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S3 1538 > S3 M1 Sexuality > Flashcards

S3 M1 Sexuality Flashcards

1
Q

Having 1 STI increases the risk of having

A

Another STI

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2
Q

When a person has more than one STI or other medical problem, these sicknesses are labeled as

A

Concurrent

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3
Q

All STIs have a latent or subclinical phase which is -

A

having and being able to transmit the disease without symptoms

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4
Q

Viral STIs

A

Herpes
HPV
Hep B
HIV

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5
Q

Bacterial STIs

A

Chlamydia
Gonorrhea
Syphilis

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6
Q

Viral STIs are treated with

A

Vaccines
NO cure

treat symptoms
suppress virus

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7
Q

Bacterial STIs are treated with

A

Anti infectives

NO vaccines

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8
Q

Chain of infection

A 
Pool/reservoir of infection
Portal of exit
Mode of transmission
Portal of entry
Susceptible host
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9
Q

Gonorrhea 101

A

Neisseira gonorrheae

Vag Anal Oral sex childbirth

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10
Q

Gonorrhea symptoms

Women

Men

A

Arthritis

Women
minor/overlooked symptoms

Endocervicitis (redness)
Dyspareunia (pain with sex)
purulent exudate
dysuria
frequency 
Men
Urethritis
Dysuria (pain)
Profuse purulent drainage
Ball bag pain
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11
Q

Syphilis 101

phases

A

Treponema pallidum
Spirochete

vaginal anal oral childbirth

Primary - highly infectious
Secondary - infectious
Latent - noninfectious after 4 years
Late - noninfectious

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12
Q

Chlamydia 101

A

Chlamydia trachomatis
MOST COMMON STI

Vaginal anal oral or child birth transfer

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13
Q

Chlamydia symptoms

A

PID pelvic inflammatory disease most serious

painful urination
dysuria

infertility/sterility

Discharge
Burning
Dyspareunia
Vaginal bleeding 
Lower ab and back pain

Anal sex - anal pain
Oral sex - sore throat

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14
Q

HPV 101

A

Human papillomavirus

Vaginal anal oral childbirth
Genital Warts
Vaccine available

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15
Q

Most common HPV types

Most carcinogenic HPV types

A

common - 6 and 11

carcinogenic - 16 and 18

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16
Q

Herpes HSV 101

A

Herpes simples
CAN be spread to infant at child birth

T1 - above waist, Cold sores
T2 - below waist

This isn’t always true

Virus enters nerve endings

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17
Q

Herpes HSV PRIMARY symptoms

A

Burning, Itching, Tingling

Lesions - rupture, crust, heal
last 17-20 days

Vesicles - infections

Pain fever headache malaise myalgia

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18
Q

Herpes HSV Recurrent episode symptoms

A

triggers - stress, fatigue, sunburn, illness, immunosuppression, menses

tingling burning itching before lesions

lesions last 8 to 12 days

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19
Q

Herpes none medical treatment

A

Hygiene
Cotton undies
Clean/dry lesions

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20
Q

Start STI treatment of antibiotics __ culture

A

before

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21
Q

STI Treatment teaching

A

Finish antibiotics
Let partners know
Abstain during treatment
Follow up examination and culture

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22
Q

Primary STI prevention

A

Safe sexual contacts
No IV drug use
Be vaccinated
Use a condom

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23
Q

Secondary STI prevention

A

Seek care immediately
Follow treatment regiment
Disclose partners/contacts

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24
Q

Tertiary STI prevention

A

Prevent reinfection

If virus - maintain healthiest condition possible
diet, sleep, education, drug therapy etc.

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25
Q

Organic ED

A 
Related to 
Diabetes
HTN
Decreased hormone production
Med side effects
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26
Q

Functional ED

A

Stress
Performance anxiety

ID personal issues like anger anxiety depression

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27
Q

Differentiate between Organic and Functional ED by

Assessment for ED

A

Onset
Organic gradual
Functional acute

International Index of Erectile Function

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28
Q

If ejaculation of tactile sensation is absent before treatment

A

it can not be restored

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29
Q

ED treatment

A

PDES inhibitors

NOT with nitrates = severe hypotension

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30
Q

Invasive ED treatment

A

Intraurethrals - gels injections or pellets to go in

Vaso constrictive device - dick pump with ring

Implant - Can result in mechanical failure, infection, erosion

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31
Q

Gender dysphoria

A

Cross-gender identification
Persistent desire to be of other sex
Persistent discomfort in own sex

