Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Exam > STI > Flashcards

STI Flashcards

1
Q

What history questions are important to ask when assessing for STI

A 
Genital symptoms
-Discharge
-Dysuria
-Abdominal pain 
-skin changes
-Testicular pain 
Systemic symptoms 
Partners in the past 5 years 
Practices
Prevention (condoms, vaccinations)
Pregnancy/contraception 
Previous STI testing 
IVDU
Sex worker
LMP, Pap
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Risk factors for STI

A
  1. Previous STI
  2. Contact with person with STI
  3. Age under 25
  4. New sexual partner
  5. More than two sexual partners in the past year
  6. No condom use
  7. IVDU
  8. Homelessness
  9. Substance use
  10. Sex workers
  11. Sexual assault
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Physical exam for STI

A 
Vitals (temp)
Oropharynx 
Inguinal lymph nodes 
External genitalia 
Perianal inspection +/- DRE
Scrotum (elevate, if relieve signs for epididymitis=Prehns sign)
Pelvic exam (Bimanual, speculum)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How to test for Gonorrhea

A

Gold Standard=NAAT swabs with culture (due to resistance)

Other options -first catch urine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How to test for Chlamydia

A

Naat ideally swab, less improtant to get culture vs gonorrhea
Can also be first catch urine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Testing for VRDL

A 
Trepenomal testing (reactive for life) 
Non Treponomal (Acute infection)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Treatment for Gonorrhea

A
  • also treat for chlamydia
    1. Ceftriaxone 500 mg IM x1 and Azithromycin
    2. Ceftriazone (Or cefixime) and Doxycycline

Gentamicin +Azithro or doxy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Chlamydia Treatment

A

Doxycycline 100 mg po bid x 7 days

Azithromycin 1 g po x1 (safe in pregnancy)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Treatment for Syphillis

A

Penicillin G IM x1 ( primary, seconday or early latent)
Pen G IM weekly x 3 weeks (tertiary)
Neurosyph=IV Penicillin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Treatment of trich

A

Metro

Treat the partner

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Counseling around STI treatment

A

Treat
Abstain for 7 days
Track and treat partners (within 2 months, C+G, and 90 days for syphilis)
Report to public health
Discuss future safe sex
Consider Hep A/B vaccinations
Follow up Syphilis at 1, 3, 6, and 12 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Risks for epididymitis

A

Risks for STI
Instrumentation
Hx of UTI
Strenuous exercise

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

DDx for Epididymitis

A

Torsion
Mumps
TB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Physical exam for testicular pain

A
  1. Temp
  2. HR
  3. BP
  4. Cremasteric
  5. Palpate testes and epididimi
  6. Prehns
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Female lower pelvic pain ddx and how to diferentiate

A

Ectopic (HCG, US, spotting)
PID (Temp, discharge, cervical motion tenderness, WBC and elevated ESR)
Ovarian Torsion (nausea, vomiting, ultrasound)
Appendicitis (McBurney’s point, fever, nausea, diffuse to local tenderness, peritonitis)
Ovarian cyst (US, rule out others)
Constipation
Diverticulitis (LLQ, diarrhea, peritonitis)
Cystitis (Urine dip, frequency, urgency)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Treatment of PID

A

Ceftriaxone and Doxy, think about adding Metro
Consider clinda and gentamycin in severe
Treat partner within 2 months

17
Q

Genital lesion ddx

A 
Chancroid
HSV
Syphillis 
HPV 
Cyst
Folliculitis 
Abscess 
SCC
18
Q

When should you screen for BV and yeast

A

You shouldn’t
Not even during pregnancy
Only screen these specifically if symptoms
But can screen for STI

19
Q

What to think if vaginitis in children

A

Foreign body
STI
Contact irritant

Unlikely to be yeast

20
Q

DDX. for vaginitis

A 
Exzema
Lichen sclerosis 
Lichen simplex chronicus 
Neoplasm 
Atrophic caginitis 
Contact dermatitis
Trich 
Bacterial vaginosis 
Yeast
21
Q

Test to do for vaginitis

A

Swabs for STI, BV, and yeast
KOH

Wet mount:
Look for clue cells-Bacteria
Psedohyphae-Yeast

22
Q

Treatment of genital warts

A

Cryotherapy
Trichoroacetic acid
Excision cautery laser

Can use imiquirmod or podofilox if on external skin and not pregnant

23
Q

Treatment of lice and scabies

A

Wash everything
Treat partners
Permetrin cream

Pubic lice: Just to affected area x 10 minutes and repeat in 1 week
Scabies : Head to toe and leave for 8-14 hours

Can use oral ivermectin for scabies

Scabies has that burrows and affects the finger webs
Public lice has more erythema and small blue spots

24
Q

A woman comes in with terrible RUQ pain. She’s also had some vaginal discharge and a new partner a few weeks go. What does she have

A

Fitx hugh curtis from C or G

Exam (100 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions