STD Flashcards
(35 cards)
STIs ______ (facilitate/impede) HIV transmission
Facilitate
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
C) Their primary health care provider
What are two differentials for a patient presenting with genital ‘sores’?
Syphilis Gential Herpes (HSV 1 & 2)
What are two differentials for a patient presenting with discharge?
Gonorrhea Chlamydia Trichomonas Bacterial Vaginosis Candidiasis
Are each of the following painful or painless…..
Syphilis
Gential Herpes
Syphilis: Painless
Genital Herpes: Painful
What is the incubation period of syphilis?
10-90 days
How is a syphilis lesion described?
Chancre…….
Painless, indurated ulcer with a clean base and smooth, firm borders
How often does a chancre go unnoticed in syphilis patients?
15-30% of the time
How quickly does a chancre resolve in a syphilis paitent?
1-5 weeks
T/F: Syphilis is not contagious
False
It is HIGHLY contagious
How does secondary syphilis manifest?
Whole body rash including soles, palms, and mucous membranes
Condylomata lata (highly infectious)
Constitutional Sx
***resolves in 2-10 weeks
Genital Herpes is contracted through direct contact most commonly during _________ (asymptomatic/symptomatic) shedding
Asymptomatic
How is a genital herpes lesion often described?
Vesicle that turns to a painful ulceration and ultimately crusts
T/F: Genital herpes simplex is most often asymptomatic
True
How is genital herpes simplex diagnosed?
PCR
Cx
Serology (Type-specific;Western blot)
What are THREE medications that can be used to treat genital herpes?
Acyclovir
Valacyclovir
Famiciclovir
How should acyclovir be dosed for initial treatment?
400 mg PO q8hr for 7-10 days
When should pharmacological therpay for genital herpes simplex be initiated for recurrence?
At the earliest sign/symptom
How is azithromycin dosed when treating a gonorrhea or chlamydial infection?
1 gram PO in one dose
Is urethritis more common in men or women?
Men
What are the symptoms of urethritis?
Dysuria, discharge
5% are asymptomatic
Urogenital infections are more common in ____ (men/women) and the majority are ________ (asymptomatic/symptomatic)
Women
Asymptomatic
What would be seen on a gram-stain that is consistent with gonorrhea?
Gram-positive diplococci
A urine microscopy with ____ PMNs would be consistent with a nongonococcal urethritis
> 10 PMNs