STI

Question 1

organism causing gonorrhea

Answer 1

nisseria gonorrhoeae

Question 2

organism causing chlamydia

Answer 2

chlamydia trachomatis

Question 3

organism causing syphilis

Answer 3

treponema pallidum

Question 4

organism causing trichomoniasis

Answer 4

trichomonas vaginalis (protozoan)

Question 5

organism causing genital warts

Answer 5

HPV

Question 6

organism causing genital herpes

Answer 6

HSV

Question 7

gonorrhea presentation in men

Answer 7

purulent discharge
painful swollen testicles
asymptomatic but acute urethritis main manifestation
dysuria w/o frequence or urge
profuse and purulent discharge compared to other STIs
painful urination

Question 8

gonorrhea presentation in women

Answer 8

purulent discharge
cervitis
urethritis
increased discharge
dysuria
between period bleeding

Question 9

chalmydia presentation in men

Answer 9

generally asymptomatic
watery discharge
lead to epidiymitis

Question 10

chalmydia presentation in women

Answer 10

beefy red cervix that bleeds easily
generally asymptomatic
could lead to pelvic inflammatory disease

Question 11

syphilis presentation in men and women

Answer 11

primary: pain chancre, develops weeks post exposure
Secondary: fatigue, diffuse rash, fever, lymphadenopathy, genital or perineal condylooma latum, rash is maculopapular, macular or pustular on palms and soles of feet

Question 12

trichomoniasis presentation in men

Answer 12

prostatitis or epidiymitis

generally asymptomatic

Question 13

trichomoniasis presentation in women

Answer 13

diffuse, malodorous, yellow/green vaginal discharge with vulvar irritation
some may be asymptomatic
pH >4.5
dysuria
erythema

Question 14

genital warts presentation

Answer 14

appear as rough, thick, cauliflower-like lesions
black dots within warts
disrupted surface
genital pruritis
burning
vaginal discharge or bleeding

Question 15

genital herpes presenttion

Answer 15

cluster of painful vesicles on an erythematous base
itching, burning, tingling
groin lump
dysuria
dyspareunia
increased urinary frequency
ulcerative lesions
fissures
cervicitis

Question 16

gonorrhea treatment

Answer 16

ceftriaxone 125mg IM once
cefixime 400mg PO once
NOT FLUOROQUINOLONES (resistance)
treat for chlamydia unless ruled out
- Azith 1g once
- Doxy 100mg BID for 7 days

Question 17

ABCs of STI prevention

Answer 17

Abstinence
Be faithful
Condoms

Question 18

Primary treatment for syphilis

Answer 18

Benzanthine penicillin 2.4M units IM once
doxycycline 100mg BID for 2 weeks
tetracycline 500mg QID for 2 weeks
ceftriaxone 1g daily for 10 days
Azith 2g orally once

Question 19

Important monitoring for benzathine PCN

Answer 19

anaphylaxis with first dose

Question 20

trichomonas treatment

Answer 20

metronidazole 2g once
metronidazole 500mg bid for 7 days
tinidazole for metronidazole-resistant infections

Question 21

metronidazole ADRs

Answer 21

metallic taste
reversible neutropenia
uticaria
rash
flushing
dry mouth
darkened urine
DO NOT drink alcohol

Question 22

tinidazole ADRs

Answer 22

metallic taste
dizziness
loss of coordination
seizure
severe diarrhea
dark urine
N/V
swollen/discolored tongue

Question 23

patient-applied treatments for genital warts

Answer 23

podofilox
imiquimod
apply at bedtime three times a week for 18 weeks
or apply every other day for 3 applications
wash area 6-10 hours after application
ADR: erythema, but usually means drug is working

Question 24

vaccinations to prevent HPV

Answer 24

gardasil (quadrivalent)

cervarix (bivalent)

Question 25

drugs to treat HSV

Answer 25

acyclovir
valacyclovir
famciclovir
foscarnet
cidofovir
trifluridine