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N431 OB Final > STIs > Flashcards

STIs Flashcards

1
Q

What are the s/s of chlamydia

A
  • abnormal discharge
  • nausea
  • fever
  • spotting/bleeding
  • dysuria
  • dyspareunia
  • PID
  • ectopic pregnancy
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2
Q

What is the treatment for chlamydia

A

Doxycycline 100 mg PO BID for 7 days

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3
Q

What are the s/s of gonorrhea

A
  • Often none
  • Yellow/green, sometimes bloody vaginal discharge
  • Intermenstrual bleeding
  • Irregular, heavy menses
  • Dyspareunia
  • Dysuria
  • Erythema, pruritus, drainage from eyes
  • Rectal itching
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4
Q

What is the treatment for gonorrhea

A

Ceftriaxone (Rocephin) 500 mg IM - 1 dose
OR
1g >150 kg

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5
Q

What are the s/s of pelvic inflammatory disease

A
  • Chronic pelvic pain
  • Abdominal pain
  • Ectopic pregnancy
  • Infertility
  • Irregular bleeding
  • Fever (late)
  • Nausea
  • Chills
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6
Q

What is the treatment for PID

A
  • Ceftriaxone 1g IV Q24h
  • Doxycycline 100 mg PO/IV Q12h
  • Metronidazole 500 mg PO/IV Q12h
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7
Q

What are the s/s of primary syphilis

A
  • Single chancre on genitals/lips 5-90 days after infection
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8
Q

What is the treatment for primary syphilis

A
  • Penicillin G 2.4 million units - single dose IM
  • Long duration: 1 dose/week for 3 weeks
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9
Q

What is the education for primary syphilis

A
  • TOC
  • Safe sex
  • Condom use
  • Routine testing
  • Treatment
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10
Q

What are the s/s of secondary syphilis

A
  • Maculopapular rash palms/soles 6 weeks-6 months after chancre
  • Fever
  • Headache
  • Malaise
  • Lymphadenopathy
  • Patchy alopecia
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11
Q

What are the s/s of latent syphilis

A
  • Asymptomatic, serologically positive
  • Early: infections, lesions reoccurring
  • Late: not infectious, only to fetus of pregnant woman
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12
Q

What are the s/s of tertiary syphilis

A
  • Untreated
  • Neurologic
  • Musculoskeletal
  • Multi-organ system failure
  • Death
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13
Q

What are the primary symptoms of HSV

A
  • Blisters on/around genitals/rectum
  • Vesicles, pustules, crusted ulcers
  • Tingling, itching, burning, irritation, pain, discharge
  • Flu-like symptoms: fever, chills
  • Dysuria
  • Lymphadenopathy
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14
Q

What are the s/s of recurrent HSV

A
  • Local symptoms
  • Prodromal tingling
  • Unilateral lesion
  • 5-7 day duration
  • Triggered by stress, viruses, menses, trauma
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15
Q

What is the treatment for HSV

A
  • Valacyclovir 1g PO Q12h for 7-10 days
  • Acyclovir 400 mg PO 3x/day for 7-10 days
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16
Q

What is the education for HSV (5)

A
  • Treat all sex partners
  • Decrease stress, take B vitamins, balanced diet
  • Clean lesions with water, keep dry/clean, good perineal hygiene
  • Avoid contact with sores and wash hands after contact
  • Avoid sexual contact from time symptoms first appear until healed
17
Q

What are the s/s of HPV

A
  • Asymptomatic mostly
  • Genital warts
  • Itching
  • Vaginal discharge
18
Q

What is the treatment for HPV

A
  • None
  • Cryotherapy/surgery as needed
19
Q

What is the symptom treatment for HPV

A
  • Gels, topicals (Lidocaine)
  • Soaks
  • Good hygiene
  • Cotton underwear
  • Healthy immune system
20
Q

What is the education for HPV

A
  • 3 doses of Gardasil vaccine for people aged 9-26 years
21
Q

What are the s/s of HBV

A
  • Fever
  • Fatigue
  • Headache
  • N/V
  • Loss of appetite
  • Malaise
  • Abdominal pain
  • Joint pain
  • Late: dark urine, clay colored poop, jaundice
22
Q

What is the treatment for acute HBV

A
  • Rest
  • Increase fluids
  • Avoid alcohol/medications metabolized by the liver
23
Q

What is the treatment for chronic HBV

A
  • Adefovir dipivoxil
  • Interferon alfa-2b
  • Pegylated interferon alfa-2a
  • Lamivudine
  • Entecavir
24
Q

What are the s/s of trichomonas

A
  • Yellow/green/gray/white frothy vaginal discharge with foul odor
  • Dyspareunia
  • Dysuria
  • Soreness
  • Redness
  • Itching
25
What is the treatment for trichomonas
- Metronidazole 500 mg 2x/day for 7 days
26
What is the education for trichomonas
- Both partners must be treated - No alcohol while on antibiotic - May experience metal taste or dry tongue during treatment
27
What are the s/s of candida
- Itching - Redness - Burning - Thick, white, cottage cheese discharge
28
What is the treatment for candida
- Antifungal creams: miconazole, clotrimazole - Oral fluconazole (Diflucan) - Warm water soaks and creams for symptoms
29
What are the s/s of vaginosis
- Fishy/malodorous, thin, white vaginal discharge - 50% asymptomatic
30
What is the treatment for vaginosis
- Metronidazole 500 mg 2x/day for 7 days
31
What is the education for vaginosis
- Avoid alcohol while taking antibiotic

N431 OB Final (5 decks)

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