STD Flashcards
1
Q
This is contagious, ulcerative, std caused by haemophilus ducreyi
A
Chancroid
2
Q
Soft chancre, painful ulcer with unilateral lymphadenopathy
A
Chancroid
3
Q
Short incubation period 1-3 days
A
Chancroid
4
Q
Kissing ulcers
A
Chancroid
5
Q
Inflammatory maculopustule
1-5 days after intercourse
A
Chancroid
6
Q
Women have more lesions
A
Chancroid
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
8
Q
Suppuration of painful inguinal adenitis bubo is notes
A
Chancroid
9
Q
Infection do not confer immunity: possible reinfection may occur
A
Chancroid
10
Q
Unna pappenheim , Wright, geimsa, or gram stain they show school fish appearance
A
Chancroid
11
Q
School of fish - appears as red chain, pus cells bluish in colour
A
Chancroid
12
Q
School of fish
A
Chacroid
13
Q
The following are Differentials of?
Syphilitic chancre
A
Chancroid
14
Q
The following is a differential of ?
Lyphogranuloma venerum
A
Chancroid
15
Q
The following is differential of?
Granuloma inguinale
A
Chancroid
16
Q
This is beefy red granulation which is a DD of chancroid?
A
Granuloma inguinale
17
Q
This occurs due to chlamydia trachomatis? It’s a DD of chancroid
A
Lyphogranuloma venereum
18
Q
This is due to spirochete( treponema pallidum infection? It’s a DD of chancroid.
A
Syphilitis chancroid
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
20
Q
Treatment of choice for chancroid
A
Erythromycin 500mg QID for 7 days
21
Q
This is used for chancroid, single dose 1gm orally, it’s high cost and limited in availability but enhance complaince
A
Azithromycin
22
Q
Less effective in complication w/HIV, given for chancroid
A
Ceftriaxone 250 mg IM single dose
23
Q
Alternatives for ceftriaxone
A
Trimethroprim/ sulfamethoxazole one tab BID for a week
24
Q
Treat sexual partners, ciprofloxacin 500 mg BID, Antiseptic dressesings locally
A
Chancroid
25
Granuloma venerum/ donovanosis
Granuloma inguinale
26
Causative agent is calymmatobacterium granulomatis
Granuloma inguinale
27
Affects young adults, incubation period 8-80 days(2-3)wks
Granuloma inguinale
28
Beefy red appearance
Granuloma inguinale
29
Unilateral lesions more common than bilateral ones
Granuloma inguinale
Chancroid
30
It occurs in prepuce in men and in labia in women
Granuloma inguinale
31
Characteristics
Persisting sinuses and hypertrophic scars devoid of pigmentation
Granuloma inguinale
32
Dessemination from inguinale area may be hematogenous or lymphatic route
Granuloma inguinale
33
Donovan bodies
Granuloma inguinale
34
DD for Granuloma inguinale
Lymphogranuloma venereum
Syphilis
35
There is no Donovan bodies on wright or giemsa stain
Lymphogranuloma venerum
36
Tetracycline 500 mg QID for 3-4 weeks
Doxycycline or minocycline
Is given for?
Granuloma inguinale
37
Small pointed or cauliflower like projections
Condyloma acuminata
38
Form large vegetative clusters
Condyloma acuminata
39
Numerous during pregnancy and when there is profuse vaginal discharge
Condyloma Acuminata
40
Due to HPV 6, 11, 16, 18
Condyloma Acuminata
41
Pap smear of the endocervix and cervix
Condyloma Acuminata
42
Granuloma inguinale
Prominently acanthotic epidermis with elongated interpapillary projections in?
Common warts
43
Overlying thickening of horny layer/ stratum corneum
Common warts
44
Changes in rete ridges
Flat warts
45
Stratum corneum with basketweave appearance
Flat warts
46
Acanthosis with slight hyperkeratosis
Acuminate and filiform warts
47
Electrodessication and curettage is quick and definitive in what?
Condyloma Acuminata
48
Cryotherapy , application of salicylic acid, lactic acid(duofilm)
Condyloma acuminata
49
Co2 laser treatment
Condyloma accuminata
50
Podophyllum but not used in pregnant women, vaginal and oral mucous membrane
Condyloma Acuminata
51
Occurs in the mucous surfaces of vulva, cervix, perineum , anus
Condyloma accuminata
52
Caused by treponema pallidum and leads to cutaneous and internal organ lesions
Syphilis
53
After 10-90 days primary chancre occurs
Syphilis
54
After 3-12 weeks secondary
(Mucocutaneous lesions, organ involvement)
Syphilis
55
Lesions on palm and moth eaten alopecia
Secondary syphilis lesions
56
Annular plaques on face, referred as nickels, dimes
Secondary syphilis
57
Multiple , hyperpigmented papules with more pronounced scale on the palm
Secondary syphilis
58
A white scaly ring on surface of papulosquamous lesions
Biett collarette
59
Rash with no scaling oval pink , ill defined macules and patches on trunk
Secondary syphilis
60
Early stage in syphilis lasts up to?
2yrs
61
Hunterian chancre is found in which stage of syphilis?
Early stage
62
Ulcus durum is found in which stage of syphilis
Early stage
63
This is caused by Klebsiella granulomatis
Granuloma inguinale
64
Donovan bodies are found in?
