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Ambulatory Care of Women > STIs > Flashcards

STIs Flashcards

1
Q

Who is considered high risk?

A
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2
Q

Who is considered high risk?

A
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3
Q

What do you screen pregnant women for?

A

Syphillus, G/C, heptatitis BsAg

And again at 36 weeks if high risk (

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4
Q

Medication for crabs?

A

Permethrin 1% cream
Malathion
Ivermectin

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5
Q

When do most HSV transmission occur?

A

during asymptomatic period

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6
Q

Incubation for HSV?

A

2-12 days, average 4 days

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7
Q

Recurrence rate of HSV?

A

78%, 5% recurrence in 5 days. 20% are asymptomatic

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8
Q

Average duration of HSV for primary? Where? How long does it last?

A

12 days. Cervix. 2-4 weeks

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9
Q

Gold standard for HSV?

A

Viral Culture

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10
Q

Best test for healing lesions?

A

Antigen detection test

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11
Q

First episode treatment for HSV?

A
  • Acyclovir 400 mg TID x 7-10 days
  • Or Acyclovir 200 mg 5 times per day
  • or Famciclovir 250 mg TID
  • or Valacyclovir 1000 mg BID x 7-10 days
  • May extend treatment if healing is incomplete after 10 days
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12
Q

Daily Suppression for HSV?

A

Acyclovir 400 mg BID
Famciclovir 25 mg BID
Valacyclovir 500-1000 mg daily

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13
Q

Daily Suppression for HSV?

A

Acyclovir 400 mg BID
Famciclovir 25 mg BID
Valacyclovir 500-1000 mg daily

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14
Q

What do you screen pregnant women for?

A

Syphillus, G/C, heptatitis BsAg

And again at 36 weeks if high risk (

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15
Q

Medication for crabs?

A

Permethrin 1% cream
Malathion
Ivermectin

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16
Q

When do most HSV transmission occur?

A

during asymptomatic period

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17
Q

Incubation for HSV?

A

2-12 days, average 4 days

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18
Q

Recurrence rate of HSV?

A

78%, 5% recurrence in 5 days. 20% are asymptomatic

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19
Q

Average duration of HSV for primary? Where? How long does it last?

A

12 days. Cervix. 2-4 weeks

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20
Q

Gold standard for HSV?

A

Viral Culture

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21
Q

Best test for healing lesions?

A

Antigen detection test

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22
Q

First episode treatment for HSV?

A
  • Acyclovir 400 mg TID x 7-10 days
  • Or Acyclovir 200 mg 5 times per day
  • or Famciclovir 250 mg TID
  • or Valacyclovir 1000 mg BID x 7-10 days
  • May extend treatment if healing is incomplete after 10 days
23
Q

Episodic therapy for HSV?

A

Acyclovir 800 TID x 2 days
Famiciclovir 1000 mg BID x 1 day
Valcyclovir 2 g BID x 1 day

24
Q

Daily Suppression for HSV?

A

Acyclovir 400 mg BID
Famciclovir 25 mg BID
Valacyclovir 500-1000 mg daily

25
Q

Most common cause of HPV strains?

A

6 and 11

26
Q

What perscentage of HPV strains resolve without treatment?

A

80%

27
Q

Provider applied treatment for HPV?

A

Cryotherapy, laser, surgery
Trichloroacetic Acid
Bichloroacetic acid

28
Q

Patient applied therapy for HPV?

A

Podofilox
Dimiquimod and IMiquimod
Sinecatechins

29
Q

What is no longer recommended for HPV?

A

Podopyllin Resin

30
Q

Who should receive HPV vaccine and when should you stop?

A

Boys and girls starting at age 9
Stop at 21 for males
Stop at 26 for females
HIV of MSM- all do 26

31
Q

two major signs of cervicitis?

A
  1. Purlenet or mucopurulent endocervical exudate

2. Sustained bleeding easily induced by mental passage of cotton swab

32
Q

Other symptoms of Cervicitis?

A

May be asymptomatic, inter menstrual spotting/post coital bleeding, increased vaginal discharge

33
Q

Treatment for cervicitis?

A

Azithromycin 1 g or doxycycline 100 mg BID x 7 days

If persistent, refer to GYN for mycoplasma gentalium work up.

34
Q

Most common STD?

A

Chlamydia

35
Q

Symptoms of chlamydia?

A

Most are asymptomatic. Cervicitis. Urethritis, PID, perihepaittis, reactive arthritis.

36
Q

Incubatino period for chlamydia

A

7-21 days.

37
Q

When do you retest for chlamydia?

A

3-4 months and at next visit.

38
Q

Tests for chlamydia?

A

Nucleic acid amplification test- good
Non NAAT- titers- difficult to interparate
Culture is gold standard

39
Q

Treatment of chlamydia?

A

Azithromycin 1 g or doxycycline
Erythromycin base or ethylsuccinate 7 days
Ofloxacin 300 mg BID x 7 days
Levofloxacin 500 mg PO QD x 7 days

40
Q

Complications of gonorrhea?

A

Bartholin’s and Skene gland infections, PID, and Fiz- Hugh- Curtis Syndrome- perihepatitis

41
Q

Symptoms for gonorrhea for men and women?

A

Men- burning with urination

Women- PID

42
Q

Diagnosis of gonorrhea?

A

Culture, non culture

Amplified tests NAAT

43
Q

Treatment of gonorrhea?

A

No fluoquinolones
Rocephin 250 mg IM x1
Oral cefixime 400 mg

44
Q

What to do if if patient is resistance?

A

Send to ID doctor

45
Q

Primary infection of syphilis? How long does it last? Associated symptoms?

A

Ulcer, 1-6 weeks, rubbery, painless, bilateral lymphadenopathy

46
Q

Signs of Secondary infection?

A

Mucous patches, condylomata lata, alopecia, serologic testing highest at this phase

47
Q

Describe latent phase?

A

Patient is seroreactive, but no evidence of infection. Can occur between 1, 2, and 3rd fase

48
Q

Describe the two step process?

A
  1. VDRL or RPR

2. Treptomonal test FTA-ABS, or TP-PA

49
Q

How do you follow treatment?

A

Titers should decrease

50
Q

Treatment of syphilis?

A

Benzathine penicillin G 2.4 million units

51
Q

What to do if patient has pencillin allergy for syphilis?

A

Consult ID

52
Q

What is a Jarisch-Hexheimer Reaction?

A

Self limited reaction to anti-treptomonal therapy. Fever, malaise, N&V, usually within 24 hours after therapy

53
Q

When do you follow up for Syphilis?

A

6 and 12 months

Ambulatory Care of Women (8 decks)

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