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Pre-Gestational Problems > STI > Flashcards

STI Flashcards

1
Q

Diseases that can be transmitted from one person to another with intimate contact with the genitalia, mouth or rectum

A

Sexually Transmitted Infections

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2
Q

STI’s can’t be transmitted from toilet seats, towel, or bed linens.

TRUE or FALSE?

A

True - As causative agents for these infections survive only briefly outside or at warm environments.

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3
Q

Hemophilus Vaginitis

Etiologic Agent: Gardnerella vaginalis

A

Bacterial Vaginosis

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4
Q

Gray vaginal discharge with a “fishy” or “musty” odor

A

Bacterial Vaginosis

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5
Q

Diagnostic test for Bacterial Vaginosis

A

NSS Testing or 10% KoH

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6
Q

Topical Management of Bacterial Vaginosis

A

Metronidazole (Flagyl) - 0.75% vaginal gel

Clindamycin - 2% vaginal cream

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7
Q

Oral Management for Bacterial Vaginosis

A

Metronidazole - 500 mg BID for 5 days

Clindamycin - 300 mg BID

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8
Q

Also known as yeast infection

A

Candidiasis

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9
Q

Thrives for glycogen

A

Candidiasis

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10
Q

Risk factors of Candidiasis

A
  • Pregnancy
  • Oral contraceptives
  • Antibiotic Therapy
  • Immunosuppression
  • Diabetes Mellitus
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11
Q

What is the effect to the newborn if candidiasis if still present after childbirth and left untreated?

A

Oral thrush

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12
Q

Thick and yellow vaginal discharge
- Cream cheese like

A

Candidiasis

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13
Q

Diagnostic test for Candidiasis

A

KOH Wet Smear
Checking of vaginal pH
- Normal instead of acidic

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14
Q

Vaginal suppositories and cream management for Candidiasis

A
  • Miconazole (Monistat)
  • Clotrimazole (Lotrimin)
    both for 7 days
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15
Q

Oral management for Candidiasis

A

Fluconazole - for 7 days
Diflucan - Single dose

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16
Q

Asymptomatic sexually transmitted infection

A

Chlamydia

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17
Q

Heavy, grayish-white discharge

A

Chlamydia

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18
Q

Infants born through an infected birth cana (chlamydia) may acquire which infections?

A

25.50% exposed infants - conjunctivitis
10-20% exposed infants - pneumonia

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19
Q

Diagnostic test for Chlamydia

A

Cervical culture during 1st prenatal visit
- if positive repeat at 36 weeks AOG

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20
Q

Medical management of Chlamydia

A
  • Tetracycline and Doxycycline for non-pregnant women
  • Amoxicillin or Erythromycine for pregnant women
  • Azithromycin for pregnant women with difficulties in drinking oral meds (single dose only)
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21
Q

Highly communicable disease where recent sexual partner should be examined

A

Gonorrhea

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22
Q

Yellowish vaginal discharge

A

Gonorrhea

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23
Q

Inflamed and painful bartholin’s glands

A

Gonorrhea

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24
Q

Diagnostic tests for Gonorrhea

A
  • Urine, vaginal and urethral culture
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25
Q

Fetus may acquire severe eye infection that leads to blindness

  • and has increased risk for ophthalmia neonatorum
A

Gonorrhea

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26
Q

Medical Management for Gonorrhea

A
  • Cefixime: 400 mg PO once daily
  • Ceftriaxone: 125-250 mg IM (once)
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27
Q

Mode of transmission of this infection are:
- skin to skin contact (direct contact)
- break in the skin or mucous membrane

A

Herpes Genitalis

28
Q

Virus can be contained but has no known cure

A

Herpes Genitalis

29
Q

Newborns can acquire this infection through NSD

A

Herpes

30
Q

Pinpoint vesicles from the external genitalia

A

Herpes

31
Q

Flu-like symptoms

A

Herpes

32
Q

Intense pain on contact with clothing or acidic urine

A

Herpes

33
Q

Diagnostic Test for Herpes

A
  • Vesicle culture
  • ELISE
34
Q

When is CS birth scheduled for herpes?

A

if there are presence of active lesions

35
Q

When is vaginal birth scheduled for herpes?