Granuloma inguinale
65
This has occured in young children and sexually inactive adults?
Granuloma inguinale
66
In syphilis the most common and recognizable manifestations are usually ?
Cutaneous
67
Which stage of syphilis is characterized by chancre
Primary stage
68
This stage of syphilis is characterized by a typically by skin eruption with or without lymphadenopathy and organ disease?
Secondary stage
69
In this stage of syphilis there is absence of signs and symptoms of disease?
Latent period
70
In this stage of syphilis the only evidence of infection is serologic tests?
Latent period
71
There is cutaneous, neurologic or cardiovascular manifestations?
Tertiary stage
72
Neurosyphilis and opthalmic syphilis occur at what stage of syphilis?
Any stage
73
Syphilis infection is considered sexually transmissible solely in these stages?
Primary and secondary
74
Dory flop sign is found in which stage of syphilis?
Early stage
75
Early stage of syphilis lasts up to?
2yrs
76
Infectious vasculitis is which stage?
Secondary syphilis
77
In this type of syphilis cutaneous and mucocutaneous are most common
Secondary syphilis
78
Lesions of secondary syphilis is called?
Syphids
79
Syphilids erupt 3-12 weeks after the _____________appears?
Chancre
80
In which stage of syphilis Erythematous macules (roseola syphilitics) or maculopapules are commonly present symmetrical on trunk and extremities.
Secondary syphilis
81
Biett collartte in which stage?
Secondary syphilis
82
Seborrheic dermatitis like lesions around hairline
Crown of Venus/ Corona veneris
83
Non pruritic lesions erythematous to copper coloured round maculopapules with annular scales in plans and soles
Secondary syphilis
84
Patchy non - scarring alopecia
Loss of lateral third of eyebrows
Secondary syphilis
85
Annular papules and plaques around the mouth and nose
Nickels and dimes
86
Mucous patches ( whitish to yellow erosions) on tongue, corners of the mouth and genetilia
Secondary syphilis
87
Malignant Iues(rare) Oyster she'll like surface
Condyloma lata
88
Pigmentary changes in neck in secondary syphilis
Necklace of venus
89
Ruphoid
Secondary syphilis
90
Asymptomatic stage of syphilis
Latent syphilis
91
Gumma
3rd stage / Tertiary Syphilis
92
Destruction of the nasal cartilage and bone by a Gumma lead to saddle nose.
Tertiary Syphilis
93
Superficial Gumma heals with atrophic scars ( T/F)
True
94
Granulomas with central zones of accellular necrosis
Syphilitic aortitis in 10%-40% of those with_________
Tertiary Syphilis
95
Infection of the CNS by treponema pallidum
Neurosyphilis
96
Early neurosyphilis typically manifest as _________
Meningitis
- fever
- meningovascilitis
- cranial nerves abnormalities (2,3,4,6,7,8)
97
Uveitis
Retinal detachment
Retrobulbar neuritis
Syphilitic interstitial keratitis
Neurosyphilis
98
-Untreated mother with primary syphilis
- infection in uterus with T pallidum
Congenital syphilis
99
-Hydrops fetalis(edema)
-Snuffles(persistent rhinitis)
-Hepatosplenomegaly
-Lymphadenopathy
-Skin is often dry and wrinkled with cafe-au-latte hue
Congenital syphilis
100
Syphilitic pemphigus ( rash at birth) very infectious
Congenital Syphiliis
101
In children> 2yrs of age in congenital syphilis?
-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
What is seen in Hutchinson traid in congenital Syphiliis?
Eight nerve deafness
Hutchinson teeth
Interstitial keratitis
103
This the diagnostic test of choice in chancres, moist lesions in 2°syphilis( condyloma lata/ mucous patches) & discharges from rhinitis in congenital syphilis?
Darkfield Microscopy
104
Diagnostic tests for congenital syphilis?
-Darkfield microscopy
-Direct Fluorescence
- Non- Treponemal serologic test
-trepenomal serologic test
105
Infectious disease caused by Chlamydia trachomatis.
Lymphogranuloma Venereum
106
Nicholas favre disease
Lymphogranuloma venereum
107
Lymphogranuloma venereum
- 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
Primary stage of lymphogranuloma venereum
3-30 days after infection
5-8mm painless erythematous papules
-Transient
-Heals within few days
109
In Primary stage of Lymphogranuloma venereum where is the lesion found in males?
Coronal sulcrus, prepuce, glans penis
110
In primary stage of Lymphogranuloma venerum where is the lesion found in females?
Post. Wall of vagina, vulva, cervix
111
Secondary stage of lyphogranuloma venereum
Fever, myalgia, decreased appetite, vomiting
Groove sign- pathognomonic
- nodular enlargement on either side of inguinal ligament
-Rarely bilateral
112
Rectal strictures
Watering can perineum( rectovaginal fistulas)
Lymphorrhoids( perianal outgrowth of lymphatic tissue)
Tertiary stage of Lymphogranuloma venerum
113
Diagnostics for Lymphogranuloma venerum
1. Complement fixation test
2.Frei test
3. PCR based assays
4. 1° lesion of LGV
114
Bull head clap
Gonorrhea
115
Urethritis
Proctitis
Gonorrhea (in men)
