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Reproductive Medicine Exam 3 > STD > Flashcards

STD Flashcards

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?

A

Men

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

A

> 10 PMNs

25
Q

What is the most common pathogen in nongonococcal urethritis?

A

C. Trachomatis

Mycoplasmas would be the second most common in nongonococcal urethritis

26
Q

Are patients with chlamydia more common symptomatic or asymptomatic?

A

Asymptomatic (especially women - 75%)

27
Q

Why is chlamydia screened for in pregnancy?

A

Risk of transmission during child birth

ex: Conjunctivits, Pneumonia

28
Q

Why would you obtain a gram stain in working up chlamydia?

A

Rule Out Gonorrhea

29
Q

Other than a gram stain….

What test should 9or could) be obtained when working up gonorrhea?

A

Culture
NAAT
Specimen Samples (Urine, Cervical, etc…)
Serology

30
Q

What Abx should be used in treating chlamydia?

A

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
Q

What are the alternatives to azithromycin and doxycycline in chlamydia treatment?

A

Erythromycin
Levofloxacin
Ofloxacin

32
Q

What STD is a parasite?

A

Trichomonas Vaginalis

33
Q

What percent of women undergoing STD testing for GC/CT are found to have trichomonas?

A

8.7%

34
Q

Most trichomonal vaginalis infections are ________ (symptomatic/asymptomatic)

A

Asymptomatic

35
Q

How is trichomonas treated?

A

2 grams Metroniadazole PO (one dose)

OR

2 grams of Tinidazole PO (one dose)

Reproductive Medicine Exam 3 (10 decks)

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