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ADT Module 5-8 > STD's > Flashcards

STD's Flashcards

1
Q

gonorrhea, chlamydia, vaginitis, syphilis, HIV/AIDS, genital herpes, genital warts, chancroid, granuloma inguinale, molloscum contagiosum, and pubic lice are all ___.

A

STD’s

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2
Q

STI screening for chlamydia and gonorrhea:
trichomonas:
HSV, syphilis:
HIV, hepatitis:

A

cervical culture
vaginal swab
lesion swab
serologic

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3
Q

Chlamydia is an obligate intracellular bacteria w/a gram-___ cell wall. ___ are highest risk group.

A

negative, adolescents

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4
Q

Consider ___ ___ if STD’s found in young children.

A

sexual abuse

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5
Q

The pathogens C. pneumoniae, C. psittaci, and C. trachomatis can all cause ___.

A

pneumonia

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6
Q

Usual agents that cause cervicitis include ___ and ___.

A

chlamydia, gonococcus

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7
Q

There is testicular inflammation and scrotal pain in ___.

A

epididymitis

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8
Q

A torsion requires emergency ___.

A

surgery

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9
Q

First-line tx for chlamydia is:

A

Azithromycin - single dose OR doxycycline 100mg BID x 7 days

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10
Q

Lymphogranuloma venereum is a ___ infection that presents with multiple, enlarged, matted, tender ___ lymph nodes and may produce a ___. DOC is ___.

A

chlamydia, inguinal, doxycycline

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11
Q

Chlamydia conjunctivitis shows up ___-___ days after birth. Gonococcal conjunctivitis shows up ___-___ days after birth. HSV conjunctivitis shows up in first ___ days after birth.

A

7-14, 2-4, 14

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12
Q

Chlamydia conjunctivitis is tx’ed w/:

A

Erythromycin topical AND erythromycin oral

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13
Q

Chlamydia education after being dx’ed: no intercourse for ___ days after completion of azithromycin, no intercourse until ___ has been tx’ed, repeat testing ___ wks after Rx for pregnant women, all women should have repeat testing ___-___ months post-infection.

A

7, partner, 3, 3-4

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14
Q

Presentation of gonorrhea in men:

in women:

A

urethritis (symptomatic), epididymitis

cervicitis (asymptomatic), urethritis, PID, perihepatitis, accessory gland inf

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15
Q

Presentation of chlamydia in men:

in women:

A

urethritis, epididymitis, Reiter’s syndrome

cervicitis, urethritis, PID, perhepatitis

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16
Q

Pregnant women w/STD’s should not be tx’ed w/___ or ___.

A

quinolones, tetracyclines

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17
Q

Gonorrhea education includes: no sex until ___ is completed and symptoms have ___, treat the pt’s ___, follow up for repeat testing in ___ months.

A

therapy/antibx, resolved, partner, 3

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18
Q

___ usually presents w/discharge, irritation, and odor. It is NOT an ___. ___ ___ is the most common cause of vaginitis.

A

Vaginitis, STD, bacterial vaginosis

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19
Q

With vaginitis, a speculum exam is important to r/o ___ as the source of discharge.

A

cervicitis

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20
Q

DOC for bacterial vaginosis is: ___. Alternative is ___.

A

metronidazole, clindamycin

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21
Q

___ in women has risk for premature rupture of membranes, preterm delivery, and low birthwt. Can cause ___ in women.

A

Trichomonas, vaginitis

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22
Q

DOC for trichomonas is ___. ___ should be avoided d/t antabuse.

A

metronidazole 2 gms single dose or 500mg BID x 7 days, alcohol

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23
Q

Trichomonas should be tested for other ___. It is almost always ___ transmitted. It is associated w/increased susceptibility to ___. ___ should be tested as well.

A

STD’s, sexually, HIV, partners

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24
Q

Candidiasis is not considered to be an ___. Typically caused by ___. Appears as thick, white, and clumpy like ___-___.

A

STD, antibx, cottage-cheese

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25
Q

Candidiasis DOC is: ___. Contraindicated in ___ women. Maintain vaginal flora and avoid ___ b/c it can alter vaginal flora and makes it more prone for infection.

A

fluconazole, pregnant, douching

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26
Q

Differential btwn BV, candidiasis, and trichomoniasis is based on ___.

A

microscopy

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27
Q

Normal pH is ___-___. In BV and trichonomoniasis, it is ___ 4.5, and in candidiasis, it is ___ 4.5

A

3.8-4.2, >, <

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28
Q

___ ___ has been associated w/pregnancy complications, HIV, and PID.

A

Bacterial vaginosis

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29
Q

You need 3 of the 4 diagnostic criteria for Dx of BV: ___ homogenous discharge, pH > ___, + ___ test, > 20% clue cells on ___.

A

gray, 4.5, whiff, microscopy

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30
Q

___ partners of pt’s w/BV do not need to be tx’ed, but ___ partners should.

A

male, female

31
Q

S/E of metronidazole include: severe ___ if consume ___ while taking it (aka ___), sharp ___ taste, ___ urine.

A

vomiting, alcohol, antabuse, metallic, dark

32
Q

Meds that can cause candida/yeast infections:

A

antibx, corticosteroids, pregnancy, diabetes, HIV disease

33
Q

Dx for candida is not by ___, but by visualization through ___.

A

culture, microscopy

34
Q

___ should not be used during pregnancy or lactation d/t it being a category ___.

A

Metronidazole, C

35
Q

The 3 etiologies for vaginitis include:

A

bacterial vaginosis, vulvovaginal candidiasis, trichomoniasis

36
Q

Partners should be tx’ed for ___.

