STD-Shapiro Flashcards

1
Q

What is the rule of 5’s?

A

5 steps, 5 prevention messages, 5 PID referrals, 5PID treatment indicators

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2
Q

What are the 5 C’s of treatment?

A
  • contact tracing
  • compliance
  • confidentiality
  • condom use
  • counseling
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3
Q

For gonorrhea
-diagnoses are now made with (Blank) rather than by culture

(as a result, there are not organisms on media that can be tested except in specific areas that are being used for surveillance or in the setting of treatment failure investigations)

A

Nucleic acid amplification

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4
Q

TB started to decrease until a disease started to increase immunosuppresion and thus increase TB, what disease is this?

A

HIV-1

i.e higher HIV = higher TB

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5
Q

What gender get chlamydia more?

What gender gets gonorrhea more?

A

women

Equal rates

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6
Q

What sexual preference has the highest rates of primary and secondary syphilis? Where were they mostly diagnosed? What gender gets it the most?

A

Men having sex with Men
NON-STD clinic
men

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7
Q

younger people are more likely to get (blank) than older people. Where are the highest rates of this in the country?

A

gonorrhea

South East and Alaska

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8
Q

How do genital ulcer diseases increase HIV transmission?

A
  • Reducing physical/mechanical barriers (disruption of epithelium)
  • Increasing HIV in genital lesions, semen or both (even if viral load is undetectable)
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9
Q

Is syphilis declining? Who is most likely to get it?

A

yes

Men having sex with men

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10
Q

What states are most likely to get syphilis and chlamydia?

A

The south

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11
Q

What sex is most likely to get chlamydia? What race?

A

college age women

Blacks> native americans and alaskan natives> hispanics> whites> multirace

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12
Q

Women/men tend to have fewer symptoms thatn men/women so they seek care later than men/women and are more likely to have complications than women/men

A

Womena
men
men
men

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13
Q

What is the most common type of syphilis?

A

primary and secondary

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14
Q

T or F

Nucleic amplification tests are always correct

A

F, there are a lot of false-positive tests

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15
Q

If the prevalence of a disease is high, then the PPV value is going to be (blank)

A

high

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16
Q

The positive predictive value of an assay varies with the (blank) of the disease in the population.

A

prevalence
i.e high pop has high PPV
low pop has low PPV

17
Q

What is the equation for PPV?

What is the equation for NPV?

A

PPV=TP/TP + FP (all the positives)

NPV=TN/ TN + FN (all the negs)

18
Q

What is the equation for sensitivity?

What is the equation for specificity?

A

TP/ (TP +FN)

TN/ (TN + FP)