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Clin Med 1 Test 3 > STI's > Flashcards

STI's Flashcards

1
Q

male structures that may become inflamed in Gonococcal Inf’s

A

epidiymis, prostate, anus

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2
Q

pelvic exam finding consistent with gonococcal inf

A

purulent cervical d/c

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3
Q

what is a common cheif compaint of gonococcal male pt’s

A

burning urination (d/c if later in dz)

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4
Q

when is gonorrhea symptomatic in women

A

during menses (dysuria)

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5
Q

how to treat gonorrhea and chancroid (H ducriyae)

A

Ceftriaxone( + doxycycline/azithromycin for Gonorrhea to treat Chlamydia!!)

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6
Q

In what condition would PA reveal bubos of necrotic swollen lymph nodes

A

chlamydia Lymphogranuloma Venereum

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7
Q

first sign of Lymphogranuloma Venereum

A

fleeting (evanescent) vesicle or ulcerative lesion

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8
Q

describe the bubos of Lymphogranuloma Venereum (3)

A

fused/sinusoidal, symmetrical, 1-4 weeks after exposure

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9
Q

describe anorectal manifestation of Lymphogranuloma Venereum (LGV)

A

proctitis, tenesmus, bloody/purulent d/c

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10
Q

How to test for Lymphogranuloma Venereum

A

complement fixation assay (my cross-react with other strains of Chlamydia)

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11
Q

causative org of Chlamydia/LGV

A

Chlamydia trachomatis L1-L3 strains

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12
Q

what is in the Ddx for chlamydia

A

syphilis, genital herpes, chancroid

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13
Q

DOC for LGV

A

doxycyline (100 mg BID 21 days)

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14
Q

2nd line DOC’s for LGV (2)

A

erythromycin, azithromycin

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15
Q

causative org of Chlamydia cervicitis/ uretritis

A

Chlamydia tracomatis types D-K

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16
Q

leading cause of infertility in females

A

Chlamydia

17
Q

how does chlamydial uretra d/c compare with that of gonorrhea

A

more watery less painful

18
Q

How is Chlamydia urethritis/cervicitis confirmed

A

swab, then nucleic acid amplification test

19
Q

What to give to a pregnant woman with Chlamydia cervicitis (and anyone else)

A

azirthromycin (AKA Zithromax single 1g dose)

20
Q

2nd choice DOC’s for Chlamydia uretritis/cervicitis

A

doxycycline (Vibramycin) or levofloxacin (Levaquin)

21
Q

What type of org is Neisseria gonorrheae

A

GN diplococci

Clin Med 1 Test 3 (16 decks)

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