Sexual Health Assessment Flashcards
What are the CDCs 5 Ps relating to taking a sexual health history?
partners, practices, prevention of pregnancy, protection from STIs, past history of STIs
Symptoms of a single or multiple painful ulcers surrounded by erythematous halos is suspicious for what STI?
chancroid
What is the diagnostic test of choice for chancroid?
primarily a diagnosis of exclusion, T. pallidum and HSA testing should be negative, definitive diagnosis is made morphologically
What is the treatment for chancroid?
azithomycin 1g PO x 1 dose OR ceftriaxone 250mg IM x 1 dose OR cipro 500mg PO BID x 3 days
Symptoms of dysuria, urinary frequency, mucopurulent vaginal discharge, labial pain/swelling, lower abdominal pain, fever, dysmenorrhea, and nausea/vomiting are suspicious for what STI?
gonorrhea
Symptoms of dysuria, urinary frequency, white/yellow-green penile discharge, and testicular pain are suspicious for what STI?
gonorrhea
What is the diagnostic test of choice for gonorrhea?
NAAT using urine sample
What is the treatment for gonorrhea?
ceftriaxone 500mg IM x 1 dose for gonorrhea PLUS (if chlamydia not ruled out) doxycycline 100mg PO BID x7 days
Symptoms of dysuria, instramenstural spotting, postcoital bleeding, dyspareunia, and vagninal discharge are suspicious for what STI?
chlamydia
Symptoms of dysuria, thick/cloudy penile discharge, testicular pain, and rectal tenesmus are suspicious for what STI?
chlamydia
What is the diagnostic test of choice for chlamydia?
NAAT using urine sample
What is the treatment for chlamydia?
azithromycin 1g PO x1 dose OR doxycycline 100mg PO BID x7 days
Symptoms of painless ulcers at 3 weeks after sexual encounter is suspicious for what STI?
primary syphilis
Symptoms which occurs 2-8 weeks after primary infection consisting of flu-like symptoms, rash primarily on the palms and soles, mucous membrane lesions is suspicious for what STI?
secondary syphilis
Which stage of syphilis has no signs/symptoms?
latent syphilis
Symptoms of meningitis, hemiparesis, hemiplegia, tumors of the skin/bone/liver, cardiac insufficiency, and leukoplakia occurring 10-30 years after initial infection are suspicious for what STI?
tertiary syphilis
What is the diagnostic test of choice for syphilis?
VDRL or RPR initially, confirmed by TP-PA or FTA-ABS
What is the treatment for syphilis?
benzathine penicillin G IM OR if allergic to penicillins, doxycycline 100 mg PO BID x 14 days
Which strain of herpes is mores often associated with lesions on the lips, face, and mucosa?
HSV1
Which strain of herpes is more often associated with lesions on the genitalia?
HSV2
Symptoms of painful sore blisters are suspicious for what STI?
herpes
What is the diagnostic test of choice for herpes?
NAAT or culture from a lesion
What is the treatment for herpes?
docosanol, acyclovir, famciclovir, or valacyclovir
Symptoms of malordorous, frothy, yellow-green discharge, puritis, vaginal erythema, “strawberry patches” on cervix and vagina, dyspareunia, and dysuria are suspicious for what STI?
Trichomoniasis
