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Derm > STD > Flashcards

STD Flashcards

1
Q

This is contagious, ulcerative, std caused by haemophilus ducreyi

A

Chancroid

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2
Q

Soft chancre, painful ulcer with unilateral lymphadenopathy

A

Chancroid

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3
Q

Short incubation period 1-3 days

A

Chancroid

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4
Q

Kissing ulcers

A

Chancroid

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5
Q

Inflammatory maculopustule
1-5 days after intercourse

A

Chancroid

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6
Q

Women have more lesions

A

Chancroid

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7
Q

Usually localized in anogenital region, pustules rupture forming soft, punched out tender ulcers that bleed easily with purulent dirty exudate( creamy pus) covering the base

A

Chancroid

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8
Q

Suppuration of painful inguinal adenitis bubo is notes

A

Chancroid

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9
Q

Infection do not confer immunity: possible reinfection may occur

A

Chancroid

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10
Q

Unna pappenheim , Wright, geimsa, or gram stain they show school fish appearance

A

Chancroid

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11
Q

School of fish - appears as red chain, pus cells bluish in colour

A

Chancroid

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12
Q

School of fish

A

Chacroid

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13
Q

The following are Differentials of?
Syphilitic chancre

A

Chancroid

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14
Q

The following is a differential of ?
Lyphogranuloma venerum

A

Chancroid

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15
Q

The following is differential of?
Granuloma inguinale

A

Chancroid

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16
Q

This is beefy red granulation which is a DD of chancroid?

A

Granuloma inguinale

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17
Q

This occurs due to chlamydia trachomatis? It’s a DD of chancroid

A

Lyphogranuloma venereum

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18
Q

This is due to spirochete( treponema pallidum infection? It’s a DD of chancroid.

A

Syphilitis chancroid

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19
Q

It’s a dark red velvety red appearance and is cartilage like on palpation . It’s a DD of chancroid

A

Syphilitic chancre

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20
Q

Treatment of choice for chancroid

A

Erythromycin 500mg QID for 7 days

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21
Q

This is used for chancroid, single dose 1gm orally, it’s high cost and limited in availability but enhance complaince

A

Azithromycin

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22
Q

Less effective in complication w/HIV, given for chancroid

A

Ceftriaxone 250 mg IM single dose

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23
Q

Alternatives for ceftriaxone

A

Trimethroprim/ sulfamethoxazole one tab BID for a week

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24
Q

Treat sexual partners, ciprofloxacin 500 mg BID, Antiseptic dressesings locally

A

Chancroid

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25
Q

Granuloma venerum/ donovanosis

A

Granuloma inguinale

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26
Q

Causative agent is calymmatobacterium granulomatis

A

Granuloma inguinale

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27
Q

Affects young adults, incubation period 8-80 days(2-3)wks

A

Granuloma inguinale

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28
Q

Beefy red appearance

A

Granuloma inguinale

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29
Q

Unilateral lesions more common than bilateral ones

A

Granuloma inguinale
Chancroid

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30
Q

It occurs in prepuce in men and in labia in women

A

Granuloma inguinale

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31
Q

Characteristics
Persisting sinuses and hypertrophic scars devoid of pigmentation

A

Granuloma inguinale

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32
Q

Dessemination from inguinale area may be hematogenous or lymphatic route

A

Granuloma inguinale

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33
Q

Donovan bodies

A

Granuloma inguinale

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34
Q

DD for Granuloma inguinale

A

Lymphogranuloma venereum
Syphilis

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35
Q

There is no Donovan bodies on wright or giemsa stain

A

Lymphogranuloma venerum

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36
Q

Tetracycline 500 mg QID for 3-4 weeks
Doxycycline or minocycline
Is given for?

A

Granuloma inguinale

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37
Q

Small pointed or cauliflower like projections

A

Condyloma acuminata

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38
Q

Form large vegetative clusters

A

Condyloma acuminata

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39
Q

Numerous during pregnancy and when there is profuse vaginal discharge

A

Condyloma Acuminata

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40
Q

Due to HPV 6, 11, 16, 18

A

Condyloma Acuminata

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41
Q

Pap smear of the endocervix and cervix

A

Condyloma Acuminata

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42
Q

Granuloma inguinale
Prominently acanthotic epidermis with elongated interpapillary projections in?

