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ACS > STD > Flashcards

STD Flashcards

1
Q

What 3 STD’s are associated with a chancre?

A
  1. chlamydia
  2. chancroid
  3. syphilis
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2
Q

Which STD’s have a PAINFUL SOFT chancre associated with them?

A
  1. Chlamydia “weepy”
  2. Chancroid “bloody”
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3
Q

Which STD has a PAINLESS HARD chancre associated with it?

A
  1. Syphilis
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4
Q

What are the differential diagnosis of chlamydia?

A
  1. chlamydia
  2. lymphogranuloma venereum
  3. PID (pelvic inflamm. disease)
  4. Reiter’s disease
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5
Q

What are the differential diagnosis of STD’s that are ASYMPTOMATIC in FEMALES?

A
  1. Chlamydia
  2. Gonorrhea (knee)
  3. HPV (b/c its internal)
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6
Q

What are the differential diagnosis of STD’s that are ASYMPTOMATIC in MALES?

A
  1. Trichomonas (tricky dick)
  2. candida albicans
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7
Q

What is a list of differential diagnosis of STD’s that have discharge?

A
  1. Gonorrhea
  2. Trichomonas
  3. Chronic Vaginitis
  4. Candidiasis
  5. Herpes
  6. Chlamydia
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8
Q

What are the characteristics of the discharge is associated with the following STDs?

  1. Gonorrhea
  2. Trichomonas
  3. Chronic Vaginitis
  4. Candidiasis
  5. Herpes
  6. Chlamydia
A
  1. Gonorrhea –> Copious and clear
  2. Trichomonas –> Frothy, foul & itchy
  3. Chronic Vaginitis –> Foul & itchy
  4. Candidiasis –> Curdy & itchy
  5. Herpes –> watery
  6. Chlamydia –> yellow
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9
Q

What is the MOST COMMON STD in the USA?

A

Chlamydia

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10
Q

What STD produces yellow, oderless dicharge and leads to NONGONOCOCCAL nonspecific genitourinary infections. Has a painful soft lesion and is asymptomatic in females?

A

Chlamydia

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11
Q

What STD is associated with tonsillites, pharyngitis leading to arthritis in the knee. It is GRAM NEGATIVE and has a copious clear discharge from the urethra (skene’s & Bartholin glands). In males it can cause urethritis & epididymites. In females it can cause vaginitis, salpingities, and arthritis?

A

Gonorrhea

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12
Q

What STD is associated with painful vesicles, latency, red lesions w/ yellow oozing centers and watery discharge. It is contagious and will hide out in the DRG of Nervous system?

A

Herpes

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13
Q

What types of herpes are recurrent and what is the treatment for herpes?

A

1, Types l & ll are recurrent

  1. TX: Valtrex, L-lysine, acyclovir (it is a tx NOT a cure)
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14
Q

When do herpes itch?

A

Before a breakout (prodrome of itching)

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15
Q

What do you say when you see Trichomonas and why?

A

TRICKY DICK because he doesn’t know he has it, it is asymptomatic in males

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16
Q

Trichomonas is unique in the fact that it is the only STD that is a _________?

A

protozoa

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17
Q

In females and males how does Trichomonas present itself?

A
  1. Females: greenish/yellow, severely itchy, foul discharge
  2. Males: Asymptomatic (Tricky dick)
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18
Q

When you see Chancroid what do you think?

A

He Do Cry b/c he has a painful blood chancre on his wanker.

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19
Q

What STD is associated with large painful lesions that rapidly ulcerate and bleed, pus –> buboes and is caused by Haemophilus Ducrey?

A

Chancroid

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20
Q

What STD is associated with being GRAM POSITIVE, red & itchy & irritable, caused by candida albicans, thrush, yeast, fungus, moniliasis?

A

Candidiasis

21
Q

How does Candidiasis present itself in a male and female?

A
  1. Male = asymptomatic TX is probiotics (acidophilus & lactobacillus)
  2. Female = White chesse material covers vaginal walls
22
Q

What STD can cross the placenta?

23
Q

What is syphilis caused by, what organism?

A

Treponema Pallidum Spirochete

24
Q

How many stages are there to syphilis?

A

Four

  1. one
  2. skin
  3. inside
  4. congenital
25
Q

How long does the 1st stage of syphilis last and what occurs during it?

A
  1. 4-8 weeks
  2. Painless hard lesion
26
Q

When and what occurs during the 2nd (skin) stage of syphilis?

A
  1. appears 12 weeks later
  2. Rash that persists for months, Lymphadenopathy, condylomata lata (WARTS), and Alopecia (hair loss)
27
Q

When and what occurs during the 3rd (inside) stage of syphilis?

A
  1. 1/3 will develop this stage if untreated
  2. GUMMA, General paresis (dementia), Argyll Robertson pupil (dont constrict when exposed to bright light), TABES DORSALIS (destroys posterior/dorsal columns), charcot’s joints (ankle- feet, neurotrophic joints)
28
Q

What is the specific diagnostic test for Syphilis?

29
Q

What STD has periods of latency and hides in the DRG and can cause congenital defects to the fetus if the mother has it because it is not resistant to IgG and can cross the placenta?

30
Q

What STD has periods of latency and hangs out in DRG but mother can protect fetus from.

31
Q

What is Hutchinson’s triad and what is associated with?

A
  1. Saddle nose, Interstitial keratoses (hardened eyes), and peg teeth
  2. associated with congenital syphilis
32
Q

Lymphogranuloma Venereum is caused by what STD?

33
Q

What is characterized by enlarged regional lymph nodes that may lead to elephantiasis (swelling and then things fall off) and rectal strictures and abscesses?

A

Lymphogranuloma Venereum

34
Q

What do you think when you see Granuloma Inguinale?

A

Donovins Beefy Red hamburger

35
Q

What causes granuloma inguinale?

A

Donovania Granulomatous

36
Q

What is seen with granuloma inguinale?

A

Painless, velvety, slow growing BRIGHT BEEFY RED granulomatous lesion

37
Q

How do you diagnose Granuloma inguinale?

A

Giemsa/wright stain to demonstrate DONOVAN BODIES

38
Q

Which genital warts are pre-cancerous?

A

HPV 16 & 18

39
Q

What is condylomata acuminata associated with?

40
Q

What are the characteristics seen with HPV?

A

small itchy cluster (cauliflower)

41
Q

What is the difference between a speculum exam and a PAP smear when diagnosis HPV?

A
  1. Speculum exam = inspection screen
  2. PAP smear = biopsy confirmatory specific test
42
Q

What is it called when you have multiple skin tags that exfoliate, waxy papules?

A

Molluscum contagiosum

43
Q

What is the MC bulla lesion?

A

Pemphigoid

44
Q

What is a pemphigoid?

A

Autoimmune bulla lesion, lethal, common in middle aged South Americans, IgG

45
Q

What is the difference between the two bullous lesions: Pemphigoid and Dermatitis HERpetiformis?

A
  1. Pemphigoid = Autoimmune
  2. Dermatitis HERpetiform = HEReditary
46
Q

What is associated with genital and extensor lesions, bulla,, vesicles, papules, IgA, and being itchy, peeling, blistering and being gluten sensitive.

A

Dermatitis HERpetiformis

47
Q

Dermatitis HERpetiformis (aka ichthyosis bullous siemens) is MC in what ethnicity?

A

Black and Asains

ACS (8 decks)

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