STI Flashcards

1
Q

Viral transmission through genital contact; “common wart”

Asymptomatic genital warts; recurrent respiratory papillomatosis with warts in the throat

A

Human Papilloma Virus

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2
Q

Topical Immunotherapies (podofilox/imiquimoid)
Cryotherapy/surgical resection
Laser
Intra-lesion interferon

A

Human Papilloma Virus treatment

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3
Q

Vesicular lesions, ulcers, leucorrhea, dysuria, inguinal adenopathy

A

Herpes Simplex Virus

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4
Q

How do you diagnosis HSV?

A

Viral culture
PCR (higher sensitivity)
HSV Assay

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5
Q

Acyclovir
Famciclovir
Valacyclovir

A

HSV treatment

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6
Q

2nd most common STI in US

A

Gonorrhea

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7
Q

Urinary frequency, urgency, and burning with urination
Inflammation of Batholian and Skene glands, cervical mucoid discharge (yellow-green), can be asymptomatic until complications occur; penile discharge

A

Gonorrhea

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8
Q

NAATs

A

Gonorrhea diagnosis

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9
Q

Cervicitis, urethritis, PID, ectopic pregnancy, infertility, pharyngitis, conjunctivitis

A

Gonorrhea complications

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10
Q

Ceftriaxone + Azithromycin/Doxycycline

A

Gonorrhea

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11
Q

Most common STI in US

A

Chlamydia

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12
Q

Vaginitis, cervicitis, endometriosis, salpingitis, pelvic inflammatory disorder, vaginal discharge or dysuria; urethritis

A

Chlamydia

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13
Q

NAATs are test of choice

A

Chlamydia

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14
Q

Azithromycin x1

Doxycycline BID x7d

A

Chlamydia treatment

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15
Q

What is the leading cause of PID–infertility and chronic pelvic pain?

A

Chlamydia

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16
Q

Caused by Spirochete Treponema pallidum

A

Syphilis

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17
Q

Develops 10-90 days after exposure

Single painless chancre at site of inoculation accompanied by regional adenopathy

A

Primary Syphilis

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18
Q

Develops 4 to 10 weeks after primary infection

Systemic illness with disseminated rash involving palms and soles, fever, malaise, and pharyngitis, hepatitis, mucous patches, condyloma lata, alopecia

A

Secondary Syphilis

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19
Q

Develops 2 to 19 years after primary infection in untreated individuals

Cardiovascular system or gummatous disease (granulomatous disease of skin and subcutaneous tissues, bones, or viscera)

A

Tertiary Syphilis

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20
Q

DFA detection in lesion exudate or tissue

A

Primary diagnosis of syphilis

21
Q
Dual serological testing
Venereal Disease Research Laboratory
rapid plasma reagin tests
Fluorescent treponemal antibody absorption tests
EIA
A

Latent, secondary, and tertiary syphilis

22
Q

Penicillin G benzathine IM once

A

Primary syphilis treatment

23
Q

Penicillin G benzathine IM once weekly for 2 weeks

A

Late syphilis treatment

24
Q

Replacement of normal Lactobacillus species in the vagina with anaerobic bacteria (prevotella species and mobiluncusspecies), Gardnerella vaginalis, and mycoplasma hominis

A

Bacterial vaginosis

25
Q

Vaginal discharge with cottage cheese-like appearance, intense vaginal irritation or pruritus, vulvar and vaginal inflammation

A

Vulvovaginal candidiasis

26
Q

Vulvar irritation, dysuria, urinary frequency, vaginal odor, green/yellow vaginal discharge

A

Trichomonas vaginalis

27
Q

Vaginal discharge or malodor; may be asymptomatic

A

Bacterial vaginosis

28
Q

Asmel’s Diagnostic Criteria (3 out of 4)

A

Homogenous thin, white discharge that smoothly coats vaginal wall
Presence of clue cells on microscopic examination
Vaginal fluid pH >4.5
“Fishy” odor of vaginal discharge or after addition of 10% potassium hydroxide (“whiff test”)

29
Q

Oral fluconazole or OTC intravaginal anti fungal creams or suppositories

A

Vuvlovaginal candidiasis treatment

30
Q

Oral metronidazole

A

Trichomonas vaginalis treatment

31
Q

Oral metronidazole or intravaginal metronidazole or clindamycin

A

Bacterial vaginalis treatment

32
Q

Polymicrobial infection of upper female genital tract with any combination of endometriosis, salpingitis, tubo-ovarian abscess, and pelvic peritonitis

Most common STIs–gonorrhea, chlamydia, mycoplasma genitalium

A

Pelvic Inflammatory Disease

33
Q

fever with pelvic/abdominal pain, dyspareunia
mucopurulent cervical or vaginal discharge, abdominal vaginal bleeding
cervical motion tenderness, uterine tenderness, adnexal tenderness

A

Pelvic Inflammatory Disease

34
Q

Diagnosis:

  • oral temp >101F
  • abnormal cervical or vaginal mucopurulent discharge or cervical friability
  • abundant numbers of WBCs vaginal secretions
  • gonorrhea and/or chlamydial infection
  • elevated CRP/ESR
  • MRI/transvaginal US/Doppler US
A

Pelvic Inflammatory Disease

35
Q

Influenza-like symptoms from 2-4 weeks
Asymptomatic infection for months to 15 years
Newborn examinations usually normal
Lymphadenopathy, hepatomegaly occur first
FTT, diarrhea, pneumonia, recurrent infections
Opportunistic diseases occur
More recurrent bacterial infections, parotid gland swelling, lymphoid interstitial pneumonitis

A

Human Immunodeficiency Virus

36
Q

Antigen/antibody immunoassay
HIV viral load test

Repeat if negative but high index of suspicion

A

Human Immunodeficiency Virus

37
Q

Average age of coitus in US

A

16 years

38
Q

___ of all STIs occur in adolescents (15-24 years)

A

1/2

39
Q

Variety of clinical syndromes caused by pathogens that can be acquired and transmitted through sexual activity

A

STIs

40
Q

Prevention Education
Counseling
Referral of Partner
Trust

A

Keys to Management for STIs

41
Q

9-valent vaccination recommended for age ____

A

11 years and older for both male and female

42
Q

Diagnosis of HPV

A

Physical exam

HPV testing on swab

43
Q

Viral culture
PCR
HSV assay

A

Diagnosis of HSV

44
Q

Urine, endocervical, vaginal, urethral (men), rectal, and oropharyngeal swabs

A

Diagnosis of Chlamydia

45
Q

Microscopic evaluation–hyphae, pseudohyphae or budding yeast, vaginal discharge culture

A

Diagnosis of vulvovaginal candidiasis

46
Q

Females–microscopic evaluation of vaginal discharge

Males–culture testing of urethral swab, urine, or seme

A

Diagnosis of trichomonas

47
Q

Gram staining or Asmel’s Diagnostic Criteria

A

Diagnosis of bacterial vaginosis

48
Q

What is the acute care role for HIV?

A

Vigilance for infections/complications

49
Q

Number of sexual partners
Risky behavior associations
Vertical transmission (mother to infant)

A

Risk Factors for HIV