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OB/GYN > Sexually transmitted infections > Flashcards

Sexually transmitted infections Flashcards

1
Q

predominant hormone during reproductive years

A

estradiol (E1)

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2
Q

predominant hormone during menopause

A

estrone (E2)

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3
Q

predominant hormone during pregnancy

A

estriol (E3)

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4
Q

involuntary contraction of hte perineal muscles surrounding the outer third of the vagina when vaginal penetration is attempted

A

vaginismus

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5
Q

untreated STD’s can cause…

A

infertility

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6
Q

complications of untreated syphilis

A

brain, CV, and organ damage, congenital syphilis in newborn

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7
Q

P’s to ask in sexual history

A

partners, practices, past history of std’s, protection from std’s, and prevention of pregnancy methods

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8
Q

Cervarix and Gardasil protect against most…

A

cervical and anal cancers, tested for use in males and females

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9
Q

age groups that cervarix and gardasil can be given

A

girls 13-26 and boys 13-21

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10
Q

two primary ways of STI transmission

A

infected urethral or vaginal secretions or infected skin on mucosal surfaces

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11
Q

hepatitis B vaccination recommended to

A

all unvaccinated, uninfected persons being evaluated for an STD

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12
Q

hepatitis A and B vaccines recommended for

A

MSM and injection drug users

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13
Q

male condoms are helpful in prevention of which STD’s-

A

those that are transmitted via secretions- Ex: Gonorrhea, chlamydia, and thrichomonas. Also HIV, hepatitis, and protect against pregnancy. Data is limited on protection against HSV, HPV, and syphilis

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14
Q

what kind of lubricant recommended with male condoms

A

only water base lubricans

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15
Q

female condoms are effective barrier against

A

pregnancy, viruses, HIV, semen. better at prevention of diseases transmitted from skin (HPV, syphilis, chancroid, genital herpes)

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16
Q

what STD are reportable in every state

A

syphilis, gonorrhea, chlamydia, chancroid, HIV/AIDS

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17
Q

STD’s highest in adolescent population

A

chlamydia, HPV and HSV

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18
Q

patient presents with low abdominal pain, pelvic pain, pain during sex and menstruation, vaginal discharge, fever, chills. Has IUD. suspect

A

ask about sexual and pregnancy history. Do CBC, UA, cultures. ESR. PELVIC INFLAMMATORY DISEASE

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19
Q

chandelier sign

A

cervical motion tenderness= pelvic inflammatory disease

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20
Q

outpatient tx for PID

A

ceftriaxone and doxycycline x 14 days. go over risk factors with them- multiple sex partners, previous PID, IUD, vaginal douching

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21
Q

ascending genital infection of the fallopian tube

A

PID

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22
Q

most common cause of sexual ulcers

A

chancroid, genital herpes, and syphilis

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23
Q

if patient has genital, anal, or penianal ulcer what must they be evaluated with?

A

serological test for syphilis and darkfield examination, serological test for H. ducreyi (for chancroid),diagnostic evaluation for genital herpes- culture for HSV or PCR testing for HSV, and serological testing for type-specific HSV antibody

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24
Q

tx penineal, genital, or anal ulcers before lab resutls?

A

YES

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25
Q

huge genital ulcer that is PAINFUL. vesiculo-pustule, necrotic base

A

chancroid

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26
Q

definitive dx of chancroid requires

A

identification of H. ducreyi

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27
Q

cofactor for HIV transmission

A

chancroid

28
Q

incubation period for chancroid

A

3-5 days

29
Q

tx of chancoid

A

azithromycin 1 g PO. F/U in 3-7 days. should see improvement in sx in 3 days

30
Q

prodrome of burning, paresthsia, stinging pain. multiple vesicular lesions in ano-genital area, pruritis, dysruria, vulvitis, associated lyphadenopathy

A

genital herpes- Herpes simplex II

31
Q

diagnosis of genital herpes

A

viral culture of unroofed vesicle, tzanck smear helpful but not diagnostic, HSV II antibody testing

32
Q

tx of genital herpes

A

acyclovir 400 mg TID x 7-10 DAYS

33
Q

causitive organism in syphilis

A

T. pallidum

34
Q

papular lesions that ulcerate to PAINLESS genital, oral, or anal lesions,

A

syphilis

35
Q

diagnostic procedures of syphilis

A

VDRL, RPR if positive, then confirm with FTA-ABS.

36
Q

if suspect neurosyphilis, diagnostic via

A

LP with VDRL performed on spinal fluid- VDRL-CSF

37
Q

Tx of syphilis

A

penicillin IM

38
Q

chancre

A

primary stage of syphilis

39
Q

average length of chancre

A

21 days

40
Q

how long do symptoms start after exposure to syphilis

A

10-90 days

41
Q

“copper pennies”

A

secondary stage of syphilis

42
Q

tertiary stage of syphilis is when it goes untreated. very bad- progresses to …

A

liver, brain, bone, heart.

43
Q

tertiary syphilis may manifest in the following three forms

A

syphilitic meningitis, meningovascular neurosyphilis, parenchymatous neurosyphilis

44
Q

highest rates of gonorrhea among

A

MSM

45
Q

male college student presents with dysuria and yellowish white penile discharge. his girlfriend has vaginal discharge, low abdomen pain, cervical motion tenderness, fever. discharge is thick and creamy. suspect

A

gonorrhea. may also be co-infected with chlamydia

46
Q

diagnostic procedure of gonorrhea

A

GC/chlamydia DNA probe or via urine

47
Q

complications of gonorrhea in males and females

A

males- epididimitis, females- PID, infertility

48
Q

gonorrhea TX

A

ceftriaxone and doxycycline or azithromycin 2 g

49
Q

cause of PID

A

chlamydia trachomatis and N. gonorrhea

50
Q

asherman syndrome

A

formation of intrauterine adhesions (scar tissue) typically after uterine surgery

51
Q

asherman syndrome seen in women with the following procedure:

A

several dilation and curettage procedures

52
Q

sx of asherman syndrome

A

amenorrhea, repeated miscarriages, infertility

53
Q

incubation period of genital warts

A

6 weeks to 3 months

54
Q

soft, fleshy growths on genital organs, anus, perineum

A

genital warts

55
Q

diagnostic procedure for suspicioun of genital herpes

A

papsmear, clinical diagnosis w-stain with 5% acetic acid x 2-5 min application

56
Q

tx of genital warts

A

trichloroacetic acid 85%applied to visible lesions x 30-60 min, cryotherapy. patient applies condylox 0.5% x 3D or gel, aldara 5% cream 3 times/week

57
Q

genital warts aka

A

condyloma acuminata

58
Q

trichomonas vaginitis tx

A

metronidazole 500 mg BID x 7 days

59
Q

wet mount of trichomonas on microscope slide would reveal

A

flagellate protozoa, 3-5 flagella, slightly larger than WBC

60
Q

cause of bacterial vaginalis

A

gardnerella vaginalis

61
Q

tx for pediculosis pubis

A

premethrin, lindane, bedding and clothing need decontamination

62
Q

cause of molluscum contagiosum

A

poxvirus (types MCV-1 and MCV-2)

63
Q

flesh colored, dome shaped, pearly lesions with dimpled centers less than 1 cm in size

A

molluscum contagiosum

64
Q

microscopic exam of molluscum contagiosum

A

inclusion bodies in the cytoplasm of cells

65
Q

tx of molloscum contagiosum

A

cryotherapy, curettage

OB/GYN (10 decks)

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