STIs

Question 1

STIs that cause urethral or vaginal mucopurulent discharge:

Answer 1

Gonorrhea & Chlamydia

Question 2

Agent that causes Gonorrhea

Answer 2

Neisseria gonorrhea; gram negative coccus

Question 3

What is the most common cause of monoarticular joint inflammation in adults?

Answer 3

Gonorrhea

Question 4

Dx for Gonorrhea / Tx for Gonorrhea

Answer 4

NAAT / Cephtriaxone (IM)

Question 5

What STI do you treat along with Gonorrhea?

Answer 5

Chlamydia

Question 6

Dx of Chlamydia / Tx of Chlamydia?

Answer 6

NAAT / Doxy 100 mg/day x 7 days or Azithromycin 1g x 1 time

Question 7

What is the most reported STI in the US?

Answer 7

Chlamydia

Question 8

What organism causes Chlamydia?

Answer 8

Chlamydia trachomatis (gram negative)

Question 9

STIs that cause gential ulcers (5)

Answer 9

Syphilis, Cancroid, Granuloma Inguinale, Lymphogranuloma Venereum, Genital Herpes

Question 10

Organism that causes Syphilis

Answer 10

Treponenema pallidum - spirochete

Question 11

Primary Syphilis:

Answer 11

Painless chancre, lymphadenopathy, resolves in 4-6 weeks

Question 12

Secondary Syphilis:

Answer 12

(weeks-months): non-puritic diffuse rash on body (doesn’t spare palms/soles), Condyloma Lata, mucous patch, flu symptoms

Question 13

Tertiary Syphilis:

Answer 13

(15-20 years): CNS symptoms; gummatous syphilis, every organ infected.

Question 14

Screening tests for Syphilis:

Answer 14

RPR / VRDL

Question 15

Confirmatory tests for Syphilis:

Answer 15

FTA-ABS or MHA-TP

Question 16

Tx for Syphilis stages 1 / 2 / 3

Answer 16

Pen G / Pen G / Pen G

Question 17

Organism that causes Chancroid

Answer 17

Haemophilus ducreyi (gram negative rod)

Question 18

Sx of Chancroid

Answer 18

PAINFUL vesicles, soft ulcer w/ necrotic base, weepy, one-sided lymphadenopathy

Question 19

Dx / Tx of Chancroid

Answer 19

PCR / Azithromycin

Question 20

Where is Chancroid found?

Answer 20

Developing Countries

Question 21

Causative agent for Lymphogranuloma Venereum

Answer 21

Strain of Chlamydia

Question 22

Population most often affected by Lymphogranuloma Venereum

Answer 22

MSM population in US (& developing countries)

Question 23

Tx of Lymphogranuloma Venereum

Answer 23

Doxy x 21 days (long time)

Question 24

Progression of Lymphogranuloma Venereum

Answer 24

1) Small ulcer @ inoculation site that heals in days, 2) swelling and inflammation of inguinal and femoral lymph nodes, 3) swelling, anal fistulas / scarring; “groove sign” - lymph nodes swelling around inguinal ligament

Question 25

Dx of Lymphogranuloma Venereum

Answer 25

NAATs or PCR

Question 26

What is the causative agent of Granuloma Inguinale?

Answer 26

Klebsiella granulomatis

Question 27

Dx for Granuloma Inguinale / Tx for Granuloma Inguinale

Answer 27

Donovan bodies on a Wright Stain / Doxy

Question 28

Uncommon “Tropical” disease

Answer 28

Granuloma Inguinale

Question 29

Granuloma Inguinale is painless/painful?

Answer 29

painless

Question 30

What is a difference between Granuloma Inguinale and Lymphogranuloma Venereum?

Answer 30

Granuloma Inguinale rarely spreads to the lymph nodes

Question 31

Diseases that cause genital ulcers that are painful:

Answer 31

Chancroid, Herpes Simplex Virus

Question 32

Diseases that cause genital ulcers that are painless:

Answer 32

Syphilis, Granuloma Inguinale

Question 33

Presentation of Condyloma Acuminata:

Answer 33

Warts: cauliflower like, skin colored, hyperkeratotic warts

Question 34

Which stage of Syphilis is contagious / NOT contagious?

Answer 34

Early / Late

Question 35

Primary lesion of Syphilis:

Answer 35

painless chancre at lesion site and lymphadenopathy