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Final Exam Prep > STDs > Flashcards

STDs Flashcards

1
Q

What are the 5 Ps of STDs

A

Partners, Practices, Prevention of pregnancy, Protection from STIs, PMH of STIs

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2
Q

What infection causes a chancroid

A

H. Ducreyi, gram negative bacillus

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3
Q

What is a well established cofactor in HIV transmission

A

Chancroid

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4
Q

S/S in women and men with chanchroids

A

W: asymptomatic
M: Single or multiple painful lesions surrounded by an erthematous halo

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5
Q

How to diagnose and treat a chancroid

A

D: morphologically
T: Azithromycin x1 po OR Ceftriaxone OR cipro

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6
Q

What is the most common bacterial STI in the US

A

Chlamydia

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7
Q

S/s of Chlamydia in men and women

A

M: asymptomatic or dysuria, thick/cloudy drainage, testicular pain, rectal tensemus
W: asymptomatic or dyuria, spotting, postcoital bleeding, dyspareunia

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8
Q

Diagnostic and Treatment of Chlamydia

A

D: NAAT screen done by a swab.
T: Doxy OR Azithromycin OR Levofloxacin

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9
Q

What happens to untreated Gonorrhea in men and women

A

M: epididmyitis and infertility
W: PID, Fallopian tube damage, infertility/ectopic pregnancy

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10
Q

Can Gonorrhea be transmitted from mother to baby

A

Yes during childbirth

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11
Q

S/S of males and females with Gonorrhea

A

M: Dyuria, testicular pain, white/yellow/Green drainage
W: Dysuria, frequency, green mucopurluent drainage labial pain

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12
Q

Diagnostics and treatment of Gonorrhea

A

D: NAAT with urine or cervical/urethral culture
Tx: Ceftriaxone IM (Can add doxycycline if chlamydia is not ruled out), OR Gentamycin OR Azithromycin

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13
Q

Differentiate HSV 1 and 2

A

1: lips, face, mucosa
2: Genitalia

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14
Q

Which is more common HSV1 or 2

A

HSV 1

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15
Q

S/s of HSV 1 and HSV2

A

1: painful blisters triggered by stress, lack of sleep, sunlight, cold weather, hormonal changes
2: headache, fever, body aches, malaise, joint pain, triggered by infections, periods, stress
Genital lesions are often painful, itching, burning blisters or ulcers

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16
Q

What is the herpes prodromal

A

Tingling or burning in the area where lesions will develop
Notified during urination
Itching or discomfort in the genital areas

17
Q

Testing and treatment for HSV

A

NAAT or culture from lesion
Tx: symptomatic Abreva for HSV1 to shorten healing time, Acyclovir, Famciclovir, or Valcyclovir

18
Q

What organism causes syphilis

A

Treponemum Pallidum

19
Q

Differentiate the primary, secondary, latent, and tertiary stages of syphilis

A

P: Chancre present at sight of infection 3 weeks after exposure, painless, regional lymphadenopathy
S: 2-8 weeks after infection, flue like symptoms, generalized lymphadenopathy, generalized maculopapular rash on [palms and soles of feet
L: Seropositive but asymptomatic
T: Leukoplakia, cardiac insufficiency, infiltrative tumors, CNS involvement

20
Q

Testing for syphilis

A

Non-treponeamal testing: VDRL or RPR
Confirmed with treponemal testing TP-PA, FTA-ABS, or CIAs

21
Q

Treatment for each stage of syphilis

A

Primary/Secondary: Penicillin G
Latent: PCN G
PCN Allergy use doxy or tetracycline

22
Q

What is vulvovaginitis

A

Inflammation of the vulva d/t bacteria, Protozoa, or fungi

23
Q

S/S of Trichomoniasis vulvovaginitis

A

Malodorous, frothy yellow/green drainage, puritis, erythema, petechiae, dysuria

24
Q

Bacterial vaginitis symptoms

A

Watery/gray drainage, fishy odor, vaginal spotting

25
Q

Candidiasis symptoms

A

Thick white curd like discharge, erythema, Pruritis

26
Q

Trichomoniasis treatment

A

Metronidazole or Tinadazole
SE: GI upset
Do not drink with it

27
Q

Bacterial Vaginosis treatment

A

Metronidazole OR clindamycin

28
Q

Candidiasis treatment

A

Clotrimazole, miconazole, OR
oral fluconazole

29
Q

What is the ideal viral load in HIV

A

<200

30
Q

What vaccines should HIV patients get

A

Hep B, influenza, PNA, TDAP

31
Q

Trichomoniasis testing

A

Wet prep

Final Exam Prep (19 decks)

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