Sexually Transmitted Disease Flashcards

1
Q

Risk Factors

A
Sexually Active
Multiple Partners
Previous STD
Prostitutes
MSM
Illicit drugs use
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2
Q

Prevention

A
Education
Efficient diagnosis and treatment
Prevention vaccine
Report
Prevent maternal transmission
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3
Q

Gonorrhea bug

A

N. gonorrhoeae

Gram negative diplococcus

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4
Q

Gonorrhea in Males

A

Dysuria
Urinary frequency
Purulent discharge

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5
Q

Gonorrhea in females

A

80% asymptomatic

Dysuria, discharge, bleeding

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6
Q

Uncomplicated Gonorrhea Treatment

A

CefTRIAXone IM + Azithromycin POx1 or Doxy PO x7d

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7
Q

Disseminated Gonorrhea Treatment

A

Traix IM/IV Q24 h –> PO for a total of 7 days

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8
Q

When treating Gonorrhea, you also have to?

A

Treat for Chlamydia

If you don’t use first line then you have to do a test of cure

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9
Q

Chlamydia bug

A

C. trachomatis

Oblicate intracellular organism

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10
Q

Chlamydia presentation

A

Itching
Discharge
50% asymptomatic in men
75% asymptomatic in female

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11
Q

Chlamydia treatment

A

Azithro POx1 or

Doxy POx7d

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12
Q

Chlamydia Prego Treatment

A

Azithro PO x1 or

Amox PO TID x7d

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13
Q

Syphilis bug

A

T. pallidum

Spirochete

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14
Q

Syphilis Stage 1 Primary

A

Painless

Non-tender

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15
Q

Syphilis Stage 2 Secondary

A

Non-pruritic rash

Non contagious

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16
Q

Syphilis Stage 3 Latent

A

Asymptomatic

1 year from infection = contagious

17
Q

Syphilis Stage 4 Tertiary

A

Granulomatous lesions
Inflammation of any organ system
Within 25-50% of untreated patient

18
Q

Neurosyphilis Presentation

A

Seizures
Speech disturbances
Staggering gait
Shooting pain

19
Q

Jarisch-Herxheimer Reaction

A

Acute febrile reaction

Within 24 hr of initial treatment

20
Q

Primary Secondary or Early Syphilis Treatment

A

Pen G IM x1

21
Q

Late or Tertiary Syphilis Treatment

A

Pen G IM Qwk x 3 wks

22
Q

Pregnancy Syphilis Treatment

A

Penicillin

23
Q

Neurosyphilis Treatment

A

Aqueous Pen G IV Q4 hr x 10-14 days

24
Q

Herpes Primary Infection

A

Systemic
Genital Lesions 2-7d after
Ulceration last 7-14d
Shedding 11-12d

25
Q

Herpes Secondary Infection

A
Reactivation
Prodrome
Vesicles 3-10d
Fewer systemic
Shedding 4d
26
Q

Genital Herpes Treatment

A
Acyclovir
Famciclovir
Valcyclovir
1st 7-10d
Recurrent 1-5d
27
Q

HPV Treatment

A

Local removal of the leasions by cryotherapy

28
Q

Gardisil

A

Warts and cancer

29
Q

Cervarix

A

Cancer only

30
Q

Bacterial Vaginosis Treatment

A

Metro

Clinda

31
Q

Trichomoniasis

A

Metro x1 or BID for 7d

32
Q

Vulvovaginal candidiasis

A

Azoles intravaginally or Fluconazole x 1