STD

Question 1

Gonorrhea

Answer 1

green vaginal discharge

Question 2

gonorrhea definition

Answer 2

a bacterial STD caused by nisseria goorrhoea (gram negative diplococci

asymptomatic
dysuria

Question 3

gonorrhea discharge men

Answer 3

white or yellow not green

Question 4

gonorrhea labs

Answer 4

gram stain shows gram negative diplococci and wbc

Question 5

gonorrhea female labs

Answer 5

thayer martin media cervical culture for N gonorrhoea

Question 6

gonorrhoea treatment

Answer 6

ceftriaxone - (rocephin) 250mg IM x one dose to treat gonorrhea

plus
zithromax, 1 g orally x one dose to cover chlamydia
report to the health department

Question 7

Syphilis definition

Answer 7

STD involving multiple organ systems and caused by treponema pallidum - a spirochete

Question 8

syphilis pearls

Answer 8

third most reported infectious disease in the US

over 200k new cases annually

Question 9

clinical stages of syphilis Primary

Answer 9

CHANCRE IS PAINLESS
indurated ulcer
located at site of exposure

tx is 2.4 million units IMx1

Question 10

clinical stages of syphilis secondary

Answer 10

FLU LIKE SX 
highly variable rash on skin
palmar and plantar rash
mucous patches 
alopecia, anorexia malaise, arthalgias and lymphadenopathy 

tx is 2.4 million units pcn G IM weekly x 3 weeks

Question 11

syphilis latent

Answer 11

seropositive but asymptomatic

tx is 2.4 million units pcn G IM weekly x 3 weeks

Question 12

reportin diseasees

Answer 12

gonorrhea
claymmadia
syphilis

TB
HIV

Question 13

Tertiary syphilis

Answer 13

lekoplakia 
cardiac insufficiency 
aortic annurysim 
meningitis 
hemiparesis
hemiplegia

Question 14

lesions that hurt =

Answer 14

herpies

Question 15

Serologic tests for syphilis

Answer 15

Nontreponemal VDRL/RPR may be positive or neagitve for primary

Treponemal- used to confirm
MHA-TP or FTA-ABS

Question 16

Siphilis treatment allergy to PCN G

Answer 16

PCN G2.4 million units IM
(doxy 100mg orally bid
reythromycin 500mg orally 4times daily

Question 17

Chlamydia

Answer 17

parasitic STD caused by chlamydia trachomatis with produces serious reproductive tract issues in both sexes

Question 18

most common bacterial STD in US

Answer 18

Chlymidia 4millin new infections annually

Question 19

Chlamydia S and S

Answer 19

female
often asymptomatic 
dysuria 
PAINFUL INTERCOURSE 
vaginal discharge

men
often asymptomatic -dysuria
THICK CLOUDY PENILE DISCHARGE
testicular pain

Question 20

Labs for chlymidia

Answer 20

chlamydia culture- most definitive test (3-9 days for results)

Enzyme immunoasssay EIA methods preferred low cost and get results back in like 2 hours

Question 21

drugs for chlymidia

Answer 21

azithromycin (zithromax) 1g po x1dose OR
doxy (vibramycin 100mg by mouth x7days
report to health department

Question 22

cross cover drugs for chlymidia and gonnerhea

Answer 22

zithromax 1g po dose shot of ceftriaxone

Question 23

Vulvovaginitis inflamation

Answer 23

inflamation or infection of vulva and vagina most commonly caused by bacteria, protozoan and or fungi

Question 24

Vulvovaginitis - trichomoniasis

Answer 24

bacterial vaginosis, and candidiasisi and are commonly responsible for Volvovaginitis, Only trichomonas (often asymptomatic in men) is considered an STD

Question 25

vulvovaginitis SX thrichomonas

Answer 25

malodourous, frothy YELLOWISH GREEN DISCHARGE, puritis, vaginal eryhtema, STRABERRY PATCHES, on cervix, and vagina, dysparuenia (pain on sex) dysuria

Question 26

vulvovaginitis thrichomonas labs and tx

Answer 26

ns mixture shows motile trichomonads | flagyl 2g by mouth single dose then 500mg by outh bid for 7 days

Question 27

vulvovaginitis bacterial vaginosis sx

Answer 27

FISHY smelling discharge that is watery and grey, vaginal spotting

Question 28

vulvovaginitis bacterial vaginosis labs and tx

Answer 28

ns mixture shows CLUE cells flagyl- 2g by mouth single dose, 500mg by mouth bid x7days, 0.75% gel 5g, intravaginally bid for 5 days clindamycin (cleocin) vaginal cream 2%, 5g intravaginally at bedtime x 7 days , 300mg by by mouth bid for 7 days

Question 29

vulvovaginitis candidiasis sx

Answer 29

THICK WHITE CURD LIKE DISCHARGE, VULVOVAGINAL ERYTHEMIA WITH PURITIS

Question 30

vulvovaginitis candidiasis treatment and labs

Answer 30

miconazole (mono-stat) or clotrimazle, (gyne-lotrimin 1% 5g intravaginally at bedtime for 7 days terconazole suppository butaconazole azole things

Question 31

chancroid definition

Answer 31

hemophilus ducreyi- a gram negative bacillus

Question 32

chancroid pearls

Answer 32

endemic in many areas in the US, must be a part of the differential dx for genital ulcers well established co factor for HIV transmission (high rate of HIV for individuals presenting with chancroid estimated up to 10% of patients are also infected with syphilis and HSV

Question 33

chancroid s and s

Answer 33

women -asymptomatic men- single or multiple superficial, PAINFUL ulcers, surrounded by erythematous halo ulcers may be necrotic or severely erosive

Question 34

chancroid diagnosis

Answer 34

diagnosis is usually by exclusion involves genitals and unilateral bubo or both painful genital ulcers in the absence of T pallidum and HSV (by inspection or culture)

Question 35

sensitivity

Answer 35

degree to which those who have disease test positive

Question 36

specificity

Answer 36

degree to which those who DO NOT have the disease test negative

Question 37

chancre treatment

Answer 37

Zithromax 1gpo or rocephin 250mg IM or cipro 500mg po for tthree days

Question 38

herpes definition

Answer 38

a recurrent viral STD with no cure associated with painful genital lesions

Question 39

herpes type 1

Answer 39

infection of face lips and oral mucosa

Question 40

herpes type 2

Answer 40

genitals type two is down near where u poo

Question 41

herpes transmission

Answer 41

direct contact with active lelsions or by virus containing fluid saliv or cervical secretions

Question 42

herpes sx initial vs recurrent

Answer 42

fever, malaise, dysuria, prutic ulcers for usually 12 days | Recurrent: less painfull pruritic ulcers for up to 5 days

Question 43

herpes labs and diagnostics

Answer 43

papanicolaou or tzanc stain | most definitive test is viral culture

Question 44

herpes management

Answer 44

no cure symptomatic treatment with drying or anti itch acyclovir Zovirax recommended for topical oral and IV use famciclovir valciclovir-

Question 45

herpes drug most useful for asymptomatic viral shedding of hsv2

Answer 45

valacyclovir