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ANCC Boards Review > STD > Flashcards

STD Flashcards

1
Q

Green vaginal discharge

A

Gonorrhea

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2
Q

Gonorrhea

A

Asymptomatic
Dysuria
W - Mucopurulent vaginal discharge - green/fluourescent

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3
Q

Gonorrhea - labs

A

Gram stain -

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4
Q

Gonorrhea - treatment

A

Ceftriaxone IM

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5
Q

Reporting to the health department (3)

A

Gonorrhea
Chlamydia
Syphilis

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6
Q

Syphilis - treponema pallidum

A

3rd most commonly reported infectious disease

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7
Q

Syphilis - s/s

Primary

A

Chancre is painless
Indurated ulcer
Located at the site of exposure

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8
Q

Syphilis - labs

A

VDRL/RPR

Treponemal

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9
Q

Syphilis - managmenet

A

PCN G

If PCN allergy - doxycycline or erythromycin

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10
Q

Chlamydia - trachomatis

A

Parasitic STD

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11
Q

Chlamydia - s/s

A

dysparenuia - painful intercourse
thick, cloudy penile discharge
testicular pain

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12
Q

Chlamydia - labs

A

Culture is definitive (3-9 days)

EIA -

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13
Q

Chlamydia - treatment

A

azithromycin
doxycycline
alternatives

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14
Q

Dysparenuia

A

painful intercourse

    • chlamydia
    • PID
    • Tric
    • menopause
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15
Q

Co-treat Chlamydia and Gonorrhea

A

Azithromycin 1000mg PO +

Ceftriaxone IM 250mg IM

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16
Q

Herpes

A

“hurts”

recurrent VIRAL

17
Q

HSV 1

HSV 2

A

face

genitalia

18
Q

Herpes - management

A

-vir
acyclovir
valacyclovir
famciclovir

19
Q

Vulvovaginitis

- trichomonas

A

Malodorous, frothy yellowish-green discharge
pruritus
vaginal erythema
strawberry patches

wet-prep: motile trichomonads

Metronidazole 2g once

20
Q

Vulvovaginitis

- BV

A

“fishy”
watery gray discharge
vaginal spotting

wet-prep: CLUE cells

metronidazole 2g once
clindamycin cream

21
Q

Vulvovaginitis

- Candidiasis

A

Thick, white, curd-like discharge
Erythema with pruritus

KOH - pseudo hyphae

Miconazole intravaginally
terconazole x 3 days
butaconazole - 3 applications

22
Q

Chancroid - Hemophilus ducreyi

Gram-negative bacillus

A

painful ulcer - surrounded by erythematous halo

lymphadenopathy

23
Q

Chancroid - Hemophilus ducreyi

A

definitive morphologically

24
Q

Chancroid - Hemophilus ducreyi

A

Azithromycin 1g PO OR
Ceftriaxone 250mg IM OR
Cirpo 500 mg BID x 3 days

ANCC Boards Review (9 decks)

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