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AIM-Repro > TBL STI > Flashcards

TBL STI Flashcards

1
Q

BV

  • present
  • microbe
  • dx
  • tx
A
  • PRESENT: thin, milky discharge; fishy odor
  • MICROBE: decr lactobacilli, polymicrobial
  • DX: wet mount (clue cells) + pH DNA probe (high pH)
  • TX: metronidazole or clindamycin (po or vaginal)
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2
Q

Candida

  • PRESENT
  • MICROBE
  • DX
  • TX
A
  • PRESENT: itch/burn/thick white discharge
  • MICROBE: Candida albicans
  • DX: wet mount (hyphae, buds) + pH (<4.5), DNA probe
  • TX: fluconazole, vaginal -azoles
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3
Q

Trichomonas

  • PRESENT
  • MICROBE
  • DX
  • TX
A
  • PRESENT: itch/irritation/gray discharge
  • MICROBE: Trichomonas vaginalis
  • DX: wet mount (motile protozoa)+ pH (>4.5), DNA probe
  • TX: Metronidazole
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4
Q

Chlamydia

  • PRESENT
  • MICROBE
  • DX
  • TX
A
  • PRESENT: none/discharge, dysuria
  • MICROBE: Chamydia trachomatis
  • DX: NAAT from swab or urine
  • TX: Azithromycin
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5
Q

Gonorrhea

  • PRESENT
  • MICROBE
  • DX
  • TX
A
  • PRESENT: none/discharge, dysuria, various
  • MICROBE: Neisseria gonorrhea
  • DX: NAAT from swab or urine
  • TX: IM Ceftriaxone + Azithromycin OR doxycline
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6
Q

HSV

  • PRESENT
  • MICROBE
  • DX
  • TX
A
  • PRESENT: painful, shallow ulcers (multiple)
  • MICROBE: HSV 1 or 2
  • DX: PCR or viral culture; serum Abs
  • TX: Antivirals; symptomatic tx
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7
Q

Syphilis

  • PRESENT
  • MICROBE
  • DX
  • TX
A
  • PRESENT: painless, rimmed ulcer (single)
  • MICROBE: Treponema pallidum
  • DX: PCR, viral culture, serum Abs
  • TX: benzathine penicillin
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8
Q

LGV

  • PRESENT
  • MICROBE
  • DX
  • TX
A
  • PRESENT: herpes-like ulcers at first; then grooved inguinal mass
  • MICROBE: Chlamydia L 1,2,3
  • DX: NAT (to CDC or DPH)
  • TX: doxycycline

abc123 song

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9
Q

Chancroid

  • PRESENT
  • MICROBE
  • DX
  • TX
A
  • PRESENT: tender papules, then serpiginous, friable ulcers
  • MICROBE: Hemophilus ducrei
  • DX: exclusion, gram stain
  • TX: Azithromycin
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10
Q

Granuloma inguinale

  • PRESENT
  • MICROBE
  • DX
  • TX
A
  • PRESENT: painless papules at first, then painless, beefy ulcerative mass
  • MICROBE: calymmatobacterium granulomatis
  • DX: clinical, biopsy/culture
  • TX: Azithromycin
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11
Q

primary syphilis

A

painless ulcer w raise edge (single)

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12
Q

secondary syphilis

A
  • maculopapular rashon palms
  • condyloma latum
  • systemic sx
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13
Q

latent syphilis

A

NO presentation

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14
Q

tertiary syphilis

A
  • skin and bone
  • gumma CV
  • aortic aneurysm
  • aortic insufficiency
  • Neuro: tabes dorsalis, Argyl-Roberton Pupil, blindness
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15
Q

out patient tx for PID

A

Ceftriaxone IM
Cefoxitin IM/Probenecid po

+ Doxycycline

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16
Q

in-patient tx for PID

A

“cefoxy-doxy”

cefotetan + doxycycline

17
Q

tabes dorsalis

A

sign of neurosyphilis

  • demyelination of dorsal columns
  • loss of proprioception, vibration, fine touch
18
Q

Argyll Robertson pupil

A

sign of neurosyphilis
light-near dissociation
-accommodates but does not react
-can be seen in dorsal midbrain

19
Q

Molluscom contagiosum

  • PRESENT
  • MICROBE
  • DX
  • TX
A
  • PRESENT: non-painful, non-pruritic, scattered papules w/ central umbilication, CHILDREN
  • MICROBE: DNA pox virus
  • TX: nothing, ablative therapies
20
Q

Condyloma accuminatum

  • PRESENT
  • MICROBE
  • DX
  • TX
A
  • PRESENT: non-painful, non-pruritic verrucous papules and plaques
  • MICROBE: low-risk HPV
  • TX: nothing, ablative, topical immune-modulators
21
Q

scabies

  • PRESENT
  • MICROBE
  • DX
  • TX
A
  • PRESENT: interdigitary and genital itching
  • MICROBE: sarcoptes scabiei
  • DX: clinical (burrow, petechiae), skin scraping (eggs, feces)
  • TX: permethrin cream/shampoo
22
Q

pubic louse

  • PRESENT
  • MICROBE
  • DX
  • TX
A
  • PRESENT: intense pruritus, fever/malaise
  • MICROBE: pediculosis pubis
  • DX: inspection (see louse, nits)
  • TX: permethhrin shampoo

AIM-Repro (9 decks)

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