STD's

Question 1

Primary Syphillis

Answer 1

Spirochete Treponema pallidum

Painless chancre at site of exposure
Scooped-out appearance
Can go undetected in a woman b/c primary lesion commonly on the cervix.
Highly contagious

Question 2

Secondary syphilis

Answer 2

Disseminates to other organs (skin, m.m., lymph nodes, meninges, stomach, liver)
Skin rash
Most commonly hands and soles of feet
Genital condylomata lata (raised, red-brown lesions that may ulcerate)

Question 3

Tertiary syphilis

Answer 3

Gumma lesions develop in organs (most commonly liver, testes, & bone).
CNS and heart often affected

Question 4

HPV

Answer 4

Human papillomavirus (HPV)
Transient or persistent
May be asymptomatic
Associated with genital cancers
Vaccine recently developed
HPV-16 & HPV-18
Associated w/ cervical intraepithelial neoplasia (CIN)
“low-risk” assoc. w/ genital warts: HPV 6 & 11

Question 5

Vaginal Candidiasis

Answer 5

Yeast infection” or “thrush”

Causes include:
Most common organism: Candida albicans
Decreased normal bacterial flora (antibiotics)
Increased estrogen/progesterone levels (increases vaginal glycogen stores)
Decreased immune system activity

Results in:
Inflammation, erythema, pruritis
Thick odorless, chessy discharge