STDs Flashcards
strawberry (petechiae) cervix with FROTHY yellow-green discharge
trichomoniasis
how do you treat trichomoniasis?
Flagyl 500mg x 1
(+) whiff test
Bacterial vaginosis
white, malodorous/fishy discharge
bacterial vaginosis
treatment for bacterial vaginosis
Flagyl 500 BID x 7 days
what is the treatment for gonorrhea? What else do you treat for?
ceftriaxone (Rocephin) IM
(+) Azithromycin PO
Also treat for Chlamydia with doxy
non-pruritic rash to palms and soles of feet with flu-like symptoms spread by sexual contact.
Syphilis
rash is the most contagious stage
blood test to diagnose syphilis?
RPR- rapid plasma reagin
treatment for chlamydia?
if pregnant?
Doxycycline or Azithro
if pregnant- Azithromycin
treatment for HPV/genital warts
-Podofilox (Condylox) gel (contraindicated in pregnancy)
-Imiquimod (Aldara) cream
leave on 6-10 hrs and wash off
-Cryotherapy
treatment for genital warts/HPV if pregnant
Trichloroacetic acid(TCA)
what CD4 count diagnoses HIV?
CD4 < 200
*you want a high CD4 count, the higher the CD4 means a better immune system
what is the best signs of HIV treatment being successful?
an undetectable viral load < 50
What STD is associated with a painless chancre as the initial lesion?
syphilis
what is the treatment for syphilis?
IM benzathine penicillin
is flagyl safe for pregnancy to treat BV?
yes
what is vulvovaginal candidiasis?
and how do you treat it?
yeast infection
fluconazole (Diflucan) oral single dose (not if pregnant)
or topical miconazole (Monistat)
What STD is more symptomatic in men and presents as purulent green or milky urethral discharge, dysuria, and testicular pain?
gonorrhea
what strains of HPV are highest risk for cervical cancer?
16 and 18
can a person with HIV get live vaccines?
NO
What range do you want the viral load to be in for successful HIV treatment?
< 50
What is the chandelier test positive for?
cervical motion tenderness
pelvic inflammatory disease
treatment for PID
IM ceftriaxone + doxy
What does the NAAT test screen for?
Chlamydia and Gonorrhea
White cheese like vaginal discharge, swelling, redness, itching.
BV, trichomoniasis, or candida
candida
cauliflower shaped warts
HPV
What is condyloma acuminate?
genital warts/HPV
The acetowhitening tests for what STD?
HPV
Which HPV strains cause genital warts?
6 & 11
Jarisch-Herxheimer reaction
immune mediated reaction (flu-like symptoms, rash) to treatment of antibiotics (penicillin for syphilis)
Fitz-Hugh Curtis Syndrome
inflammation of the liver d/t chlamydia, gonorrhea, or PID
