STD

Question 1

most likely place pt go for STD care

Answer 1

primary care provider

Question 2

what are 2 painful STD sores

Answer 2

chancroid

genital herpes simplex

Question 3

what are 3 painless STD sores

Answer 3

1. syphilis
2. lymphogranuloma venereum
3. Granuloma inguinale

Question 4

what causes lymphogranuloma venereum

Answer 4

chlamydia

Question 5

what causes Granuloma inguinale?

Answer 5

STI version of klebsiella

Question 6

incubation period for primary syphillis

Answer 6

10-90 days

average 3wks

Question 7

early chancer s/s of syphilis

Answer 7

macule - papule - erodes

Question 8

“painless, indurated ulcer with clean base and smooth firm boarders”

Answer 8

syphilis chancer

Question 9

when will chancer resolve?

Answer 9

1-5wks

Question 10

t/f syphilis chancer high infectious

Answer 10

true

Question 11

secondary syphilis def

Answer 11

the hematogenous dissemination of spirochetes

Question 12

when does secondary syphilis occur?

Answer 12

2-8wks after chancre appears

Question 13

when do secondary syphilis sx resolve

Answer 13

2-10 wks

Question 14

early syphilis tx

Answer 14

Benzathine PCN G

2.4million units IM X1

Question 15

herpes simplex trnasmission

Answer 15

direct contact

during asymptomatic shedding

Question 16

progression of HSV lesion

Answer 16

vesicle - painful ulcer- crusting

Question 17

3 meds for HSV tx

Answer 17

acyclovir
valcyclovir
famciclovir

Question 18

acyclovir dosage

Answer 18

200 g 5 X / day for 10 days
—–OR—–
400 mg po q8hr for 7-10 days

Question 19

of outbreaks of HSV/yr that indicates chronic suppression tx

Answer 19

4+ outbreaks/yr

Question 20

chronic suppression HSV tx

Answer 20

400 mg PO q12hr for up to 12 mo

acyclovir

Question 21

gonorrhea incubation period

Answer 21

1-14 days (2-5 average)

Question 22

male sx of gonorrhea

Answer 22

dysuria

urethral discharge

Question 23

female sx of gonorrhea

Answer 23

asymptomatic

can have: vaginal discharge, dysuria, urination, labial pain etc..

Question 24

t/f extragenital lesions of gonorrhea are mostly sx

Answer 24

FALSE

extragenital Gonorrhea typically asymptomatic

Question 25

gonorrhea gram stain would have…

Answer 25

Gm - diplococci

Question 26

top cause of nongonococcal urethritis

Answer 26

Unknown - 50%

20-40% C. trachomatis

Question 27

mild dysuria with mucoid discharge

Answer 27

nongonococcal urethritis

Question 28

dx nongonococcal urethritis

Answer 28

urethral smear more than 5 PMN / oil immersion field

Urine microscopic: over 10 PMN/ HPF

Leukocyte esterase +

Question 29

potential chlamydia trachomatis complication for pregnancy

Answer 29

infected women carries to newborn

- conjunctivitis to PNA

Question 30

what cells are infected in chlamydial cervicitis

Answer 30

columnar epithelial cells of cervix

Question 31

3 gonorrhea tx

Answer 31

1. eftriaxone 250 IM X1 
 WITH 
2. azithromycin 1 gm PO X1 
ORRRR 
3. doxycycline 100mg po BID X 7 days

Question 32

2 recommended tx chlamydia

Answer 32

1. azithromycin 1 g po X1
   OR
2. doxycylicne 100mg BID X7d

Question 33

3 other alternative chlamydial meds

Answer 33

erythromycin, levofloxacin or ofloxacin

Question 34

2 recommended tx for trichomonas vaginalis

Answer 34

1. metronidazole 2g po X 1 dose

2. tinidazole 2 gm po X 1 dose

Question 35

alternative med option for trichomonas vaginalis

Answer 35

metronidazole 500 mg PO BID x 7 days