STDs Flashcards

1
Q

What are the different morphological lesions that can be seen with HSV?

A

Tender! Inguinal nodes + ….

Papules > vesicles > painful! ulcers

“Herpes hurts.”

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2
Q

What org is associated w/ Guarnieri inclusion bodies?

A

Molluscum contagiosum

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3
Q

Which org replicates in the cytoplasm?

A

Molluscum contagiosum

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4
Q

Which org is associated w/ fungal hyphae and psuedospores?

A

Candida

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5
Q

Which org is associated w/ curd-like vaginal discharge?

A

Candida

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6
Q

Which org is associated w/ dimpled centers?

A

Molluscum contagiousum

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7
Q

Which org is associated w/ clue cells?

A

Gardnerella vaginalis

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8
Q

What org is the main cause of bacterial vaginitis?

A

Gardnerella vaginallis

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9
Q

Which org is associated w/ green-gray malodorous (fishy) vaginal discharge?

A

Gardnerella vaginalis

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10
Q

Which org is implicated in premature labor?

A

Gardnerella vaginalis

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11
Q

What’s the tx for HSV?

A

Acyclovir or Valcyclovir

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12
Q

What’s the tx for Candida?

A

Azols

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13
Q

What’s the tx for Trichomonas vaginalis?

A

Metronidazole

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14
Q

What’s the tx for Gardnerella vaginalis?

A

Metronidazole

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15
Q

What test can deliver a false positive in SLE?

A

The RPR test for syphilis

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16
Q

What does syphilis (treponema pallidum) cause sx-wise?

A

Painless chancre/condyloma lata, aortitis and endarteritis, gummas, saber-shins and Hutchinson’s teeth

17
Q

What is the Jarisch-Herxheimer reaction associated w/? What is it?

A

Successful ATB treatment of treponema pallidum (syphilis)

Fever, hypotension, rigors/cholls, leukopenia

18
Q

What is the tx for treponema pallidum?

A

Penicillin

Arithromycin if the pt is allergic to Penicillin (and doesn’t respond well to gradual dosing)

Doxycycline is also an option

19
Q

What morphology is treponema pallidum?

A

Spirochete (galaxy and staircase)

20
Q

What’s the Steiner silver stain used for?

A

Treponema Pallidum

21
Q

What are the different labs for Treponema pallidum?

A

VDRL
RPR (can be false pos in SLE)
FTA-Ab (confirmatory)
Dark-field microscopy

22
Q

What’s the whiff test used for?

A

Detection of Gardnerella vaginalis

23
Q

Which dx is associated w/ a fried egg appearance?

A

Ureaplasma urealyticum and Mycoplasma hominis

24
Q

What most commonly causes PID? What’s #2?

A

Neisseria gonorrheae

Chlamydia

25
Q

What’s the morph of neisseria gonorrhea?

A

Diplococci G-

26
Q

What kind of discharge is seen with gonorrhea?

A

Waxy white purulent discharge

27
Q

Which bug is associated with MAC?

A

Neisseria gonorrhea

28
Q

What is the front-line tx for Chlamydia trachomatis? What else do you tx for simultaneously?

A

Macrolides (Azithromycin) OR Tetracyclines (Doxycycline)

Neisseria gonorrhea w/ Cephtraixone

29
Q

What tx do you definitely not use in Chlamydia?

A

Penicillin

30
Q

What kind of ulcer does Chlamydia trachomatis cause? What kind of discharge is seen? What test is used?

A

Painless

Watery discharge

NAAT (nucleic acid amplification test)