STI (Viral & Protozoa)

Question 1

Vaccination for HPV?

Answer 1

• Gardasil prior to sexual activity (teens)
• 3 doses over 6 months
• not an active virus

Question 2

Which form of HSV usually infects above the waist?

Answer 2

HSV1

Question 3

Which form of HSV usually infects below the waist?

Answer 3

HSV2

Question 4

Is HSV a lifelong disease? if yes, why?

Answer 4

• Yes, because it hides from the immune system within the trigeminal and sacral ganglia.
• Flare-ups are due to viral particles leaving the ganglia to infect other parts of the body

Question 5

What are the classic triggers for HSV?

Answer 5

stress, skin damage and viral illnesses

Question 6

What is Herpetic Whitlow?

Answer 6

herpes infection of the fingers

Question 7

What is the medical term for the self-spread of an infection to other parts of the body?

Answer 7

autoinoculation

Question 8

Herpes infection of the head, trunk and extremities common in wrestlers?

Answer 8

herpes gladiatorum

Question 9

Most common cancer caused by HPV?

Answer 9

cervical

Question 10

Symptoms of HPV?

Answer 10

• Most are asymptomatic and clear the virus within 2 yrs
• low risk: may form warts (genital, anus or skin)
• high risk: can lead to cancer due to virus damaging cells genetic material

Question 11

Period before HSV blister appearance where tingling or burning may occur?

Answer 11

Prodrome

Question 12

Symptoms of a primary infection of oral herpes?

Answer 12

• often asymptomatic

- when symptomatic, usually affects children

Question 13

Symptoms of a primary infection of oral herpes when they do appear?

Answer 13

• lesions on the gums, palate, tongue, lip and facial area.

- fever and enlarged lymph nodes

Question 14

description of oral herpes lesions?

Answer 14

• clusters of small, painful, fluid-filled blisters that ooze & ulcerate
• heal in a few weeks

Question 15

Classical herpes symptom that occurs in the eye?

Answer 15

branching dendritic lesions

Question 16

Patient presents with conjunctivitis, blurry vision and branching dendritic lesions in the eye, what do you suspect?

Answer 16

a herpes infection of the eye

Question 17

A patients lumbar puncture results show elevated RBCs, WBCs and protein levels, what do you suspect?

Answer 17

meningitis or encephalitis cause by herpes spread to the brain

Question 18

Which part of the brain s the most common location of spread for a herpes infection?

Answer 18

the temporal lobe

Question 19

What are the 3 different patterns of illness that can be seen in neonatal HSV?

Answer 19

1) skin, eye, mucus membrane infection (1-2 wks post delivery)
2) CNS infection ( lethargy, irritability, seizures 2-3 wks post delivery)
3) disseminating infection (result from 1-2 if not tx)

Question 20

Tx for HSV?

Answer 20

• often resolve on own

- antivirals may be given to the decrease pain and speed up healing best results when given before the prodome starts

Question 21

Which medications amy be given to tx HSV?

Answer 21

Antivirals:

• acyclovir
• famciclovir
• valacyclovir

Question 22

If mom is infected when delivery takes place, what may be done to decrease the risk of vertical transmission?

Answer 22

give baby Hep immunoglobin within 12hrs of delivery

Question 23

When is it safe for a mother with Hep B to breast feed?

Answer 23

when the baby has received both the Hep immunoglobin within 12 hrs of birth AND started on Hep B vaccination regimine

Question 24

When is the first Hep B vaccination given?

Answer 24

prior to discharge

Question 25

When is it safe for a mother with HIV to breast feed?

Answer 25

Never

Question 26

When does HIV screening occur during pregnancy?

Answer 26

at first prenatal visit and 3rd if at high risk

Question 27

What is the mode of transmission for Trichomoniasis?

Answer 27

- only through vaginal sex | - organism can only survive in the urogenital

Question 28

Trichomoniasis symptoms: Males

Answer 28

- asymptomatic, are carriers of the protozoa | - rare: may cause prostate cancer

Question 29

Trichomoniasis symptoms: Females

Answer 29

- frothy, odorous, green discharge | - dysurea, urethritis, dyspareunia, preterm labor

Question 30

How to diagnose Trichomonas Vaginalis?

Answer 30

wet mount, swab vagina then look under microscoped

Question 31

Tx for Trichomonas Vaginalis?

Answer 31

- antibiotics | - need to tx partner as well

Question 32

What are the Category II reportable diseases?

Answer 32

- Chlamydia - Gonorrhea - Hep B - Syphillis

Question 33

Which reportable category does HIV fall under?

Answer 33

Cat III

Question 34

Category II diseases should be report within which timeframe and to who?

Answer 34

within 72hrs to the local health dept

Question 35

Category III diseases should be report within which timeframe and to who?

Answer 35

within 72hrs to HIV agency

Question 36

Clinical manifestations of Bacterial Vaginosis?

Answer 36

fishy odor, vaginal discharge (thin, gray/white milky)

Question 37

Tx of Bacterial Vaginosis?

Answer 37

Flagyl (metronizadole)

Question 38

Clinical manifestations of Vaginal Candidiasis?

Answer 38

vaginal itchy, thick white cottage cheese like discharge

Question 39

Tx of Vaginal Candidiasis?

Answer 39

OTC monostat (intravaginal), prescription oral diflucon (150mg tab)

Question 40

If a patient presents with multiple infections of vaginal candidiasis, what would you expect the providr to do next?

Answer 40

screen the patient for any immunocompromising diseases