STD's

Question 0

Gram (-) diplococcus that is grown on chocolate agar. M/C symptom is dysuria. M/C sign is mucopurulent discharge. M/C joint affected is the knee. M/C sequelae site is testes (sterility)/ovaries (salpingitis). Leads to blindness in newborns

Answer 0

Gonorrhea

Question 1

Causative organism for Reiter’s ds & ophthalmia neonaturum. Also causes PID in females while males remain asymptomatic. M/C cause of female infertility in the US.

Answer 1

Chlamydia

Question 2

An infection of the organs of reproduction especially the Fallopian tubes where inflammation is caused by gonorrhea, chlamydia, candidiasis, or trichimoniasis

Answer 2

Pelvic Inflammatory Disease AKA Salpingitis

Question 3

This ds is caused by the spirochete Treponema pallidum. Can be transmitted through the placenta. Tx w/ penicillin. Assoc. w/ Hutchinson’s triad (interstitial keratitis, notched permanent incisors, CN VIII deafness)

Answer 3

Syphilis

Question 4

What are the 3 stages of syphilis?

Answer 4

1st stage: Hard chancre that is singular & painless (up to 8 wks)
2nd stage: Maculopapular rash, condylomata lata (flat warts), & alopecia (8wks-2yrs; most transmission)
3rd stage: Tabes dorsalis, gummas, or vascular damage (aortic aneurysm or aortic valve insufficiency). No transmission during this stage (>25yrs)

Question 5

This organism is a parasite that causes greenish yellow, frothy, foul smelling discharge

Answer 5

Trichimoniasis

Question 6

Caused by fungus/yeast organism. A white cottage cheese-like discharge seen in the mouth (thrush) or in the vagina & assoc. w/ diabetes

Answer 6

Moniliasis AKA Candidiasis

Question 7

Organism is Chlamydia. Affects lymph nodes in the groin & produces rectal strictures

Answer 7

Lymphogranuloma Venereum

Question 8

Organism is a bacterium. A red, beefy lesion seen in the anogenital to perineal area.

Answer 8

Granuloma Inguinale

Question 9

Organism is a virus (HSV-2). Vesicle clusters reoccur w/ decreased immunity or stress.

Answer 9

Genital Herpes

Question 10

Organism is Human Papilloma Virus. Papilloma (painful, soft, flesh colored, cauliflower erosions) are linked to cervical cancer.

Answer 10

Genital Warts AKA Condylomata Accuminata

Question 11

Organism is Hemophilus Ducreyi. Papules which b/co soft & painful (Frei test)

Answer 11

Chancroid

Question 12

What are diagnostic tests for Syphilis?

Answer 12

Darkfield microscopy

Labs: VDRL (M/C) FTA/ABS, TPI

Question 13

What two tests are used to detect AIDS?

Answer 13

ELISA-screening test (RNA)

Western blot-most accurate (proteins)

Question 14

What conditions are assoc. w/ AIDS?

Answer 14

Pneumocystis carinii (M/C)
Giardia lamblia
Kaposi’s sarcoma

Question 15

Organism is a virus. It can occur in children & is sexually transmitted only in adults. Charac. by a dome shaped, flesh colored or gray umbilicated papule that b/co pearly white w/ a caseous core. Seen in mucosa of mouth & eyelids.

Answer 15

Molluscum contagiosum.