STI (Viral & Protozoa) Flashcards

1
Q

Vaccination for HPV?

A
  • Gardasil prior to sexual activity (teens)
  • 3 doses over 6 months
  • not an active virus
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2
Q

Which form of HSV usually infects above the waist?

A

HSV1

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3
Q

Which form of HSV usually infects below the waist?

A

HSV2

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4
Q

Is HSV a lifelong disease? if yes, why?

A
  • 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
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5
Q

What are the classic triggers for HSV?

A

stress, skin damage and viral illnesses

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6
Q

What is Herpetic Whitlow?

A

herpes infection of the fingers

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7
Q

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

A

autoinoculation

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8
Q

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

A

herpes gladiatorum

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9
Q

Most common cancer caused by HPV?

A

cervical

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10
Q

Symptoms of HPV?

A
  • 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
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11
Q

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

A

Prodrome

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12
Q

Symptoms of a primary infection of oral herpes?

A
  • often asymptomatic

- when symptomatic, usually affects children

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13
Q

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

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

- fever and enlarged lymph nodes

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14
Q

description of oral herpes lesions?

A
  • clusters of small, painful, fluid-filled blisters that ooze & ulcerate
  • heal in a few weeks
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15
Q

Classical herpes symptom that occurs in the eye?

A

branching dendritic lesions

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16
Q

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

A

a herpes infection of the eye

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17
Q

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

A

meningitis or encephalitis cause by herpes spread to the brain

18
Q

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

A

the temporal lobe

19
Q

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

A

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)

20
Q

Tx for HSV?

A
  • often resolve on own

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

21
Q

Which medications amy be given to tx HSV?

A

Antivirals:

  • acyclovir
  • famciclovir
  • valacyclovir
22
Q

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

A

give baby Hep immunoglobin within 12hrs of delivery

23
Q

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

A

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

24
Q

When is the first Hep B vaccination given?

A

prior to discharge

25
Q

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

A

Never

26
Q

When does HIV screening occur during pregnancy?

A

at first prenatal visit and 3rd if at high risk

27
Q

What is the mode of transmission for Trichomoniasis?

A
  • only through vaginal sex

- organism can only survive in the urogenital

28
Q

Trichomoniasis symptoms: Males

A
  • asymptomatic, are carriers of the protozoa

- rare: may cause prostate cancer

29
Q

Trichomoniasis symptoms: Females

A
  • frothy, odorous, green discharge

- dysurea, urethritis, dyspareunia, preterm labor

30
Q

How to diagnose Trichomonas Vaginalis?

A

wet mount, swab vagina then look under microscoped

31
Q

Tx for Trichomonas Vaginalis?

A
  • antibiotics

- need to tx partner as well

32
Q

What are the Category II reportable diseases?

A
  • Chlamydia
  • Gonorrhea
  • Hep B
  • Syphillis
33
Q

Which reportable category does HIV fall under?

A

Cat III

34
Q

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

A

within 72hrs to the local health dept

35
Q

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

A

within 72hrs to HIV agency

36
Q

Clinical manifestations of Bacterial Vaginosis?

A

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

37
Q

Tx of Bacterial Vaginosis?

A

Flagyl (metronizadole)

38
Q

Clinical manifestations of Vaginal Candidiasis?

A

vaginal itchy, thick white cottage cheese like discharge

39
Q

Tx of Vaginal Candidiasis?

A

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

40
Q

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

A

screen the patient for any immunocompromising diseases