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NBS Part 2 Boards > STD pg2 to Mental health pg3 > Flashcards

STD pg2 to Mental health pg3 Flashcards

1
Q

Chancre DDx

A

Clamydia -Painful (Soft) “weepy”
Chancroid - Painful (Soft) “Bloody”
Syphilis - Painless (Hard)

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2
Q

Chlamydia DDx

A

Chlamydia
Lymphogranuloma Venereum
PID
Reiter’s disease (feet)

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3
Q

Asymptomatic Female DDx

A

Chlamydia
Gonorrhea (knee)
Human Papilloma virus (HPV)

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4
Q

Asymptomatic Male DDx

A

Trichomonas

Canidia albicans

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5
Q 
Discharge DDx
Gonorrhea -
Trichomonas - 
Chronic vaginitis - 
Candidiasis - 
Herpes - 
Chlamydia -
A 
Gonorrhea - Copius & clear
Trichomonas - Frothy, foul & itchy
Chronic vaginitis - Foul & itchy
Candidiasis - Curdy & itchy
Herpes -  Watery
Chlamydia - Yellow
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6
Q

Chlamydia

A

MC SDT in US. Yellow, odorless copiusdischarge leads to nongonococcal and nonspecific genitourinary infection (NGU), painful soft lesions, Reiter’s (feet). Asymptomatic in females

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7
Q

Gonnorrhea

A

Neisseria gonorrhea, tonsillitis, pharyntgitis -> arthritis(knee), gram negative Coipious clear discharge from the urethra (Skene’s& Bartholin’s glands) Male (urethritis &epididimitis) Female (vaginitis, salpinitis, arthritis)

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8
Q

Herpes

A

painful vessicles, latency, tissue culture, red lesions with yellow oozing center, watery discharge, contagious. Type 1 & 2 recurrent, prodome of itching. Treatment: Valtrex, L-lysine, acyclovir

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9
Q

Trichomonas

A

Trichomonas Vaginalis (Protozoa) Females - greenish yellow, severly itchy, foul discharge. Males - Asymptomatic

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10
Q

Chancroid

A

Haemophilus Ducrey (aka soft chancre). Lesions rapidly ulcerate and beed. large, painful ulcers, pus ->buboes (bloody)

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11
Q

Candidiasis

A

Candida Albicans, thrush, yeast, fungus, moniliasis. Gram Positive, red, itchy & irritable. Female - White cheese material covers vaginal walls. Males - usually asymptomatic , Treatment: Acedophilus and Lactobacillus

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12
Q

Syphilis

A

Treponema Pallidum (Spirochete)There are3 stages, can be congenitaly contracted

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13
Q

Syphilis stage 1

A

Primary (4-8 wks) Painless lesion, hard, indurated, singular

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14
Q

Syphilis stage 2

A

Secondary (appears at 12 weeks) Rash (80%), persists for months. Lymphadenopathy (50%). Condylomata lata (warts). Alopecia (hair loss)

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15
Q

Syphilis stage 3

A

Tertiary (about 1/3 develop if untreated). Gumma (skin, viscera granulomatous lesion). General Paresis (Dementia), Argyll Robertson pupil. Tabes dorsalis, Romberg’s test, Charcot’s joints. FTA -ABS, VDRL, RPR, Wassermann, Darkfield Microscopy

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16
Q

Congenital Syphilis

A

Hutchinson’s triad: saddle nose, interstitial keratosis, peg teeth

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17
Q

Lymphogranuloma Venereum

A

(caused by Chlamydia) Enlarged regional inguinal lymph nodes that may lead to elephantitis and rectal abscesses

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18
Q

Granuloma Inguinale

A

Donovania Granulomatous (Donovans hamburger) painless, velvety, slow going. Bright Beefy red granulomatus lesions. Diagnosis: Giemsa/Wright stain to demonstrate Donovan bodies

19
Q

Genital Warts

A

Human Papiloma Virus (16&18). Condlomata Acuminata cervical dysplasia leads to cervical cancer. Usually small, itchy, cluster(cauliflower), speculum (screen), PAP (confirm - specific test)

20
Q

Molluscum contagiosum

A

Multiple skin tags the exfoliate, waxy papules

21
Q

Pemphigoid

A

Autoimmune - MC type,bulla lesion, lethal middle aged, south americans, IgG (many types)

22
Q

Dermatitis Herpetiformis

A

(aka ichthyosis bullous siemens) Genital and extensor lesions, bulla, vesicles, papules, IgA (tip). Itchy, peeling, blistering, bluten sensitive, hereditary (blacks, Asians)

23
Q

Voluntary Motor

A

Posterior edge frontal lobe & cerebellum

24
Q

Personality, problem solving

A

frontal lobe

25
Q

Somatosensory (temperature, pressure, position)

A

anterior edge of parietal lobes

26
Q

Vision (color & shape)

A

Occipital lobe

27
Q

Auditory & Smell

A

Superior temporal lobe

28
Q

Speech (motor)

A

Broca’s area in frontal lobe (left hemisphere)

29
Q

Speech (sensory, planning & understanding)

A

Wernick’s area at junction of parietal, temporal, & occipital lobes

30
Q

Biological drives (thirst, hunger)

A

Hypothalmus

31
Q

Emotions (limbic)

A

Near corpus callosum & temporal lobe

32
Q

Visual & spacial

A

Right parietal

33
Q

Understanding language

A

Left parietal

34
Q

Left Brain Hemisphere Attributes

A

Analytical, speech, organization, time awareness, visual, needs a reason to follow rules, enjoys sensory stimulation

35
Q

Right Brain Hemisphere Attributes

A

Intuitive, Music & art appreciation, drawing ability, words to remember, follows rules, likes to observe rather than participate

36
Q

History of mental health Pre and Post 1960s

A

Pre: Isolation, lobotomies, electronoconculsive shock therapy (ECT) Post: Drugs, therapy, de-instiutionalization

37
Q

Spear’s Chiropractic Hospital details

A

1955 very successful with mental disease

38
Q

Theory of Reasoned Action

A

Perception + family/friends + beliefs = Action (to go to Chiropractor or nto to go to Chiropractor

39
Q

Communication is based on

A

Speech, eye contact, body language, body contact and language

40
Q

“Funneling”

A

combination of open ended and direct questions

41
Q

Hostility has a strong connection to

A

chronic heart disease

42
Q

Dementia

A

non reversable deterioration of cognition and behavior

43
Q

Delirium

A

often reversable acute confusion that may fluctuate

NBS Part 2 Boards (10 decks)

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