STDs Flashcards

0
Q

Fever, HA, myalgias, lymphadenopathy

A

Primary HSV infection

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1
Q

Virus that replicates in the sensory ganglion

A

HSV

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2
Q

Multinucleated giant cells on Tzanck smear

A

One of the herpes viruses

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3
Q

Contraindication to breast feeding

A

HIV

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4
Q

HIV diagnosis in kids older than 18 months

A
  1. HIV Elisa

Then confirm with Western Blot

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5
Q

HIV diagnosis in kids younger than 18 months

A

HIV DNA PCR

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6
Q

Treatment for pneumocystis jiroveci

A

Bactrim

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7
Q

HIV + with CD4 less than 50

A

Think MAC/MAI

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8
Q

HIV drug that causes bone marrow suppression (anemia, neutropenia, thrombocytopenia)

A

Zidovudine

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9
Q

HIV drug that causes pancreatitis

A

Lamivudine (3TC) or Emtricitabine (FTC) or Didanosine (ddi)

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10
Q

Screen for HLA B*5701 prior to using this HIV drug

A

Abacavir (Ziagen)

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11
Q

HIV drug to avoid in pregnancy

A

Efavirenz (Sustiva) or D4T/ddi combo

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12
Q

HIV post exposure prophylaxis requirements:

A
  1. Bloody fluid AND

2. Broken skin

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13
Q

Which agar to test for neissera gonorrhea

A

Thayer-Martin or chocolate agar

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14
Q

Peri hepatitis (Fitz Hugh Curtis) is a complication of

A

PID

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15
Q

Leading cause of acute septic arthritis in young adults

A

Disseminated Gonococcal Infection

16
Q

Triggers dissemination of gonorrhea (get arthritis)

A

Menstruation

17
Q

Tx of gonorrhea

A

Ceftriaxone 250 mg IM x 1 dose + azithromycin 1 g po x 1

18
Q

Tx of hospitalized PID

A

Cefoxitin 2 g IV q6 or cefotetan 2 g IV q12 PLUS doxy 100 mg po or IV q12 until improved followed by doxy 100 mg po bid x 14 days total

OR

Clindamycin 900 mg IV q8 + gentamicin 2 mg/kg IV x 1 then gent 1.5 mg/kg IV q8 until improved followed by doxy 100 mg po bid x 14 days total

19
Q

Indications for hospitalizing PID

A
  • pregnancy
  • n/v
  • failure to respond to tx in 24-48 hrs
20
Q

Adolescent with hearing loss

A

Syphillis

21
Q

Adolescent with hair loss

A

Syphillis or lupus

22
Q

Etiology of chancroid

A

Haemophilus ducreyi (school of fish)

23
Q

Painful chancre

A

Haemophilus ducreyi

24
Q

Kid goes on spring break to Carribbean and gets painless subcutaneous nodules. Has Donovan bodies on Wright stain

A

Granuloma inguinale

25
Q

Tx of trichimoniasis

A

Metronidazole or tinidazole