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AB 3rd Year Repro > STIs > Flashcards

STIs Flashcards

1
Q

what causes syphilis?

A

treponema pallidum

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2
Q

signs of primary syphilis?

A

painless chancre at site of inoculation

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3
Q

features of secondary syphilis?

A

lymphadenopathy
alopecia
condylomata lata
rash on palms and soles

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4
Q

if patient has a lesion, what Ix should be done?

A

dark field microscopy

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5
Q

what two blood tests are done to confirm syphilis?

A

serum trepenomal EIA (screening)

serum TPPA

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6
Q

what are present during infection and for life in syphilis?

A

serum trepenomal EIA
serum TPPA

IgM acute, IgG for life

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7
Q

Tx for syphilis?

A

IM benzylpenicillin

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8
Q

for syphilis, what can be measured to see if Tx is working?

A

rapid plasma reagin

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9
Q

complications of syphilis?

A

CVS

neuro deficits

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10
Q

what types of HPV cause genital warts?

A

6 and 11

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11
Q

what types of HPV are assoc with cancer?

A

16 and 18

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12
Q

what type of HPV is assoc with palmar/plantar warts?

A

1 and 2

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13
Q

what Tx is given for HPV?

A

imiquimod (topical)/podophyllotoxin
cryotherapy
electrocautery

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14
Q

who and when is vaccination for HPV given?

A

MSM >45yrs
HIV +ve
11-13yr old F

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15
Q

complications of HPV?

A

SSC

adenocarcinoma

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16
Q

what causes gonorrhoea? features on gram stain?

A

neisseria gonorrhoea

gram -ve diplococcus

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17
Q

features of gonorrhoea in M and F?

A

M

  • asymp
  • dysuria
  • mucopurulent urethral discharge

F

  • asymp
  • discharge
  • dysuria
  • pelvic/abdo pain
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18
Q

Ix for gonorrhoea? where is swab taken?

A

NAAT from
urethral/vulvovaginal/endocervical/pharyngeal/rectal
culture

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19
Q

Tx for gonorrhoea?

A

ceftriaxone and azithromycin IM

no sex for 7 days

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20
Q

does gonorrhoea have a test of cure and when?

A

yes

2wks after meds

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21
Q

what causes genital herpes?

22
Q

pathology of herpes?

A

replicates in skin and moves to nerve endings
causes pain
settles in sacral root ganglion
can be reactivated

23
Q

features of genital herpes?

A 
blistering and ulceration
pain
dysuria
discharge
fever
myalgia
24
Q

Ix for herpes?

A

swab ulcer and PCR

25
Q

Ix for HPV?

A

none (clinical diagnosis)

26
Q

Tx for herpes?

A

acyclovir and pain relief

27
Q

what usually causes genital candida infections?

A

candida albicans

28
Q

what risk factors are there for candida infections?

A

antibios
high oestrogen
diabetes
immunocomp

29
Q

features of candida infections?

A

itch

white vaginal discharge

30
Q

Ix for candida infections?

31
Q

Tx for candida infections?

A

clotrimazole (topical)

fluconazole (oral)

32
Q

what causes bacterial vaginosis?

A

imbalance of vaginal bacteria
becomes alkaline
bacteria replaced with anaerobic species

33
Q

features of bacterial vaginosis?

A

fish smell
itchy
bubbly discharge
M - spotty rash on penis

34
Q

Ix for bacterial vaginosis?

A

swab
culture
microscopy - clue cells
whiff test

35
Q

Tx for bacterial vaginosis?

A

FEMALES ONLY

metronidazole

36
Q

what causes chlamydia?

A

chlamydia trachomatis

37
Q

what serovars of chlamydia cause what?

A

A-C eye infection
D-K STI
L1-L2 lymphogranuloma venerum

38
Q

features of chlamydia?

A 
asymp
dysuria
discharge
intermenstural/postcoital bleeding
lower abdo pain
39
Q

features of lymphogranuloma venerum?

A 
rectal pain
discharge
bleeding
tenesmus
proctitis
40
Q

Ix for chlamydia? where are swabs?

A

NAAT
vulvovaginal
first void urine (M)
rectal

41
Q

Tx for chlamydia?

A

azithromycin

erythromycin if pregnant

42
Q

for chlamydia, who gets test of cure? when?

A

pregnant
rectal infection
3 wks after

43
Q

Tx for pubic lice?

A

malathion lotion

44
Q

symptoms of acute bacterial prostatitis?

A 
lower abdo pain
perineal pain
penile pain
tender prostate
UTI symptoms
45
Q

how can acute bacterial prostatitis arise?

A

complication of UTI

46
Q

usual infecting organisms in acute bacterial prostatitis?

A

e coli
chlamydia
gonorrhoea

47
Q

tx for prostatis?

A

ciprofloxacin

48
Q

what is trichomonas vaginalis?

A

single celled parasite

49
Q

features of trichomonas vaginalis?

A

bubbly discharge
green
fish odour
strawberry cervix

50
Q

Ix for trichomonas vaginalis?

A

microscopy

shows flagella

51
Q

Tx for trichomonas vaginalis?

A

metronidazole

52
Q

PID Tx?

A

IM ceftriazone
metronidazole
doxycycline

AB 3rd Year Repro (27 decks)

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