A

trichomoniasis

37
Q

___ syphilis present w/ulcer or chancre that is usually ___ and heals w/in ___.

A

primary, painless, wks

38
Q

Chancroid is an ulcer that is ___ and has tender ___. Tx is w/___.

A

painful, lymphadenopathy, azithromycin

39
Q

___ syphilis presents w/HA, fever, malaise, ___ on palms and soles, and involves the ___ and ___ organs.

A

secondary, rash, kidney, liver

40
Q

___ syphilis presents w/___-like lesions. Involves ___ and ___ systems. Can show up ___ later.

A

tertiary, rubbery, neuro, cardio, decades

41
Q

DOC for primary, secondary, and early latent syphilis is ___. If allergic to PCN, then ___ or ___.

A

Benzathine PCN G, doxycycline, tetracycline

42
Q

If syphilis is tx’ed w/PCN, a common reaction is ___. Occurs when a large amt of ___ die and release their cell walls in the ___. Tx for it is ___.

A

Jarisch-Herxheimer, bacteria, bloodstream, antipyretics

43
Q

Want to evaluate pt’s w/syphilis for ___. Return for follow-up serology at ___ and ___ months or every ___ months if HIV +.

A

HIV, 6, 12, 3

44
Q 
HSV-1:
HSV-2:
HSV-3:
HSV-4:
HSV-5:
HSV-6:
HSV-7:
HSV-8:
A 
stomatitis/herpes labialis
genital herpes
varicella-zoster
Epstein-Barr (EBV)
cytomegalovirus (CMV)
exanthem subitum ("roseola")
works in tandem w/HHV-6
Kaposi'e sarcoma
45
Q

HSV-1 and HSV-2 can cause ___ ___ ___. The predominant one is ___.

A

genital herpes simplex, HSV-2

46
Q

Herpes simplex virus (aka ___ ___) appears ___-___ days after exposure and resolves over ___-___ wks. Dx is w/ ___ of lesion. Tx is w/ ___, as well as ___ for pain.

A

genital herpes, 3-7, 1-2, culture, acyclovir, analgesics

47
Q

When collecting a culture, can only collect from ___ lesions, not ___ lesions.

A

open/erupted, crusted-over

48
Q

True or False: tx recurrent episodes the same as primary/initial episodes.

A

true

49
Q

The 3 medications for tx of HSV/genital herpes include:

A

acyclovir, valacyclovir, famciclovir

50
Q

___ therapy reduces the frequency of genital herpes by 70-80% and is taken ___ to prevent breakouts.

A

Suppressive, daily

51
Q

Women w/out S/S of genital herpes can give birth ___. Women w/recurrent breakouts must have ___ birth.

A

vaginally, abdominal

52
Q

HSV can be transmitted to a partner during ___ periods b/c viral shedding can still occur.

A

asymptomatic

53
Q

___ is arguably the most common STD. Majority of sexually active adults acquire ___ at some point in their lives.

A

HPV, HPV

54
Q

Tx for condyloma acuminata (aka ___ ___) include:

A

genital warts, cryotherapy, laser, sharp excision, topical cream (imiquimod, trichcloroacetic acid, podphyllum)

55
Q

Genital warts Dx is usually made by ___.

A

visualization

56
Q

Pt-applied topical Rx for genital warts/HPV include:

A

podofilox (Condylox), imiquimod (Aldara)

57
Q

Cryotherapy is ___ administered.

A

provider

58
Q

Follow up for ___ is not mandatory and is not ___.

A

HPV, reportable

59
Q

Vaccines for HPV include: ___ and ___. Cervarix only tx’s ___ ___, whereas gardasil tx’s both ___ ___ and ___ CA. Recommended for females ages ___-___ and males ages ___-___.

A

Cervarix and Gardasil, cervical cancer, genital warts, cervical, 13-26, 9-26

60
Q

Higher risk for cervical cancer is HPV types ___ and ___. Lower risk for cervical cancer and genital warts is present in HPV types ___ and ___.

A

16, 18, 6, 11

61
Q

___ includes gonorrhea and chlamydia.

A

Cervicitis

62
Q

Chancre refers to ___. Chancroid refers to etiology of ___

A

syphilis, H. ducreyi

63
Q

___ presents w/friable, red, inflamed cervix and ___ discharge.

A

Cervicitis, mucoid

64
Q

Obligated to perform ___ exam if pt having discharge.

A

pelvic

65
Q

___ is DOC for uncomplicated gonorrhea tx. Unless ___ infection is r/o, CDC recommends co-tx for both since one usually accompanies the other.

A

Ceftriaxone, chlamydial

66
Q

___ ___ has a “fish” odor. This and ___ have odorous discharge.

A

Bacterial vaginosis, trichomonias

67
Q

___ ___ is an anaerobic bacterial overgrowth and is the most common cause of vaginitis. Not considered an ___.

A

Bacterial vaginosis, STD

68
Q

Intravaginal metronidazole is ineffective in the tx of ___.

A

trichomonas

69
Q

Nontreponemal and treponemal are serology tests used to dx ___. Look at ___ and ___.

A

syphilis, VDRL, RPR

70
Q

Reactivation of genital herpes simplex could include:

A

trauma, fever, ultra-violet light, stress

71
Q

___ is the first-line tx for condyloma acuminata (aka ___ ___)

A

trichcloroacetic acid (TCA)

72
Q

With tx of imiquimod, wash w/soap and water ___-___ hrs after application.

A

6-10

73
Q

The quadrivalent HPV vaccine (___) is used in males aged 9-26

A

Gardasil

ADT Module 5-8 (18 decks)

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