STIs

Question 1

HSV

• Transmission
• S/S
• Tx

Answer 1

• Tr: gen-gen, oral-gen, oral-oral; Many Aysmptomatic/ undiagnosed
• S/S: B s/s; dewdrops on rose petals vesicles; tingling/burning;
• Tx: Initial: Acyclovir, Famcyclovir, Valacyclovir; Sitx bath; Topical anesthetics; antibacterial creams

Question 2

Chlamydia Trach

• EPI
• Phys Exam:
• A/S
• Tx

Answer 2

• EPI: Pred 18-25 YO; 70% asymptomatic
• Exam: Mucopurulent cervicitis; yellow-green mucopus; friable ectopy
• A/S: Salpingitis, URethral syndrome, Fitz-hugh-Curtis Syndrome;Lymphagranuloma venerum
• Tx: 2nd Ceph + Doxy

Question 3

Gonorhea

• S/S
• LabDx:
• Tx

Answer 3

• S/S: Discharge, Dysuria/freq, Labial tenderness, dyspareunia; erythematous cervix, thick purulent discharge
• LabDx: Culture endocervix on Thayer-Martin agar in CO2; gram-stain;
• Tx: Ceftriazone + Doxy

Question 4

Genital TB

• EPI:
• Tx

Answer 4

• EPI: Immigrants, immunocompromised

- Tx: Anti-tubucular drugs (Isoniazid, rifampin, pyrazinamide, ethambutol); Sx

Question 5

HPV

• Types + A/S
• Tx

Answer 5

• T: Warts -> 6/11; Cervical dysplasia -> 16/18/31/33/35

- Tx: Podofiloz; imiquimod, cryoTx, TCAS/BCA, Sx removal

Question 6

Syphillis

Answer 6

• Tr: STI, kissing, vertical, direct innoculation