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Women's Health > STIs > Flashcards

STIs Flashcards

1
Q

painless round chancre

A

syphilis

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2
Q

cauliflower, wart like lesion

A

HPV

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3
Q

irritated cervix, increased or absent discharge (often overlooked by pt)

A

chlamydia

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4
Q

painful, fluid filled vesicles

A

HSV (herpes)

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5
Q

treatment for syphilis

A

penicillin

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6
Q

treatment for HPV

A

tricholacetic acid, freezing, Podophyllin

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7
Q

treatment for HSV (herpes)

A

Acyclovir, Valtrex

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8
Q

treatment for chlamydia

A

Azithromycin

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9
Q

describe primary prevention

A
  • never acquire STI in first place
  • most effective way of reducing STIs in women
  • barrier method (condom or abstinence)
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10
Q

describe secondary prevention

A
  • identify at risk population and screen them
  • prompt diagnosis and treatment can prevent personal complications and transmission to others
  • test everyone under 24 that is sexually active
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11
Q

Risk reduction measures

A
  • knowledge of partner
  • reduction of # of partners
  • low risk sex
  • avoiding exchanges of body fluids
  • vaccination
  • physical barriers (condoms)
  • chemical barriers (Nonoxynol 9)
  • communication
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12
Q

describe chlamydia

A

infection is often silent and highly destructive
difficult to diagnose
sexualy active women 15-24 yrs have highest rates

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13
Q

screening/diagnosis of chlamydia

A

asymptomatic and pregnant women

comparisons of diagnostic procedures

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14
Q

treatment and education of chlamydia

A

Doxycycline (7 days)
Azithromycin (1 day)
*no intercourse until 7 days after med is taken
*all exposed partners need to be treated

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15
Q

what disease goes hand in hand with chlamydia

A

gonorrhea

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16
Q

describe gonorrhea

A

often asymptomatic
oldest communicable disease in US
highest rates among <25 and African Americans

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17
Q

treatment of gonorrhea

A

*rocephin
(antibiotic therapy)
cefiximine of ceftraxane

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18
Q

describe syphilis

A
  • transmitted by kissing, biting, oral genital sex
  • transplacental transmissions can occur
  • can lead to systemic disease and death when untreated
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19
Q

treatment of syphilis

A

penicilin and sexual abstinence during treatment

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20
Q

treatment of syphilis

A

penicillin and sexual abstinence during treatment

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21
Q

stages of syphilis manifestation

A

Primary- 5-90 days after exposure (painless sore)
Secondary- 6 wks to 6 mos (body rash)
Tertiary- develops in 1/3rd of women infected (affects internal organs)

22
Q

what is the most common viral STI

A

HPV

23
Q

health care worker at greatest risk of being infected with

A

Hep B virus

24
Q

describe PID

A

pelvic inflammatory disease

  • infectious process most commonly involves fallopian tubes, uterus, and ovaries or peritoneal surfaces
  • caused by multiple organisms
25
Q

risk factors of PID

A
  • young age
  • nulliparity
  • multiple partners
  • high rate of new partners
  • hx of STIs of PID
26
Q

at risk for if have PID

A
  • ectopic pregnancy
  • *infertility
  • chronic pelvic pain
27
Q

affects 20 million Americans

most prevalent viral STI seen in ambulatory HC setting

A

HPV (human papillomavirus)

28
Q

what are the symptoms of HPV

A

genital warts or venereal warts

cauliflower, wart like leison

29
Q

what are the symptoms of HPV

A

genital warts or venereal warts

cauliflower, wart like lesion

30
Q

treatment of HPV

A

freezing, tricholacetic acid, Podophyllin

31
Q

how is HPV screened for

A

hx of known exposure and Pap test

32
Q

describe how often pap is done

A

every 3 yrs starting at 21 yrs of age regardless of sexual activity

33
Q

what is given to prevent HPV cancers

A

Gardasil vaccine

34
Q

describe Gardasil

A

cancer vaccine and decreases/prevents genital warts

35
Q

what type of HPV causes genital warts

A

6 and 11

36
Q

how are HSV 1 & 2 transmitted

A

1=nonsexually

2=sexually

37
Q

describe initial symptoms of HSV

A

painful, fluid filled vesicles

fever, chills, malaise and severe dysuria

38
Q

describe herpes

A

HSV

  • chronic and recurring
  • no cure
39
Q

what is given to control herpes symptoms

A

systemic antiviral meds

40
Q

maternal infection with what strand of herpes can affect mother and fetus

A

HSV-2

neonatal herpes causes severe complicaitons

41
Q

virus acquired through fecal oral route

vaccines are effective at preventing transmission of this

A

HAV (Hepatitis A virus)

42
Q

what are the symptoms of HAV

A

flu symptoms

malaise, fatigue, anorexia, pruritus, fever, RUQ pain

43
Q

most threatening virus to fetus and neonate

A

HBV

44
Q

describe HBV

A

Hepatitis B virus
disease of liver and silent infection
vaccination series available
health care providers at risk

45
Q

treatment of HBV

A

no specific treatment

spontaneous recovery 3-16 wks

46
Q

what are the initial symptoms of HIV

A

fever, headache, malaise, N/D, wt loss, rash, sore throat

47
Q

what drug decreases transmission of HIV to 1-2%

A

antiretroviral prophylaxis

48
Q

what type of delivery is recommended for HIV pts

A

c section

49
Q

what are the effects of STI in pregnancy

A 
premature rupture of membranes
premature labor
postpartum sepsis
dystocia
miscarriage
50
Q

what STIs are also TORCH infections

A

(can cross placenta and affect fetus)

  • toxoplasmosis
  • HIV, hepatitis
  • rubella virus
  • cytomegalovirus
  • herpes simplex virus (HSV)
51
Q

what STDs need to be reported (infection control)

A

chlamydia, HIV, syphilis, Hep B, Hep C, gonorrhea, chancoid

Women's Health (31 decks)

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