Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Micro > STD and Related > Flashcards

STD and Related Flashcards

1
Q

It is a predisposing factor in salpingitis, PID, abortion, PTL, PPROM, chorioamnionitis

A

Bacterial vaginosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Disease that can cause ishy, foul-smelling discharge with pooling at the posterior fornix

A

Bacterial vaginosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Physiologic ovulation

A
  • Thin,
  • clear,
  • mucoid,
  • stretchable
  • stringy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Physiologic discharge before menstruation

A

thick, whitish, viscous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Vulvar erythema, edema, excoriations, abnormal color, amount and consistency type of discharge

A

Pathologic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Diagnosis of Bacterial vaginosis

A

AMSEL Criteria

Gram Stain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Gold standard for Diagnosing Bacterial vaginosis

A

Gram Stain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Yellow green, purulent frothy, may have vaginal erythema, strawberry cervix with a high pH and + of Trichomoniads

A

Trichomoniasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q 
Diagnosis:
Thin, whitish discharge
Amine: +
Clue cells: +
Mycelia: -
pH: 6
Trichomoniads: -
A

Bacterial vaginosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q 
Diagnosis:
White, floccular, milky, creamy discharge
Amine: -
Clue cells: -
Mycelia: -
pH: 4
Trichomoniads: -
A

Normal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q 
Diagnosis
Thick, whitish, curdy cheesy attached to vaginal wall discharge
Amine: -
Clue cells: -
Mycelia: +
pH: 3
Trichomoniads: -
A

Candidiasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Cause of musty smell or the pH of Bacterial vaginosis

A

Anaerobes produce aminopeptidases and decarboxylases that degrade CHON and A Atoamines increasing pH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

NUGENT Scoring System in Gram Stain

0-3:
4-6:
7-10:

A

0-3: predominantly lactobacilli (normal flora)
4-6: intermediate flora w/ gradual disappearance of LB
7-10: flora other than LB(BV)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Treatment fo BV for Pregnant

A

Metronidazole 500mgBIDx7days
Metronidazole 250mgTIDx7days
Clindamycin 300mgBIDx7days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Management/ Tx of Sexual partner in BV

A

Not recommended

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Can vulvo vaginal candidiasis acquire thru sexual contact

A

No

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Risk factor of VULVO VAGINAL CANDIDIASIS

A
  • Pregnancy
  • DM
  • antibiotic/immunosuppressive Tx
  • OCPs
  • Obesity
  • tight clothing
  • hyperhidrosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Ssx of VULVO VAGINAL CANDIDIASIS

A
  • pruritus,
  • erythema,
  • edema,
  • excoriation,
  • tenderness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Diagnosis of VULVO VAGINAL CANDIDIASIS

A

WET MOUNT with 10%KOH or NSS: mycelia/pseudo hyphae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Management for VULVO VAGINAL CANDIDIASIS

A 
Miconazole100mg vagsup OD x7days
Miconazole200mg vagsup ODx3days
Miconazole1200mgvagsup SD
Terconazole80mgvagsupODx3days
Fluconazole150mgPOSD
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Management for Pregnant and Sex partner for Volvu vaginal Candidiasis

A
  • only topicalazoles x7days

* not recommended for sexual partner

22
Q

Causative agent of TRICHOMONIASIS

A

T. vaginalis

23
Q

Classified as STI so further evaluation for other STIs is important

A

TRICHOMONIASIS

24
Q

Anaerobic protozoan parasite, proliferates during menstruation and frequently associated with leukocytosis

