Sexually Transmitted Infections (Week 12 Voice Over) Flashcards by Lani Manners

what prevention is the most effective way in reducing STI in women

primary

How well did you know this?

Not at all

Perfectly

primary prevention

education

How well did you know this?

Not at all

Perfectly

secondary prevention

promo diagnosis and treatment
- screening

How well did you know this?

Not at all

Perfectly

6 P’s of STI

partners
prevention of Preg
protection
practices
past hx

How well did you know this?

Not at all

Perfectly

knowing that non all women are in safe relationships mean

being nonjudgemental

How well did you know this?

Not at all

Perfectly

what STI can we vaccinate agaisnt

hep b and hpv

How well did you know this?

Not at all

Perfectly

what is the most common STI

chlamydia

How well did you know this?

Not at all

Perfectly

what is the fastest spreading STI

chlamydia

How well did you know this?

Not at all

Perfectly

chlamydia is ______ and highly destructive

silent

How well did you know this?

Not at all

Perfectly

is chlamydia easy to diagnose

How well did you know this?

Not at all

Perfectly

meds for chlamydia

doxycycline
azithromycin

How well did you know this?

Not at all

Perfectly

chlamydia s/s

asymptomatic
spotting post intercourse
bleeding
mucoid purulent cervical discharge
dysuria

How well did you know this?

Not at all

Perfectly

complication of chlamydia

PID

How well did you know this?

Not at all

Perfectly

past diagnosis of chlamydia can lead to what with pregnancy and fertility

increase risk of ectopic preg and tubal factor infertility

How well did you know this?

Not at all

Perfectly

what is the second most common

gonorrhea

How well did you know this?

Not at all

Perfectly

gonorrhea drug reaction

is reissitant

How well did you know this?

Not at all

Perfectly

gonorrhea s/s

women can often be asymptomatic
menstral irregularies
complaints of pain
dysuria
vague abdominal pain, low back pain
purulent endocervial discharge

How well did you know this?

Not at all

Perfectly

when should pregnant women be screened for gonorrhea

first trimester and 36 weeks

How well did you know this?

Not at all

Perfectly

meds for gonorrhea

ceftriaxone and azithromycin

How well did you know this?

Not at all

Perfectly

perinatal complications of gonorrhea

premature ROM
premature birth
cohorio
neonatal sepsis
IUGR
maternal PP sepsis

How well did you know this?

Not at all

Perfectly

syphylis cause

motile spirochete

How well did you know this?

Not at all

Perfectly

gonorrhea cause

aerobic gram neg diplococcus

How well did you know this?

Not at all

Perfectly

complications of syphylis

systemic and death

How well did you know this?

Not at all

Perfectly

syphylis
- primary

5-90 days after exposure
lesion is a papule that is painless

How well did you know this?

Not at all

Perfectly

syphylis - secondary

6weeks to 6 mo widespread rash on palms and sores, lymphadonoopahy

syphylis - tertiary

develops in 1/3 of women infected - neurological, cardio, musculoskeletal, multisystem organ involvement

2 types of testing for syphylis

nontreponemal treponemal - confirm positive result

nontreponemal for syphylisis

VDRL RPR

treponemal for syphylis

FTA-ABS TP-PA

med for syphylis

penicillin

can you be sexually active while getting treatment for syphylis

PID

ascending spread of microorganisms - involves the fallopian tubes, uterus, and occasionally the ovaries and peritoneal surfaces

complications of PID

ectopic pregnancy infertility chronic pelivc pain

s/s of PID

fever, chills, N/V, increase discharge, UTI symptoms, irregular bleeding, abdomen pain, c reactive protein

mediation treatment of PID

broad spectrum

t/f women with a hx of PID may still choose IUD as contraception

yes true

HPV is also known as

genital warts

what is the most common viral STI seen in ambulatory health care settings

HPV

HPV is the primary cause of what neoplasia

cervical

HPV s/s

asymptomatic

when does HPV resolve

with in a few years and spontaneously

t/f HPV is more common in pregnancy

yes

are there HPV vaccines

yes

is herpes reportable

s.s of herpes in women

more severe papule, vesicle, pustule, ulcer, crust, no scar watery purulent discharge

initial herpes is characterized by

multiple painful lesions, fever, chills, malaise, and severe dysuria HA, vulvar pain, inguinal lymphoidpathy

when is the highest neonatal risk for herpes simplex 2

highest is among women with primary herpes lesion infection near term pregnancy

what meds can we use for HSV to control symptoms

acyclovir

if HSV visible lesions are present what is the preferred mode of birth

cesarean

what types of Hep are common among

users of IV drugs and recipients of multiple blood transfusions

hep a spread

fecal oral

is there a hep a vaccine

yes

hep a s/s

flu like symptoms -anorexia, nausea, puritus, fever, right upper quadrant pain

hep b s/s vaccination

yes

what infection is most threatening to the fetus and the neonate

hep b

hep b perinatal transmission is most often occurs in

infants of moms with acute hep infection in late 3rd tri or postpartum

all preg should be screened for what hep

hep B is a _____ infection

silent

hep c s/s

asymp or flu like s/s

hep c vaccines

HIV transmission

exchange of body fluids

what characterizes AIDS

severe depression of cellular immune system associated with HIV infection characterizes AIDS

s/s of HIV

night sweat, HA, fever, malaise, generalized lymphadenopathy, myalgias, weight loss, sore throat, rash

when can HIV mom to baby occur

perinatal labor

can HIV mom breastfeed

no, it can transfer

what type of birth is recommended for HIV

C/S at 38 weeks

when is vaginal birth acceptable for HIV

viral load is less than 1000 copies/mL at 36 rupture of membranes and labor is progressing rapidly

normal vaginal discharge

clear-cloudy, may turn yellow after drying, mild inoffensive odor, acidic, normal flora

what is the most frequent reason to seek gynecologic care

vaginal discharge and itching

vulvovaginitis

inflammation of the vulva and vagina

BV s/s

discharge is very profuse, thin and white/gray/milky, mild irritation or itching, fishy odor

what is the most common cause of vaginal symptoms

BV treatment

oral metronidazole

what are some considerations of metronidazole

can't be breastfeed while taking, if breastfeeding pump and dump to maintain supply pump and dump 12 hours after last dose

candidiasis s/s

vulvar and possibly vaginal puritits mild or intense interference with activities, vulva and labial folds are red and swollen discharge is thick, white, and lumpy cottage cheese with yeasty musty odor

what is candidiasis

yeast infection

predisposing for candidacies

antibiotic therapy diabtes pregnancy obesity diets high in refined sugars use of steroids immunosuppressed states

if pH is normal what is it

yeast

if pH is +4.5

trick or BV

management of yeast

iver counter

trich s.s

yellow green discharge frothy copies malodorous strawberry spots on cervix inflammation of vagina and or vulva

casual agent of trich

aerobic one celled protozoan with flagella

tx of trich

metronidazole or tinidazole in single dose

GBS - is it normal flora

yes

GBS associated with what in pregnancy

poor outcomes

when is GBS screening

36-37 weeks - rectal vaginal culture

GBS treatment

IV prophylaxis - penicillin or ampicillin

GBS risk for pregnancy

preterm birth >18 hr rupture of membranes, intrapartum fever of 100.4,

what are capable of crossing the placenta

TORCH toxoplasmosis other infections (hep, HIV) rubella cytomegalovirus herpes simplex virus (HSV) - all have influenza like symptoms

all states require that these STI are to be reported to public health officals

syphilis gonorrhea chlamydia chancroid HIV and AIDS

precautions to use

PPE