STD Flashcards

(35 cards)

1
Q

STIs ______ (facilitate/impede) HIV transmission

A

Facilitate

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2
Q

Where are Americans most likely to go for STD care?

A) The emergency room
B) A family planning clinic
C) Their primary health care provider
D) STD clinic

A

C) Their primary health care provider

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3
Q

What are two differentials for a patient presenting with genital ‘sores’?

A
Syphilis
Gential Herpes (HSV 1 & 2)
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4
Q

What are two differentials for a patient presenting with discharge?

A
Gonorrhea
Chlamydia
Trichomonas
Bacterial Vaginosis
Candidiasis
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5
Q

Are each of the following painful or painless…..

Syphilis
Gential Herpes

A

Syphilis: Painless

Genital Herpes: Painful

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6
Q

What is the incubation period of syphilis?

A

10-90 days

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7
Q

How is a syphilis lesion described?

A

Chancre…….

Painless, indurated ulcer with a clean base and smooth, firm borders

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8
Q

How often does a chancre go unnoticed in syphilis patients?

A

15-30% of the time

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9
Q

How quickly does a chancre resolve in a syphilis paitent?

A

1-5 weeks

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10
Q

T/F: Syphilis is not contagious

A

False

It is HIGHLY contagious

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11
Q

How does secondary syphilis manifest?

A

Whole body rash including soles, palms, and mucous membranes
Condylomata lata (highly infectious)
Constitutional Sx

***resolves in 2-10 weeks

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12
Q

Genital Herpes is contracted through direct contact most commonly during _________ (asymptomatic/symptomatic) shedding

A

Asymptomatic

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13
Q

How is a genital herpes lesion often described?

A

Vesicle that turns to a painful ulceration and ultimately crusts

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14
Q

T/F: Genital herpes simplex is most often asymptomatic

A

True

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15
Q

How is genital herpes simplex diagnosed?

A

PCR
Cx
Serology (Type-specific;Western blot)

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16
Q

What are THREE medications that can be used to treat genital herpes?

A

Acyclovir
Valacyclovir
Famiciclovir

17
Q

How should acyclovir be dosed for initial treatment?

A

400 mg PO q8hr for 7-10 days

18
Q

When should pharmacological therpay for genital herpes simplex be initiated for recurrence?

A

At the earliest sign/symptom

19
Q

How is azithromycin dosed when treating a gonorrhea or chlamydial infection?

A

1 gram PO in one dose

20
Q

Is urethritis more common in men or women?

21
Q

What are the symptoms of urethritis?

A

Dysuria, discharge

5% are asymptomatic

22
Q

Urogenital infections are more common in ____ (men/women) and the majority are ________ (asymptomatic/symptomatic)

A

Women

Asymptomatic

23
Q

What would be seen on a gram-stain that is consistent with gonorrhea?

A

Gram-positive diplococci

24
Q

A urine microscopy with ____ PMNs would be consistent with a nongonococcal urethritis

25
What is the most common pathogen in nongonococcal urethritis?
C. Trachomatis | Mycoplasmas would be the second most common in nongonococcal urethritis
26
Are patients with chlamydia more common symptomatic or asymptomatic?
Asymptomatic (especially women - 75%)
27
Why is chlamydia screened for in pregnancy?
Risk of transmission during child birth | ex: Conjunctivits, Pneumonia
28
Why would you obtain a gram stain in working up chlamydia?
Rule Out Gonorrhea
29
Other than a gram stain.... What test should 9or could) be obtained when working up gonorrhea?
Culture NAAT Specimen Samples (Urine, Cervical, etc...) Serology
30
What Abx should be used in treating chlamydia?
250 mg of Ceftriaxone IM (one dose) PLUS 1 gram Azithromycin PO (one dose) (can substitute 100 mg of doxy BID x7 days for azithromycin)
31
What are the alternatives to azithromycin and doxycycline in chlamydia treatment?
Erythromycin Levofloxacin Ofloxacin
32
What STD is a parasite?
Trichomonas Vaginalis
33
What percent of women undergoing STD testing for GC/CT are found to have trichomonas?
8.7%
34
Most trichomonal vaginalis infections are ________ (symptomatic/asymptomatic)
Asymptomatic
35
How is trichomonas treated?
2 grams Metroniadazole PO (one dose) OR 2 grams of Tinidazole PO (one dose)