STI I, Expedited Partner Therapy , PreP HIV

Question 1

Sexually active screened

Answer 1

STI regularly

Question 2

STI Reporting

CCGHHS

Answer 2

Chancroid
Chlamydia
Gonorrhea
Hepatitis
HIV
Syphillis

Question 3

Chlamydia and Gonorrhea Test

Answer 3

Wet mount/endocervical
Vaginal swab
First void urine NAAT

Question 4

Syphillis

Answer 4

Venereal Disease Research Lab (VDRL)
Rapid plasma Regain (RPR)

HIV Hep B, Hep C,
CBC, UA, UC

Beta HCG

Question 5

HPV + Genital Warts

Answer 5

Genital warts
Cervical, penile, vulvar, vaginal, anal, oropharyngeal

Question 6

What types cause high risk cervical cancers

Answer 6

Type 16 and 18

Question 7

Vaccination Gardasil 9

Answer 7

9 protect 6,11,16,18,31,35,45,52,58

Age 27-45. Don’t give during pregnancy

Question 8

Genital warts in females

Answer 8

Vaginal Introitus
- painless and aysmtomatic
chronic vaginal discharge, pruritic, dyspareunia

Question 9

Wart

Answer 9

Flesh colored , flat pedunculated

Question 10

If you remove warts , can HPV go away

Answer 10

No

Question 11

Wart treatment

Answer 11

Cryotherapy
Podofilox
Intralesional interferon
Photodynamic therapy
Topical Cidofovir
Podophyllin compound

Question 12

HPV/Warts tx

Answer 12

Oatmeal bath , cotton underwear

condom use if lesions are present

Question 13

HSV 1

Answer 13

Non sexually, oral/genital contact

Question 14

HSV 2

Answer 14

Sexually
higher rate of viral shedding

Question 15

HSV 2 s/s

Answer 15

Tingle, shooting pain in lower extremities and buttocks

Question 16

Genital herpes

Answer 16

more frequent in females

transmit male to female

Question 17

If you get pregnant and contract herpes what delivery

Answer 17

c-section

Question 18

Is genital herpes curable

s/s

Answer 18

No, incurable

s/s: painful vesicular eruptions of skin and mucosa of genitals

Question 19

Where does the virus shed

Answer 19

in the genital tract and lifelong with HSV2

Question 20

Primary genital herpes last how long?

Answer 20

3 weeks

Flu like symptoms: fever malaise myalgias

lesion –> blister vesicles –> ulcerated lesions

Question 21

Tender inguinal lymphadenopathy, vulvular edema, watery purulent discharge severe dysuria

Answer 21

Genital herpes s/s

Question 22

Cervicitis - red friable ulcerated/necrotic lesion

Answer 22

Genital herpes s/s

Question 23

dx of genital herpes

Answer 23

HSV lesion cell culture

NAAT

Question 24

when should you get the culture for hsv lesion

Answer 24

Vesicular stage

Question 25

Recurrent outbreak genital herpes test

Answer 25

Serologic testing when lesions are healing IgG antibodies

Question 26

Genital herpes mgmt

Answer 26

Avoid arginine, avoid citrus, cortisone give vitamin b/c,zinc

Question 27

Genital herpes medication FIRST EPISODE AFV***

Answer 27

1) Acyclovir 400 mg 3/day 7-10 days 2)Famciclovir 250 mg 3/day 7-10 days 3) Valacyclovir 1 gm 2/day 7-10 days

Question 28

Episodic Genital Herpes med

Answer 28

start therapy within 1 day or prodrome 1) Acyclovir 800 mg 3/day for 2 days Acyclovir 800 mg 2/day for 5 days 2)Famciclovir 1 gm 2/day for 1 day Famciclovir 500 mg 2/day for 3 day Famciclovir 125 mg 2/day for 5 days 3) Valacyclovir 1 gm daily for 5 days Valacyclovir 500 mg 2/day for 3 days

Question 29

Suppressive therapy

Answer 29

1) Acyclovir 400 mg 2/day 2) Famciclovir 250 mg 2/day 3) Valacyclovir 500 mg daily

Question 31

Chancroid transmission s/s

Answer 31

transmit sex contact/trauma genital ulcer: hiv transmission ask travel history s/s: genital macule, painful , inguinal lymph node

Question 32

what should you also test for with chancroid and when should you repeat

Answer 32

HIV/Syphillis and repeat in 3 mo

Question 33

Chancroid DX

Answer 33

Painful genital ulcer, negative for syphillis and hsv

Question 34

How many days of sexual contact should partner be treated with chancroid

Answer 34

10 days

Question 34

Chancroid Meds (ACCE)

Answer 34

Azihromycin 1 gm po single Ceftriaxone IM 250 mg Ciprofloxacin 500 mg PO 3x/day for 7 days Erythromycin 500 mg 3x/day for 7 days

Question 35

Trichomoniasis s/s

Answer 35

Clear, green, yellow froth fish malodorous discharge ****Strawberry spots on speculum exam**** discharge worse during menstruation 5-28 days incubation pruriris dysuria postcoital bleeding

Question 36

Trichomoniasis dx

Answer 36

One celled flagellate trichomonis inc WBC strong amine odor

Question 37

Trichomoniasis Tx Women + Men + Alt When to return to test What to avoid when taking med

Answer 37

Women: Metrodinazole 500 mg 2/day 7 days Men: Metrodinazole 2 gm oral single dose Alt: Tinadozole 2 gm oral single dose

Question 38

Chlamydia most serious complication When should preggos be tested

Answer 38

PID all preggos 255 t/o or younger + 4 weeks after tx then 3 months after

Question 39

Chlamydia assessment

Answer 39

Adnexal fullness, uterine tenderness, cervical motion tenderness, abdominal guarding

Question 40

Chlamydia DX

Answer 40

NAAT****, Cell culture

Question 41

Chlamydia tx

Answer 41

Doxy 100 mg 2/day 7 days Azithro 1 gm single dose Levofloxacin 500 mg once / 7 days