STDs

Question 1

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

Answer 1

Tender! Inguinal nodes + ….

Papules > vesicles > painful! ulcers

“Herpes hurts.”

Question 2

What org is associated w/ Guarnieri inclusion bodies?

Answer 2

Molluscum contagiosum

Question 3

Which org replicates in the cytoplasm?

Answer 3

Molluscum contagiosum

Question 4

Which org is associated w/ fungal hyphae and psuedospores?

Answer 4

Candida

Question 5

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

Answer 5

Candida

Question 6

Which org is associated w/ dimpled centers?

Answer 6

Molluscum contagiousum

Question 7

Which org is associated w/ clue cells?

Answer 7

Gardnerella vaginalis

Question 8

What org is the main cause of bacterial vaginitis?

Answer 8

Gardnerella vaginallis

Question 9

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

Answer 9

Gardnerella vaginalis

Question 10

Which org is implicated in premature labor?

Answer 10

Gardnerella vaginalis

Question 11

What’s the tx for HSV?

Answer 11

Acyclovir or Valcyclovir

Question 12

What’s the tx for Candida?

Answer 12

Azols

Question 13

What’s the tx for Trichomonas vaginalis?

Answer 13

Metronidazole

Question 14

What’s the tx for Gardnerella vaginalis?

Answer 14

Metronidazole

Question 15

What test can deliver a false positive in SLE?

Answer 15

The RPR test for syphilis

Question 16

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

Answer 16

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

Question 17

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

Answer 17

Successful ATB treatment of treponema pallidum (syphilis)

Fever, hypotension, rigors/cholls, leukopenia

Question 18

What is the tx for treponema pallidum?

Answer 18

Penicillin

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

Doxycycline is also an option

Question 19

What morphology is treponema pallidum?

Answer 19

Spirochete (galaxy and staircase)

Question 20

What’s the Steiner silver stain used for?

Answer 20

Treponema Pallidum

Question 21

What are the different labs for Treponema pallidum?

Answer 21

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

Question 22

What’s the whiff test used for?

Answer 22

Detection of Gardnerella vaginalis

Question 23

Which dx is associated w/ a fried egg appearance?

Answer 23

Ureaplasma urealyticum and Mycoplasma hominis

Question 24

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

Answer 24

Neisseria gonorrheae

Chlamydia

Question 25

What's the morph of neisseria gonorrhea?

Answer 25

Diplococci G-

Question 26

What kind of discharge is seen with gonorrhea?

Answer 26

Waxy white purulent discharge

Question 27

Which bug is associated with MAC?

Answer 27

Neisseria gonorrhea

Question 28

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

Answer 28

Macrolides (Azithromycin) OR Tetracyclines (Doxycycline) Neisseria gonorrhea w/ Cephtraixone

Question 29

What tx do you definitely not use in Chlamydia?

Answer 29

Penicillin

Question 30

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

Answer 30

Painless Watery discharge NAAT (nucleic acid amplification test)