STIs CIS

Question 1

endogenous to female genital tract

Answer 1

• lactobacilli (gram + rod)
• candida
• gardnerella (in small amt)

Question 2

gardnerella-structure

Answer 2

-gram neg bacillus

Question 3

chlamydia- structure

Answer 3

-gram neg, coccioid or rod

Question 4

Neisseria- structure

Answer 4

-gram neg diplococci

Question 5

Syphilis- structure

Answer 5

-spirochete

Question 6

cowdry body- in what? what is it?

Answer 6

• HSV2, CMV, VZV

- eosinophilic nuclear inclusion

Question 7

clue cells- in what? what is it?

Answer 7

• Gardnerella

- squamous cells- covered with bacteria all over

Question 8

cytoplasmic viral inculsions- in what?

Answer 8

MSV

Question 9

elementary body, reticulate body- in what? what is it?

Answer 9

• Chlamydia
• elementary body- infectious, non replicating
• reticulate body- non infectious, replicating

Question 10

Koilocyte- in what? what is it?

Answer 10

• HPV

- squamous epit- enlarged hyperchromatic nuclei with perinuclear halo (white halo)

Question 11

Chlamydia trachomatis, Neisseria gonorrhoeae- differentiate how?

Answer 11

• gram stain
• NAAT
• Chlamydia- 5 days- 2 wks (later onset)
• Neisseria- within 5 days

Question 12

Chlamydia trachomatis, Neisseria gonorrhoeae- complications

Answer 12

• conjunctivitis

- chlamydia- most preventable cause of blindness

Question 13

Thayer martin agar

Answer 13

-diagnostic for Neisseria!!

Question 14

chocolate agar

Answer 14

-Neisseria meningitis, Haemophilus

Question 15

MacConkey (lactose) agar

Answer 15

-gram neg, enteric

Question 16

Eosin-methylene blue agar

Answer 16

-lactose fermenter- salmonella, shigella

Question 17

HPV- contributing factor

Answer 17

-need co-carinogen influences!!- cig smoking, microbial infections, H changes, dietary def

Question 18

HPV- high risk

Answer 18

-16, 18, 31, 33

Question 19

cervical cancer- CIN I-III

Answer 19

• I- basal cells go 1/3 up
• II- basal cells go 2/3 up
• III- basal cells go all the way up

Question 20

grape like mass in 4 yo girl

Answer 20

• embryonal rhabdomyosarcoma

- in vagina

Question 21

grape like mass in 52 yo women

Answer 21

• polyps

- in endometrium and cervix

Question 22

condyloma lata- in?

Answer 22

-T pallidum- secondary syphilis

primary syphilis- chancre- painless

Question 23

Donovan bodies- in? assoc w?

Answer 23

• Klebsiella Granulomatis
• in africa
• elephantiasis!!

Question 24

soft chancre- in?

Answer 24

H ducreyi

-africa

Question 25

strawberry cervix- in?

Answer 25

-Trichomonas (flagellated protozoan!!)

Question 26

Spirochete?

Answer 26

-treponema- spiral shaped- warthin starry stain!!

Question 27

cambium layer

Answer 27

-Sarcoma botyroides
(grapelike mass, uncommon, <5 yo)
-tend to invade!!

Question 28

cervix carcinomas- caused by?

Answer 28

HPV- 16, 18