STDs 3 Flashcards
1
Q
HPV
A
- human papilloma virus
- genital warts
- virus
- there are 25 types of genital warts, 4 are most common
- most common viral STD
2
Q
type 6 & 11 HPV
A
“low risk” - cause visible warts
3
Q
type 16 & 18 HPV
A
“high risk” - don’t usually cause visible warts
4
Q
HPV-HIV connection
A
- studies not yet available, but broken & bleeding warts may be potential portals of entry for HIV
- HPV & genital warts do not facilitate HIV transmission but are rather promoted by HIV related immunosuppresion
5
Q
transmission of HPV
A
- direct skin to skin or mucous membrane contact
- NOT transmitted via blood or body fluids
- direct contact with infected areas of skin with or without visible warts
- mother to infant transmission is rare
- fomites (inanimate object)
6
Q
location of genital warts
A
- areas of coital friction
- perianal warts do not always imply anal
- intra anal warts in those who had receptive anal
- multiple types of HPV can be found in warts
7
Q
s/s of genital warts
A
- visible warts
- fleshy bumps that can be flat, round or shaped like tiny cauliflowers
- usually painless, but can itch & burn
- *for most people, nothing will happen, immune system will eliminate
8
Q
complications of genital warts
A
- cervical CA
- other CA linked with penile, urethral, anal, rectum, & throat
- pregnancy: cervical CA can rapidly spread, grow, & block birth canal
9
Q
diagnosing genital warts
A
- external: visual exam for warts; acetic acid wash for warts; colposcopy; biopsy
- cervical HPV: pap smear; hybrid capture 11
- blood test in research seeting
- DNA test for cervical CA
10
Q
tx of genital warts
A
- usually have to repeat tx
- podifilox
- podophyllin
- topical trichloracetic acid
- cryotherapy
- surgical incision
- laser tx
11
Q
podifilox
A
liquid or gel
-used for external warts only, not safe during pregnancy
12
Q
podophyllin
A
- liquid applied over several visits
- used on external or internal warts
- causes mild to moderate pain
- not safe during pregnancy
13
Q
cryotherapy
A
- tissue fozen with liquid nitrogen
- may be painful
- may require several visits
- safe during pregnancy
14
Q
tx for cervical HPV
A
- cryotherapy
- laser tx
- cone biopsy
15
Q
prevention of genital warts
A
- avoid direct contact with warts
- use latex barriers
- seek medical attention if abnormal growth noted