STD

Question 1

What types of HPV cause condyloma acuminate

Answer 1

Types 6 and 11

Question 2

How do you diagnose condyloma acuminate

Answer 2

Usually by inspection

Can use acetic acid and will appear white

Question 3

How do you treat condyloma acuminate

Answer 3

Cryotherapy, laser, local excision

Can use topical Podofilox

Question 4

Can you cure Genital herpes?

Answer 4

No

Question 5

Name the diagnosis.
A patient comes to you with flu like symptoms they noticed a burning sensation in the vaginal area a few days ago and now have these vesicles and painful ulcers that are crusting over

Answer 5

Genital herpes

Question 6

How do you diagnose genital herpes

Answer 6

Confirm with viral culture or PCR

Question 7

Treatment for Genital herpes

Answer 7

Antivirals with breakouts such as acyclovir or valacyclovir

Question 8

What is known as an infectious inflammation of the cervix

Answer 8

Cervicitis

Question 9

What bacteria is most likely to cause Cervicitis

Answer 9

Chlamydia trichomonas then neisseria gonorrhea

Question 10

Need the diagnosis.
The patient comes to you with vaginal discharge and bleeding after sexual intercourse she’s also noticed some frequency and dysuria with urination. On exam you noticed a purelent discharge from the cervix and the cervix is also erythematous, edematous, and friable

Answer 10

Cervicitis

Question 11

How do you diagnose Cervicitis

Answer 11

Based on signs and symptoms but to determine cause obtain a specimen

Question 12

How do you treat Cervicitis

Answer 12

At minimum cover chlamydia and gonorrhea
Chlamydia: azithromycin 1g PO
Gonorrhea: ceftriaxone 250mg IM

Question 13

Do sexual partners need treated for Cervicitis

Answer 13

Yes

Question 14

If a patient is diagnosed with Cervicitis and they are pregnant what do you need to do for them after treatment?

Answer 14

Test them again to make sure they are cured

Question 15

If Cervicitis is chronic what is it due to?

Answer 15

Usually mechanical or chemical irritation

Question 16

How do you treat chronic Cervicitis

Answer 16

Removal of offending agent

Question 17

What two bacteria normally causes pelvic inflammatory disease?

Answer 17

N. Gonorrhea

C. Trichomatas

Question 18

Where does public inflammatory disease normally start at?

Answer 18

Cervicitis with an STD

Question 19

What disease can include endometriosis, salpingitis, tubo-ovarian abscess, and pelvic peritonitis

Answer 19

Pelvic inflammatory disease

Question 20

What is known to reduce the risk of developing pelvic inflammatory disease

Answer 20

OCPs

Question 21

How do you diagnose pelvic inflammatory disease

Answer 21

Uterine, adnexal, or cervical motion tenderness
Need one more to diagnose:
1. Fever of 101
2. Purulent/mucopurulent drainage
3. diagnostic studies of
Abundant white blood cells on wet prep, elevated ESR, positive gonorrhea or trichomonas test

Question 22

How do you treat pelvic inflammatory disease

Answer 22

Ceftriaxone 250 IM +
Doxycycline 100 mg
With or without
Metronidazole 500 mg

Question 23

Inpatient treatment of pelvic inflammatory disease

Answer 23

Cefotetan 2g IV +

Doxycycline 100 mg

Question 24

If you were diagnosed with pelvic inflammatory disease do your partners need treated?

Answer 24

Yes, any sexual partner with in the past 60 days of diagnosis

Question 25

Do women who are diagnosed with public inflammatory disease and test positive for gonorrhea or trachomatis need to be retested?

Answer 25

Yes

Question 26

When should patients be screened for chlamydia and gonorrhea

Answer 26

Sexually active women <25 annually
Sexually active women >25 at high risk
Pregnant women in their first trimester

Question 27

What is Fitz Hugh Curtis syndrome

Answer 27

Perihepatitis from ascending infection of pelvic inflammatory disease. Often presents with RUQ pain and tenderness and elevated LFTs

Question 28

Name the public inflammatory disease problem.

Obstruction of fimbria and distention of fallopian tube with fluid. Can cause pelvic pressure and infertility

Answer 28

Hydrosalpinx

Question 29

Name the pelvic inflammatory disease.
Can occur with acute or chronic infection patient will present with severe pain, fever, and peritoneal signs. This can rupture causing septic shock

Answer 29

Tubo overian abscess

Question 30

Name the pelvic inflammatory disease.

Perihepitis from ascending infection. RUQ pain with elevated LFTs

Answer 30

Fitz Hugh Curtis syndrome

Question 31

Name the pelvic inflammatory disease.

May cause tubal scarring and adhesions, commonly result in chronic pelvic pain and infertility

Answer 31

Salpingitis