A

Common warts

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43
Q

Overlying thickening of horny layer/ stratum corneum

A

Common warts

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44
Q

Changes in rete ridges

A

Flat warts

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45
Q

Stratum corneum with basketweave appearance

A

Flat warts

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46
Q

Acanthosis with slight hyperkeratosis

A

Acuminate and filiform warts

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47
Q

Electrodessication and curettage is quick and definitive in what?

A

Condyloma Acuminata

48
Q

Cryotherapy , application of salicylic acid, lactic acid(duofilm)

A

Condyloma acuminata

49
Q

Co2 laser treatment

A

Condyloma accuminata

50
Q

Podophyllum but not used in pregnant women, vaginal and oral mucous membrane

A

Condyloma Acuminata

51
Q

Occurs in the mucous surfaces of vulva, cervix, perineum , anus

A

Condyloma accuminata

52
Q

Caused by treponema pallidum and leads to cutaneous and internal organ lesions

A

Syphilis

53
Q

After 10-90 days primary chancre occurs

A

Syphilis

54
Q

After 3-12 weeks secondary
(Mucocutaneous lesions, organ involvement)

A

Syphilis

55
Q

Lesions on palm and moth eaten alopecia

A

Secondary syphilis lesions

56
Q

Annular plaques on face, referred as nickels, dimes

A

Secondary syphilis

57
Q

Multiple , hyperpigmented papules with more pronounced scale on the palm

A

Secondary syphilis

58
Q

A white scaly ring on surface of papulosquamous lesions

A

Biett collarette

59
Q

Rash with no scaling oval pink , ill defined macules and patches on trunk

A

Secondary syphilis

60
Q

Early stage in syphilis lasts up to?

A

2yrs

61
Q

Hunterian chancre is found in which stage of syphilis?

A

Early stage

62
Q

Ulcus durum is found in which stage of syphilis

A

Early stage

63
Q

This is caused by Klebsiella granulomatis

A

Granuloma inguinale

64
Q

Donovan bodies are found in?

A

Granuloma inguinale

65
Q

This has occured in young children and sexually inactive adults?

A

Granuloma inguinale

66
Q

In syphilis the most common and recognizable manifestations are usually ?

A

Cutaneous

67
Q

Which stage of syphilis is characterized by chancre

A

Primary stage

68
Q

This stage of syphilis is characterized by a typically by skin eruption with or without lymphadenopathy and organ disease?

A

Secondary stage

69
Q

In this stage of syphilis there is absence of signs and symptoms of disease?

A

Latent period

70
Q

In this stage of syphilis the only evidence of infection is serologic tests?

A

Latent period

71
Q

There is cutaneous, neurologic or cardiovascular manifestations?

A

Tertiary stage

72
Q

Neurosyphilis and opthalmic syphilis occur at what stage of syphilis?

A

Any stage

73
Q

Syphilis infection is considered sexually transmissible solely in these stages?

A

Primary and secondary

74
Q

Dory flop sign is found in which stage of syphilis?

A

Early stage

75
Q

Early stage of syphilis lasts up to?

A

2yrs

76
Q

Infectious vasculitis is which stage?

A

Secondary syphilis

77
Q

In this type of syphilis cutaneous and mucocutaneous are most common

A

Secondary syphilis

78
Q

Lesions of secondary syphilis is called?

A

Syphids

79
Q

Syphilids erupt 3-12 weeks after the _____________appears?

A

Chancre

80
Q

In which stage of syphilis Erythematous macules (roseola syphilitics) or maculopapules are commonly present symmetrical on trunk and extremities.

A

Secondary syphilis

81
Q

Biett collartte in which stage?

A

Secondary syphilis

82
Q

Seborrheic dermatitis like lesions around hairline

A

Crown of Venus/ Corona veneris

83
Q

Non pruritic lesions erythematous to copper coloured round maculopapules with annular scales in plans and soles

A

Secondary syphilis

84
Q

Patchy non - scarring alopecia
Loss of lateral third of eyebrows

A

Secondary syphilis

85
Q

Annular papules and plaques around the mouth and nose

A

Nickels and dimes

86
Q

Mucous patches ( whitish to yellow erosions) on tongue, corners of the mouth and genetilia

A

Secondary syphilis

87
Q

Malignant Iues(rare) Oyster she’ll like surface

A

Condyloma lata

88
Q

Pigmentary changes in neck in secondary syphilis

A

Necklace of venus

89
Q

Ruphoid

A

Secondary syphilis

90
Q

Asymptomatic stage of syphilis

A

Latent syphilis

91
Q

Gumma

A

3rd stage / Tertiary Syphilis

92
Q

Destruction of the nasal cartilage and bone by a Gumma lead to saddle nose.

