Sexually Transmitted Infections - Unrein

Question 1

macular rash, hair loss, lymphadenopathy

• flat grey white lesion perianal area
• unprotected sex 2 months ago

Answer 1

secondary syphilis

Question 2

incubation for syphilis

Answer 2

3 weeks primary
4-8 weeks secondary
1-30 years latent

Question 3

2-6 days

Answer 3

neisseria gonorrhea

Question 4

7-21 days

Answer 4

chlamydia

Question 5

2-20 months

Answer 5

variable HPV incubation

Question 6

RPR

Answer 6

rapid plasma reagin

• screening test for syphilis
• false positives - SLE, mono, malaria, leprosy, hep A, HIV, pregnancy

Question 7

culture high CO2

Answer 7

gonorrhea

Question 8

urethral DNA probe

Answer 8

neisseria

chlamydia

Question 9

gram negative coffee bean shaped diplococci

Answer 9

neisseria

Question 10

dark field microscopy

Answer 10

syphilis

Question 11

flat white lesions

Answer 11

secondary syphilis

Question 12

condyloma acuminatum

Answer 12

raise and cauliflower

Question 13

maculopapular rash

Answer 13

secondary syphilis

• disseminated rash
• palms and soles

Question 14

primary syphilis

Answer 14

chancre

-painless**

Question 15

chancroid

Answer 15

Haemophilus ducreyi

painful sore

third world disease

Question 16

tx syphilis

Answer 16

IM PCN-bicillin

Question 17

RLQ tenderness with rebound, low grade fever, normal bowel sounds

• tender cervical
• WBC 15,000 - elevated

Answer 17

chlamydia trachomatis

often asymptomatic

Question 18

treponema pallidum

Answer 18

syphilis

Question 19

HPV

Answer 19

condyloma acuminata

Question 20

HIV

Answer 20

nonspecific viral - fever, sore throat, swollen nodes, transient rash

Question 21

fitz hugh curtis

Answer 21

inflammation of liver capsule - advanced PID

Question 22

evaluation for chlamydia

Answer 22

consider gonorrhea - thought to travel together

Question 23

tx chlamydia

Answer 23

macrolides and tetracyclines

is obligate intracellular pathogen

Question 24

tx gonorrhea

Answer 24

ceftriaxone

Question 25

grav vaginal discharge, 4 sex partners, nontender cervix, no odor
-wet mount - leukocytes and motile organisms

Answer 25

trichomonas vaginalis

Question 26

multiflagellated organism - mobile

Answer 26

trichomonas

wet mount

Question 27

candida

Answer 27

yeast infection

-with loss of normal flora

Question 28

odor

Answer 28

gardnerella vaginalis

Question 29

mucopurulent cervicitis without odor, little complaints

Answer 29

chlamydia

Question 30

cervix bleeds with intercourse

Answer 30

gonorrhea

Question 31

tx trichomonas

Answer 31

metrondiazole

Question 32

multiple painful vesicles on glans of penis

• one week ago unprotected sex
• b/l swollen lymph nodes in groin

Answer 32

herpes simplex 2

Question 33

painless elevated granulomatous lesions

Answer 33

klebsiella granulomatosis

granuloma inguinale

can lead to autoamputation

Question 34

lymphogranuloma venereum

Answer 34

chlamydia

Question 35

diagnosis of haemophilis ducreyi

Answer 35

culture

chocolate agar plate

Question 36

tx haem ducreyi

Answer 36

ceftriaxone
azithromycin
-either as single dose

Question 37

klebsiella granulomatis diagnosis

Answer 37

tissue biopsy

Question 38

klebsiella granulomatis tx

Answer 38

erythromycin or tetraacycline 3 weeks

ampicillin 12 weeks

Question 39

tx for herpes simplex-2

Answer 39

acyclovir

Question 40

sore throat, aches, fever, anorexia, truck and abdomen rash, multiple partners unprotected, last sex 4 weeks ago

Answer 40

HIV

Question 41

hep B

Answer 41

blood, body fluid, tissue transfer

icterus, jaundice RUQ pain, dark urine, light stool

Question 42

herpes simplex 1

Answer 42

oral lesions

15-20% genital herpes

Question 43

rash, fever, joint pain, began right knee - to right ankle and hip

rash, scattered, painful hands and feet

Answer 43

neisseria gonorrhea

disseminated**

weeks after primary infection

Question 44

painless papule on lip and cervical lymphadenopathy

unprotected sex 1 month ago

Answer 44

syphilis - treponema pallidum

Question 45

painless lesion and lymphadenopathy

Answer 45

syphilis

Question 46

ulcer

Answer 46

syphilis
herpes simplex
chancroid
lymphogranuloma venereum