A

T. vaginalis

25
Ssx in TRICHOMONIASIS infection
* dysuria, * urinary frequency, * vaginal pruritus, * dyspareunia, * offensive odor, * low back pain, * urethral discharge, * involvement of Bartholin and Skene’s glands
26
mc dx test employed in TRICHOMONIASIS
Wet mount mx
27
Most specific and sensitive test for TRICHOMONIASIS
Nucleic acid amplification test (NAAT)
28
Management for TRICHOMONIASIS and for sexual partner
• Metronidazole or Tinidazole 2g POSD Alternative: Metronidazole 500mg BIDx7days • recommended
29
Associated of TRICHOMONIASIS in Pregnancy and Lactation
* Preterm premature rupture of the membranes (PPROM) * Pulmonary tuberculosis (PTB) * low BW (birth weight)
30
Treatment for TRICHOMONIASIS in Pregnancy and Lactation
Metronidazole (CatB) no longer restricted in 2nd and 3rd trimester Tinidazole (CatC) no safety profile established Breast feeding withheld during treatment up to 24hrs (metronidazole SD), 3days (Tinidazole) after last dose
31
Flushing, throbbing in head and neck, headache, breathing difficulty, nausea, copious vomiting, sweating, thirst, chest pain, palpitations, tachycardia, hypotension, syncope, uneasiness, weakness, vertigo, confusion upon alcohol intake while ongoing treatment with Metronidazole and Tinidazole up to 1 and 3 days, respectively.
Disulfiram reaction
32
2nd mc bacterial STI which cause by N. gonorrheae
GONOCOCCAL INFECTION
33
Incubation period of N. gonorrheae
3-5 days
34
Ssx of GONOCOCCAL INFECTION
* vaginal discharge, * urethral discharge, * dysuria, * AUB (Abnormal uterine bleeding) * pelvic discomfort
35
Hallmark of GONOCOCCAL INFECTION
mucopurulent cervicitis
36
Patients must be screened for chlamydia, syphilis and HIV if the patient have GONOCOCCAL INFECTION
TRUE
37
Greenish, abudant, thick vaginal discharge
GONOCOCCAL INFECTION
38
CLINICAL PRESENTATION of GONOCOCCAL INFECTION
* Raise suspicion: increased leukocytes in endocervical gram stain (>10/hpf) in the absence of trichomoniasis * Non-pregnant: may result to urethritis, cervicitis and PID * Pregnancy: may result to Gonorrhea ophthalmic neonatorum
39
Mc systemic complication of GONOCOCCAL INFECTION. (Early and Late)
Disseminated Gonococcal Infection Early: migratory arthritis, tenosynovitis, dermatitis Late: arthritis, perihepatitis, endocarditis, meningitis pericarditis, osteomyelitis
40
Gold Standard in diagnosing GONOCOCCAL INFECTION
* Culture media - Mod Thayer Martin Medium | * Gram Stain- Gram (-) intracellular diplococcici
41
Management for GONOCOCCAL INFECTION
• Ceftriaxone250mg IMSD+ • (1g for DGI/conjunctivitis) + - Azithromycin1g SD or - Doxycycline 100mg BID Pox 7days • Ceftriaxone not available: Cefixime 400mg POSD + - Azithromycin1gSDor - Doxycycline100mg BIDPOx7days
42
Guidelines for mgt: PREGNANT in GONOCOCCAL INFECTION and the sexual partner
• Ceftriaxone 250mgIMSD+ Azithromycin1g SD • Spectinomycin 2gIM –if can’t tolerate cephalosporins • Azithromycin 2gPO (if no spectinomycin) • Management of sexual partner: recommended (preceding 60days)
43
MC sexually transmitted bacterial pathogen
CHLAMYDIAL INFECTION
44
Major cause of mucopurulent discharge and its Incubation period: long (1-3weeks)
CHLAMYDIAL INFECTION
45
Serotpye of C trachomatis that cause LGV
L1, L2, L3
46
Management for VULVO VAGINAL CANDIDIASIS
``` Miconazole100mg vagsup OD x7days (Daily) Miconazole200mg vagsup ODx3days Miconazole1200mg vagsup SD Terconazole80mg vagsup ODx3days Fluconazole150mg POSD ```
47
Diagnosis of CHLAMYDIAL INFECTION
• Endocervical discharge: yellow/green mucus ~ >10pmn/OIF of gram stain ~ friable, erythematous, edematous, cervical ectopy * Associated with sterile pyuria (no bacteriuria) * Ascending infection is common: - Acute Salpingitis (mc complication) - FitzHugh Curtis Syndrome
48
Gold std in diagnosing CHLAMYDIAL INFECTION
NAAT
49
Management for CHLAMYDIAL INFECTION and sexual partner
Azithromycin 1g POSD Doxycycline 100mg POBIDx7days Management of sexual partner: recommended with abstinence for 7days post treatment
50
Management for CHLAMYDIAL INFECTION for pregnant
Azithromycin 1gPOSD | Amoxicillin 500mg POTIDx 7days

Micro (17 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions