STIs

Question 1

Common causes of ___ are C trachomatis and N gonorrheae

Answer 1

Common causes of urethritis/acute urethral syndrome are C trachomatis and N gonorrheae

Question 2

Most common etiologies of cervicitis are __

Answer 2

Most common etiologies of cervicitis are C trachomatis and N gonorrheae

Question 3

Which bugs cause the condition below/what is the condition?

Answer 3

Urethritis

C trachomatis and N gonorrheae

Question 4

What bug causes the condition below/what is the condition?

Answer 4

Cervicitis

Question 5

___ is characterized by acute or rapid onset of labial pain and swelling

Answer 5

Bartholinitis is characterized by acute or rapid onset of labial pain and swelling

Basically an abscess of the Bartholin glad but unlike other abscesses, these abscesses won’t have Chlamydia or Gonorrhea

Question 6

Most common etiologies of Bartholinitis are ___

Answer 6

C trachomatis and N gonorrheae

Question 7

What bug(s) cause the condition below/what is the condition?

Answer 7

C trachomatis and N gonorrheae

Bartholinitis

Question 8

___ is an uncomplicated non-genital infection that can be caused by sexually transmitted organisms, most commonly C trachomatis and N gonorrheae

*hint: happens usually in neonates*

Answer 8

Conjunctivitis

Question 9

(Neonatal) conjunctivitis can be acquired from __

Answer 9

Direct inoculation with infected fluid (during childbirth)

Question 10

Which bug(s) cause the condition below/what is the condition?

Answer 10

Conjunctivitis

N. gonorrheae (could also be Chlamydia)

Question 11

N gonorrheae is the most common cause of STIs in the pharynx (present as ___)

Answer 11

N gonorrheae is the most common cause of STIs in the pharynx (present as pharyngitis)

**acquired during oral sex**

Question 12

___, inflammation of the rectum, can be due to infection with ___

Answer 12

Proctitis, inflammation of the rectum, can be due to infection with C trachomatis (types L1-3) and N gonorrheae

Question 13

___ is an ascending infection resulting from untreated urethritis that is characterized by unilateral scrotal pain, swelling and tenderness

Answer 13

Epidydimitis is an ascending infection resulting from untreated urethritis that is characterized by unilateral scrotal pain, swelling and tenderness

**note that in young men >> STI; older dudes >> E. coli**

also, chlamydial and gonococcal epidydimitis are clinically indistinguishable

Question 14

___ is an infection of the upper GU tract in women

Answer 14

Pelvic inflammatory disease

**Clinical presentations of chlamydial and gonococcal PID are similar**

Question 15

Most women with PID are ___

3 other clinical signs of PID are abdominal pain, ___ motion tenderness and __ tenderness

Answer 15

Asymptomatic

Non-specific lower abdominal pain

Cervical motion tenderness on bimanual pelvic exam

Adnexal tenderness (pain on both sides of lower abdomen on bimanual exam)

Question 16

____ syndrome: late complication of PID characterized by violin-string like adhesions in the peritoneum due to spread of infection to the peritoneum

Answer 16

Fitz-Hugh-Curtis syndrome: late complication of PID characterized by violin-string like adhesions in the peritoneum due to spread of infection to the peritoneum

Question 17

___ is a type of reactive arthritis generally preceded by non-gonococcal urethritis and is characterized by conjunctivitis, skin lesions and joint issues

Answer 17

Reiter’s syndrome is a type of reactive arthritis generally preceded by non-gonococcal urethritis and is characterized by conjunctivitis, skin lesions and joint issues

Question 18

___ is a rare condition caused by N gonorrheae infection and is characterized by arthritis and skin lesions

Answer 18

Disseminated Gonococcal Infection is a rare condition caused by N gonorrheae infection and is characterized by arthritis and skin lesions

Question 19

Which bug(s) cause the condition below/what is it called?

Answer 19

Disseminated Gonoccocal infection

N gonorrheae

Question 20

Dx of STIs (Gonorrhea or Chlamydia)

Answer 20

Clinical (history + exam)

NAAT

**Gonorrhea specifically: Gram stain - Gram negative diplococci + Conjunctival swab on Thayer-Martin agar**

Question 21

Rx for uncomplicted gonococcal infection

Answer 21

Ceftriaxone 250mg IM

PLUS

Azithromycin 1g PO x1 or doxycycline for 7 days

Question 22

Rx for complicated GC/CHL (gonoccocal/chlamydia) infections

Answer 22

generally ceftriaxone IM + azithromycin/doxycycline (+/- metronidazole for PID)

in the hospital: 2nd generation cephalosporin (cefotetan/cefoxitin IV + doxy IV)

Question 23

Name the stage of syphilis ass’d with the following pathology and how you would Rx it:

Painless genital chancre

Disseminated rash + condyloma lata

Answer 23

Chancre: Primary syphilis; Rx: single benzathine penicillin or doxy for 2 wks

Rash: Secondary syphilis; Rx: benzathine penicillin 3x (once a week for 3 weeks) or doxy for 1 mth

*Neurosyphilis: IV penicillin*

Question 24

___ is an STI caused by the gram negative coccobacillus, H ducreyi

Answer 24

Chancroid

Question 25

Chancroid is characterized by __ and painful __

Answer 25

Painful lesions and painful lymphadenopathy

Question 26

Which bug causes the pathology below/what is the condition?

Answer 26

Chancroid

H ducreyi

Question 27

Dx of chancroid

Answer 27

Gram stain/culture

PCR for H ducreyi

Question 28

Rx for Chancroid

Answer 28

Macrolide (azithromycin/erythromycin)

3rd gen cephalosporin (ceftriaxone)

FQ (ciprofloxacin)

Question 29

___ is a disease of lymphatic tissue caused by C. trachomatis L1-L3 and is characterized by inguinal and femoral lymphadenopathy and drainage through skin

Answer 29

Lymphogranuloma venereum

Question 30

Which bug causes the pathology below/what is the condition?

Answer 30

Lymphogranuloma venereum

C trachomatis

Question 31

Dx for LGV

Rx for LGV

Answer 31

Clinical/culture for C trachomatis + PCR/Serology for serovars L1-L3

Rx: 3 weeks Doxycycline