stds

Question 1

rx

chlamydia

syphilis

genital herpes

genital warts

compare

Answer 1

Chlamydia– doxycycline azithromycine 1 g po single dose ( key word# CD)

GH– acyclovir 400 mg po Tidx 10 days

primary syphilis– benzathine penincilin im single dose ( SP

genital warts— condylox ( podofilox). 0’5 % gel bid * 3 days

Question 2

why koh is used

Answer 2

The test involves placing a sample of skin on a glass slide, with one or two drops of KOH (causes lysis of skin cells) and a coverslip on top. If done correctly, you can visualize the budding spores and pseudohyphae.

Question 3

pregnant women with gonorhea – what should you test for

Answer 3

If a pregnant woman is diagnosed with gonorrhea, she should also be evaluated for chlamydia due to the high rate of coinfection; however, she should be treated for chlamydia only if the NAAT is positive for chlamydia. Do not cotreat if the test is negative.

Question 4

gonorhea treatment with neg chlamidia

Answer 4

As of December 2020, the CDC recommends that patients with gonorrhea-positive testing be treated with a higher dose of cephalosporin than previously recommended. Additionally, the recommendation for cotreatment of chlamydia with positive gonorrhea has been removed, provided chlamydia status is confirmed negative. The first-line treatment for gonorrhea-positive culture is ceftriaxone 500 mg IM for patients who weigh ≤150 kg and 1 gram IM for patients who weigh ≥150 kg. If the patient has a cephalosporin allergy, the recommended alternative is 240 mg IM plus azithromycin 2 g PO. Screening for gonorrhea again in 3 months is recommended due to the high rates of reinfection.

Question 5

jarish herzheimer

Answer 5

The Jarisch–Herxheimer reaction is an immune reaction caused by treatment of the spirochete Treponema pallidum (syphilis) with benzathine penicillin G, given by IM injection. When large amounts of treponema are killed, it releases foreign antigens that the body responds to with symptoms such as fever, chills, headache, myalgia, tachycardia, and increased respiratory rate that occurs in the first few hours after treatment and peaks in 6 to 8 hours. It is a self-limited reaction. Treatment is corticosteroids, antipyretics, and general supportive measures. Other spirochete bacteria that may elicit this reaction are Borrelia burgdorferi (Lyme disease) and Leptospira (leptospirosis, also known as Weil’s disease or swamp fever).

Question 6

notifiable and non notifiable disease

Answer 6

According to the CDC, herpes simplex infections are not classified as a notifiable disease. Pertussis, anthrax, and Lyme disease are notifi able diseases. To report a disease, contact your local county health department

Question 7

what type of hpv is oncogenics

Answer 7

PV 16 and HPV 18
Most cases of cervical cancer are caused by HPV. HPV 16 and HPV 18 cause 70% of cervical cancer in the United States. There are more than 150 HPV types. HPV can also cause cancer of the vulva, vagina, penis, and anus as well as oropharyngeal cancers.

Question 8

what test is needed for chronic prostatis

Answer 8

he Meares–Stamey 2-glass test is used to assess for inflammation and the presence of bacteria in the lower urinary tract, findings that are associated with symptoms of chronic prostatitis. Urinalysis may reveal infection, but it may not be related specifically to chronic prostatitis. A prostate-specific antigen (PSA) level is not a specific test for identifying inflammation or the presence of bacteria associated with chronic prostatitis. A gram stain of a urethral swab can be used to evaluate the patient for a sexually transmitted infection associated with acute bacterial prostatitis