A

If there are no present lesions

36
Q

Should not abstain from sexual contact while lesions are present.

TRUE or FALSE

A

False
- abstinence from sexual contact for 10 days after lesions have healed

37
Q

What is acyclovir for herpes?

A

Acyclovir (Zovirax) is an antiviral that inhibits replication of herpetic virus

38
Q

What is Foscarnet (Foscavir) for herpes?

A

It is prescribed for resistant lesions from Zovirax

39
Q

What is Valacyclovir (Valtrex) for herpes?

A

Used as a preventive measure to help limit the disease from spreading

40
Q

Mode of transmission of this infection:
- Intimate sexual contact
- Parenteral exposure to blood, body fluids and blood-containing products
-Perinatal transmission

A

HIV

41
Q

Which stage of HIV?
- Mononucleosis-like or influenza-like symptoms

A

Initial Invasion (Acute infection)

42
Q

Which stage of HIV?
- Converts from having no HIV antibodies in the blood serum to having HIV antibodies
- Usually happens 6 weeks - 1 year after exposure

A

Seroconversion

43
Q

Which stage of HIV?
Weight loss and fatigue (3 - 11 years)

A

Asymptomatic Period

44
Q

Which stage of HIV?
- Opportunistic infections occur
- AIDS already

A

Symptomatic Period

45
Q

Diagnostic Tests for HIV

A

ELISA
- 1st screening: within 6 weeks to 3 months
- 2nd screening: within 6 months

Western Blot Analysis (for confirmation)
- + with ELISA Screening

46
Q

Medical Management for HIV

A
  • Acyclovir
  • Antiretroviral Therapy
47
Q

Most common viral STI in the ambulatory health care setting

A

HPV

48
Q

Elevated bumps on vulva (genital warts)

A

HPV

49
Q

Diagnostic Test for HPV

A
  • Pap smear
  • Histological evaluation biopsy of specimen
50
Q

Removal of Warts - HPV

A

Application of podophyllin (Podofin) for small lesions

Laser therapy, cryocautery, knife excision for large lesions

51
Q

Medical management for HPV

A
  • Administer vaccine (GARDASIL) for teenage girls in. 3 doses
52
Q

Frothy white or grayish-green vaginal discharge with foul odor

A

Trichomoniasis

53
Q

Reddened uper vagina

A

Trichomoniasis

54
Q

Wear cotton underwear and loose-fitting clothes that decrease friction and irritation

A

HPV

55
Q

STI that has a great concern on the maternal-fetal population

A

Syphilis

56
Q

Cytotrophoblast atrophies and spirochete crosses the placenta

A

Syphilis

57
Q

Incubation period of Syphilis

A

10 - 90 days

58
Q

Caused due to sudden destruction of spirochetes

A

Jarisch-Herxcheimer Reaction

59
Q

Which stage of syphilis?
- Small, hard based chancer or sore (painless ulcer) that disappears after 2 - 4 weeks

A

Primary Stage

60
Q

Which stage of syphilis?
- Skin rashes (soles and palm)
- Loss of patches of hair
- Secondary symptoms: Malaise, low grade fever

A

Secondary Stage

61
Q

Which stage of syphilis?
- Gamma formation which affect major body organs

A

Tertiary Stage

62
Q

Which stage of syphilis?
- Asymptomatic for a few years to several decades
- Positive VDRL test

A

Latent Stage

63
Q

When is VDRL screening done?

A

During the first prenatal visit

64
Q

When is VDRL repeated?

A

When close to term (8th month)

65
Q

Infant will be positive of this infection for at least 3 months despite its treatment during pregnancy

A

Syphilis

66
Q
  • Enlarged liver and spleen
  • Skin lesions
  • Rashes
  • Pneumonia
  • Hepatitis
A

Congenital Syphilis

67
Q

Medical Management for Syphilis?

A
  • Benzathine Penicillin G (pregnancy)
  • Procaine Penicillin: IM, 750 mg for 10 days
  • Erythromycin: 500 mg QID, for 14 days (if allergic to penicillin G)
  • Azithromycin: 500 mg Daily for 10 days (if allergic to penicillin G)

Pre-Gestational Problems (4 decks)

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