

75
Q

What are the 4 characteristics of vaginal discharge in case of gonorrheal infection?

A

yellow, green, profuse, odorous

76
Q

What are 4 anal manifestations in case of gonorrheal infection?

A

itching and irritation, rectal bleeding, diarrhea, painful defecation

77
Q

In gonorrheal infections, fever is a sign of which two ascending inflammatory diseases?

A

Pelvic Inflammatory Disease, Epididymitis

78
Q

How gonorrhea can be diagnosed in men?

A

by Gram staining smears

79
Q

How uncomplicated gonorrhea is treated?

A

with antibiotics

80
Q

Can someone have gonorrhea and not know it?

A

Yes, not all people infected with gonorrhea have symptoms.

81
Q

What are the 9 signs and symptoms of gonorrheal infection in women?

A

Greenish yellow or whitish discharge from the vagina, Lower abdominal or pelvic pain, Burning when urinating, Conjunctivitis like red and itchy eyes, Bleeding between periods, Spotting after intercourse, Swelling of the vulva or vulvitis, Burning in the throat due to oral sex, Swollen glands in the throat due to oral sex

82
Q

What are the 2 signs and symptoms of gonorrheal infection in men?

A

Greenish yellow or whitish discharge from the penis, Burning when urinating

83
Q

How is gonorrhea diagnosed in men?

A

By a swab culture of fluid from the urethra

84
Q

How is gonorrhea diagnosed in women?

A

from the cervix

85
Q

Why in diagnosis of gonorrhea a throat or anal culture may needed?

A

to see if the infection is in the throat or anus

86
Q

What gonorrheal patients should know about chlamydia?

A

Gonorrhea and chlamydia often occur together, so patients may be tested and treated for both.

87
Q

What are the 3 treatment options for Gonorrhea?

A

Azithromycin such as Zithromax, Doxycycline such as Monodox, Doxy Cap, Doxycin, Ceftriaxone such as Rocephin, plus Doxycycline with or without Metronidazole such as Flagyl 500 mg orally twice per day for 14 days

NUR114 Sexuality (5 decks)

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