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32
Q

Gender identity is based on

A

Sexual identity

AND

Internal experience

If those don’t match then the person is transgender (differently gendered)

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33
Q

Transsexual

A

ID with opposite gender

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34
Q

Preop transsexual

A

Altered physical appearance

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35
Q

Intersexed

A

Born with ambiguous sexual organs

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36
Q

Cross-dresser/transvestite

A

Wears clothing of the opposite gender

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37
Q

Gender dysphoria criteria

A

Difference in gender identity lasting longer than 6 months

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38
Q

For gender dysphoria to be diagnosed in kids the desire must be

A

Present AND verbalized

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39
Q

Dyspareunia

A

Pain before during and after intercourse

burning stinging sharpness extreme tenderness sensation

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40
Q

Dyspareunia causes

A 
Physiological
pelvic disorder
sti
endometriosis
menopause

Psychological
abuse stress depression

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41
Q

Treatment for altered libido

A

Medication
Counseling
Hormones
Lifestyle remedies

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42
Q

Causes of altered libido

A

Physical
Hormonal
Psychological
Relationship issues

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43
Q

Dyspareunia (Menopause)

Treatment

A

Hormone therapy
Calcium Vit D
SERMs

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44
Q

Managing Dyspareunia pain with sex

A

Vagifem tabs
Premarin cream

Moisturizers
Lubricants

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45
Q

Candidiasis treatment

A

Miconazole
Clotrimazole
Terconazole
Fluconazole

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46
Q

Treatment for Chlamydia

A

Doxycycline 100mg bid x7days
Azithromycin 1g x1
Erythromycin 500mg qid x7days

Abstain from sex for 7 days post 1st pill

retest in 3 months

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47
Q

Gonorrhea treatment

A

Azithromycin 1G x1 AND
Ceftriaxone 250mg IM x1

abstinence for 7 days

test 3 months

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48
Q

P
LI
SS
IT

A

P permission - allow to talk
LI limited information - give all the info
SS specific suggestions - advise lifestyle changes
IT intensive therapy - referral for more involved treatment prn

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49
Q

Herpes treatment

A

1st episode - antivirals

Acyclovir 400 tid 7-10 days
Acyclovir 200 fiveID 7-10 days
Famciclovir 250 tid 7-10 days
Valacyclovir 1G bid 7-10 days

if unresolved extend past 10 days

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50
Q

Diagnosing HSV

A

Viral culture

NEVER papsmear

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51
Q

Syphilis treatment

A

Benzathine Penicillin G 2.4million units IM
Primary and secondary

Benzathine penicillin G 2.4million units IM Q week for 3 weeks
Late stage

use doxy tetra or arithro if allergic to PCN

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52
Q

1st stage of syphilis symptoms

A

painless chancre at sight of infection

lasts 1 to 6 weeks

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53
Q

2nd stage of syphilis symptoms

A

appears 2 to 6 months after 1st
flulike symptoms
rash on soles palms and trunk
alopecia

lasts 2 years

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54
Q

3rd stage of syphilis

A

lasts 20 years

Destroys heart brain skin and CNS

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55
Q

Tests for syphilis

A

VDRL venereal disease research lab
RPR rapid plasma reagin

FTA-ABS fluorescent treponemal antibody absorbed
TP-PA T pallidum particle agglutination

