Pizzotti Sexuality 5

Question 1

Two types of erectile dysfunction

Answer 1

Organic ED and Functional ED

Question 2

What is Organic ED?

Answer 2

Organic ED is a gradual deterioration of function

Question 3

What is Functional ED?

Answer 3

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

Question 4

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

Answer 4

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

Question 5

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

Answer 5

alfa fetoprotein, hCG and LDH

Question 6

What is Oligospermia?

Answer 6

low sperm count

Question 7

What is azoospermia?

Answer 7

absence of living sperm

Question 8

On what point should we educate patients with testicular cancer?

Answer 8

on sperm banking options

Question 9

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

Answer 9

carbon dioxide

Question 10

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

Answer 10

chest or shoulder pain may be expected after surgery

Question 11

In testicular cancer, what does open orchiectomy results in?

Answer 11

sterility

Question 12

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

Answer 12

A silicone implant may be put in place after orchiectomy

Question 13

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

Answer 13

External beam radiation

Question 14

What is priapism?

Answer 14

uncontrolled and long maintained erection without sexual desire

Question 15

What is paraphimosis?

Answer 15

Constricted prepuce or foreskin

Question 16

What is cryptorchidism?

Answer 16

When testicles fail to descend

Question 17

What is a hydrocele?

Answer 17

Fluid around testicle

Question 18

What is a spermatocele?

Answer 18

cystic mass on epididymis

Question 19

What is a varicocele?

Answer 19

dilated veins

Question 20

What does transgender mean?

Answer 20

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

Question 21

What does transsexual mean?

Answer 21

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

Question 22

Three populations who are at greatest risk for acquiring STDs

Answer 22

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

Question 23

What is syphilis?

Answer 23

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

Question 24

What are the four stages that syphilis progresses through?

Answer 24

Primary, Secondary, Latent and Tertiary

Question 25

What to you call a syphilis ulcer?

Answer 25

Chancre

Question 26

What is the first sign of primary syphilis?

Answer 26

Chancre

Question 27

How does the chancre begin to grow during primary syphilis?

Answer 27

As a small papule.

Question 28

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

Answer 28

Within 3 to 7 days

Question 29

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

Answer 29

Painless, Indurated or hardened, Smooth, Weeping lesion

Question 30

When does secondary syphilis develop?

Answer 30

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

Question 31

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

Answer 31

period of latency

Question 32

When does the late latent syphilis start?

Answer 32

more than 1 year after infection.

Question 33

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

Answer 33

late latent syphilis

Question 34

What is a treponemes?

Answer 34

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

Question 35

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

Answer 35

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

Question 36

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

Answer 36

Rapid Plasma Reagin or RPR

Question 37

Which drug is prescribed for a syphilitic patient?

Answer 37

penicillin G

Question 38

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

Answer 38

Allergic reactions

Question 39

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

Answer 39

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

Question 40

What should doctors explain to syphilitic patients about their partners?

Answer 40

The importance of partner notification and treatment

Question 41

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

Answer 41

type 1 or HSV 1 and type 2 or HSV 2

Question 42

What is the latin term for genital warts?

Answer 42

Condylomata Acuminata

Question 43

What cause genital warts?

Answer 43

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

Question 44

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

Answer 44

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

Question 45

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

Answer 45

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

Question 46

What are the three characteristics of condylomata acuminata lesions?

Answer 46

Small, white or flesh colored papillary growths

Question 47

What condylomata acuminata lesions will be after growth?

Answer 47

large cauliflower like masses.

Question 48

What should be the outcome of genital warts treatment?

Answer 48

The outcome of treatment is to remove the warts.

Question 49

Is there any therapy which eliminates the HPV infection?

Answer 49

No current therapy eliminates the HPV infection

Question 50

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

Answer 50

Podofilox or Condylox, Cryotherapy

Question 51

What should patients with genital warts be informed of?

Answer 51

That recurrence is likely

Question 52

What is Gardasil used for?

Answer 52

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

Question 53

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

Answer 53

HPV types 6 and 11

Question 54

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

Answer 54

16 and 18

Question 55

For which group of HPV patients are vaccines recommended?

Answer 55

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

Question 56

For which group of syphilitic patients is cervarix prescribed?

Answer 56

9 to 25 year old females

Question 57

Cervarix protects against what strains of HPV

Answer 57

HPV types 16 and 18

Question 58

When are Gardasil and Cervarix recommended to be used?

Answer 58

before onset of sexual activity

Question 59

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

Answer 59

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

Question 60

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

Answer 60

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

Question 61

What are the two drugs for treatment of Chlamydia Trachomatis?

Answer 61

Azithromycin with a brand named Zithromax or Doxycycline

Question 62

Which two factors shows signs of reducing Chlamydia infection rates?

Answer 62

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

Question 63

Which percentage of Chlamydia infections are asymptomatic in women?

Answer 63

About 70%

Question 64

How does the infectious process occur in Pelvic Inflammatory Disease?

Answer 64

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

Question 65

Name five infections in Pelvic Inflammatory Disease

Answer 65

Endometritis, Salpingitis, Oophoritis, Parametritis, Peritonitis

Question 66

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

Answer 66

infertility and ectopic pregnancy

Question 67

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

Answer 67

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

Question 68

What is gonorrhea?

Answer 68

A sexually transmitted bacterial infection

Question 69

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

Answer 69

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

Question 70

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

Answer 70

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

Question 71

What are two symptoms of gonorrheal infection in men?

Answer 71

dysuria and a penile discharge

Question 72

Two types of penile discharge during gonorrheal infection

Answer 72

profuse, yellowish green fluid, scant, clear fluid

Question 73

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

Answer 73

urethra, prostate, seminal vesicles, epididymis

Question 74

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

Answer 74

change in vaginal discharge, urinary frequency, dysuria

Question 75

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

Answer 75

yellow, green, profuse, odorous

Question 76

What are 4 anal manifestations in case of gonorrheal infection?

Answer 76

itching and irritation, rectal bleeding, diarrhea, painful defecation

Question 77

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

Answer 77

Pelvic Inflammatory Disease, Epididymitis

Question 78

How gonorrhea can be diagnosed in men?

Answer 78

by Gram staining smears

Question 79

How uncomplicated gonorrhea is treated?

Answer 79

with antibiotics

Question 80

Can someone have gonorrhea and not know it?

Answer 80

Yes, not all people infected with gonorrhea have symptoms.

Question 81

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

Answer 81

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

Question 82

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

Answer 82

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

Question 83

How is gonorrhea diagnosed in men?

Answer 83

By a swab culture of fluid from the urethra

Question 84

How is gonorrhea diagnosed in women?

Answer 84

from the cervix

Question 85

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

Answer 85

to see if the infection is in the throat or anus

Question 86

What gonorrheal patients should know about chlamydia?

Answer 86

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

Question 87

What are the 3 treatment options for Gonorrhea?

Answer 87

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