STD

Question 1

_____is caused by Haemophilus ducreyi, a Gram-negative bacterium. It is uncommon in
the United States. It is a cofactor for HIV transmission.

Answer 1

Chancroid

Question 2

Sx of chancroid

Answer 2

A pustule, usually on the vulva, becomes a painful ulcer within 72 hours, with a typically “ragged edge

Question 3

Mx of chancroid

Answer 3

CDC-recommended treatment includes a single oral dose of azithromycin, a
single IM dose of ceftriaxone, or oral erythromycin base for 7 days

Question 4

_____caused by the L serotype of Chlamydia trachomatis. It is uncommon in the United
States.

Answer 4

LGV

Question 5

Sx of LGV

Answer 5

A painless vesiculopustular eruption, usually on the vulva, spontaneously heals.

This is replaced within a few weeks by perirectal adenopathy that can lead to abscesses and fistula formation.

Question 6

Mx of LGV

Answer 6

CDC-recommended treatment includes oral doxycycline or erythromycin for
3 weeks.

Question 7

This disease is caused by Calymmatobacterium granulomatis, a Gram-negative intracellular
bacterium. It is uncommon in the United States

Answer 7

Granuloma Inguinale/ Donovanosis

Question 8

SSx of Granuloma Inguinale/ Donovanosis

Answer 8

A vulvar nodule breaks down, forming a painless, beefy red, highly vascular
ulcer with fresh granulation tissue without regional lymphadenopathy

Question 9

Dx of Donovanosis

Answer 9

Culture of the organism is difficult but microscopic examination of an ulcer smear
will reveal Donovan bodies.

Question 10

Mx of Donovanosis

Answer 10

CDC-recommended treatment includes oral doxycycline or azithromycin for 3 weeks

Question 11

Dx with painful ulcers

Answer 11

Chancroid

Genital herpes

Question 12

Dx without ulcers

Answer 12

Chlamydia
HPV
Gonorrhea
Hepatitis B
HIV

Question 13

Sign of LGV

Answer 13

Groove sign/a double genitocrural fold,

Question 14

It is the most common overall STD in women, as well as the most common viral STD. Transmission can occur with subclinical lesions.

Answer 14

Condyloma Acuminatum

Question 15

HPV subtypes 16 and 18 are associated with ______ whereas ______ is associated with HPV types 6 and 11.

Answer 15

cervical and vulvar carcinoma

condyloma

Question 16

PE of pts with condyloma

Answer 16

The characteristic appearance of a condyloma is a pedunculated, soft papule that progresses into a cauliflowerlike
mass.

Question 17

The most common site of lesions in condyloma is the______

Answer 17

cervix.

Question 18

Mx (topical of condyloma)

Answer 18

podofilox [Condylox] solution or gel (antimitotic drug); imiquimod [Aldara] cream (topically active immune-enhancer); or sinecatechins ointment (green-tea extract)

Question 19

Provider-administered local treatment for condyloma

Answer 19

cryotherapy (liquid nitrogen or cryoprobe);
podophyllin resin (not used in pregnancy); trichoroacetic acid [TCA] or biochloroacetic
acid [BCA] (caustic agents); or surgical removal

Question 20

This disease is caused by Chlamydia trachomatis, an obligatory intracellular bacterium.

It is the most common bacterial STD in women, occurring up to 5 times more frequently than gonorrhea

Answer 20

Chlamydia

Question 21

Cx of Chlamydia

Answer 21

The long-term sequelae arise from pelvic adhesions, causing chronic pain and
infertility. When the active infection ascends to the upper genital tract and becomes symptomatic, it is known as acute pelvic inflammatory disease (acute PID).

Question 22

SSx of pts with Chlamydia

Answer 22

The classic cervical finding is mucopurulent cervical discharge. Urethral and
cervical motion tenderness may or may not be noted

Question 23

Dx of Chlamydia

Answer 23

Nucleic acid amplification tests (NAAT) of either cervical discharge or urine is used

Question 24

Mx of Chlamydia

Answer 24

The CDC-recommended treatment includes a single oral dose of azithromycin or
oral doxycycline for 7 days.

Patients should avoid coitus for 7 days after therapy. A test-of-cure (repeat testing 3−4 weeks after completing therapy) is recommended for pregnant wome

Question 25

Causative agent of gonorrhea

Answer 25

This disease is caused by Neisseria gonorrhoeae, a Gram-negative diplococcus

Question 26

Mx of Gonorrhea

Answer 26

The CDC-treatment recommendations include a single dose of IM ceftriaxone plus a single oral dose of azithromycin