STD pg2 to Mental health pg3

Question 1

Chancre DDx

Answer 1

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

Question 2

Chlamydia DDx

Answer 2

Chlamydia
Lymphogranuloma Venereum
PID
Reiter’s disease (feet)

Question 3

Asymptomatic Female DDx

Answer 3

Chlamydia
Gonorrhea (knee)
Human Papilloma virus (HPV)

Question 4

Asymptomatic Male DDx

Answer 4

Trichomonas

Canidia albicans

Question 5

Discharge DDx
Gonorrhea -
Trichomonas - 
Chronic vaginitis - 
Candidiasis - 
Herpes - 
Chlamydia -

Answer 5

Gonorrhea - Copius & clear
Trichomonas - Frothy, foul & itchy
Chronic vaginitis - Foul & itchy
Candidiasis - Curdy & itchy
Herpes -  Watery
Chlamydia - Yellow

Question 6

Chlamydia

Answer 6

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

Question 7

Gonnorrhea

Answer 7

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)

Question 8

Herpes

Answer 8

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

Question 9

Trichomonas

Answer 9

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

Question 10

Chancroid

Answer 10

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

Question 11

Candidiasis

Answer 11

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

Question 12

Syphilis

Answer 12

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

Question 13

Syphilis stage 1

Answer 13

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

Question 14

Syphilis stage 2

Answer 14

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

Question 15

Syphilis stage 3

Answer 15

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

Question 16

Congenital Syphilis

Answer 16

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

Question 17

Lymphogranuloma Venereum

Answer 17

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

Question 18

Granuloma Inguinale

Answer 18

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

Question 19

Genital Warts

Answer 19

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

Question 20

Molluscum contagiosum

Answer 20

Multiple skin tags the exfoliate, waxy papules

Question 21

Pemphigoid

Answer 21

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

Question 22

Dermatitis Herpetiformis

Answer 22

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

Question 23

Voluntary Motor

Answer 23

Posterior edge frontal lobe & cerebellum

Question 24

Personality, problem solving

Answer 24

frontal lobe

Question 25

Somatosensory (temperature, pressure, position)

Answer 25

anterior edge of parietal lobes

Question 26

Vision (color & shape)

Answer 26

Occipital lobe

Question 27

Auditory & Smell

Answer 27

Superior temporal lobe

Question 28

Speech (motor)

Answer 28

Broca’s area in frontal lobe (left hemisphere)

Question 29

Speech (sensory, planning & understanding)

Answer 29

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

Question 30

Biological drives (thirst, hunger)

Answer 30

Hypothalmus

Question 31

Emotions (limbic)

Answer 31

Near corpus callosum & temporal lobe

Question 32

Visual & spacial

Answer 32

Right parietal

Question 33

Understanding language

Answer 33

Left parietal

Question 34

Left Brain Hemisphere Attributes

Answer 34

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

Question 35

Right Brain Hemisphere Attributes

Answer 35

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

Question 36

History of mental health Pre and Post 1960s

Answer 36

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

Question 37

Spear’s Chiropractic Hospital details

Answer 37

1955 very successful with mental disease

Question 38

Theory of Reasoned Action

Answer 38

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

Question 39

Communication is based on

Answer 39

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

Question 40

“Funneling”

Answer 40

combination of open ended and direct questions

Question 41

Hostility has a strong connection to

Answer 41

chronic heart disease

Question 42

Dementia

Answer 42

non reversable deterioration of cognition and behavior

Question 43

Delirium

Answer 43

often reversable acute confusion that may fluctuate