Sexually Transmitted Infections

Question 1

AIDS–clinical features

Answer 1

• opportunistic infections
• Kaposi sarcoma
• lymphoma

Question 2

AIDS–organism

Answer 2

• HIV

Question 3

Chancroid–clinical features

Answer 3

• painful genital ulcer with exudate
• inguinal adenopathy

Question 4

chancroid–organism

Answer 4

• Haemophilus ducreyi
  
  • ​“It’s so painful, you ‘do cry’”

Question 5

Chlamydia–clinical features

Answer 5

• urethritis
• cervicitis
• epididymitis
• conjunctivitis
• reactive arthritis
• PID

Question 6

Chlamydia–organism

Answer 6

• Chlamydia trachomatis (D-K)

Question 7

Condylomata acuminata–clinical features

Answer 7

• genital warts
• koilocytes

Question 8

Condylomata acuminata–organism

Answer 8

• HPV-6
• HPV-11

Question 9

Genital herpes–clinical features

Answer 9

• painful penil, vulvar, or cervical vesicles and ulcers
• can cause systemic symptoms such as fever, headache, myalgia

Question 10

Genital herpes–organism

Answer 10

• HSV-2
  
  • less commonly HSV-1

Question 11

Gonorrhea–clinical features

Answer 11

• urethritis
• cervicitis
• PID
• prostatitis
• epididymitis
• arthritis
• creamy purulent discharge

Question 12

Gonorrhea–organism

Answer 12

• Neisseria gonorrhoeae

Question 13

Hepatitis B–clinical features

Answer 13

• jaundice

Question 14

Hepatitis B–organism

Answer 14

• HBV

Question 15

Lymphogranuloma venereum–clinical features

Answer 15

• infection of lymphatics
• painless genital ulcers
• painful lymphadenopathy (ie. buboes)

Question 16

Lymphogranuloma venereum–organism

Answer 16

• C trachomatis (L1-L3)

Question 17

primary syphilis–clinical features

Answer 17

• painless chancre

Question 18

primary syphilis–organism

Answer 18

• Treponema pallidum

Question 19

Secondary syphilis–clinical features

Answer 19

• fever
• lymphadenopathy
• skin rashes
• condylomata lata

Question 20

Secondary syphilis–organism

Answer 20

• Treponema pallidum

Question 21

Tertiary syphilis–clinical features

Answer 21

• gummas
• tabes dorsalis
• general paresis
• aortitis
• Argyll Robertson pupil

Question 22

Tertiary syphilis–organism

Answer 22

• Treponema pallidum

Question 23

Trichomoniasis–clinical features

Answer 23

• vaginitis
• strawberry cervix
• motile in wet prep

Question 24

Trichomoniasis–organism

Answer 24

• Trichomonas vaginalis

Question 25

most common bugs that cause pelvic inflammatory disease (PID)

Answer 25

• Chlamydia trachomatis
  
  • ​subacute, often undiagnosed
• Neisseria gonorrhoeae
  
  • ​acute
• C trachomatis
  
  • ​most common bacterial STI in the US

Question 26

PID–signs and symptoms

Answer 26

• cervical motion tenderness–chandelier sign
• purulent cervical discharge (A)
• salpingitis
• endometritis
• hydrosalpinx
• tubo-ovarian abscess

Question 27

what is salpingitis from PID a risk factor for?

Answer 27

• ectopic pregnancy
• infertility
• chronic pelvic pain
• adhesions

Question 28

what can PID lead to?

Answer 28

• Fitz Hugh Curtis syndrome
  
  • infection of the liver capsule and “violin string” adhesions of peritoneum to liver