STI chapter Flashcards

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1
Q

Four are currently curable:

A

syphilis, gonorrhea, chlamydia, and trichomoniasis

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2
Q

Four are incurable:

A

hepatitis B, herpes simplex virus (HSV or herpes), HIV, and human papillomavirus (HPV)

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3
Q

Chlamydia is caused by

A

chlamydia trachomatis (bacteria)

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3
Q

Transmission mode of chlamydia is

A

vaginal, oral, anal, and childbirth

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4
Q

Symptoms of chlamydia:

A

May be asymptomatic, dysuria, urinary frequency, dyspareunia, cervical discharge, endocervicitis, inflammations of the rectum and lining of the eye, can infect throat

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5
Q

Recommended treatment for chlamydia:

A

Azithromycin (zithromax), Doxycycline (vibramycin), Erythromycin (EES), Levoflaxin Ofloxacin (Floxin)

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6
Q

Gonorrhea is often co infected with ?

A

Chlamydia

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7
Q

Gonorhea is caused by

A

Neisseria gonnorrhoeae (bacteria)

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8
Q

Gonorrhea is transmitted by

A

vaginal, anal, oral, and childbirth

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9
Q

Symptoms of gonorrhea

A

may be asymptomatic, dysuria, urinary frequency, vaginal discharge, dyspareunia, endocervicitis, arthritis, PID, rectal infection

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10
Q

Treatment for gonorrhea

A

dual therapy with ceftriaxone and azithromycin

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11
Q

What does the P in the PLISSIT model stand for?

A

Permission: Gives the woman permission to talk about her experience

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12
Q

What does LI in the PLISSIT model stand for?

A

Limited Information: Info given to the woman about STI’s
-Factual info to dispel myths about STIs
-Specific measures to prevent transmission
-ways to reveal info to her partners
-physical consequences if the infections are untreated

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13
Q

What does the SS in the PLISSIT model stand for?

A

Specific suggestions: an attempt to help woman change their behavior to prevent recurrence and prevent further transmission of the STI

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14
Q

What does the IT in the PLISSIT model stand for?

A

Intensive therapy: involves referring the woman or couple for appropriate treatment elsewhere based on their life circumstances

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15
Q

Common misconceptions about contraception:

A

-Breastfeeding protects against pregnancy
-“pull out”
-pregnancy cannot occur during menses
-douching after sex will prevent pregnancy
-pregnancy will not happen during the first sexual experience
-taking bc pills protects against STIs
-the woman is too old to get pregnant
-if female orgasm is not reached, conception is not likely
-irregular menstruation prevents pregnancy

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16
Q

One of the most common causes of vaginal discharge. Also refers to as yeast, monilia, and a fungal infection

A

vaginal candidiasis

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17
Q

Candida (fungus)

A

is a normal constituent in the vagina

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18
Q

Treatment of vaginal candidiasis:

A

Miconazole cream or suppository; Clotrimazole tablet or cream; Terconazole cream or intravaginal suppository; Fluconazole oral tablet

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19
Q

Preventive measures of vaginal Candidiasis:

A

-Reduce dietary intake of simple sugars and soda
-Wear white, 100% cotton underpants
-Avoid wearing tight pants, or exercise clothes with spandex
-Shower rather than taking baths
-Wash with a mild, unscented soap and dry the genitals gently
-Avoidance of douching or super-absorbent tampons
-remove wet bathing suits promptly

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20
Q

Vaginal Candidiasis

A

A thick, white, curd-like discharge that sticks to the vaginal walls

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21
Q

Trichomoniasis

A

another common vaginal infection that causes a discharge, but is not always sexually transmitted

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22
Q

Trichomoniasis can live on

A

damp/wet surfaces and poorly cleaned/maintained hot tubs and drains

23
Q

Describe Trichomoniasis

A

A heavy yellow/green or gray frothy or bubbly discharge; vaginal pruritus and vulvar soreness; dyspareunia; cervix may bleed on contact; dysuria; vaginal odor

24
Q

Sexually associated infection characterized by alterations in vaginal flora in which lactobacilli in the vagina are replaced with high concentrations of anaerobic bacteria

A

Bacterial Vaginosis

25
Q

Bacterial Vaginosis is caused by

A

gram-negative bacillus G. Vaginalis

26
Q

Most prevalent cause of vaginal discharge or malodor

A

Bacterial vaginosis

27
Q

what percentage of women are asymptomatic that have BV

A

50%-75%

28
Q

Risk factors of BV:

A

Multiple sex partners, douching, and lack of vaginal lactobacilli

29
Q

Treatment of BV:

A

metronidazole (oral or gel) or clindamycin cream

30
Q

Symptoms of BV:

A

thin, white vaginal discharge with stale fish odor

31
Q

Cervicitis means

A

general term for presence of inflammation or infection of the cervix

32
Q

what causes gonorrhea

A

Neisseria gonorrhoeae (bacteria)

33
Q

recommended treatment for gonorrhea

A

dual therapy with ceftriaxone and azithromycin

34
Q

syphillis caused by

A

treponema pallidum (spirochete bacteria)

35
Q

chancre (ulcer) on place of entrance of bacteria

A

primary infection of syphillis

36
Q

maculopapular rash (hands and feet); sore throat; swollen lymph nodes; flu like symptoms

A

secondary infection of syphillis

37
Q

No symptoms;

A

latent infection of syphillis

38
Q

tumors of skin, bones, and liver; CNS symptoms; cardiovascular symptoms; usually not reversible at this stage

A

Tertiary infection of syphillis

39
Q

trichomoniasis caused by

A

trichomonas vaginalis (protozoa)

40
Q

treatment for trichomoniasis

A

metronidazole (flagyl) or trinidazole

41
Q

treatment of vaginal candidiasis

A

miconazole cream or suppository
clotrimazole tablet or cream
terconazole cream
fluconazole oral tablet

42
Q

site of infection of gonorrhea

A

columnar epithelium of the endocervix

43
Q

spread primarily through sexual contact

A

hsv 2

44
Q

spread primarily though oral contact, such as kissing, sharing utensils or recieving oral sex

A

hsv1

45
Q

treatment of syphilis

A

benzathine penicillin G. Doxycycline if allergic to penicillin

46
Q

is syphilis curable ?

A

yes

47
Q

Is genital herpes simplex curable ?

A

no

48
Q

most common viral infection in the US

A

human papillomavirus

49
Q

hepatitis A spreads via

A

GI tract

50
Q

the virus that causes aids

A

HIV

51
Q

transmitted during sex; needles; childbirth; breastfeeding

A

HIV

52
Q

focusing on avoidance of sex and alcohol consumption

A

vaginal candidiasis

53
Q

focusing on avoidance of sex and alcohol consumption

A

vaginal candidiasis

54
Q

genital warts or condylomata are caused by

A

human papillomavirus

55
Q

vaccines currently available for which STI infections ?

A

hepatitis A, hepatitis B, and HPV

56
Q

hpv is closely associated with

A

cervical cancer