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56
Q

Best position for PID

A

Semifowlers

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57
Q

HPV diagnosing

A

Visual inspection
Pap smear
+ HPV test

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58
Q

HPV treatment

A

Imiquimod cream
Podophillin solution
Trichloracetic acid

Freeze
Burn
Laser
Surgical excision

2 vaccines for ages 11 to 15
3 vaccines for older folk

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59
Q

CD4 T normal

CD4 T with aids

A

450-1200

bellow 200

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60
Q

HIV screening test

A

Nucleic Acid Test NAT
Antigen/antibody test
Antibody test

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61
Q

HIV treatment

A

ART Antiretroviral therapy

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62
Q

HIV Prophylaxes med

A

PrEP

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63
Q

Diagnosing infertility

A

Diagnosed after 1 year of trying

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64
Q

Secondary infertility

A

Inability to conceive after a previous pregnancy

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65
Q

Infertility is now considered a _

as opposed to _

A

Disease

Disorder of inconvenience

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66
Q

Uterine fibroids

A

Benign tumors that prevent pregnancy

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67
Q

At what female age is it difficult to conceive

A

27

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68
Q

Endometriosis

A

Uterus lining grows outside of uterus

More severe pain during cycle

Causes infertilities

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69
Q

Normal sperm

A

Greater than 20 million per ml

50% are motile

70
Q

If sperm count normal go see a

A

Urologist

71
Q

Assessment of female pregnancy potential

A

Ovulation predictor kit
LH level
Pap smear

to visualize
Ultrasound
Hysterosalpingography
Laparoscopy

72
Q

Management of infertility for women

A

Clomid - oral
Pergonal - injection

IVF in vitro fertilization
GIFT gamete intrafallopian transfer

Surgery
Surrogate

73
Q

With infertility nurses should know the drugs

A

benefits and side effects

74
Q

Some fertility drugs may result in

A

Multiple births

75
Q

Provide medical-legal surrogacy information regarding

A

true ownership

76
Q

Biggest cause of infertility in women

A

Endometriosis

77
Q

Behavioral contraception types

A

Abstinence
Fertile awareness (skip ovulation days)
Withdrawal (pullout)
Lactation amenorrhea (no ovulation)

78
Q

Spinnbarkit Mucous

A

slippery clear mucous that facilitates passage of the sperm through it

79
Q

Barrier contraception

A

Condom
Diaphragm
Cervical cap
Sponge

80
Q

Store condoms in a

buy condoms with

A

Cool dry environment

Spermicide

81
Q

_ based products can brake condoms

A

Oil

82
Q

Female condom can be inserted for up to

how to insert

A

8 H before intercourse

inner ring against cervix
outer rink outside of vagina

83
Q

Diaphragm contraception

A

NO OIL

Can be placed up to 6h before MUST remain for AT LEAST 6h after

If you lose are gain 10lb you need a new measurement, or after 2 years

Never leave it in for more than 24h

84
Q

Cervical cap contraception

A

Put spermicide in the cap NOT on edges

Need to place at LEAST 30 min before

Leave in for 6H after

Can be left in place for 48H

replace after 2 years

85
Q

Leaving a diaphragm cervical cap or sponge in for more than the recommended time can cause

A

Toxic shock syndrome

86
Q

Contraceptive sponge

NO prescription needed

A

Wet it and place in

will release spermicide for 24H

leave in for 6h after intercourse

can be used multiple times

Don’t leave in for more than 30h
toxic shock syndrome

87
Q

Toxic shock syndrome

A

Overgrowth of Staph Aureus and its toxins

Sudden, Potentially fatal,

SHARP drop in BP, Shock, Organ failure due to lack of flow.

88
Q

Contraceptioin

A

Family planning
Birth control

intentional prevention of pregnancy

89
Q

lifespan of ovum _

ovum is released…

lifespan of sperm in utero _

So fertility period is…

A

24h

14 days before next cycle

5 days

6 days 3 before and 3 after ovulation

90
Q

Cervical mucus ovulation method

A

When mucus becomes spinnbarkeit

slippery, smooth, clear, abundant

91
Q

BBT

Basal body temp

A

Progesterone elevates temp 2 days after ovulation

92
Q

Standard days method

A

Avoid sex between day 8 and 19

Only if cycle is between 26 and 32 days long

93
Q

Depo Provera

PROGESTERONE only

A

12 week intramuscular injectable contraceptive by reducing FSH and LH production

Cycle may not be restored for up to 9 months

Loss of bone marrow density, acne weight gain, depression

94
Q

Transdermal patch

A

1 a week except bleeding week

risk of thrombosis and embolism

Patch will burn during MRI

Rotate patch area

95
Q

Vaginal ring

NuvaRing

A

insert for 3 weeks

take out for bleeding week

96
Q

LARCs
Long-acting reversible contraceptives

Implant

Nexplanon

A

subdermal, good for 3 years

headaches, weight gain, acne, appetite increase, breast tenderness, depression

97
Q

IUC
Intrauterine
Contraceptive

A

endometrium becomes hostile to fertilized ovum

lightens periods

98
Q

Sterilization

A

surgical procedure rendering person infertile

Laparoscopy for females

Vasectomy for men

99
Q

Tubal ligation

A

Laparoscopy or minilaparotomie

Fallopian tubes are cauterized clipped cut or tied

100
Q

Essure

A

Tiny coil is placed in fallopian tubes

coil promotes tissue growth blocking off the canals

COMPLETELY irreversible
BAD not on market any more

101
Q

Vasectomy

A

Cutting of the vas deferens from under scrotum.

