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AGNP AANC Boards > STD's > Flashcards

STD's Flashcards

1
Q

what is the most common bacterial STD

A

Chlamydia

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2
Q

what is the preferred test for G/C

A

NAAT ( nucleic acid amplification test)

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3
Q

When should you collect specimens for G/C

A

Men: first urine of the morning
W: vaginal swab is = to cervical

MSM should get annual pharyneal and rectal using NAAT

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4
Q

Chlamydia screening, symp, complications

A

screening: sexual active adlescents and women under 26

d/c : scant clear or cloudy white

complications: cervicitis, urethral syndrome, bartholinitis, endometritis, PID, procitis

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5
Q

Chlamydia tx

A

uncomplicated ( cervicitis, urethitis, tx partner)
- azithryomcine 1 mg single dose or doxy 7 days

Preg:
- azithryomycin

need to do pre testing and post testing ( 3-4 weeks after therapy)

complicated ( PID, prostatis, epdidiymitis)
- doxy DIB x 14 days

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6
Q

Gonorrhea

A

Purulent green d/c.

Both genders: procitisis, phargynitis

if dessiminated : miratory arthiritis , synovits, rash, fever, chills

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7
Q

Gonorrhea TX

A

uncomplicated : cervix, urthra, pharynx
- ceftriazone + azithryromcin (1) / doxy x 7 days

if they have gonorrhea must tx for chylamdia

  • complicated (PID epididymitis, prostatistis)
  • Ceftriazone + doxy 14 days
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8
Q

Proctitis or proctorcolitis screening

A

annual for MSM hx of unprotected receptive anal intercourse. New sexual partner in the < 60 days.

acute onset of purulent rectal discharge, anorectal pain, and tenesmuc ( frequent urges of passing stool)

swab anus for GC

TX: complicated
- ceftriazone + doxy 14

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9
Q

PID presentaton/labs/tx/partner/complications

A

sexually active < 24 year old with new onset one sided pelvic pain w/ mucopurulent vaginal discharge. New sexual partner. pelvic pain while walking, pain with intercourse ( dysapreunia), postive cervical motion tenderness w/ or w/o adnexal pain

Labs: r/o preg, HIV, G/C

Male partners: any partner within the last 60 dyas shoudl be tested and tx for g/c

TX: complicated
- ceftriazone + doxy x 14

complications: infertility, ecptopic preg, pelvic abbcess

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10
Q

What is the organism and test for syphilis

A

treponema pallidum
RPR
VDRL

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11
Q

Primary stage and secondary stage of Syphilis

A

P: chancre painless, indurated, clean base , can resolve on own in 3-6 weeks

TX: benzathine peniciilin G IN x 1 dose

S: rash on palms and soles, no itch, condylona lata swollen lymph nodes, mucous patches on mouth, throat

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12
Q

Latent stage of spyhilis

A

usually no symptoms
> 1 year from time of infection

TX: benzathine pencillin IM one dose X 3 weeks

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13
Q

Tertiary spyhilis

A

soft tiisue tumors, aortic aneurysms

TX: benzathine pencillin IM one dose X 3 weeks

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14
Q

Jarisch-Herxheimer reaction

A

common immune reaction after starting syphilis tx (myalgias, fever, headache, tachycardia)

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15
Q

Fitz High Curtus Syndrome

A

complicated case of PID w/ G/c

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16
Q

what are two most common strains of HPV that cause cancer

A

16 #18

17
Q

what is the tx for HPV ( pt applied)

A 
Pt applied methods ( cant use if preg)
- Imiquimod 3/75 or 5 cream
or 
Podofilox 
Sinecatchins
18
Q

what is the tx for HPV ( provider applied)

A

cryotherapy ( can use w/ preg

tricholeacetic aced or bichloroactici be applied to warts

19
Q

W/ preg and HIV for HPV

A

screen pap every 6 months

20
Q

Gardasil

A

HPV vaccine at ages 11-12 (can be as early as 9) 6-12 month apart ( if completed by 15th bday only need two doses)

for ages 15-26 needs 3 doses 0, 1-2 y, 6 months

21
Q

Herpes simplex 1

A

usually oral infection

22
Q

Herpes simplex 2

A

gential infection

erythemetous papules that devlop into smal grouped vesicles, easily ruptured - small shallow ulcers

primary episode more severe adn can last up to 2 weeks

labs: HSV PCR DNA

23
Q

Herpes simplex 2 tx

A

first episode: Acyclovir po TID x 7-10dyas or Valtrex TID

episode therapy: duration 5 days
Acyclovir TID or Valtrex BID

Supressive therapy ( every day)
Acylcovir BID or Valtrex BID
24
Q

when is a herpes simplex 2 non infectious

A

never, even if skin has healed, still have low levels of viral shedding

25
Q

high risks for HIV

A

unsafe sex, msm, IVDU, blood products from 1975 to 1985, breast fed infant w/ HIV mother

26
Q

R/O signs of HIV

A

thrush ( candida esophagitis), hairy lekoplakia, weight loss w/ diahrea,

27
Q

what is acute retroviral syndrome

A

Acute HIV infection and Primary HIV

first time infection HIV virus. Acute onset of fever, lymphadenopathy, malaise, sore throat, rash

may resemble mono

28
Q

HIV testing

A

HIV1/HIV2 antigen/antibody immunoassay test
- test for both strains and P24 antigen ( established infection/acute HIV)

  • if both strains are + = HIV

there is a window period of 6 weeks to 6 months

older screening test is ELISA TEST w/ Western blot as comfirmatory testing

29
Q

what should you do if CD 4 < 200

A

prophylaxis for PCP pneumonia

which is Bactrim, dapsone and pentamidine

30
Q

Pneumocystis Jiroveci Pneumonia

A

happens in AIDS w/ CD4 50–150

check CD4 count eery month if on ART

31
Q

Cytomegalovirus

A

common cause of blindness in people with AIDS ( CD 4 < 100)

32
Q

Toxoplasmosis AIDS

A

part of aids

adult male present with difficulty walking complains of headache, blurry vision, weakness, change in mental status

33
Q

AIDS keys

A

HIV infection w/ CD 4 count < 200

other manifestations

  • candidiasis of esophagus/ bronchi/ trachea / lungs
  • pneumocyctis pnuemonia
  • Kaposi sarcoma - red to purple patches on the skin oral muscosa of the mouth / nose or throat
  • “C” infections: coccidiodomycosis, cryptococcosis
34
Q

what else can cause toxoplasmosis

A

handling cat litter or raw meat

35
Q

what can cause histoplasmosis

A

bird feces

36
Q

what can cause listeroisis

A

eating unheated hot dogs or cold cuts

37
Q

what can cause vibrio bacteria

A

eating raw oysters

38
Q

tx for nongonococcal urethritis

A

azithromycin 1 gm PO in single dose or doxy 100 bid x 7 days

AGNP AANC Boards (27 decks)

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