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Community Health > Test 2 studying > Flashcards

Test 2 studying Flashcards

1
Q

How are genital herpes and HPV transmitted

A

through intimate skin to skin contact

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2
Q

How are Hep B and HIV transmitted?

A

Through blood

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3
Q

What were sexually transmitted diseases first known as?

A

Venereal Disease

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4
Q

In the 1970’s, Venereal Disease was replaced with what term?

A

Sexually transmitted disease

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5
Q

In 2006, what term was deemed more appropriate then Sexually Transmitted Diseases

A

Sexually transmitted infection

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6
Q

Current Public Health Policy include the screening for which STI’s at a prenatal visit? (there are 5)

A

HIV, syphilis, chlamydia, gonorrhoea and Hep B

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7
Q

What STI’s does Public Health Surveillance

A

HIV, Aids, Gonorrhoea, Hep B+ C and Syphilia

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8
Q

What does the Blood Safety Contribution Program (BSCP) do?

A

Supports/develops/enhances systems to monitor errors and adverse events with blood transfusions

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9
Q

What does the Canadian Blood Services do?

A

mandated to provide Canada with safe, secure and affordable blood components system (since 1998)

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10
Q

What are the 3 different categories of STBBI’s

A

bacterial, viral or ectoparasitic

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11
Q

What are the most common bacterial STIBBs?

A

Chlamydia, gonorrhoea and syphilis

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12
Q

How are chlamydia and gonorrhoea primarily transmitted through

A

unprotected vaginal and anal sex

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13
Q

What bacteria causes chlamydia

A

chlamydia trachoma’s

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14
Q

When do symptoms for chlamydia tend to occur

A

1-3 weeks

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15
Q

Where may women contract chlamydia

A

cervix, rectum and throat

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16
Q

Where does chlamydia contract in men

A

urethra, rectum and throat

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17
Q

Who is most at risk statistically for chlamydia

A

women, sexually active youth/ young adults (15-24 y/o)

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18
Q

In canada, where are the highest rates

A

Northwestern Territories

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19
Q

What 4 diseases could Chlamydia lead to

A

Pelvice inflammatory disease, tubal infertility, ectopic pregnancy, chronic pelvic pain

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20
Q

In pregnancy what can chlamydia cause?

A

Premature birth, eye infection, pneumonia for the baby

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21
Q

PID includes symptoms like”

A

abdo pain, fever, internal abscesses, long term pelvic pain, scarring of the Fallopian tubes

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22
Q

What problems can chlamydia cause in men?

A

Lymphogranuloma venereum (C.trachomatis), proctits (inflammation of the lining of the rectum

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23
Q

What are chlamydia symptoms in men

A

urethritis (discharge from the penis- mucoid or watery), dysuria (pain with urination), epididymitis (unilateral testicular pain, tenderness and swelling)

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24
Q

What are the rectal chlamydia symptoms

A

rectal pain, bleeding, discharge, mucous with stools, painful bowel movement

25
Q

When do eye symptoms of chlamydia appear?

A

2-6 weeks

26
Q

For LGV (Caused by C.trachomatis) strains, what is recommended treatment

A

Doxyxycline 100mg PO BID x 21 days

27
Q

For non LGV strains what are the 7 recommended treatments

A

Docycycline 100 mg BID 7 days OR 1 dream Azithromycin single dose

28
Q

What bacteria causes Gonorrhea

A

neisseria gonorrhoea

29
Q

What is gonorrhoea commonly referred to as

A

the clap or the drip

30
Q

how is neisseria gonorrhoea carried from person to person

A

semen and vaginal fluid

31
Q

When do gonorrhoea symptoms tend to develop

A

2 weeks

32
Q

what is the best way to prevent gonorrhoea

A

condoms and dental dams

33
Q

Who make up the majority of gonorrhoea cases, men or women?

A

men

34
Q

What are the symptoms of gonorrhea in women?

A

vaginal discharge (thin, watery and green/yellow), dysuria, pain/tenderness in lower abdominal area, bleeding between periods and heavier periods

35
Q

What are the symptoms for men who have gonorrhea

A

whit/yellow/green drainage from the penis, dysuria, inflammation of the foreskin, pain/tenderness of the testicles

36
Q

What happens in infected semen or vaginal fluid comes in contact with eyes (for gonorrhea)

A

conjunctivitis- pain, photophobia, purulent drainage

37
Q

What can a gonorrhea infection in the anus cause

A

discomfort, pain, itching, discharge, spots of bright red blood on toilet tissue

38
Q

What dose of doxycycline is recommended for gonorrhea?

A

100 mg PO BID x 7 days

39
Q

If a patient is receiving ceftriaxone and azithromycin, what dose and frequency will they receive?

A

Ceftriaxone: 250mg IM x1
Azithromycin 1 gram PO x 1

40
Q

What medications are recommended for gonorrhea

A

Ceftriaxone + azithromycin and doxycycline

41
Q

What bacteria causes Syphilis

A

treponema palladium

42
Q

When is the average onset of syphilis symptoms

A

21 days

43
Q

Out of men and women who make up most of the syphilis cases

A

men

44
Q

Out of the primary, secondary and tertiary stages of syphilis, in which stage is the patient most infectious

A

primary

45
Q

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?

A

Primary
-Small bumps are chancres
-The bumps appear around where the bacteria would have entered from
-the chancres usually last 3-6 weeks

46
Q

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?

A

Secondary
-Flu like symptoms
-Unitchy rash over hands, palms, soles of feet, torso extremities
- weight loss/ hair loss is common

47
Q

What symptoms are common in late stages of syphilis

A

tumors, blindness, paralysis, damage to the nervous system and brain, may result in death

48
Q

What do you use to treat primary and secondary syphilis

A

Penecillin G benzathine 2.4 million units IM x1

49
Q

If a pregnant women has syphilis what is the only medication she should be treated with

A

penicillin

50
Q

What are 2 types of viral STI’s

A

genital herpes simples virus (HSV) and Human papilloma virus

51
Q

Are HSV and HPV reportable

A

NO THEY ARE NOT

52
Q

if HPV or HSV is transmitted to the baby what may happen to the baby

A

abnormal development or death

53
Q

How does hepes type 1 and 2 commonly appear?

A

one or a group of painful, itchy, fluid filled blisters in or around the genitals, buttocks, and/or thighs

54
Q

what are some symptoms of HSV 1 or 2

A

burning while voiding, fever, flu like symptoms and swollen glands

55
Q

What test is used to test for Herpes?

A

Nucleic Acid Amplification test (NAAT) or a viral culture

56
Q

What medication is used for Herpes Simplex Virus

A

acyclovir, famciclovie, valacyclovir, within the first 3-4 days

57
Q

What 2 things may Human Papilloma Virus lead to

A

cancer or skin lesions

58
Q

What is the most common STI?

A

HPV

59
Q

Is there a cure for HPV?

A

Community Health (4 decks)

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