102
Q

Religions problematic with fam planning and abortion

A

Roman Catholic anti
Islam only for serious reasons
Judaism only first trimester

103
Q

Nursing interventions with contraception

A 
Encourage educated choice
Obtain written consent
Discuss contraindications
Consider religion and culture
Address myths
104
Q

Abortion

A

expulsion of embryo or fetus before it is viable

105
Q

Medical abortion

A

Mifepristone or Misoprostol

Empties uterus via cramping and bleeding

106
Q

Surgical abortion

A

Vacuum or dilation and evacuation D&C

107
Q

Before giving semen sample, abstain for

deliver it to the lab within

A

2 to 5 days

1h

108
Q

Azoospermia

Oligospermia

Asthenospermia

A

Absence

Decrease

Poor motility

109
Q

DOR

A

Diminished ovarian reserve

higher rate of miscarriage

110
Q

Assisted reproductive technology ART

A 
IVF in vitro fertilization
daily FSH and LH injections
removal of oocytes
incubation with sperm for 5 days
injection via cath into female
111
Q

Monophase

Biphase

Triphase

birthcontrols

A

Same level of estrogen and progesterone

2 different levels

3 different levels

112
Q

Mini pills vs regular birth control pills vs extended pills

A

Mini pills have to be taken same time every day

Regular birth control more forgiving

have a cycle 4 times to once a year

113
Q

Benefits of birth control

A 
acne
hirsutism
endometriosis
pms
dysmenorrhea
decreases bleeding
114
Q

disadvantages of birth control

A 
MI
stroke
hypertension
Venous thrombosis
Pulmonary emboli
Boob cancer
115
Q

No combination pills for women over

A

35

take mini pill

116
Q

Antibiotics + birthcontrol =

A

decreased effect of birth control

Use back up method for AT LEAST 2 weeks

117
Q

ACHES of OC oral contraceptives

A 
A - abdominal pain, liver/gallbladder
C - chest pain, SOB P/embolism
H - headaches, HTN, stroke
E - eye problems, HTN
S - Severe leg pain, thromboembolism
118
Q

Embolisms with OC oral contraceptives are caused by which hormone

A

Estrogen

119
Q

Depo provera

Biggest side effects

use over 2 years is associated with

A

Menstrual cycle disturbances

bone loss
increase calcium and vit D

120
Q

Transderm patches are not for women over

A

198lb

121
Q

Mirena and Skyla

A

intrauterine contraceptives
progesterone only

Mirena good for 5 years

Skyla good for 3 years

ParaGard does NOT have hormone
copper only

122
Q

IUD complications

PAINS

A 
P - period late, pregnancy, spotting
A - abdominal pain, with intercourse
I - infection, vaginal discharge
N - not feeling well, fever, chills
S - string length, shorter/longer/missing
123
Q

Abortion pills can be used up too _ days after last menstrual period

A

70 days

9 weeks

124
Q

Abortion pills need a _ to be given

A

prescription

125
Q

Next choice vs plan b

A

Next choice 2 pills 12h apart
plan b 1 pill

take within 72h

126
Q

IUD can be used as an

what emergency contraceptive can be take for up to 5 days

A

emergency contraceptive for up to 7 days

Ella

127
Q

Highest side effects of emergency contraceptives

A

Nausea and Vomiting
Breast tenderness

dizziness, fatigue, headaches

128
Q

Worst case emergency contraceptives can lead to

A

Egtopic pregnancy

fetus in felopean tube

129
Q

Chlamydia diagnosing

A

Culture
NAAT nucleic acid amplification and testing
Conjunctival secretions in neonates

130
Q

Chlamydia and gonorrhea has to be reported to

A

CDC health department

131
Q

Chlamydia in neonates

A

Conjunctivitis
Pneumonia
low weight
preterm birth

132
Q

Gonorrhea diagnostics

A

culture

NAAT

133
Q

Chlamydia and gonorrhea should be tested for

A

ever year for patients under 25 per CDC

134
Q

Gonorrhea in newborns

A

Gonococcal ophthalmia
arthritis
urethritis
miscarriage

135
Q

Herpes diagnostics

A

Visual
culture swab
Polymerase chain
Serologic test

136
Q

Candyloma lata

syphilis rash does not

A

sign of syphilis

itch

137
Q

Can you reverse Tertiary late stage syphilis

A

NO

138
Q

Birth with syphilis

A 
deformed bones
anemia
liver spleen issues
jaundice
meningitis
139
Q

Number 1 cause of cervical cancer

A

HPV

140
Q

Trichomoniasis 101

A

Trichomonas vaginalis

141
Q

Trichomoniasis diagnosing

A

NAAT

Microscopic evaluation

142
Q

Trichomoniasis treatment

A

Metronidazole 2G PO x1
Tinidazole 2G PO x1
Metronidazole 500mg PO bid 7 days

143
Q

Trichomoniasis symptoms

A 
Dysuria
Frequency
Frothy discharge
Dyspareunia
Itching

Strawberry cervix

144
Q

Menopause

A

Decrease in estrogen

dryness
vaginal atrophy
pH increase

145
Q

If menopause patient still has uterus, MUST give

A

Progesterone with estrogen supplement

or increased risk of hyperplasia and endometriosis

146
Q

Menopause treatment

A

Give LOWEST dose possible for SHORTEST amount of time possible

E-string
Estrogen vag tabs
Premarin cream
Testosterone patches

147
Q

Sex with menopause

A

Communicate with partner
Foreplay
Intimacy w/o penetration
Sex counseling

148
Q

A decline in sexual activity _ _ mean decline in desire

A

DOES NOT

149
Q

Decrease in sexual desire for men and women

A

Men - decrease in T, poor health, meds leading to ED

Women - decrease in estrogen, loss of partner

Both - take longer to arouse, longer to complete and longer to occur again

150
Q

more than half of men between 40 and 70 have

A

ED

151
Q

how erections work

A

Smooth muscle RELAXATION

Blood fills

152
Q

ED diagnostics

A

physical assessment

Nocturnal penile tumescence test
3-5 erections lasting 10-15 min each is normal

Arterial blood flow doppler probe

nerve conduction test

psych eval

153
Q

Dick pill side effects

A 
headache
flushing
dyspepsia
diarrhea
nasal congestion
154
Q

dyspepsia

A

stomach pain

155
Q

Dick pills are contraindicated in folk who take

or have

only use

A

Nitrates (isordil, nitroglycerin) hypotension

bad bp, live, kidneys, heart

once a day

156
Q

Alprastadil inj

A

once a day

Smooth muscle relaxant injection

for erections, 20 min before intercourse

pain, plaque, priapism

157
Q

Alprastadil supp

A

Can be used up to twice a day

injected into urethra

massage dick to dissolve

10 min before intercourse

158
Q

Dick pump bands can not be left for more than

A

1 hour

159
Q

Only use dick vacuum pump that has a

A

limiter

160
Q

Semirigid rod

Inflatable devise

A

Inserted into corpus cavernosum of dick

will not be able to do cystoscopic surgery to view bladder

may cause infection
erosion of prostate

161
Q

Inflatable dick implant

A

Pump reservour in abdomen to directed water to dick and back

162
Q

Gender nonconformity is _ the same as gender dysphoria

A

NOT

163
Q

Most common complaint of gender dysphoria

A

social isolation

164
Q

Hormones used during transitioning

A

Androgens
Antiandrogens
Estrogen
Testosterone

165
Q

4 categories of birth control

A

Behavioral
Hormonal
Barrier
Permanent

166
Q

Danger signs of hormonal contraceptives

A

ACHES

167
Q

Which IUD does not use hormones

A

Copper

great for folks who smoke, cant take hormones, etc.

168
Q

Once syphilis is cured will the patient still test positive

A

YES

169
Q

Latent phase of syphilis

A
170
Q

Syphilis S/S

A

Rash on palms and soles
Vaginal discharge
Painless blister-CHANCHER SORE

171
Q

Classic symptom of chlamydia for both men and women

A

Dysuria

painful urination

S3 1538 (15 decks)

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