STDs Flashcards

1
Q

most likely cause of genital ulcers in US

A

herpes

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2
Q

tx of chancroid (4 options)

A
  1. azithromycin
  2. IM ceftriaxone
  3. cipro
  4. erythromycin
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3
Q

most common STI in women?

A

herpes

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4
Q

HSV recurrence is more common in HSV 1 or 2

A

HSV 2

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5
Q

culture proven herpes from genital ulcer, but serology is negative for Ab

A

primary herpes

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6
Q

HSV acquisition with non-complementary Ab

A

nonprimary first episode of herpes

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7
Q

reactivation of genital HSV with complemetary Ab

A

recurrent herpes

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8
Q

what is the highest risk of transmission of herpes to fetus?

A

primary

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9
Q

suppressive tx for herpes decr reccurences by_____

A

70-80%

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10
Q

what meds can be used for suppressive tx of herpes (3)

A
  1. acyclovir
  2. famiciclovir
  3. valacyclovir
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11
Q

when to do a C-section in HSV women

A
  1. prodromal sx

2, HSV lesions present

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12
Q

painless chancre at site of infxn

A

primary syphilis

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13
Q

rash, mucocutaneous, lymphadenopathy - what stage of syphilis?

A

secondary syphilis

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14
Q

aortitis, iritis, uveitis, auditory abnormalities, gummas

A

tertiary syphilis

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15
Q

tx of secondary syphilis

A

IM PCN x 3

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16
Q

tx of early latent syphilis

A

IM PCN x 1

17
Q

tx of late latent syphilis

A

IM PCN x 3

18
Q

how long to tx neurosyphilis

A

1-14 days

19
Q

acute febrile rxn with HA, myalgia within 24 hrs of PCN tx of syphilis

A

jarisch herxheimer rxn

20
Q

what can jarisch herxheimer rxn induce?

A

labor, fetal distress

21
Q

when is tx failure considered in tx of syphilis

A

if persistent sx or sustained 4x incr in titers

22
Q

most frequently reqprted ID in US?

A

CT

23
Q

Sx: abnormal discharge, cervicitis, dysfxnal urine bleeding; BUT >75% of cases are asymptomatic

A

CT

24
Q

tx of chlamydia

A

azithromycin 1 gr

25
Q

if tx pregnant patient for CT, when to do test of cure?

A

3-4 weeks post tx

26
Q

neonatal chylamydia can result in what sx?

A
  1. conjunctivitis

2. pneumonia

27
Q

tx of GC

A

IM ceftriaxone + azithromax

28
Q

petechial/pustular skin lesions, asymmetric arthralgia, tenosynovitis, septic arthritis

A

disseminated gonococcal infxn

29
Q

how to tx disseminated gonococcal infxn

A

ceftriaxone

30
Q

erthyromycin opthalmic ointment is used to prevent what in neonates?

A

opthalmia neonatorum ass’cd with GC

31
Q

PEACH trial?

A

showed that no difference in outcomes for inpatient vs outpt tx of PID

32
Q

granuloma inguinale (donovanosis) causative agent?

A

klebsiella granulomatis

33
Q

when is a c-section indicated for HPV mother

A

obstructed pelvis outlet

concern for excessive bleeding

34
Q

UA analysis shows elevated ____ and ____ in UTI

A

leukocyte esterase and nitrite defects

35
Q

what is the gold standard for UTI dx

A

urine culture