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NRSG 477 > STI's > Flashcards

STI's Flashcards

1
Q

5 P’s of STD screening

A 
Partners
Practices
Prevention of pregnancy
Protection from STI
Past hx of STI
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2
Q

STI risk factors

A

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

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3
Q

3 effects of STI’s

A

Quality of life
Quality of health
Quality of community

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4
Q

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

A

False; 20 million new infections and 15-24

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5
Q

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

A

True

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6
Q

T/F STI’s cannot lead to infertility

A

False; it can

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7
Q

At this time is the focus is on prevention or treatment

A

Treatment

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8
Q

What is the most common STI?

A

HPV

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9
Q

What population is there a disproportionate distribution of STI’s

A

Younger populations

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10
Q

Types of Bacterial STI’s (4)

A

Chlamydia
Gonorrhea
Syphillis
(not STI) bacterial vaginosis

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11
Q

Types of vital STI’s

A 
HIV
HSV-2
HPV
Hep B
Hep C
Hep A
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12
Q

Type of fungal STI

A

Candida

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13
Q

3 examples of parasitic STI’s

A

Trichomonas vaginalis
Pubic lice
Scvies

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14
Q

What is the most REPORTED STI.

A

Chlamydia

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15
Q

What is the incubation period of chlamydia

A

3 - 21 days It can spread!!

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16
Q

Chlamydia

A 
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
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17
Q

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

A

50%

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18
Q

Treatment of chlamydia

A

Azithromycin 1gm PO x 1 single dose OR

Doxycycline 100mg PO BID x 7

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19
Q

In what population is doxycycline contraindicated?

A

Pregnant populations

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20
Q

What is the incubation period of gonorrhea

A

3-21 days

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21
Q

Gonorrhea

A

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

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22
Q

Treatment of Gonorrhea

A

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

23
Q

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

A

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

24
Q

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

A

Perforated cornea

25
Q

What is the incubation period of syphillis?

A

10 - 90 days

26
Q

Why is the incubation of syphillis a major problem?

A

INC . is 90 DAYS!!

27
Q

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

A

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.

28
Q

What is the concern with late stage syphillis

A

Long term nervous system damage

29
Q

Treatment of syphilis

A

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

30
Q

In secondary syphilis where with rashes likely occur?

A

palms and soles

31
Q

Herpes simplex virus incubation period

A

2-20 days

32
Q

HSV

A

Incubation 2-20 days

Vital infection characterized by periodic outbreaks of painful sores.

33
Q

HSV-1 Oral or genital?

A

Oral

34
Q

HSV-2 Oral or genital?

A

Genital

35
Q

Treatment of HSV

A

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

36
Q

Is there a cure for HSV? what is the treatment

A

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

37
Q

HPV

A

Incubation period: 1 month to several years

Some have no symptoms

38
Q

HPV in women

A

Warts, cancer, effects on fetus

39
Q

HPV in men

A

Warts, cancer

40
Q

HPV prevention

A

Vaccination cervarix and gardasil

41
Q

HPV treatment

A

Topical, removal by provider

42
Q

HPV prevention vaccination

A

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

43
Q

Molluscum contagiosum

A

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

44
Q

Molluscum contagiosum is common is what population?

A

children

45
Q

Treatment of molluscum contagiosum

A

Normally self limiting; removal prn

46
Q

Trichomonas vaginalis

A

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

47
Q

Bacterial vaginosis

A

Imbalance of bacteria overgrowth of bad bacteria

48
Q

Treatment of bacterial vaginosis

A

Metrodinazole

49
Q

Yeast infection

A

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

50
Q

Pubic lice “Crabs”

A

Parasitic mites; feed on bites, live among coarse hair

51
Q

Tx of public lice “crabs”

A

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

52
Q

Scabies

A

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

53
Q

Treatment and prevention of scabies

A

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

54
Q

Infection prevention and risk reduction education

A

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

NRSG 477 (11 decks)

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