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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
huge genital ulcer that is PAINFUL. vesiculo-pustule, necrotic base
chancroid
26
definitive dx of chancroid requires
identification of H. ducreyi
27
cofactor for HIV transmission
chancroid
28
incubation period for chancroid
3-5 days
29
tx of chancoid
azithromycin 1 g PO. F/U in 3-7 days. should see improvement in sx in 3 days
30
prodrome of burning, paresthsia, stinging pain. multiple vesicular lesions in ano-genital area, pruritis, dysruria, vulvitis, associated lyphadenopathy
genital herpes- Herpes simplex II
31
diagnosis of genital herpes
viral culture of unroofed vesicle, tzanck smear helpful but not diagnostic, HSV II antibody testing
32
tx of genital herpes
acyclovir 400 mg TID x 7-10 DAYS
33
causitive organism in syphilis
T. pallidum
34
papular lesions that ulcerate to PAINLESS genital, oral, or anal lesions,
syphilis
35
diagnostic procedures of syphilis
VDRL, RPR if positive, then confirm with FTA-ABS.
36
if suspect neurosyphilis, diagnostic via
LP with VDRL performed on spinal fluid- VDRL-CSF
37
Tx of syphilis
penicillin IM
38
chancre
primary stage of syphilis
39
average length of chancre
21 days
40
how long do symptoms start after exposure to syphilis
10-90 days
41
"copper pennies"
secondary stage of syphilis
42
tertiary stage of syphilis is when it goes untreated. very bad- progresses to ...
liver, brain, bone, heart.
43
tertiary syphilis may manifest in the following three forms
syphilitic meningitis, meningovascular neurosyphilis, parenchymatous neurosyphilis
44
highest rates of gonorrhea among
MSM
45
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
gonorrhea. may also be co-infected with chlamydia
46
diagnostic procedure of gonorrhea
GC/chlamydia DNA probe or via urine
47
complications of gonorrhea in males and females
males- epididimitis, females- PID, infertility
48
gonorrhea TX
ceftriaxone and doxycycline or azithromycin 2 g
49
cause of PID
chlamydia trachomatis and N. gonorrhea
50
asherman syndrome
formation of intrauterine adhesions (scar tissue) typically after uterine surgery
51
asherman syndrome seen in women with the following procedure:
several dilation and curettage procedures
52
sx of asherman syndrome
amenorrhea, repeated miscarriages, infertility
53
incubation period of genital warts
6 weeks to 3 months
54
soft, fleshy growths on genital organs, anus, perineum
genital warts
55
diagnostic procedure for suspicioun of genital herpes
papsmear, clinical diagnosis w-stain with 5% acetic acid x 2-5 min application
56
tx of genital warts
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
genital warts aka
condyloma acuminata
58
trichomonas vaginitis tx
metronidazole 500 mg BID x 7 days
59
wet mount of trichomonas on microscope slide would reveal
flagellate protozoa, 3-5 flagella, slightly larger than WBC
60
cause of bacterial vaginalis
gardnerella vaginalis
61
tx for pediculosis pubis
premethrin, lindane, bedding and clothing need decontamination
62
cause of molluscum contagiosum
poxvirus (types MCV-1 and MCV-2)
63
flesh colored, dome shaped, pearly lesions with dimpled centers less than 1 cm in size
molluscum contagiosum
64
microscopic exam of molluscum contagiosum
inclusion bodies in the cytoplasm of cells
65
tx of molloscum contagiosum
cryotherapy, curettage

OB/GYN (10 decks)

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