STI's

Question 1

5 P’s of STD screening

Answer 1

Partners
Practices
Prevention of pregnancy
Protection from STI
Past hx of STI

Question 2

STI risk factors

Answer 2

Multiple sex partners
Not using a condom with every sex act
Infection with other STI’s
Having a partner who has had an STI

Question 3

3 effects of STI’s

Answer 3

Quality of life
Quality of health
Quality of community

Question 4

T/F Appx 10 million new infections occur each year, almost half of them among young people aged 15-67

Answer 4

False; 20 million new infections and 15-24

Question 5

T/F higher incidence in those living in urban settings, living in poverty and those who use alcohol and other drugs

Answer 5

True

Question 6

T/F STI’s cannot lead to infertility

Answer 6

False; it can

Question 7

At this time is the focus is on prevention or treatment

Answer 7

Treatment

Question 8

What is the most common STI?

Answer 8

HPV

Question 9

What population is there a disproportionate distribution of STI’s

Answer 9

Younger populations

Question 10

Types of Bacterial STI’s (4)

Answer 10

Chlamydia
Gonorrhea
Syphillis
(not STI) bacterial vaginosis

Question 11

Types of vital STI’s

Answer 11

HIV
HSV-2
HPV
Hep B
Hep C
Hep A

Question 12

Type of fungal STI

Answer 12

Candida

Question 13

3 examples of parasitic STI’s

Answer 13

Trichomonas vaginalis
Pubic lice
Scvies

Question 14

What is the most REPORTED STI.

Answer 14

Chlamydia

Question 15

What is the incubation period of chlamydia

Answer 15

3 - 21 days It can spread!!

Question 16

Chlamydia

Answer 16

Most reported STI
Incubation period 3-21 days
Infects both men women and newborns
Can infect the throat, rectum and eyes
50% of those infected have no symptoms as all; usually goes untreated

Question 17

If pregnant women have an active chlamydia infection what percentage has a chance of developing infection?

Answer 17

50%

Question 18

Treatment of chlamydia

Answer 18

Azithromycin 1gm PO x 1 single dose OR

Doxycycline 100mg PO BID x 7

Question 19

In what population is doxycycline contraindicated?

Answer 19

Pregnant populations

Question 20

What is the incubation period of gonorrhea

Answer 20

3-21 days

Question 21

Gonorrhea

Answer 21

bacterial infection
Incubation period 3-21 days
50% of women and 10% of men have no symptoms at all.
40% infected with CH have GH
Thick discharge from the penis or vagina
May infect the rectum or throat, eyes, blood, skin and joints

Question 22

Treatment of Gonorrhea

Answer 22

Ceftriaxone 250mg IM x 1 OR Cefixime 400mg PO x1
AND
Azithromycin 1gm PO x 1 single dose OR Doxycyline 100mg PO BID x 7

Question 23

What can happen if those chlamydia or gonorrhea don’t receive treatment?

Answer 23

Women: Ectopic pregnancy, pelvic inflammatory disease, sterility
Men: Epididymitis, may cause sterility

Question 24

What is the most common complication of gonorrhea if a baby is born via vaginal canal?

Answer 24

Perforated cornea

Question 25

What is the incubation period of syphillis?

Answer 25

10 - 90 days

Question 26

Why is the incubation of syphillis a major problem?

Answer 26

INC . is 90 DAYS!!

Question 27

How many stages are associated with syphillis and what do they consist of?

Answer 27

First/Primary: Chancre, highly infectious; 2-4 weeks Secondary: Flu-like, hair loss or rash; 6wk-6months Tertiary: Within 1 year; latent phase- Sx are absent, serious damage to the brain and nervous system.

Question 28

What is the concern with late stage syphillis

Answer 28

Long term nervous system damage

Question 29

Treatment of syphilis

Answer 29

Tx of choice is Penicillin G - Test for HIV, contact all partners within the last 90 days Reexamine client at 3 and 6 months

Question 30

In secondary syphilis where with rashes likely occur?

Answer 30

palms and soles

Question 31

Herpes simplex virus incubation period

Answer 31

2-20 days

Question 32

HSV

Answer 32

Incubation 2-20 days | Vital infection characterized by periodic outbreaks of painful sores.

Question 33

HSV-1 Oral or genital?

Answer 33

Oral

Question 34

HSV-2 Oral or genital?

Answer 34

Genital

Question 35

Treatment of HSV

Answer 35

Acyclovir 400mg PO TID x 7-10 days; no cure available

Question 36

Is there a cure for HSV? what is the treatment

Answer 36

No; Acyclovir 400mg PO TID x 7-10 days

Question 37

HPV

Answer 37

Incubation period: 1 month to several years | Some have no symptoms

Question 38

HPV in women

Answer 38

Warts, cancer, effects on fetus

Question 39

HPV in men

Answer 39

Warts, cancer

Question 40

HPV prevention

Answer 40

Vaccination cervarix and gardasil

Question 41

HPV treatment

Answer 41

Topical, removal by provider

Question 42

HPV prevention vaccination

Answer 42

BOYS AND GIRLS ne dose age 11-12 and second dose 1 year later Catch up vaccine through 26yrs

Question 43

Molluscum contagiosum

Answer 43

virus associated with poxvirus family Common in CHILDREN-NOT CONSIDERED STI Can occur anywhere on body except hands and ffet Small painless, umbilicated papule

Question 44

Molluscum contagiosum is common is what population?

Answer 44

children

Question 45

Treatment of molluscum contagiosum

Answer 45

Normally self limiting; removal prn

Question 46

Trichomonas vaginalis

Answer 46

Protozoan infection Incubation period 3-28 days Transmission via intercourse S/Sx vaginal infection; frothy yellow, green discharge and burning.

Question 47

Bacterial vaginosis

Answer 47

Imbalance of bacteria overgrowth of bad bacteria

Question 48

Treatment of bacterial vaginosis

Answer 48

Metrodinazole

Question 49

Yeast infection

Answer 49

Can be sexually transmitted Cottage cheese like grows in warm, moist places, high sugar diets

Question 50

Pubic lice "Crabs"

Answer 50

Parasitic mites; feed on bites, live among coarse hair

Question 51

Tx of public lice "crabs"

Answer 51

Mechanical removal, tx with topicals containing permethrin, wash clothing/linens in hot water/hot drier

Question 52

Scabies

Answer 52

Intense itching and a pimple like skin rash; spread by direct prolonged skin to skin contact.

Question 53

Treatment and prevention of scabies

Answer 53

Scabicides: Kill scabies mites; some also kill mite eggs Tx with permethrin bedding, clothing and towels used by household and close household should be decontaminated by washing in hot water and drying in a hot dryer, by dry cleaning or by sealing in plastic bag for at least 72 hours

Question 54

Infection prevention and risk reduction education

Answer 54

Education and counseling of persons at risk Screening Effective diagnosis and tx of infected persons Contact investigation Pre-exposure vaccination