STDs

Question 1

Trichomoniasis

Answer 1

vaginal itching
foul-smelling discharge
strawberry cervix that presents as erythematous cervix with hemorrhages

wet mount shows mobile trichomonads that move flagella

tx
oral course of metronidazole for both patient and partner

Question 2

Chlamydia

Answer 2

asymptomatic
postcoital bleeding

Question 3

Syphilis

Answer 3

genital ulcers

Question 4

Gonorrhea

Answer 4

asymptomatic, but may develop symptoms within 10 days of contract in women and 2-4 days in men

Women:
dysuria
vaginal pruritus
intermenstrual bleeding
mild lower abdominal pain
dyspareunia
thin, purulent, mildly odorous leukorrhea

Men:
burning on urination
serous penile discharge that can become purulent
blood-tinged discharge

Diagnosis: nucleic acid amplification test

may progress to pelvic inflammatory disease

Question 5

When patient’s partner tests positive for chlamydia…

Answer 5

Empirically treat with azithromycin or doxycycline for both syphilis and gonorrhea

Question 6

What test will test for chlamydia, gonorrhea, and trichomoniasis?

Answer 6

nucleic acid amplification testing (NAT) - vaginal swabs for females and urine for males