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STDs/PID/PATH Flashcards

1
Q

What type of test would you commonly use to test for Trichomonas?

A

An NAAT!

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2
Q

At what age is chlamydia most common?

A

15-24

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3
Q

At what age is gonorrhea most common?

A

Young adults, 20-24

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4
Q

What type of test would you usually use to test for syphilis?

A

A serologic test (RPR and specific treponemal antibodies)

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5
Q

Does chlamydia have a high chance of being transmitted when one person is infected? What about Hep c?

A

Chlamydia has a very high chance of being transmitted. Chance of transmission of Hep C is low.

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6
Q

What are the most common and recommended platforms for detecting common STIs?

A

Nucleic Acid Amplification Tests (NAATs)

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7
Q

What sort of growth media do you need to grow Chlamydia?

What about gonorrhoeae?

A

Chlamydia - no idea

Gonorrhoeae - a complex thayer-martin or chocolate agar media, humid atmosphere supplemented with CO2.

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8
Q

What is the minimal criteria for pelvic inflammatory disease?

A

Lower abdominal pain

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9
Q

For which STI is the following statement true:

Women have 50% acquisition after single exposure to infected men. Men have 20% acquisition after single exposure to infected women. Risk increases with number of encounters.

A

Gonorrhea

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10
Q

What STIs can you detect with NAATs?

A

Chlamydia, Gonorrhea, Herpes, Trichomonas, HPV

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11
Q

What do you commonly use serologic (antibody/anigen) tests for?

A

Syphilis (RPR and specific treponemal antibodies), Hep B (surface antigen), Hep C (antibody)

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12
Q

What type of bacteria is Gonorrhea?

A

Gram-negative diplococci

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13
Q

Is gonorrhea always symptomatic in men? What about in women?

A

Gonorrhea in men is always symptomatic. In women, it can be asymptomatic. (Or they might notice increased vaginal discharge).

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14
Q

What STI causes neonatal conjunctivitis in 30-50% of exposed babies?

A

Chlamydia

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15
Q

Can animals get Gonorrhea?

A

No - it is a strictly human disease.

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16
Q

Is Gonorrhea more common in women or in men?

A

Women - women have 50% acquisition after single exposure to infected men. Men have 20% acquisition after single exposure to infected women. Risk increases with number of encounters.

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17
Q

True or false: Gonorrhea dies rapidly if allowed to dry.

A

True

18
Q

Oophoritis

A

Infection of the ovary

19
Q

Is gonorrhea intracellular?

A

No

20
Q

Is chlamydia intracellular?

A

Yes

21
Q

Salpingitis

A

Infection of the fallopian tube

22
Q

Is gonorrhea or chlamydia more likly to cause host-immune responses? Which causes more subtle, less painful damage? Are women with chlamydia or gonorrhea going to be sick more quickly?

A

Chlamydia.

23
Q

What is the most common STD in the US?

A

Chlamydia

24
Q

What is the most predominant vaginal organism? How does this contribute to vaginal pH?

A

Lactobacilli - this forms peroxide leading to acidic pH

25
Q

What is vaginal pH?

A

Acidic

26
Q

Infection of the ovary

A

Oophoritis

27
Q
A
28
Q

What is cervical mucus made of?

A

Complex glycoprotein with variable water content

29
Q

Endometritis

A

Infection of the endometrium

30
Q

Why do you need a more broad spectrum antibiotic approach when treating an upper tract gonorrhea and chlamydia infection (as opposed to a lower tract infection)?

A

You develop secondary infection in which organisms that normally colonize the vagina invade!

31
Q

Adnexa

A

Segment of the tube adjacent to the uterus

32
Q

Cervical motion tenderness

A

When the cervix is very tender during a pelvic exam; this is generally a finding in PID

33
Q
A
34
Q

When the cervix is very tender during a pelvic exam it is called

A

Cervical motion tenderness

35
Q
A
36
Q

Minimal criteria for diagnosis of PID

A
  1. Lower abdominal pain
  2. Adnexal tenderness
  3. Cervical motion tenderness

(but people who have these things do not necessarily have pelvic inflammatory disease)

37
Q
A
38
Q

What are three possible courses in progression from acute to chronic salpingitis?

A
  1. Fimbrial end remains patent
  2. Spread to ovary
  3. Occlusion of the fimbriated end
39
Q
A
40
Q
A
41
Q
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42
Q
A

Reproduction Flashcards (11 decks)

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