A

Tertiary Syphilis

93
Q

Superficial Gumma heals with atrophic scars ( T/F)

A

True

94
Q

Granulomas with central zones of accellular necrosis
Syphilitic aortitis in 10%-40% of those with_________

A

Tertiary Syphilis

95
Q

Infection of the CNS by treponema pallidum

A

Neurosyphilis

96
Q

Early neurosyphilis typically manifest as _________

A

Meningitis
- fever
- meningovascilitis
- cranial nerves abnormalities (2,3,4,6,7,8)

97
Q

Uveitis
Retinal detachment
Retrobulbar neuritis
Syphilitic interstitial keratitis

A

Neurosyphilis

98
Q

-Untreated mother with primary syphilis
- infection in uterus with T pallidum

A

Congenital syphilis

99
Q

-Hydrops fetalis(edema)
-Snuffles(persistent rhinitis)
-Hepatosplenomegaly
-Lymphadenopathy
-Skin is often dry and wrinkled with cafe-au-latte hue

A

Congenital syphilis

100
Q

Syphilitic pemphigus ( rash at birth) very infectious

A

Congenital Syphiliis

101
Q

In children> 2yrs of age in congenital syphilis?

A

-Rhagades( perioral scars)
-Saddle nose( destruction of nasal cartilage)
- Olympian Brow- Frontal bossing
- Hegoumenakia sign( thickening of sternoclavic portion of the clavicle
- saber skin- anterior bowing of midtibia scaphoid scapula
- Hutchinson teeth- peg shaped notched central incisors
-Mulberry molars- due to syphilitic vasculitis in developing tooth buds

102
Q

What is seen in Hutchinson traid in congenital Syphiliis?

A

Eight nerve deafness
Hutchinson teeth
Interstitial keratitis

103
Q

This the diagnostic test of choice in chancres, moist lesions in 2°syphilis( condyloma lata/ mucous patches) & discharges from rhinitis in congenital syphilis?

A

Darkfield Microscopy

104
Q

Diagnostic tests for congenital syphilis?

A

-Darkfield microscopy
-Direct Fluorescence
- Non- Treponemal serologic test
-trepenomal serologic test

105
Q

Infectious disease caused by Chlamydia trachomatis.

A

Lymphogranuloma Venereum

106
Q

Nicholas favre disease

A

Lymphogranuloma venereum

107
Q

Lymphogranuloma venereum

A
  • tropical bulbo/ climatic bulbo/ lymphopathia venerea
  • direct contact/ infectious secretions from unprotected intercourse
  • asymptomatic rectal infections and penile or oral infections is the source

-through fisting and sex toy sharing

108
Q

Primary stage of lymphogranuloma venereum

A

3-30 days after infection
5-8mm painless erythematous papules

-Transient
-Heals within few days

109
Q

In Primary stage of Lymphogranuloma venereum where is the lesion found in males?

A

Coronal sulcrus, prepuce, glans penis

110
Q

In primary stage of Lymphogranuloma venerum where is the lesion found in females?

A

Post. Wall of vagina, vulva, cervix

111
Q

Secondary stage of lyphogranuloma venereum

A

Fever, myalgia, decreased appetite, vomiting
Groove sign- pathognomonic
- nodular enlargement on either side of inguinal ligament
-Rarely bilateral

112
Q

Rectal strictures
Watering can perineum( rectovaginal fistulas)
Lymphorrhoids( perianal outgrowth of lymphatic tissue)

A

Tertiary stage of Lymphogranuloma venerum

113
Q

Diagnostics for Lymphogranuloma venerum

A
  1. Complement fixation test
    2.Frei test
  2. PCR based assays
  3. 1° lesion of LGV
114
Q

Bull head clap

A

Gonorrhea

115
Q

Urethritis
Proctitis

A

Gonorrhea (in men)

Derm (2 decks)

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