Test 2 studying Flashcards
How are genital herpes and HPV transmitted
through intimate skin to skin contact
How are Hep B and HIV transmitted?
Through blood
What were sexually transmitted diseases first known as?
Venereal Disease
In the 1970’s, Venereal Disease was replaced with what term?
Sexually transmitted disease
In 2006, what term was deemed more appropriate then Sexually Transmitted Diseases
Sexually transmitted infection
Current Public Health Policy include the screening for which STI’s at a prenatal visit? (there are 5)
HIV, syphilis, chlamydia, gonorrhoea and Hep B
What STI’s does Public Health Surveillance
HIV, Aids, Gonorrhoea, Hep B+ C and Syphilia
What does the Blood Safety Contribution Program (BSCP) do?
Supports/develops/enhances systems to monitor errors and adverse events with blood transfusions
What does the Canadian Blood Services do?
mandated to provide Canada with safe, secure and affordable blood components system (since 1998)
What are the 3 different categories of STBBI’s
bacterial, viral or ectoparasitic
What are the most common bacterial STIBBs?
Chlamydia, gonorrhoea and syphilis
How are chlamydia and gonorrhoea primarily transmitted through
unprotected vaginal and anal sex
What bacteria causes chlamydia
chlamydia trachoma’s
When do symptoms for chlamydia tend to occur
1-3 weeks
Where may women contract chlamydia
cervix, rectum and throat
Where does chlamydia contract in men
urethra, rectum and throat
Who is most at risk statistically for chlamydia
women, sexually active youth/ young adults (15-24 y/o)
In canada, where are the highest rates
Northwestern Territories
What 4 diseases could Chlamydia lead to
Pelvice inflammatory disease, tubal infertility, ectopic pregnancy, chronic pelvic pain
In pregnancy what can chlamydia cause?
Premature birth, eye infection, pneumonia for the baby
PID includes symptoms like”
abdo pain, fever, internal abscesses, long term pelvic pain, scarring of the Fallopian tubes
What problems can chlamydia cause in men?
Lymphogranuloma venereum (C.trachomatis), proctits (inflammation of the lining of the rectum
What are chlamydia symptoms in men
urethritis (discharge from the penis- mucoid or watery), dysuria (pain with urination), epididymitis (unilateral testicular pain, tenderness and swelling)
What are the rectal chlamydia symptoms
rectal pain, bleeding, discharge, mucous with stools, painful bowel movement
When do eye symptoms of chlamydia appear?
2-6 weeks
For LGV (Caused by C.trachomatis) strains, what is recommended treatment
Doxyxycline 100mg PO BID x 21 days
For non LGV strains what are the 7 recommended treatments
Docycycline 100 mg BID 7 days OR 1 dream Azithromycin single dose
What bacteria causes Gonorrhea
neisseria gonorrhoea
What is gonorrhoea commonly referred to as
the clap or the drip
how is neisseria gonorrhoea carried from person to person
semen and vaginal fluid
When do gonorrhoea symptoms tend to develop
2 weeks
what is the best way to prevent gonorrhoea
condoms and dental dams
Who make up the majority of gonorrhoea cases, men or women?
men
What are the symptoms of gonorrhea in women?
vaginal discharge (thin, watery and green/yellow), dysuria, pain/tenderness in lower abdominal area, bleeding between periods and heavier periods
What are the symptoms for men who have gonorrhea
whit/yellow/green drainage from the penis, dysuria, inflammation of the foreskin, pain/tenderness of the testicles
What happens in infected semen or vaginal fluid comes in contact with eyes (for gonorrhea)
conjunctivitis- pain, photophobia, purulent drainage
What can a gonorrhea infection in the anus cause
discomfort, pain, itching, discharge, spots of bright red blood on toilet tissue
What dose of doxycycline is recommended for gonorrhea?
100 mg PO BID x 7 days
If a patient is receiving ceftriaxone and azithromycin, what dose and frequency will they receive?
Ceftriaxone: 250mg IM x1
Azithromycin 1 gram PO x 1
What medications are recommended for gonorrhea
Ceftriaxone + azithromycin and doxycycline
What bacteria causes Syphilis
treponema palladium
When is the average onset of syphilis symptoms
21 days
Out of men and women who make up most of the syphilis cases
men
Out of the primary, secondary and tertiary stages of syphilis, in which stage is the patient most infectious
primary
A patient has small, round, firm, painless sores on their lips and vagina, they say it has been around for about 4 weeks. The patient said they first thought the bumps were just an ingrown hair. But when they saw more appear they decided to come in for a check up. What stage of syphilis would they be in?
Primary
-Small bumps are chancres
-The bumps appear around where the bacteria would have entered from
-the chancres usually last 3-6 weeks
A patient comes in who has a skin rash as well as mucous membrane lesions. Upon a physical inspection you note the rash is rough, red and on the hands, soles of the feet and extremities. They also have a fever, swollen lymph nodes and fatigue. They have also reported hair loss and weight loss. What stage of syphilis would they most likely be in?
Secondary
-Flu like symptoms
-Unitchy rash over hands, palms, soles of feet, torso extremities
- weight loss/ hair loss is common
What symptoms are common in late stages of syphilis
tumors, blindness, paralysis, damage to the nervous system and brain, may result in death
What do you use to treat primary and secondary syphilis
Penecillin G benzathine 2.4 million units IM x1
If a pregnant women has syphilis what is the only medication she should be treated with
penicillin
What are 2 types of viral STI’s
genital herpes simples virus (HSV) and Human papilloma virus
Are HSV and HPV reportable
NO THEY ARE NOT
if HPV or HSV is transmitted to the baby what may happen to the baby
abnormal development or death
How does hepes type 1 and 2 commonly appear?
one or a group of painful, itchy, fluid filled blisters in or around the genitals, buttocks, and/or thighs
what are some symptoms of HSV 1 or 2
burning while voiding, fever, flu like symptoms and swollen glands
What test is used to test for Herpes?
Nucleic Acid Amplification test (NAAT) or a viral culture
What medication is used for Herpes Simplex Virus
acyclovir, famciclovie, valacyclovir, within the first 3-4 days
What 2 things may Human Papilloma Virus lead to
cancer or skin lesions
What is the most common STI?
HPV
Is there a cure for HPV?
